Aids Education and Prevention最新文献_第7页

Fostering Access to PrEP Among Adolescent Girls and Young Women Aged 16 to 24 Years at High Risk of HIV Through the DREAMS Initiative in Four Districts in Zambia. 通过赞比亚四个地区的 DREAMS 计划，促进 16-24 岁艾滋病高危少女和年轻女性获得 PrEP。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-07-01 DOI: 10.1521/aeap.2023.35.suppA.52

Julian Chipukuma, Brianna Lindsay, Linah K Mwango, Pawel Olowski, Caitlin Baumhart, Kalima Tembo, Adebayo A Olufunso, Christine Bwale, Priscilla Makasa, Monde Muchoka, Salina Tembo, Waitolo Mbokile, Comfort Panda, Siphiwe Malupande, Richard Lubinda, Brenda Bwembelo, Everess Fundulu, Chimpinde Munsongo, Kelvin Watala, Bupe Musonda, Omega Chituwo, Jackson Okuku, Annie Mwila, Carlos Muleya, Pragna Patel, Cassidy W Claassen

{"title":"Fostering Access to PrEP Among Adolescent Girls and Young Women Aged 16 to 24 Years at High Risk of HIV Through the DREAMS Initiative in Four Districts in Zambia.","authors":"Julian Chipukuma, Brianna Lindsay, Linah K Mwango, Pawel Olowski, Caitlin Baumhart, Kalima Tembo, Adebayo A Olufunso, Christine Bwale, Priscilla Makasa, Monde Muchoka, Salina Tembo, Waitolo Mbokile, Comfort Panda, Siphiwe Malupande, Richard Lubinda, Brenda Bwembelo, Everess Fundulu, Chimpinde Munsongo, Kelvin Watala, Bupe Musonda, Omega Chituwo, Jackson Okuku, Annie Mwila, Carlos Muleya, Pragna Patel, Cassidy W Claassen","doi":"10.1521/aeap.2023.35.suppA.52","DOIUrl":"10.1521/aeap.2023.35.suppA.52","url":null,"abstract":"Adolescent girls and young women (AGYW) in sub-Saharan Africa remain at high risk for HIV, yet limited data exist on implementation of HIV pre-exposure prophylaxis (PrEP) for this group. We examined PrEP uptake among AGYW using a retrospective cohort enrolled in the Determined Resilient Empowered AIDS-free Mentored Safe (DREAMS) initiative in Zambia between October 2020 and March 2022. Consent was obtained from eligible AGYW at substantial risk for HIV, and they voluntarily participated in PrEP. Multivariable logistic regression was used to examine factors associated with PrEP refills following initiation. Of 4,162 HIV-negative AGYW, 3,233 (77%) were at substantial risk and initiated on PrEP. Overall, 68% of AGYW had at least one refill, but this differed significantly by age group and district. DREAMS was successful at reaching AGYW with PrEP services. More evidence is needed to assess reasons for discontinuation and to improve persistence for those with sustained HIV risk.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 ","pages":"52-66"},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046563","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

HIV Recent Infection and Past HIV Testing History Among Newly HIV-Diagnosed 15-24-Year-Olds in Malawi: An Analysis of 2019-2022 HIV Recent Infection Surveillance Data. 马拉维 15-24 岁新确诊 HIV 患者的 HIV 近期感染情况和既往 HIV 检测史：2019-2022年HIV新近感染监测数据分析》(Analysis of 2019-2022 HIV Recent Infection Surveillance Data)。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2023-07-01 DOI: 10.1521/aeap.2023.35.suppA.4

Alinune N Kabaghe, Reno Stephens, Danielle Payne, Joe Theu, Misheck Luhanga, Davie Chalira, Melissa M Arons, Gabrielle O'Malley, Kerry A Thomson, Mtemwa Nyangulu, Rose Nyirenda, Pragna Patel, Nellie Wadonda-Kabondo

