Aids Education and Prevention最新文献_第2页

Longitudinal Impacts of Medicaid Expansion and Social Determinants of Health on PrEP Prevalence and PrEP-to-Need Ratio (PNR). 医疗补助扩展和健康的社会决定因素对 PrEP 流行率和 PrEP 需求比 (PNR) 的纵向影响。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-10-01 DOI: 10.1521/aeap.2024.36.5.324

Sarah J Miller, Xueying Yang, Shan Qiao

{"title":"Longitudinal Impacts of Medicaid Expansion and Social Determinants of Health on PrEP Prevalence and PrEP-to-Need Ratio (PNR).","authors":"Sarah J Miller, Xueying Yang, Shan Qiao","doi":"10.1521/aeap.2024.36.5.324","DOIUrl":"https://doi.org/10.1521/aeap.2024.36.5.324","url":null,"abstract":"Despite its efficacy, pre-exposure prophylaxis (PrEP) for HIV has a low uptake, with many disparities remaining. This study aimed to assess the impact of Medicaid expansion and social determinants of health (SDOH) on PrEP prevalence and PrEP-to-need ratio (PnR) using county-level data from 2012 to 2022. Differences-in-differences regressions indicated that Medicaid expansion is associated with increased PnR but not PrEP prevalence. Linear regressions were conducted to evaluate the impact of county-level SDOH on PrEP outcomes. Rurality was associated with lower PnR and PrEP prevalence. Racial disparities were present, with areas with greater concentrations of non-Hispanic Black populations having lower PrEP prevalence and PnR. Greater concentrations of Hispanic populations were associated with lower PnR. Income inequality, socioeconomic status vulnerability, and primary care physician concentration were all associated with higher PnR. Medicaid expansion supports increasing PrEP use in the areas of greatest need. Efforts should be made to improve PrEP access, particularly in areas with high SDOH vulnerabilities.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 5","pages":"324-340"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606853","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

The NUDGE Framework: Application to Address Behavioral Barriers to Antiretroviral Therapy in Adolescents Living With HIV in Eswatini. NUDGE 框架：在埃斯瓦提尼，应用该框架解决感染艾滋病毒的青少年接受抗逆转录病毒疗法的行为障碍。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-08-01 DOI: 10.1521/aeap.2024.36.4.285

Charisse V Ahmed, Ayanda Dlamini, Majaha Mbuyisa, Mthobisi Simelane, Darby Gallagher, Aleksandra Golos, Gregory Donworth, Jacob Dubner, Lindsey McLain, Elizabeth D Lowenthal, Bridgette M Rice, Merrian J Brooks, Alison M Buttenheim

{"title":"The NUDGE Framework: Application to Address Behavioral Barriers to Antiretroviral Therapy in Adolescents Living With HIV in Eswatini.","authors":"Charisse V Ahmed, Ayanda Dlamini, Majaha Mbuyisa, Mthobisi Simelane, Darby Gallagher, Aleksandra Golos, Gregory Donworth, Jacob Dubner, Lindsey McLain, Elizabeth D Lowenthal, Bridgette M Rice, Merrian J Brooks, Alison M Buttenheim","doi":"10.1521/aeap.2024.36.4.285","DOIUrl":"10.1521/aeap.2024.36.4.285","url":null,"abstract":"Behavioral economics offers a unique opportunity to understand the social, cognitive, and psychological nuances that may influence health behavior. The purpose of this article is to demonstrate the application of NUDGE, a novel behavioral economics and design thinking framework, to address barriers to antiretroviral therapy adherence among adolescents living with HIV in eSwatini. NUDGE comprises five steps: (1) Narrow the focus to a specific target behavior, (2) Understand the context of the behavior through inquiry, (3) Discover behavioral insights related to the target behavior, (4) Generate intervention design features to address behavioral barriers to the target behavior, and (5) Evaluate the design features through iterative pilot testing. This article demonstrates the application of the Discover and Generate steps using qualitative data. In showing the utility of the NUDGE framework, we provide a practical tool for creating interventions informed by behavioral insights.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"285-298"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074204","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

Perceived Feasibility and Acceptability of HIV Prevention Research With Daily Oral PrEP Among Young Transgender Women (YTGW) Who Sell or Trade Sex in Bangkok and Pattaya, Thailand. 泰国曼谷和芭堤雅从事性交易的年轻变性女性 (YTGW) 对每日口服 PrEP 预防艾滋病研究的可行性和可接受性的看法。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-08-01 DOI: 10.1521/aeap.2024.36.4.244

