Natalie M Brousseau, Redd Driver, Kay Simon, Ryan J Watson, Valerie A Earnshaw, Cristian J Chandler, Seth Kalichman, Lisa A Eaton
{"title":"PrEP-Related Interactive Toxicity Beliefs: Associations With Stigma, Substance Use, and PrEP Uptake.","authors":"Natalie M Brousseau, Redd Driver, Kay Simon, Ryan J Watson, Valerie A Earnshaw, Cristian J Chandler, Seth Kalichman, Lisa A Eaton","doi":"10.1521/aeap.2023.35.2.114","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.2.114","url":null,"abstract":"<p><p>Despite documented efficacy in reducing HIV transmission, pre-exposure prophylaxis (PrEP) uptake among Black sexual minority men (BSMM) is limited. One understudied factor which may impede PrEP uptake is PrEP-related interactive toxicity beliefs (i.e., believing it is hazardous to use alcohol/drugs while taking PrEP). Data from <i>N</i> = 169 HIV negative BSMM over 4 months showed high rates of agreement with at least one alcohol (78%) or drug (84%) interactive toxicity belief. Univariate analyses showed increased alcohol or drug interactive toxicity beliefs predicted lower PrEP uptake. Multivariable regression suggested those with PrEP-related alcohol or drug interactive toxicity beliefs were more likely to report high PrEP stigma, more negative PrEP beliefs (e.g., concern that taking PrEP disrupts life), and were more likely to use alcohol/drugs (respectively) prior to/during sex. Findings warrant intervention work targeting interactive toxicity beliefs with tailored messaging to mitigate PrEP stigma and correct concerns around substance use and PrEP.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 2","pages":"114-125"},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898450","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}
Brian Perry, Nneka Molokwu, Kawango Agot, Duncan Ochieng Ngoje, Robert Strack, Amy Corneli
{"title":"Multilevel Factors Influencing Interruptions in PrEP Use Among Young Women in Siaya County, Kenya.","authors":"Brian Perry, Nneka Molokwu, Kawango Agot, Duncan Ochieng Ngoje, Robert Strack, Amy Corneli","doi":"10.1521/aeap.2023.35.2.141","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.2.141","url":null,"abstract":"<p><p>Young women in sub-Saharan Africa continue to be disproportionately at risk for HIV. Oral pre-exposure prophylaxis (PrEP) can reduce women's HIV risk when taken daily throughout their \"seasons of risk\". We used photovoice to describe community views on factors influencing interruptions in PrEP use among young cisgender women in Siaya County, Kenya. Through group discussions, young women taking PrEP and their social network members (female peers, male peers/partners, family, and community members) shared photographs and identified broad social-ecological causes of PrEP interruptions, including: (1) widespread misinformation about PrEP, (2) social pressures from religious communities, (3) health care staff recommendations to interrupt PrEP use, (4) partner rejection of PrEP, (5) changes in women's risk awareness, and (6) a personal desire to occasionally pause daily use. Collectively, participants identified strategies to address these challenges. These findings can inform future programs targeting the broader social-ecological influences on young women's persistent use of PrEP.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 2","pages":"141-157"},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461291/pdf/nihms-1923215.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10454027","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}
{"title":"Qualitative Analysis of Multiple Sources and Dimensions of Stigma Among Older Adults Living With HIV Infection Released From Corrections.","authors":"Sage J Kim, Anna Ahn, Elise Hu, Caryn E Peterson","doi":"10.1521/aeap.2023.35.2.126","DOIUrl":"10.1521/aeap.2023.35.2.126","url":null,"abstract":"<p><p>While sources of stigma associated with HIV, incarceration, and aging have been explored separately, the concurrent effects of these multiple sources have been understudied. We conducted in-depth interviews with 48 older adults over 50 years of age with HIV infection who were returning from correctional settings concerning their experiences of stigma. Participants described HIV-related stigma substantially more often than incarceration-related stigma and a greater number of stigma experiences as time passed from release. Anticipated stigma experiences were frequently associated with HIV. Enacted stigma was often related to incarceration. Internalized stigma was associated with both HIV and incarceration. However, participants often described aging as a positive experience of gaining wisdom and control over their life. The findings indicated that multiple sources of stigma affect different dimensions of stigma. Postrelease interventions may benefit from addressing increasing experiences of stigma in the rapidly growing population of older adults living with HIV with a history of incarceration.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 2","pages":"126-140"},"PeriodicalIF":1.6,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898447","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}