{"title":"HIV Recent Infection and Past HIV Testing History Among Newly HIV-Diagnosed 15-24-Year-Olds in Malawi: An Analysis of 2019-2022 HIV Recent Infection Surveillance Data.","authors":"Alinune N Kabaghe, Reno Stephens, Danielle Payne, Joe Theu, Misheck Luhanga, Davie Chalira, Melissa M Arons, Gabrielle O'Malley, Kerry A Thomson, Mtemwa Nyangulu, Rose Nyirenda, Pragna Patel, Nellie Wadonda-Kabondo","doi":"10.1521/aeap.2023.35.suppA.4","DOIUrl":"10.1521/aeap.2023.35.suppA.4","url":null,"abstract":"Awareness of HIV status in Malawi is 88.3% and lowest among 15-24-year-olds (76.2%). There is a need to understand HIV testing history and transmission in this age group. We analyzed pooled HIV surveillance data to describe testing history and HIV recent infection among 8,389 HIV-positive 15-24-year-olds from 251 sites in Malawi between 2019 and 2022. Most HIV-positive 15-24-year-olds were female; aged 23-24 years; rural residents; and diagnosed at voluntary counseling and testing. No prior HIV testing was reported in 43.5% and 32.9% of 15-19-year-olds and males, respectively. Overall, 4.9% of HIV-positive diagnoses were classified as recent HIV infections, with the highest proportions among breastfeeding women (8.2%); persons tested at sexually transmitted infection clinics (9.0%); persons with a prior negative test within 6 months (13.0%); and 17-18-year-olds (7.3%). Tailored and innovative HIV prevention and testing strategies for young adolescents, young males, and pregnant and breastfeeding women are needed for HIV epidemic control.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 ","pages":"4-19"},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046559","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

Introduction to the Youth HIV Prevention Supplement. 青少年预防爱滋病副刊简介。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-07-01 DOI: 10.1521/aeap.2023.35.suppA.1

Regina Benevides, J Logan, Pragna Patel

引用次数: 0

AIDS or HIV Education and Sexual Behaviors Among Adolescent Sexual Minority Males: National HIV Behavioral Surveillance, 3 U.S. Cities, 2015. 青少年性行为少数群体男性中的艾滋病或 HIV 教育和性行为：2015 年美国 3 个城市的全国 HIV 行为监测》（National HIV Behavioral Surveillance, 3 U.S. Cities, 2015）。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-06-01 DOI: 10.1521/aeap.2023.35.3.201

Taylor Robbins, Leigh E Szucs, Lindsay Trujillo, Emily Young

{"title":"AIDS or HIV Education and Sexual Behaviors Among Adolescent Sexual Minority Males: National HIV Behavioral Surveillance, 3 U.S. Cities, 2015.","authors":"Taylor Robbins, Leigh E Szucs, Lindsay Trujillo, Emily Young","doi":"10.1521/aeap.2023.35.3.201","DOIUrl":"10.1521/aeap.2023.35.3.201","url":null,"abstract":"In the U.S., HIV transmission rates have increased among male-male sexual contacts. Sex education reduces HIV-related risks; yet impacts for adolescent sexual minority males (ASMM) are less known. Data from a sample (n = 556) of ASMM (aged 13-18) in three U.S cities were used to examined associations between HIV education in school and sexual behaviors. Outcomes of interest included: sexually transmitted infection (STI), multiple sex partners, and condomless anal intercourse (CAI) with a male (all past 12 months). Adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) were calculated. Of 556 ASMM, 84% reported received HIV education. Among sexually active ASMM (n = 440) who received HIV education, fewer reported an STI (10% vs. 21%, aPR: 0.45, CI [0.26, 0.76]) and CAI (48% vs. 64%, aPR: 0.71, CI [0.58, 0.87]) than ASMM who did not receive HIV education. Protective effects of school HIV education on sexual behaviors are promising and suggest prevention education is vital to reducing HIV- and STI-related risks among ASMM.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 3","pages":"201-212"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9804442","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

Stakeholders' Perspectives About Cultural Strategies to Support PrEP for Latino Sexual Minority Men. 利益相关者对支持拉丁裔性少数群体男性 PrEP 的文化策略的看法。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-06-01 DOI: 10.1521/aeap.2023.35.3.185

Juan Pablo Zapata, Andres Alvarado Avila, Manuel Hurtado, Ed de St Aubin, Carlos E Rodriguez-Diaz, Gabriel Robles

引用次数: 0

Ending the Epidemic: Building Health Care Capacity Through HIV and HCV Preceptorship Programs. 终结流行病：通过艾滋病毒和丙型肝炎病毒戒毒计划培养医疗保健能力。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-06-01 DOI: 10.1521/aeap.2023.35.3.213

