Aids Education and Prevention最新文献_第6页

Qualitative Examination of the Impact of the COVID-19 Pandemic on Access and Adherence to Pre-exposure Prophylaxis (PrEP) Among Sexual and Gender Minorities. COVID-19大流行对性和性别少数群体获得和坚持暴露前预防(PrEP)影响的定性检查

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-08-01 DOI: 10.1521/aeap.2023.35.4.255

Samantha Yeager, Vanessa B Serrano, Dafna Paltin, Arin Fisher, Maile Karris, Gregory A Aarons, Alvy Rangel, Risa Flynn, Robert Bolan, David J Moore, Jessica L Montoya

{"title":"Qualitative Examination of the Impact of the COVID-19 Pandemic on Access and Adherence to Pre-exposure Prophylaxis (PrEP) Among Sexual and Gender Minorities.","authors":"Samantha Yeager, Vanessa B Serrano, Dafna Paltin, Arin Fisher, Maile Karris, Gregory A Aarons, Alvy Rangel, Risa Flynn, Robert Bolan, David J Moore, Jessica L Montoya","doi":"10.1521/aeap.2023.35.4.255","DOIUrl":"10.1521/aeap.2023.35.4.255","url":null,"abstract":"During the COVID-19 pandemic, pre-exposure prophylaxis (PrEP) access and adherence decreased nationwide. This study examined pandemic-related disruptions to PrEP access and adherence among clients of a health center (Center) in Los Angeles, California. Clients (n = 25) and Center personnel (n = 11) completed qualitative interviews from March to July 2021. Although the Center provided options for remote PrEP care (i.e., telehealth, STI self-testing kits, and prescription delivery), clients experienced difficulty navigating services or lacked equipment for telehealth. More than half (n = 13) of clients discontinued PrEP during COVID-19 due to decreased sexual partners, relocation, or insurance status changes. Among those who continued PrEP, the majority reported no change in adherence, while a minority reported worsening adherence due to distractions/forgetting, prescription refill issues, lack of insurance coverage, and fear of completing in-person visits. Findings highlight the challenges of navigating PrEP services during COVID-19 and suggest PrEP services enhancement to adapt to crisis events.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 4","pages":"255-267"},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10412849","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

Alignment of Ending the HIV Epidemic Priority Jurisdictions With Availability of HIV Service Organizations: An Ecological Study. 结束艾滋病毒流行的优先辖区与艾滋病毒服务机构的可用性的一致性：生态研究。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2023-08-01 DOI: 10.1521/aeap.2023.35.4.320

Jessica L Webster, Nicole Rafalko, Lorna E Thorpe, Dustin T Duncan, Ed J Gracely, Neal D Goldstein

引用次数: 0

Individual, Social, and Structural Vulnerability for Black Women in the South: Implications for PrEP. 南方黑人妇女的个人、社会和结构脆弱性:对PrEP的影响。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-08-01 DOI: 10.1521/aeap.2023.35.4.290

Jamie Troutman, Alyssa Robillard, Lucy Annang Ingram, Shan Qiao, Bambi Gaddist, Kebafe Segosebe

引用次数: 0

Considerations for PrEP Implementation at Federally Qualified Health Centers in Mississippi: Perspectives From Staff and Patients. 密西西比州联邦合格卫生中心实施PrEP的考虑:来自工作人员和患者的观点。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-08-01 DOI: 10.1521/aeap.2023.35.4.309

Andrew P Barnett, Trisha Arnold, A Rani Elwy, James B Brock, Kayla K Giorlando, Courtney Sims-Gomillia, Avery Leigland, Laura Whiteley, Larry K Brown

{"title":"Considerations for PrEP Implementation at Federally Qualified Health Centers in Mississippi: Perspectives From Staff and Patients.","authors":"Andrew P Barnett, Trisha Arnold, A Rani Elwy, James B Brock, Kayla K Giorlando, Courtney Sims-Gomillia, Avery Leigland, Laura Whiteley, Larry K Brown","doi":"10.1521/aeap.2023.35.4.309","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.4.309","url":null,"abstract":"Pre-exposure prophylaxis (PrEP) uptake remains low in the southeastern United States (\"the South\"), likely owing to overlapping structural barriers, including the lack of nearby PrEP providers. Federally qualified health centers (FQHCs) are potential sites through which to expand PrEP availability in the South, and telemedicine is promising for these services. This study investigated considerations for PrEP implementation at FQHCs and the use of telemedicine through qualitative interviews with 19 FQHC staff and 17 PrEP-eligible patients in Mississippi. Results indicated that existing infrastructure and policies at FQHCs can support PrEP implementation and that additional needed resources include more education for providers and strategies to advertise PrEP services. Findings suggest that using telemedicine for PrEP can address some regional implementation barriers (e.g., transportation problems and confidentiality concerns) but may present new ones (e.g., concerns about patients performing home HIV/STI testing procedures). Results can inform future PrEP implementation efforts in the South.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 4","pages":"309-319"},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483574/pdf/nihms-1926610.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178531","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 Power of "We": Using Inclusive Pronouns in Norm-Based Messages to Promote PrEP-Related Information Seeking Among Men Who Have Sex With Men. “我们”的力量:在基于规范的信息中使用包容性代词促进男男性行为者寻求prep相关信息。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-08-01 DOI: 10.1521/aeap.2023.35.4.268

