Aids Education and Prevention最新文献_第4页

"For It [My Status] to Be Known by Everyone … It Is Not Good": Experiences of and Responses to Stigma and Discrimination Among People on HIV Treatment in Urban Zimbabwe. “让所有人都知道[我的身分]…这并不好”：辛巴威城市爱滋病治疗病患的污名与歧视经验与回应

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-12-01 DOI: 10.1521/aeap.2025.37.6.443

Tsitsi B Masvawure, Jennifer M Zech, Innocent Chingombe, Clorata Gwanzura, Munyaradzi Mapingure, Godfrey Musuka, Martin Msukwa, Miriam Rabkin, Gavin George, Michael Strauss, Tsitsi Apollo, Joanne E Mantell

{"title":"\"For It [My Status] to Be Known by Everyone … It Is Not Good\": Experiences of and Responses to Stigma and Discrimination Among People on HIV Treatment in Urban Zimbabwe.","authors":"Tsitsi B Masvawure, Jennifer M Zech, Innocent Chingombe, Clorata Gwanzura, Munyaradzi Mapingure, Godfrey Musuka, Martin Msukwa, Miriam Rabkin, Gavin George, Michael Strauss, Tsitsi Apollo, Joanne E Mantell","doi":"10.1521/aeap.2025.37.6.443","DOIUrl":"10.1521/aeap.2025.37.6.443","url":null,"abstract":"HIV-related stigma and discrimination remain pervasive despite dramatic improvements in the availability and accessibility of antiretroviral therapy (ART). We examined the experiences of HIV stigma and discrimination and coping strategies among people living with HIV (PLHIV) in urban Zimbabwe in 2018. We conducted eight focus group discussions, stratified by age and gender (women and men 18-29 years, women and men >29), as part of a discrete choice experiment on HIV treatment models. HIV-related stigma emerged as a key theme, with participants expressing the desire to be seen as \"normal.\" However, being mocked, constant reminders that they had HIV, negative comments about PLHIV and regular trips to health facilities made \"normality\" elusive. Participants coped by ignoring stigmatizing comments and behaviors, minimizing social interactions, carefully selecting allies for support, adhering to ART in order to stay (and appear) healthy, and temporarily stopping ART. Stigma-reduction interventions for PLHIV and communities are urgently needed.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 6","pages":"443-461"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811678","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

Associations Between Substance Use, Sexual Violence, Mental Distress, and Sexual HIV Risk Behaviors Among Adolescent Girls and Young Women in Lesotho. 莱索托少女和年轻妇女中物质使用、性暴力、精神痛苦和性艾滋病毒风险行为之间的关系。

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-12-01 DOI: 10.1521/aeap.2025.37.6.413

Stephanie Spaid Miedema, Allison J Tracy, Joseph Logan, Puleng Ramphalla

引用次数: 0

Preferences for HIV/STI Prevention mHealth Features Among Rural Sexual Minority Men in the South. 南方农村性少数群体男性对艾滋病毒/性传播感染预防的偏好

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-10-01 DOI: 10.1521/aeap.2025.37.5.364

Christopher Owens

引用次数: 0

A Bilingual HIV Status-Neutral Intervention to Promote Heath Equity Among GBQMSM and Transgender and Nonbinary Persons in Appalachia: Outcomes From the Appalachian Access Project Intervention Trial. 双语艾滋病毒中性干预促进阿巴拉契亚地区GBQMSM、跨性别者和非二元性人群健康公平：来自阿巴拉契亚无障碍项目干预试验的结果

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-10-01 DOI: 10.1521/aeap.2025.37.5.379

Amanda E Tanner, Lilli Mann-Jackson, Jorge Alonzo, John W Chaffin, Jeanette M Stafford, David M Kline, Sandy K Aguilar-Palma, Tamar Goldenberg, Ana D Sucaldito, Mohammed Sheikh Eldin Jibriel, Rachel W Faller, Laurie P Russell, Peggy H Weil, Manuel Garcia, Aimee M Wilkin, Antonio Del Toro, Scott D Rhodes