Brooke A Levandowski, Jessica Steinke, Cheyenne Stewart, Antonio E Urbina, Terri L Wilder, Erin Bevec, Timothy D Dye

引用次数: 0

PrEP Echo: A National Interdisciplinary Telementoring Program for HIV Prevention Through Practice Transformation. PrEP Echo：通过实践变革预防艾滋病的全国跨学科辅导计划。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-06-01 DOI: 10.1521/aeap.2023.35.3.247

Kevin L Ard, Jack Bruno, Ugochuckwu Uzoeghelu, Cei Lambert, Taimur Khan, John A Davis, Kenneth H Mayer, Alex S Keuroghlian

{"title":"PrEP Echo: A National Interdisciplinary Telementoring Program for HIV Prevention Through Practice Transformation.","authors":"Kevin L Ard, Jack Bruno, Ugochuckwu Uzoeghelu, Cei Lambert, Taimur Khan, John A Davis, Kenneth H Mayer, Alex S Keuroghlian","doi":"10.1521/aeap.2023.35.3.247","DOIUrl":"10.1521/aeap.2023.35.3.247","url":null,"abstract":"HIV pre-exposure prophylaxis (PrEP) is highly effective, but PrEP use has been suboptimal. We describe a telementoring program for clinics in high-HIV burden areas, focusing on systems-level practice transformation and care for populations disproportionately affected by HIV. We developed and delivered a telementoring program for U.S. health centers. We analyzed participants' baseline and post-session surveys to ascertain experiences providing PrEP and caring for people disproportionately affected by HIV, comparing responses between medical and behavioral health clinicians. Forty-eight people from 16 health centers participated. Medical clinicians were more likely than behavioral health clinicians to care for people taking PrEP, but the groups did not differ in self-rated capacity to counsel about PrEP or care for populations disproportionately affected by HIV. Virtual training on practice transformation for PrEP, involving medical and behavioral health clinicians, is feasible and acceptable. PrEP training and delivery efforts should include behavioral health clinicians.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 3","pages":"247-253"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181023","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 Infection Among Adolescents Residing in Urban Informal Settlements of Kenya. 肯尼亚城市非正规住区青少年艾滋病毒感染情况。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-06-01 DOI: 10.1521/aeap.2023.35.3.225

Hong-Ha M Truong, Mary A Guzé, Kevin Kadede, Sayo Amboka, Beatrice Otieno, Hanningtone Odhiambo, Damaris Odeny, Marion Hewa, Maurice Opiyo, Fidel Opondo, Robin Fatch, David Ogolla, Lara E Miller, Dena Bushman, Colette Auerswald, Elizabeth A Bukusi, Craig R Cohen

{"title":"HIV Infection Among Adolescents Residing in Urban Informal Settlements of Kenya.","authors":"Hong-Ha M Truong, Mary A Guzé, Kevin Kadede, Sayo Amboka, Beatrice Otieno, Hanningtone Odhiambo, Damaris Odeny, Marion Hewa, Maurice Opiyo, Fidel Opondo, Robin Fatch, David Ogolla, Lara E Miller, Dena Bushman, Colette Auerswald, Elizabeth A Bukusi, Craig R Cohen","doi":"10.1521/aeap.2023.35.3.225","DOIUrl":"10.1521/aeap.2023.35.3.225","url":null,"abstract":"Adolescents comprise approximately 15% of new HIV infections in Kenya. Impoverished living conditions in informal settlements place residents at high risk for HIV infection. We assessed factors associated with HIV infection among adolescents residing in urban informal settlements in Kisumu. We recruited 3,061 adolescent boys and girls aged 15-19. HIV prevalence was 2.5% overall, all newly identified cases were among girls and infection was positively associated with not completing a secondary education (p < .001). Girls who had ever been pregnant (p < .001) or out-of-school without completing a secondary education (p < .001) were more likely to be HIV-positive. Our findings of higher HIV prevalence among adolescent girls who had been pregnant or did not complete secondary school highlight the need to facilitate access to HIV testing, HIV pre-exposure prophylaxis, and sexual and reproductive health services as components of a comprehensive prevention strategy to decrease HIV infections in this priority population.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 3","pages":"225-234"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181025","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

PrEP Persistence Support and Monitoring in Areas of High HIV Burden in the Midwestern United States. 美国中西部艾滋病高发地区的 PrEP 持续支持和监测。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-06-01 DOI: 10.1521/aeap.2023.35.3.235