Tareerat Chemnasiri, Anchalee Varangrat, Andrea L Wirtz, Michele R Decker, Kamolnetr Okanurak, Surang Janyam, Danai Linjongrat, Eileen F Dunne, Sandra Hsu Hnin Mon, Brian Weir, Joseph Woodring, Andrew Hickey, Chris Beyrer

{"title":"Perceived Feasibility and Acceptability of HIV Prevention Research With Daily Oral PrEP Among Young Transgender Women (YTGW) Who Sell or Trade Sex in Bangkok and Pattaya, Thailand.","authors":"Tareerat Chemnasiri, Anchalee Varangrat, Andrea L Wirtz, Michele R Decker, Kamolnetr Okanurak, Surang Janyam, Danai Linjongrat, Eileen F Dunne, Sandra Hsu Hnin Mon, Brian Weir, Joseph Woodring, Andrew Hickey, Chris Beyrer","doi":"10.1521/aeap.2024.36.4.244","DOIUrl":"10.1521/aeap.2024.36.4.244","url":null,"abstract":"Young transgender women (YTGW) who sell or trade sex have among the highest HIV incidence rates in Thailand. Using qualitative methods, we assessed perceived acceptability, feasibility, and optimal design of a combination HIV prevention intervention including PrEP for YTGW. Key informant interviews were conducted during July 2016-July 2018 with 21 YTGW, aged 18-26 years, who sold sex and resided in Bangkok or Pattaya, Thailand. Grounded theory and content analysis were used for data analysis. Most YTGW interviewed reported high interest in HIV prevention research and believed participation in it supported sexual health. However, participants perceived HIV studies as complicated and time-consuming. Regarding PrEP, participants suggested more PrEP options beyond daily oral PrEP and expressed concerns related to perceived side effects of PrEP, including interaction with gender-affirming hormone therapy. Improving PrEP knowledge, being able to self-assess HIV risk, and reducing HIV/PrEP stigma could increase interest in research and PrEP uptake among YTGW.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"244-260"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074202","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

The HIV Index Is Associated With Retention in Care Among Latinx Persons Living With HIV in the CFAR Network of Integrated Clinical Systems Cohort. 在 CFAR 综合临床系统网络队列中，HIV 指数与拉美裔 HIV 感染者继续接受护理有关。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-08-01 DOI: 10.1521/aeap.2024.36.4.261

Jorge Salazar, Nadra E Lisha, Torsten B Neilands, Natasha Ludwig-Barron, Mallory O Johnson, Edward R Cachay, Sonia Napravnik, Heidi M Crane, Richard D Moore, Robert J Fredericksen, Kenneth H Mayer, Katerina A Christopoulos, John A Sauceda

{"title":"The HIV Index Is Associated With Retention in Care Among Latinx Persons Living With HIV in the CFAR Network of Integrated Clinical Systems Cohort.","authors":"Jorge Salazar, Nadra E Lisha, Torsten B Neilands, Natasha Ludwig-Barron, Mallory O Johnson, Edward R Cachay, Sonia Napravnik, Heidi M Crane, Richard D Moore, Robert J Fredericksen, Kenneth H Mayer, Katerina A Christopoulos, John A Sauceda","doi":"10.1521/aeap.2024.36.4.261","DOIUrl":"10.1521/aeap.2024.36.4.261","url":null,"abstract":"The HIV Index is a validated self-report scale of engagement in HIV care previously correlated with future retention and virologic suppression. However, its performance in a monoethnic Latinx population has not been studied. We evaluated the HIV Index among Latinx persons living with HIV in the Centers for AIDS Research Network of Integrated Clinical Systems cohort and performed multivariable logistic regression to estimate its association with primary outcomes of suboptimal retention (not keeping 100% of HIV clinic appointments) and virologic suppression (HIV viral load <200 copies/mL). The mean Index score was 4.5 (standard deviation 0.6) in both analytic samples, indicative of feeling well-engaged. Higher Index scores were associated with lower odds of suboptimal retention (OR = 0.12, 95% CI [0.03, 0.54], p = .005), however, there was no association between Index score and virologic suppression. The HIV Index is useful for assessing engagement and retention among Latinx PLWH in routine care.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"261-271"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074203","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

