Aids Education and Prevention最新文献_第10页

People Living With HIV in St. Petersburg, Russia: Gender and Exposure Group Differences in HIV Care Engagement, Psychosocial Health, Substance Use, and Transmission Risk Behavior. 俄罗斯圣彼得堡艾滋病毒感染者:性别和接触组在艾滋病毒护理参与、心理健康、物质使用和传播风险行为方面的差异。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-06-01 DOI: 10.1521/aeap.2022.34.3.226

Y. Amirkhanian, J. Kelly, W. DiFranceisco, S. Tarima, T. McAuliffe, A. Kuznetsova

{"title":"People Living With HIV in St. Petersburg, Russia: Gender and Exposure Group Differences in HIV Care Engagement, Psychosocial Health, Substance Use, and Transmission Risk Behavior.","authors":"Y. Amirkhanian, J. Kelly, W. DiFranceisco, S. Tarima, T. McAuliffe, A. Kuznetsova","doi":"10.1521/aeap.2022.34.3.226","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.3.226","url":null,"abstract":"This study examined psychosocial and health needs of persons living with HIV (PLWH) in Russia. The study combined baseline datasets from two social network samples of PLWH in St. Petersburg (N = 872). Samples were recruited between 2014 and 2018 by enrolling a PLWH seed who was either out-of-care or treatment nonadherent as well as network members surrounding each seed, assessing each participant's HIV care, transmission risk, substance use, and mental health characteristics. Almost one-quarter of participants said they were never offered antiretroviral therapy (ART), and-among those offered ART-one-quarter refused or discontinued therapy and 45% were <95% ART-adherent. Almost half of participants had detectable viral load, and many reported continued condomless intercourse with potentially nonconcordant serostatus partners or needle sharing. Over 46% of participants had elevated scores on measures of depression, hopelessness, state anxiety, or poor social support. Study findings illustrate unmet needs of PLWH in Russia.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"4 1","pages":"226-244"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87930620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Barriers to HIV Pre-Exposure Prophylaxis Uptake and Ways to Mitigate Them: Perspectives of Ghanaian Immigrants in the United States. 艾滋病毒暴露前预防吸收的障碍和减轻它们的方法:美国加纳移民的观点。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-06-01 DOI: 10.1521/aeap.2022.34.3.209

G. Aidoo-Frimpong, R. Collins, Kafuli Agbemenu, H. Orom, G. Morse, LaRon E Nelson

{"title":"Barriers to HIV Pre-Exposure Prophylaxis Uptake and Ways to Mitigate Them: Perspectives of Ghanaian Immigrants in the United States.","authors":"G. Aidoo-Frimpong, R. Collins, Kafuli Agbemenu, H. Orom, G. Morse, LaRon E Nelson","doi":"10.1521/aeap.2022.34.3.209","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.3.209","url":null,"abstract":"African immigrants in the United States experience disparities in HIV incidence. Pre-exposure prophylaxis (PrEP) effectively prevents HIV infection, yet uptake is low among racial and ethnic minorities. To better understand PrEP adoption among African immigrants, in March 2020, we conducted interviews with Ghanaian immigrants (N = 40) to explore the barriers and ways to overcome these barriers to PrEP adoption. Participants described several barriers (e.g., low HIV knowledge and risk perception, fear of social judgment, cultural values, and norms), which may impede PrEP adoption. We categorized these barriers according to the levels of the socioecological model (individual, interpersonal, community, and organizational/structural factors). Participants also identified strategies to overcome the barriers, such as providing comprehensive education on HIV and PrEP. Our research provides foundational knowledge that can inform future PrEP research with Ghanaian and other African immigrants and offers important insights into factors that may impact PrEP adoption in this population.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"5 1","pages":"209-225"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85339757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Association of Race and Other Social Determinants of Health With HIV Pre-Exposure Prophylaxis Use: A County-Level Analysis Using the PrEP-to-Need Ratio. 种族和其他健康社会决定因素与艾滋病毒暴露前预防使用的关系:使用PrEP-to-Need比率的县级分析

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-06-01 DOI: 10.1521/aeap.2022.34.3.183

Ryan Doherty, Jennifer L Walsh, Katherine G Quinn, Steven A John

{"title":"Association of Race and Other Social Determinants of Health With HIV Pre-Exposure Prophylaxis Use: A County-Level Analysis Using the PrEP-to-Need Ratio.","authors":"Ryan Doherty, Jennifer L Walsh, Katherine G Quinn, Steven A John","doi":"10.1521/aeap.2022.34.3.183","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.3.183","url":null,"abstract":"Research is limited on the effect of racism and social determinants of health on HIV pre-exposure prophylaxis (PrEP) use. This study used the PrEP-to-Need Ratio (PNR), which measures PrEP prescriptions divided by HIV diagnoses in the county, to evaluate sufficient PrEP use. AIDSVu datasets were compared to county-level social determinants of health. Standardized regression coefficients (β) were compared to identify strongest associations with PNR. Overall, factors including percent African American and percent uninsured had negative correlations with PNR, whereas median household income and severe housing cost burden had positive associations. Stratifying for population size, percent African American, percent uninsured, and severe housing cost burden were significant for low population areas, whereas median household income, percent in poverty, percent uninsured, and percent African American were significant for large populations. To reduce PrEP disparities, public health must develop strategies to reach those most in need, especially historically disadvantaged communities.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 3","pages":"183-194"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196948/pdf/nihms-1814058.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9548836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