Moira C McNulty, Jared Kerman, Samantha A Devlin, Maria Pyra, Laura Rusie, Kate Curoe, Liz Thompson, Joseph A Mason, Eleanor E Friedman, A Ziggy Uvin, C Hendricks Brown, John Schneider, Rupa Patel

{"title":"PrEP Persistence Support and Monitoring in Areas of High HIV Burden in the Midwestern United States.","authors":"Moira C McNulty, Jared Kerman, Samantha A Devlin, Maria Pyra, Laura Rusie, Kate Curoe, Liz Thompson, Joseph A Mason, Eleanor E Friedman, A Ziggy Uvin, C Hendricks Brown, John Schneider, Rupa Patel","doi":"10.1521/aeap.2023.35.3.235","DOIUrl":"10.1521/aeap.2023.35.3.235","url":null,"abstract":"Monitoring pre-exposure prophylaxis (PrEP) metrics can guide service delivery yet does not occur routinely. We developed a survey to understand current practices for monitoring PrEP at PrEP-providing organizations in Illinois and Missouri. The survey was distributed from September through November 2020; 26 organizations participated. Most respondents indicated ongoing efforts to screen for PrEP eligibility (66.7%), link to care (87.5%), and retain clients in care (70.8%); 70.8% reported collecting data on PrEP initiation, 41.7% on retention in care, and 37.5% on missed visits. Barriers to monitoring PrEP metrics included lack of IT support (69.6%), manual processes (69.6%), and lack of staff resources (65.2%). Most respondents offered clients support for PrEP retention and adherence and wanted to expand interventions for PrEP persistence, yet fewer monitored corresponding metrics. To enhance PrEP implementation, organizations should improve monitoring and evaluation of PrEP metrics along the entire continuum and respond with appropriate services to support clients.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 3","pages":"235-246"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328557/pdf/nihms-1911435.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181021","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

Acceptability, Suitability, and Feasibility of an Evidence-Based Intervention to Reduce HIV Risk Behaviors: Engaging Comadronas in HIV Prevention in Rural Guatemala. 可接受性，适宜性和可行性的证据干预，以减少艾滋病毒风险行为:在危地马拉农村参与艾滋病毒预防。

IF 1.8 4区医学

Aids Education and Prevention Pub Date : 2023-04-01 DOI: 10.1521/aeap.2023.35.2.101

Nicholas F Nogueira, Ana S Salazar, Lucila Hernandez, Jessica Orr, Paola Beato, Maria L Alcaide, Nilda Peragallo Montano, Rosina Cianelli, Natalia Villegas, Deborah L Jones, Victoria Orrego Dunleavy

{"title":"Acceptability, Suitability, and Feasibility of an Evidence-Based Intervention to Reduce HIV Risk Behaviors: Engaging Comadronas in HIV Prevention in Rural Guatemala.","authors":"Nicholas F Nogueira, Ana S Salazar, Lucila Hernandez, Jessica Orr, Paola Beato, Maria L Alcaide, Nilda Peragallo Montano, Rosina Cianelli, Natalia Villegas, Deborah L Jones, Victoria Orrego Dunleavy","doi":"10.1521/aeap.2023.35.2.101","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.2.101","url":null,"abstract":"This study addresses rural Guatemala's poor maternal health and HIV status by culturally adapting an evidence-based HIV intervention, SEPA (Self-Care, Education, Prevention, Self-Care), to extend the capacity of comadronas (Mayan birth attendants) as HIV prevention providers. This mixed-method study examined the acceptability, suitability, and feasibility of SEPA presented to traditional elder and a younger cohort of comadronas over three sessions. Outcome variables were reported as mean scores. Open-ended qualitative responses were categorized under central themes. Session 1, 2, and 3 acceptability (4.6/5, 4.6/5, 4.8/5), suitability (4.7/5, 4.6/5, 4.9/5), and feasibility (4.4/5, 4.7/5, 4.8/5) remained high across sessions. While comadronas reported that information was difficult, they reported high levels of understanding and comfort with SEPA content and they also found it to be culturally appropriate, increasing their confidence to discuss HIV with their community. The broader utilization of comadronas could create a pathway to enhance reproductive health among indigenous women.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 2","pages":"101-113"},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898446","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