{"title":"A Bilingual HIV Status-Neutral Intervention to Promote Heath Equity Among GBQMSM and Transgender and Nonbinary Persons in Appalachia: Outcomes From the Appalachian Access Project Intervention Trial.","authors":"Amanda E Tanner, Lilli Mann-Jackson, Jorge Alonzo, John W Chaffin, Jeanette M Stafford, David M Kline, Sandy K Aguilar-Palma, Tamar Goldenberg, Ana D Sucaldito, Mohammed Sheikh Eldin Jibriel, Rachel W Faller, Laurie P Russell, Peggy H Weil, Manuel Garcia, Aimee M Wilkin, Antonio Del Toro, Scott D Rhodes","doi":"10.1521/aeap.2025.37.5.379","DOIUrl":"10.1521/aeap.2025.37.5.379","url":null,"abstract":"We tested the Appalachian Access Project, a bilingual, HIV status-neutral, social network, peer navigation, and mHealth intervention aimed at increasing use of HIV, STI, hepatitis C virus, and mpox prevention and care services among gay, bisexual, queer, and other men who have sex with men (GBQMSM) and transgender and nonbinary persons in Appalachia. The intervention also aimed to support use of medically supervised gender-affirming hormone therapy among participants desiring such care. Trial participants were recruited and randomized by social network to the intervention (n = 7 networks including 56 individuals) or delayed-intervention waitlist control group (n = 7 networks including 57 individuals). At follow-up, relative to control participants, intervention participants reported slight, but nonsignificant, increases in an HIV status-neutral service-use outcome, PrEP use, and HIV testing; and significant increases in HIV and STI knowledge. This intervention provides a foundation for future initiatives to reduce disparities in rural Appalachia; further research with larger sample sizes is warranted.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 5","pages":"379-396"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294078","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 Intersectional Stigma and Its Association With Mental Health Outcomes Among Sexual and Gender-Diverse Youth Assigned Male at Birth in the United States. 在美国出生时性别和性别多样化的男性青少年中，交叉污名的特征及其与心理健康结果的关系

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-10-01 DOI: 10.1521/aeap.2025.37.5.347

Jennifer T Tran, Seul Ki Choi, Lisa B Hightow-Weidman, Kathryn E Muessig, José A Bauermeister

{"title":"Characterizing Intersectional Stigma and Its Association With Mental Health Outcomes Among Sexual and Gender-Diverse Youth Assigned Male at Birth in the United States.","authors":"Jennifer T Tran, Seul Ki Choi, Lisa B Hightow-Weidman, Kathryn E Muessig, José A Bauermeister","doi":"10.1521/aeap.2025.37.5.347","DOIUrl":"10.1521/aeap.2025.37.5.347","url":null,"abstract":"Sexual and gender minorities experience disproportionately higher rates of depression and anxiety than cisgender heterosexual peers due to intersectional stigma. We conducted latent profile analyses to characterize participants' intersectional stigma experiences and examined associations with mental health outcomes. Among 750 diverse participants, we identified high and low intersectional stigma (IS) profiles for cisgender men (n = 666) and gender-diverse participants (n = 84). Cisgender men and gender-diverse participants with high IS had significantly higher anxiety, depression, and social isolation than cisgender men with low IS. Gender-diverse participants with high IS had significantly higher social isolation than those with low IS. Cisgender men with high IS had significantly higher anxiety, depression, and social isolation than gender-diverse participants with low IS. These findings underscore the need for mental health interventions that explicitly account for compounded effects of racism, cissexism, and heterosexism affecting multiply marginalized sexual and gender minority youth.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 5","pages":"347-363"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12571049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294040","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

Validation of the PrEP Use Self-Efficacy (PrEP-Use) Scale Among Sexual Minority Men. 性少数男性PrEP使用自我效能感量表的验证。

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-10-01 DOI: 10.1521/aeap.2025.37.5.333

Juan A Esquivel-Mendoza, Elliott R Weinstein, Bharat Bharat, Nicolas Cardenas, Marc Puccinelli, Matthew J Mimiaga, Christina Psaros, Susanne Doblecki-Lewis, Douglas Krakower, Kenneth Mayer, Steven A Safren