Yvonne L van der Kooij, Chantal den Daas, Arjan E R Bos, Roy A Willems, Sarah E Stutterheim
{"title":"Correlates of Internalized HIV Stigma: A Comprehensive Systematic Review.","authors":"Yvonne L van der Kooij, Chantal den Daas, Arjan E R Bos, Roy A Willems, Sarah E Stutterheim","doi":"10.1521/aeap.2023.35.2.158","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.2.158","url":null,"abstract":"<p><p>Internalized HIV stigma is prevalent and research on internalized HIV stigma has increased during the past 10 years. The aim of this systematic review was to synthesize research on internalized HIV stigma and relationships with various health-related variables in order to better inform the development of interventions aimed at reducing internalized HIV stigma. We reviewed 176 studies with a quantitative design reporting correlates that were peer-reviewed, published in English before January 2021, drawn from PubMed, PSYCHINFO, Web of Science, EBSCO, and Scopus. Synthesis showed consistent associations between internalized stigma and negative psychological (e.g., depression, anxiety), social (e.g., lack of social support, discrimination, nondisclosure, and intersecting stigmas), and health (e.g., substance use, treatment nonadherence, negative clinical HIV outcomes) variables. We argue for a more socioecological approach to internalized stigma, with greater attention for intersectional stigmas, and more longitudinal research, if we are to effectively develop interventions that reduce internalized stigma.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 2","pages":"158-172"},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9596940","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}
Orrin D Ware, Ankur Srivastava, Rainier Masa, Stefani N Baca-Atlas, Gina Chowa
{"title":"HIV Prevention Services in Residential Substance Use Disorder Treatment Facilities in the United States.","authors":"Orrin D Ware, Ankur Srivastava, Rainier Masa, Stefani N Baca-Atlas, Gina Chowa","doi":"10.1521/aeap.2023.35.2.173","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.2.173","url":null,"abstract":"<p><p>Residential substance use disorder treatment is designed to treat more severe substance use disorders. Considering the strong association between substance use and HIV, providing HIV prevention services during residential substance use disorder treatment is imperative. However, not all treatment facilities offer the same services, and differences in residential substance use disorder treatment facilities providing HIV prevention services might stem from facility-level characteristics. Using 3 years (2018-2020) of cross-sectional data from the National Survey of Substance Abuse Treatment Services, we examined which treatment facility characteristics were associated with having HIV prevention services. Using a logistic regression model with HIV prevention services as the outcome, we found that facilities that were accredited, engaged in community outreach, and offered assistance with housing and transportation were more likely to provide HIV prevention services. Furthermore, facilities in the Midwest and West were less likely to provide HIV prevention services than those in the South.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 2","pages":"173-183"},"PeriodicalIF":1.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898445","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}
Nicole Crepaz, Yamir Salabarría-Peña, Mary M Mullins, Jayleen K L Gunn, Darrel H Higa
{"title":"Systematic Review of Social Determinants of Health Associated With HIV Testing Among Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex With Men in the United States.","authors":"Nicole Crepaz, Yamir Salabarría-Peña, Mary M Mullins, Jayleen K L Gunn, Darrel H Higa","doi":"10.1521/aeap.2023.35.1.36","DOIUrl":"10.1521/aeap.2023.35.1.36","url":null,"abstract":"<p><p>This systematic review synthesized published literature (January 2008-October 2021) about the association between social determinants of health (SDOH) and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men (HLMSM), a group disproportionally affected by HIV. Having higher education than a high school diploma, health insurance and access to health care services, and visiting a health care provider in the past 12 months were some of the determinants associated with HIV testing, while limited English proficiency was associated with reduced odds of HIV-testing among HLMSM. More research is needed to understand the relationship of SDOH (especially neighborhood) and HIV testing, how SDOH may affect HIV testing among different HLMSM groups, and how to increase self-testing and use of e-health in this priority population. Additionally, culturally and linguistically appropriate multilevel interventions and health services for HLMSM are urgently needed to diagnose HIV as early as possible after infection.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 1","pages":"36-S6"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10682974","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}