Missed Opportunity or Cause for Concern? Methamphetamine Use Is Associated With Greater Interest in Event-Driven PrEP Among Sexual Minority Men. 错失良机还是值得担忧？甲基苯丙胺的使用与性少数群体男性对事件驱动的 PrEP 更感兴趣有关。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-08-01 DOI: 10.1521/aeap.2024.36.4.272

Pedro B Carneiro, Adam Carrico, Sarit Golub, Asa E Radix, Nicholas Grosskopf, Leah Davis Ewart, Samantha Dilworth, Susanne Doblecki-Lewis, Christian Grov

引用次数: 0

Understanding Gaps of HIV Knowledge Among Transgender Young Adults: A Pilot Interview Study. 了解变性青年对艾滋病知识的了解程度：试点访谈研究。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-08-01 DOI: 10.1521/aeap.2024.36.4.229

Danielle M DeMaio, Ellis P Barerra, Julian Post, Elizabeth R Boskey, Carly E Guss

引用次数: 0

An Evaluation of TransLife Care: A Locally Developed Structural HIV Prevention Intervention for Transgender Women in Chicago, Illinois. TransLife Care 的评估：伊利诺伊州芝加哥市变性妇女当地开发的结构性艾滋病预防干预措施。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-06-01 DOI: 10.1521/aeap.2024.36.3.155

Lisa M Kuhns, Judy Perloff, Amy K Johnson, Josie Lynne Paul, Kevin Pleasant, Kaiji Evans, Damian J Denson, Deborah J Gelaude, Patricia A Bessler, Marbella Cervantes, Abigail L Muldoon, Robert Garofalo, Anna L Hotton

{"title":"An Evaluation of TransLife Care: A Locally Developed Structural HIV Prevention Intervention for Transgender Women in Chicago, Illinois.","authors":"Lisa M Kuhns, Judy Perloff, Amy K Johnson, Josie Lynne Paul, Kevin Pleasant, Kaiji Evans, Damian J Denson, Deborah J Gelaude, Patricia A Bessler, Marbella Cervantes, Abigail L Muldoon, Robert Garofalo, Anna L Hotton","doi":"10.1521/aeap.2024.36.3.155","DOIUrl":"10.1521/aeap.2024.36.3.155","url":null,"abstract":"Transgender women are disproportionately impacted by HIV infection. We report herein the findings of a pre-post evaluation of the TransLife Care (TLC) project in Chicago, Illinois, on behaviors associated with HIV transmission among transgender women. Participants who received any TLC component versus those who did not were compared using mixed-effects logistic regression with random intercepts across follow-up time points. Ninety-seven participants aged 18 to 59 (median age 24) enrolled; 76.3% were transgender women of color. There was a decrease in condomless sex without consistent PrEP use at 8 months, which was not significantly different between those who did and did not receive the TLC intervention, controlling for calendar time. Evidence does not indicate that the TLC reduces condomless sex without PrEP protection among urban transgender women. However, given the preponderance of evidence of the influence of structural barriers on condomless sex, future research should continue to test the efficacy of structural interventions.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 3","pages":"155-167"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451902","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

Between a Rock and a Hard Place: "I Decided to Keep Quiet": A Qualitative Inquiry Into the Coping Experiences of Young People (15-24) Working at High-Risk Venues for HIV in Uganda. 左右为难"我决定保持沉默"：在乌干达艾滋病毒高危场所工作的年轻人（15-24 岁）的应对经验定性调查。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-06-01 DOI: 10.1521/aeap.2024.36.3.198

Susan Babirye, Freddie Ssengooba, Kristien Michielsen

{"title":"Between a Rock and a Hard Place: \"I Decided to Keep Quiet\": A Qualitative Inquiry Into the Coping Experiences of Young People (15-24) Working at High-Risk Venues for HIV in Uganda.","authors":"Susan Babirye, Freddie Ssengooba, Kristien Michielsen","doi":"10.1521/aeap.2024.36.3.198","DOIUrl":"10.1521/aeap.2024.36.3.198","url":null,"abstract":"Employment linked with social venues has long been described as permissive environments for excessive drinking, disruptive/aggressive behaviors, and overt sexual behaviors, which are known risk factors for HIV. Yet, our understanding of the extent to which workers in such high-risk work settings cope with the various risks therein is still limited. This study explored the coping strategies employed by workers at social venues. We interviewed 47 workers at 22 social venues through small group discussions (15) and in-depth interviews (10) in 2021 in Rakai district, Uganda. All discussions were audiorecorded and transcribed verbatim before analysis. Data were analyzed using thematic content analysis. We found two main categories of coping strategies used by workers: acceptance of sexual risks and keeping safe. Acceptance of risks such as transactional sex was the most used strategy, hence highlighting negative coping. This calls for interventions for improving workers' coping efficiency and adjustment as well as interventions ameliorating the conditions underpinning increased risk of HIV at the venues.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 3","pages":"198-215"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451867","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