{"title":"Validation of the PrEP Use Self-Efficacy (PrEP-Use) Scale Among Sexual Minority Men.","authors":"Juan A Esquivel-Mendoza, Elliott R Weinstein, Bharat Bharat, Nicolas Cardenas, Marc Puccinelli, Matthew J Mimiaga, Christina Psaros, Susanne Doblecki-Lewis, Douglas Krakower, Kenneth Mayer, Steven A Safren","doi":"10.1521/aeap.2025.37.5.333","DOIUrl":"10.1521/aeap.2025.37.5.333","url":null,"abstract":"Self-efficacy may influence several stages of the PrEP care continuum, yet most validated measures capture only one component rather than a comprehensive approach. To address this gap, this study validated the PrEP Use Self-Efficacy (PrEP-USE) scale. Sexual minority men (N = 300) prescribed daily oral PrEP completed a baseline assessment including sociodemographics, the PrEP-USE scale, self-reported adherence, and PrEP-related variables (attitudes, stigma, subjective and descriptive norms) as part of a larger randomized controlled trial. Exploratory factor analysis identified a three-factor model (Challenges, Management, Routine) with acceptable fit. Overcoming challenges was associated with PrEP adherence (b = 1.09, p < .01) and correlated with all PrEP-related variables (p < .05). Management correlated with all variables (p < .05) but not adherence. Routine was associated with adherence (b = 2.42, p < .001) and only with PrEP attitudes (p < .05). Integrating the PrEP-USE scale into intervention frameworks may strengthen self-efficacy measurement.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 5","pages":"333-346"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294022","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

Obstacles to HIV Elimination: A Situational Analysis of PrEP Uptake and Equity. 消除艾滋病毒的障碍：PrEP吸收和公平的情景分析。

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-10-01 DOI: 10.1521/aeap.2025.37.5.325

Ronald O Valdiserri

引用次数: 0

"It's Whack, It's Not Gonna Work": Feasibility of Sociocentric Network Recruitment for Interventions Among Black, Latine, and Caribbean Priority Populations in New York City. “这是不正常的，它不会工作”：在纽约市黑人，拉丁裔和加勒比优先人群中以社会为中心的网络招募干预措施的可行性。

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-08-01 DOI: 10.1521/aeap.2025.37.4.288

Cho-Hee Shrader, Courtney Robinson, Motunrayo Hassan, Brandon Brown, Ji-Young Lee, Martez Smith, Carl Latkin, John A Schneider, Danielle C Ompad, Dustin T Duncan

{"title":"\"It's Whack, It's Not Gonna Work\": Feasibility of Sociocentric Network Recruitment for Interventions Among Black, Latine, and Caribbean Priority Populations in New York City.","authors":"Cho-Hee Shrader, Courtney Robinson, Motunrayo Hassan, Brandon Brown, Ji-Young Lee, Martez Smith, Carl Latkin, John A Schneider, Danielle C Ompad, Dustin T Duncan","doi":"10.1521/aeap.2025.37.4.288","DOIUrl":"10.1521/aeap.2025.37.4.288","url":null,"abstract":"Introduction: Black, Latine, and Caribbean (BLC) sexual and gender minorities (SGM) face structural HIV inequities. Sociocentric interventions may address these barriers, but it is unclear if respondent-driven sampling (RDS) can recruit existing BLC SGM friendship groups or if sociocentric HIV prevention interventions are feasible.Methods: Using an exploratory mixed-methods design (August/2022-January/2024, New York, NY), we recruited participants into a sociocentric RDS group (sRDS) or an individual-level peer referral (PR) group, with qualitative interviews drawn from quantitative participants.Results: We enrolled 29 participants in sRDS (seeds = 6) and 30 in PR; 18 completed qualitative interviews. Most were Black or Caribbean; half were US-born; over half were living with HIV. PR was viewed as feasible, while sRDS and sociocentric interventions were seen as inappropriate. Participants suggested social media and influencers for recruitment.Discussion: Sociocentric approaches may be less acceptable to BLC SGM; recruitment should account for intersectional identities and offer fair compensation.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 4","pages":"288-311"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12617969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974232","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

Lessons Learned From a Trial of a Bilingual Community-Based Peer Navigation And mHealth Intervention to Address HIV, STI, HCV, and Mpox Inequities Among GBQMSM and Transgender and Nonbinary Persons in Appalachia. 阿巴拉契亚地区GBQMSM、跨性别者和非双性恋人群中艾滋病毒、性传播感染、丙型肝炎病毒和Mpox不平等的双语社区同伴导航和移动健康干预试验的经验教训

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-08-01 DOI: 10.1521/aeap.2025.37.4.273