Yadong Ji

引用次数: 0

Perspectives From Community-Based HIV Service Organization Leaders on Priorities in Serving Sexual and Gender Minority Populations. 以社区为基础的艾滋病毒服务组织领导人对性和性别少数群体优先服务的看法。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-08-01 DOI: 10.1521/aeap.2023.35.4.277

Stephen Bonett, Anjali Mahajan, Javontae Williams, Dovie L Watson, Sarah M Wood, Steven Meanley, Kathleen A Brady, José A Bauermeister

{"title":"Perspectives From Community-Based HIV Service Organization Leaders on Priorities in Serving Sexual and Gender Minority Populations.","authors":"Stephen Bonett, Anjali Mahajan, Javontae Williams, Dovie L Watson, Sarah M Wood, Steven Meanley, Kathleen A Brady, José A Bauermeister","doi":"10.1521/aeap.2023.35.4.277","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.4.277","url":null,"abstract":"Sexual and gender minority (SGM) populations experience discrimination and care-related barriers when seeking appropriate sexual health services. Using rapid assessment procedures we conducted site visits with 11 community-based HIV service agencies to identify priorities, assets, and needs related to serving SGM clients and assessed the alignment of these services with the city's local Ending the HIV Epidemic plan. We identified and mapped themes across agencies into the Consolidated Framework for Implementation Research domains of inner and outer settings: client-facing materials; priorities in serving SGM communities; SGM policies and protocols; collecting sexual orientation and gender identity data; training and education; and funding and scope of programs. Rapid assessment procedures can accelerate the collection and interpretation of data to help public health institutions and community partners make timely adaptations when implementing comprehensive and culturally humble sexual health services for SGM communities.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 4","pages":"277-289"},"PeriodicalIF":1.8,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461513/pdf/nihms-1923491.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10093069","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

Population Estimates of HIV Risk Factors to Inform HIV Prevention Programming for Adolescent Girls and Young Women. 艾滋病毒风险因素的人口估计，为少女和年轻女性的艾滋病毒预防计划提供信息。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2023-07-01 DOI: 10.1521/aeap.2023.35.suppA.20

Ashleigh L Howard, Laura Chiang, Viani Picchetti, Liping Zhu, Jennifer Hegle, Pragna Patel, Janet Saul, Lydia Wasula, Sophie Nantume, Rachel Coomer, Rahimisa Kamuingona, Rose Patricia Oluoch, Tendayi Mharadze, Meghan Duffy, Caroline A Kambona, Puleng Ramphalla, Kamagate Maman Fathim, Greta M Massetti

{"title":"Population Estimates of HIV Risk Factors to Inform HIV Prevention Programming for Adolescent Girls and Young Women.","authors":"Ashleigh L Howard, Laura Chiang, Viani Picchetti, Liping Zhu, Jennifer Hegle, Pragna Patel, Janet Saul, Lydia Wasula, Sophie Nantume, Rachel Coomer, Rahimisa Kamuingona, Rose Patricia Oluoch, Tendayi Mharadze, Meghan Duffy, Caroline A Kambona, Puleng Ramphalla, Kamagate Maman Fathim, Greta M Massetti","doi":"10.1521/aeap.2023.35.suppA.20","DOIUrl":"10.1521/aeap.2023.35.suppA.20","url":null,"abstract":"Violence Against Children and Youth Survey (VACS) data from seven countries were analyzed to estimate population-level eligibility for the President's Emergency Plan for AIDS Relief (PEPFAR) Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe (DREAMS) HIV prevention program for adolescent girls and young women (AGYW). The prevalence of overall eligibility and individual risk factors, including experiences of violence, social, and behavioral risks differ across countries and age groups. A large proportion of AGYW across all countries and age groups examined have at least one risk factor making them eligible for DREAMS. Experiencing multiple risks is also common, suggesting that researchers and programs could work together to identify combinations of risk factors that put AGYW at greatest risk of HIV acquisition, or that explain most new HIV infections, to more precisely target the most vulnerable AGYW. The VACS provides important data for such analyses to refine DREAMS and other youth programming.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 ","pages":"20-38"},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046132","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

Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018-2021. 2018-2021年，在15个撒哈拉以南非洲国家通过PEPFAR支持的自愿医疗男性包皮环切手术预防青少年男孩和年轻男性感染艾滋病毒。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-07-01 DOI: 10.1521/aeap.2023.35.suppA.67

Megan E Peck, Katherine Ong, Todd Lucas, Anne G Thomas, Ronald Wandira, Bene Ntwaaga, Mandzisi Mkhontfo, Tiruneh Zegeye, Fikirte Yohannes, Dejene Mulatu, Teruwork Gultie, Ambrose Wanyonyi Juma, Elijah Odoyo-June, Alice Maida, Wezi Msungama, Marcos Canda, Gram Mutandi, Brigitte L T Zemburuka, Ida Kankindi, Peter Vranken, Nandi Maphothi, Dayanund Loykissoonlal, Sudhir Bunga, Jonathan M Grund, Kokuhumbya J Kazaura, Geoffrey Kabuye, Omega Chituwo, Brian Muyunda, Royd Kamboyi, Godfrey Lingenda, John Mandisarisa, Amy Peterson, Rickie Malaba, Sinokuthemba Xaba, Talent Moyo, Carlos Toledo

{"title":"Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018-2021.","authors":"Megan E Peck, Katherine Ong, Todd Lucas, Anne G Thomas, Ronald Wandira, Bene Ntwaaga, Mandzisi Mkhontfo, Tiruneh Zegeye, Fikirte Yohannes, Dejene Mulatu, Teruwork Gultie, Ambrose Wanyonyi Juma, Elijah Odoyo-June, Alice Maida, Wezi Msungama, Marcos Canda, Gram Mutandi, Brigitte L T Zemburuka, Ida Kankindi, Peter Vranken, Nandi Maphothi, Dayanund Loykissoonlal, Sudhir Bunga, Jonathan M Grund, Kokuhumbya J Kazaura, Geoffrey Kabuye, Omega Chituwo, Brian Muyunda, Royd Kamboyi, Godfrey Lingenda, John Mandisarisa, Amy Peterson, Rickie Malaba, Sinokuthemba Xaba, Talent Moyo, Carlos Toledo","doi":"10.1521/aeap.2023.35.suppA.67","DOIUrl":"10.1521/aeap.2023.35.suppA.67","url":null,"abstract":"Voluntary medical male circumcision (VMMC) is an HIV prevention intervention that has predominantly targeted adolescent and young men, aged 10-24 years. In 2020, the age eligibility for VMMC shifted from 10 to 15 years of age. This report describes the VMMC client age distribution from 2018 to 2021, at the site, national, and regional levels, among 15 countries in southern and eastern Africa. Overall, in 2018 and 2019, the highest proportion of VMMCs were performed among 10-14-year-olds (45.6% and 41.2%, respectively). In 2020 and 2021, the 15-19-year age group accounted for the highest proportion (37.2% and 50.4%, respectively) of VMMCs performed across all age groups. Similarly, in 2021 at the site level, 68.1% of VMMC sites conducted the majority of circumcisions among men aged 15-24 years. This analysis highlights that adolescent boys and young men are the primary recipients of VMMC receiving an important lifetime reduction in HIV risk.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 ","pages":"67-81"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11002756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10055643","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

Understanding Gender-Based Violence Service Delivery in CDC-Supported Health Facilities: 15 Sub-Saharan African Countries, 2017-2021. 了解疾病预防控制中心支持的卫生机构中基于性别暴力的服务提供:15个撒哈拉以南非洲国家，2017-2021年。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-07-01 DOI: 10.1521/aeap.2023.35.suppA.39