What Predicts a Clinical Discussion About PrEP? Results From Analysis of a U.S. National Cohort of HIV-Vulnerable Sexual and Gender Minorities. 什么预示着PrEP的临床讨论?对美国hiv易感性少数群体的分析结果

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-06-01 DOI: 10.1521/aeap.2022.34.3.195

Pedro B Carneiro, Victoria Frye, Chloe Mirzayi, Viraj Patel, David Lounsbury, Terry T-K Huang, Nasim Sabounchi, Christian Grov

{"title":"What Predicts a Clinical Discussion About PrEP? Results From Analysis of a U.S. National Cohort of HIV-Vulnerable Sexual and Gender Minorities.","authors":"Pedro B Carneiro, Victoria Frye, Chloe Mirzayi, Viraj Patel, David Lounsbury, Terry T-K Huang, Nasim Sabounchi, Christian Grov","doi":"10.1521/aeap.2022.34.3.195","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.3.195","url":null,"abstract":"HIV-outcome inequities remain prevalent in the U.S. Medical providers (MPs) are gatekeepers of PrEP, and understanding the dynamics of PrEP assessments is of major interest for public health. We analyzed data from Together 5000, an internet-based U.S. national cohort of sexual and gender minority (SGM) individuals aged 16-49 years and at risk for HIV. Among those eligible for PrEP uptake (n = 6264), we modeled predictors of discussing PrEP with an MP. A third (31%) of participants had spoken to a MP about PrEP. Among those who spoke to a MP, 45% suggested they would initiate PrEP; this outcome was more common among participants older than 24. With a persistent stagnant uptake nationwide, new opportunities to influence PrEP uptake must be explored. An attractive less targeted space is the medical office, specifically ways to support an initial and continued discussion about PrEP between MPs and their patients.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 3","pages":"195-208"},"PeriodicalIF":1.8,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9212698/pdf/nihms-1815473.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9733607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Transforming Latinx HIV Care: Mixed-Methods Evaluation of a Patient-Centered HIV Practice Transformation. 拉丁艾滋病护理转型:以患者为中心的艾滋病实践转型的混合方法评价。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-04-01 DOI: 10.1521/aeap.2022.34.2.131

Jesus Felizzola, Veronica Pinho, D. Funk, Ana María del Río-González, M. C. Zea, Catalina Sol, Suyanna L. Barker

引用次数: 1

HIV Prevention During the COVID-19 Pandemic: Sexual Activity and PrEP Use Among Black Same-Gender-Loving Men and Black Cisgender Women. COVID-19大流行期间的艾滋病毒预防:黑人同性男性和黑人顺性女性的性活动和PrEP使用

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2022-04-01 DOI: 10.1521/aeap.2022.34.2.142

Amy Corneli, Brian Perry, Jamilah Taylor, Jeremy Beckford, Nneka Molokwu, Susan Reif, Johnny Wilson, Chelsea Gulden, Jacquelyn Bickham, Julia Siren, Wesley Thompson, Meredith E Clement

{"title":"HIV Prevention During the COVID-19 Pandemic: Sexual Activity and PrEP Use Among Black Same-Gender-Loving Men and Black Cisgender Women.","authors":"Amy Corneli, Brian Perry, Jamilah Taylor, Jeremy Beckford, Nneka Molokwu, Susan Reif, Johnny Wilson, Chelsea Gulden, Jacquelyn Bickham, Julia Siren, Wesley Thompson, Meredith E Clement","doi":"10.1521/aeap.2022.34.2.142","DOIUrl":"10.1521/aeap.2022.34.2.142","url":null,"abstract":"Black populations in the U.S. South are disproportionally affected by HIV and COVID-19 due to longstanding inequalities. We conducted 20 in-depth interviews-12 with Black same-gender-loving men and 8 with Black cisgender women-to explore the impact of the initial phase of the COVID-19 pandemic on sexual activities and PrEP use. Almost all participants reduced the frequency of sex and number of partners. Women described little interest in sex, whereas men began to connect with some sexual partners after stay-at-home orders were lifted. Both populations were concerned about contracting COVID-19 through sexual partners, and men described selecting partners based on perceived COVID-19 risk. Participants valued PrEP and could access it, although several men who were not having sex stopped taking it. Risk of acquiring HIV during this time was likely limited. Future qualitative research is needed to understand how sexual behaviors and PrEP use changed as the pandemic continued.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"22 1","pages":"142-157"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81413020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characterizing Problematic Drug Use Among Transgender Women and Cisgender Men During the Emerging HIV Crisis in the Philippines: Implications for Policy Research. 在菲律宾新出现的艾滋病毒危机期间，变性女性和同性性别男性有问题药物使用的特征：对政策研究的启示》。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2022-04-01 DOI: 10.1521/aeap.2022.34.2.116