Lilli Mann-Jackson, Jorge Alonzo, John W Chaffin, Sandy K Aguilar-Palma, Amanda E Tanner, David M Kline, Ana D Sucaldito, Jeanette M Stafford, Mohammed Sheikh Eldin Jibriel, Tamar Goldenberg, Laurie P Russell, Antonio Del Toro, Peggy H Weil, Aimee M Wilkin, Scott D Rhodes

{"title":"Lessons Learned From a Trial of a Bilingual Community-Based Peer Navigation And mHealth Intervention to Address HIV, STI, HCV, and Mpox Inequities Among GBQMSM and Transgender and Nonbinary Persons in Appalachia.","authors":"Lilli Mann-Jackson, Jorge Alonzo, John W Chaffin, Sandy K Aguilar-Palma, Amanda E Tanner, David M Kline, Ana D Sucaldito, Jeanette M Stafford, Mohammed Sheikh Eldin Jibriel, Tamar Goldenberg, Laurie P Russell, Antonio Del Toro, Peggy H Weil, Aimee M Wilkin, Scott D Rhodes","doi":"10.1521/aeap.2025.37.4.273","DOIUrl":"10.1521/aeap.2025.37.4.273","url":null,"abstract":"Our community-based participatory research partnership developed and tested the bilingual Appalachian Access Project, a peer navigation and mHealth intervention designed to promote HIV, sexually transmitted infection, hepatitis C virus, and mpox prevention and care among gay, bisexual, queer, and other men who have sex with men and transgender and nonbinary persons in Appalachia and to support medically supervised gender-affirming hormone therapy (GAHT) access among those desiring it. Although the intervention did not achieve its intended behavioral outcomes (e.g., increased use of HIV testing, preexposure prophylaxis [PrEP], HIV care, and GAHT), we identified ten critical lessons for future intervention research, including needs for: increased contact between study team members and peer navigators, more streamlined health outcome priorities, minimum intervention dose requirements for peer navigators, formal group activities, smaller catchment areas, and provider and organizational capacity-building interventions. Deeper understanding of intervention implementation can strengthen future efforts to reduce health disparities in Appalachia.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 4","pages":"273-287"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974274","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

Barriers to HIV/STI Services and Service Access Preferences Among Rural Sexual Minority Men and Native American Men in Oklahoma. 俄克拉何马州农村性少数群体男性和美国原住民男性的艾滋病毒/性传播感染服务障碍和服务获取偏好

IF 1.5 4区医学

Aids Education and Prevention Pub Date : 2025-08-01 DOI: 10.1521/aeap.2025.37.4.260

Jeffersson Santos, Vincent Baier, Amanda Hunter, Amanda Politt, Skyler Bordeaux, Grant Sears, Denna Wheeler, Julie Baldwin, Stewart Chang Alexander, Randolph D Hubach

{"title":"Barriers to HIV/STI Services and Service Access Preferences Among Rural Sexual Minority Men and Native American Men in Oklahoma.","authors":"Jeffersson Santos, Vincent Baier, Amanda Hunter, Amanda Politt, Skyler Bordeaux, Grant Sears, Denna Wheeler, Julie Baldwin, Stewart Chang Alexander, Randolph D Hubach","doi":"10.1521/aeap.2025.37.4.260","DOIUrl":"10.1521/aeap.2025.37.4.260","url":null,"abstract":"HIV and STI incidence are disproportionately elevated among sexual minority men (SMM) and Native American (NA) men in rural Oklahoma. The present study is a formative assessment of the Ending the HIV Epidemic in Rural Oklahoma (e-HERO) project, which is part of the Ending the HIV Epidemic (EHE) initiative. EHE has an overarching goal of reducing incidence rates of HIV and STIs in rural Oklahoma. Semistructured focus groups were conducted with 16 men who self-identified as a sexual minority, Native American, or a combination of both who reside in Oklahoma to: (1) assess needs related to HIV/STI prevention and testing, (2) determine facilitators and barriers to resource access, and (3) assess preferences for mobile health intervention programming. Two overarching themes emerged: (1) HIV program participation barriers and (2) HIV service access preferences. There is an inherent need to advance integrated care in rural Oklahoma, with services that foster affirming environments for both SMM and NA men.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 4","pages":"260-272"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974324","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