Udhayashankar Kanagasabai, Christopher Valleau, Meagan Cain, Michelle S Chevalier, Jennifer Hegle, Pragna Patel, Regina Benevides, Joseph B Trika, Carrine Angumua, Minlangu Mpingulu, Kamanga Ferdinand, Fikirte Sida, Katelyn Galloway, Caroline Kambona, Patricia Oluoch, Wezi Msungama, Hans Katengeza, Della Correia, Meghan Duffy, Raquel Maria Violeta Cossa, Rachel Coomer, Adeola Ayo, Chioma Ukanwa, Elysee Tuyishime, Sibongile Dladla, Jennifer Drummond, Daniel Magesa, Jane Kitalile, Rose Apondi, Jackson Okuku, Tina Chisenga, Haddi J Cham

{"title":"Understanding Gender-Based Violence Service Delivery in CDC-Supported Health Facilities: 15 Sub-Saharan African Countries, 2017-2021.","authors":"Udhayashankar Kanagasabai, Christopher Valleau, Meagan Cain, Michelle S Chevalier, Jennifer Hegle, Pragna Patel, Regina Benevides, Joseph B Trika, Carrine Angumua, Minlangu Mpingulu, Kamanga Ferdinand, Fikirte Sida, Katelyn Galloway, Caroline Kambona, Patricia Oluoch, Wezi Msungama, Hans Katengeza, Della Correia, Meghan Duffy, Raquel Maria Violeta Cossa, Rachel Coomer, Adeola Ayo, Chioma Ukanwa, Elysee Tuyishime, Sibongile Dladla, Jennifer Drummond, Daniel Magesa, Jane Kitalile, Rose Apondi, Jackson Okuku, Tina Chisenga, Haddi J Cham","doi":"10.1521/aeap.2023.35.suppA.39","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.suppA.39","url":null,"abstract":"Gender-based violence (GBV) is a complex issue deeply rooted in social structures, making its eradication challenging. GBV increases the risk of HIV transmission and is a barrier to HIV testing, care, and treatment. Quality clinical services for GBV, which includes the provision of HIV postexposure prophylaxis (PEP), vary, and service delivery data are lacking. We describe GBV clinical service delivery in 15 countries supported by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention. Through a descriptive statistical analysis of PEPFAR Monitoring, Evaluation, and Reporting (MER) data, we found a 252% increase in individuals receiving GBV clinical services, from 158,691 in 2017 to 558,251 in 2021. PEP completion was lowest (15%) among 15-19-year-olds. Understanding GBV service delivery is important for policy makers, program managers, and providers to guide interventions to improve the quality of service delivery and contribute to HIV epidemic control.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 ","pages":"39-51"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046562","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

Reaching Youth Through Faith Leaders: Evaluation of the Faith Matters! Initiative. 通过信仰领袖接触青少年：信仰事务评估！倡议。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-07-01 DOI: 10.1521/aeap.2023.35.suppA.82

Udhayashankar Kanagasabai, Tiffiany Aholou, Michelle S Chevalier, James L Tobias, Jackson Okuku, Ray W Shiraishi, Robb Sheneberger, Yvonne Chilufya Pande, Clifton Chifuwe, Lauren Erickson Mamane, Gillian Njika, Chris Obongo, Viva C Thorsen

{"title":"Reaching Youth Through Faith Leaders: Evaluation of the Faith Matters! Initiative.","authors":"Udhayashankar Kanagasabai, Tiffiany Aholou, Michelle S Chevalier, James L Tobias, Jackson Okuku, Ray W Shiraishi, Robb Sheneberger, Yvonne Chilufya Pande, Clifton Chifuwe, Lauren Erickson Mamane, Gillian Njika, Chris Obongo, Viva C Thorsen","doi":"10.1521/aeap.2023.35.suppA.82","DOIUrl":"10.1521/aeap.2023.35.suppA.82","url":null,"abstract":"Faith leaders can be uniquely positioned to guide and support young people on health issues, particularly HIV/AIDS and sexual violence. Faith Matters!, a 2-day training workshop for faith leaders, was delivered in September 2021 in Zambia. Sixty-six faith leaders completed a questionnaire at baseline, 64 at posttraining, and 59 at 3-month follow-up. Participants' knowledge, beliefs, and comfort communicating about HIV/AIDS and sexual violence were assessed. More faith leaders accurately identified common places where sexual violence occurs at the 3-month point compared to baseline: at church (2 vs. 22, p = .000), the fields (16 vs. 29, p = .004), parties (22 vs. 36, p = .001), and clubs (24 vs. 35, p = .034). More faith leaders stated that they engaged in conversations that supported people living with HIV (48 at baseline vs. 53, p = .049 at 3-month follow-up). These findings can inform future HIV/AIDS initiatives focusing on increasing the capacity among communities of faith.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 ","pages":"82-99"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046560","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