Arjee J Restar, Ma Irene N Quilantang, Anthony Surace, Adedotun Ogunbajo, Randolph Chan, Alexander Adia, Susan Cu-Uvin, Don Operario

{"title":"Characterizing Problematic Drug Use Among Transgender Women and Cisgender Men During the Emerging HIV Crisis in the Philippines: Implications for Policy Research.","authors":"Arjee J Restar, Ma Irene N Quilantang, Anthony Surace, Adedotun Ogunbajo, Randolph Chan, Alexander Adia, Susan Cu-Uvin, Don Operario","doi":"10.1521/aeap.2022.34.2.116","DOIUrl":"10.1521/aeap.2022.34.2.116","url":null,"abstract":"Drug use and HIV are key issues for public health interventions in the Philippines. We examined associations of problematic drug use among 320 Filipinx transgender women (trans-WSM) and cisgender men who have sex with men (cis-MSM). The prevalence of exhibited problematic drug use in this sample was 29.38%. Greater odds of problematic drug use were observed among Filipinx participants who recently engaged in sex work (adjusted OR [aOR] = 2.79, 95% CI [1.08, 7.18]), reported having HIV positive and unknown status vs. negative status (aOR = 3.61, 95% CI [1.39, 9.39], and aOR = 13.99, 95% CI [2.04, 29.69], respectively), exhibited low HIV knowledge (aOR = 4.15, 95% CI [1.82, 9.44]), and displayed hazardous drinking (aOR = 2.77, 95% CI [1.21, 6.33]). Given its correlates of HIV-related indicators, integration of HIV and harm reduction services as a public health intervention could potentially decrease problematic drug use.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 2","pages":"116-130"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10442844/pdf/nihms-1854191.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family Conflict Non-negotiation and HIV Disclosure Associated With ART Adherence in a Disadvantaged Population. 家庭冲突、不谈判和艾滋病毒披露与弱势群体抗逆转录病毒治疗依从性相关。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-04-01 DOI: 10.1521/aeap.2022.34.2.158

M. Mitchell, Tuo-Yen Tseng, Dulce M. Cruz-Oliver, Zachary Catanzarite, Eric D. Hansen, A. Knowlton

{"title":"Family Conflict Non-negotiation and HIV Disclosure Associated With ART Adherence in a Disadvantaged Population.","authors":"M. Mitchell, Tuo-Yen Tseng, Dulce M. Cruz-Oliver, Zachary Catanzarite, Eric D. Hansen, A. Knowlton","doi":"10.1521/aeap.2022.34.2.158","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.2.158","url":null,"abstract":"Adherence to antiretroviral therapy (ART) is vital for reducing racial and gender disparities in morbidity and mortality among people living with HIV/AIDS (PLWH). Little research attention has been given to aspects of family functioning affecting ART adherence among PLWH vulnerable to disparities. Data were from n = 313 participants (93% African American) in the BEACON study, which recruited injection-drug-using PLWH on ART. Using factor analysis and longitudinal structural equation modeling, we found that current substance use and negative family conflict tactics (i.e., non-negotiation) predicted PLWH's lower probability of ART adherence at 12-month follow-up; and greater HIV disclosure to support network members predicted a higher probability of adherence. These findings suggest the importance of family and other support network members in this vulnerable population's ART adherence. Social network-focused interventions promoting prosocial response to conflict and negotiation skills are important for improving vulnerable PLWH's HIV outcomes and reducing health disparities.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"96 1","pages":"158-167"},"PeriodicalIF":1.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80572528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HIV PrEP Clinician Communication Preferences Among Black Sexual Minority Men. HIV PrEP临床医生在黑人性少数男性中的沟通偏好

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-04-01 DOI: 10.1521/aeap.2022.34.2.168

Derek T. Dangerfield, Alexander Lipson, Janeane N. Anderson

引用次数: 2

Familism and HIV Risk Among Men Who Have Sex With Men in Taiwan: The Mediating Roles of Stressful Life Events and Coping Strategies. 台湾男男性行为者的家庭主义与HIV风险:压力生活事件与应对策略的中介作用。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2022-02-01 DOI: 10.1521/aeap.2022.34.1.1

Deng-Min Chuang, Peter A Newman, Lin Fang, Meng-Chuan Lai

引用次数: 0