Correlates of HIV Testing Among Asian Immigrant Female Sex Workers in New York City and Los Angeles County. 纽约市和洛杉矶县亚裔移民女性性工作者进行 HIV 检测的相关因素》（Correlates of HIV Testing Among Asian Immigrant Female Sex Workers in New York City and Los Angeles County.

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-06-01 DOI: 10.1521/aeap.2024.36.3.182

John J Chin, Nicola Forbes, Sahnah Lim, Lois M Takahashi

{"title":"Correlates of HIV Testing Among Asian Immigrant Female Sex Workers in New York City and Los Angeles County.","authors":"John J Chin, Nicola Forbes, Sahnah Lim, Lois M Takahashi","doi":"10.1521/aeap.2024.36.3.182","DOIUrl":"10.1521/aeap.2024.36.3.182","url":null,"abstract":"This analysis examined correlates of HIV testing among Asian immigrant female sex workers in massage parlors. We interviewed 69 Chinese and Korean immigrant women who provided sexual services in massage parlors in New York City or Los Angeles County (2014-2016). Multivariable logistic regression results showed that participants who were younger, have lived in the U.S. for a longer period of time, had greater English proficiency, perceived higher HIV risk, or were living with an intimate partner were more likely to have had an HIV test. Disclosing sex work to a close friend was also positively associated with HIV testing at p < .1. These correlates may reflect differential access to information, systems, and social networks that would facilitate HIV testing, highlighting the importance of reducing social isolation and increasing HIV education, especially for older women who have come to the U.S. more recently. As the literature has indicated that Asian immigrant female sex workers experience high rates of intersectional stigma, efforts to mitigate these intersecting stigmas could further these objectives.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 3","pages":"182-197"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451868","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

Long-Term Impacts on Clinical Practice Along the HIV Care Continuum: Addressing Workforce Gaps Through a Clinician Scholars Program. 对艾滋病连续护理临床实践的长期影响：通过临床学者计划解决人才缺口。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-06-01 DOI: 10.1521/aeap.2024.36.3.168

Suzanne Carlberg-Racich, Ricardo Rivero, Cornelia M J Wagner, Barbara Schechtman, Salma A Alabduljabbar, Renslow Sherer, Memoona Hasnain, Emma Gier, Nathan L Linsk

{"title":"Long-Term Impacts on Clinical Practice Along the HIV Care Continuum: Addressing Workforce Gaps Through a Clinician Scholars Program.","authors":"Suzanne Carlberg-Racich, Ricardo Rivero, Cornelia M J Wagner, Barbara Schechtman, Salma A Alabduljabbar, Renslow Sherer, Memoona Hasnain, Emma Gier, Nathan L Linsk","doi":"10.1521/aeap.2024.36.3.168","DOIUrl":"10.1521/aeap.2024.36.3.168","url":null,"abstract":"The Clinician Scholars Program (CSP) was designed to expand the HIV care workforce by improving the clinical capacity of clinicians in underserved areas. This evaluation assessed program participants' long-term practice changes and system changes. The year-long program combined mentoring, training, and on-site clinical observation. Qualitative interviews (N = 46) were conducted with Scholars at least 2 years following CSP, supplemented by a 2023 survey. Multiple coders analyzed transcripts using open coding. Thematic analysis explored practice changes and efforts to move patients along the HIV care continuum. Findings indicate positive long-term impacts of CSP regarding the HIV care continuum and care system engagement. Over 90% of Scholars remained working in HIV care, with 75% maintaining or increasing patient loads and 72% making changes to their clinical practice. This training model appears to enhance care along the HIV care continuum and may be adaptable to other contexts that address complex chronic conditions.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 3","pages":"168-181"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451869","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