Christopher Owens, Dakota Brandenburg, Morgan J Grant, Kaileigh Carter, Matt Hoffman, Randolph D Hubach
{"title":"Parental Concerns of Their Sexual and Gender Minority Adolescents Using HIV Pre-Exposure Prophylaxis.","authors":"Christopher Owens, Dakota Brandenburg, Morgan J Grant, Kaileigh Carter, Matt Hoffman, Randolph D Hubach","doi":"10.1521/aeap.2023.35.1.85","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.1.85","url":null,"abstract":"<p><p>Although parents of sexual and gender minority (SGM) adolescents are key stakeholders in SGM adolescents using HIV pre-exposure prophylaxis (PrEP), there is limited understanding of parental concerns and attitudes about their SGM adolescents taking PrEP. Fifty-four parents in the West South Central region of the U.S. completed an online, mixed-method, cross-sectional questionnaire to explore their concerns and questions about PrEP. Quantitative and qualitative results show that participants were more concerned about side effects, drug interactions, (non)adherence, and eligibility and duration of PrEP. Parents are less worried about picking PrEP from a pharmacy or returning to follow-up lab testing every three months. Most parents reported receiving medication information their adolescent takes from a medical provider and the media. Findings from this study can inform the development of parent-based PrEP interventions. Without further parent-based research and programming, SGM adolescents may continue to be disproportionately affected by HIV.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 1","pages":"85-99"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690258","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}
{"title":"Character Perceptions of Storytellers: Investigating the Mediated Contact Hypothesis and Stories About Living With HIV.","authors":"Rachel A Smith, Ruth A Osoro","doi":"10.1521/aeap.2023.35.1.69","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.1.69","url":null,"abstract":"<p><p>Research into mediated contact hypothesis shows that exposure to people sharing their stories of living with a stigmatized condition can decrease negative stereotypes and improve willingness to engage in future interpersonal contact, but results are inconsistent. In this study, we offer novel reasons for why mediated intergroup contact can facilitate positive inter-group outcomes, by focusing on audience members' perceptions of the storyteller's character (i.e., perceptions of attributes or features that make up an individual). Our model was tested (N = 369, U.S. adults) with video-recorded stories from the Centers for Disease Control and Prevention's Let's Stop HIV Together campaign. The results showed that, as predicted, viewers' perceptions of the storyteller's character as more fluid and more multidimensional predicted stronger transportation into the story, which predicted greater perceptions of group variability and more intergroup ease. Implications for character perceptions as mechanisms of contact effects, communication's role in shaping character perceptions, and reducing HIV stigma are discussed.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 1","pages":"69-84"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690259","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}
Ashleigh LoVette, Adam Sullivan, Caroline Kuo, Don Operario, Abigail Harrison, Catherine Mathews
{"title":"Examining Associations Between Resilience and Sexual Health Among South African Girls and Young Women Living With and Without HIV.","authors":"Ashleigh LoVette, Adam Sullivan, Caroline Kuo, Don Operario, Abigail Harrison, Catherine Mathews","doi":"10.1521/aeap.2023.35.1.1","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.1.1","url":null,"abstract":"<p><p>Resilience, or multilevel processes related to thriving, offers a strengths-based approach to reducing HIV and sexual risk behaviors among girls and young women. Processes of resilience may change based on the experience of living with HIV. However, little is known about how resilience and serologically verified HIV status influence sexual health. Using weighted cross-sectional data collected during 2017-2018 from South African girls and young women aged 15-24 (<i>N</i> = 7237), this article examines associations between resilience and three sexual risk behaviors among those living with and without HIV. Logistic regression models indicated greater resilience scores were associated with reduced odds of engaging in transactional sex and early sexual debut. Results also identified differing associations between resilience and sexual risk behaviors by HIV status. Findings provide implications for programming to prevent HIV and improve sexual health while underscoring the need for tailored resilience-promoting interventions for South African girls and young women living with HIV.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 1","pages":"1-13"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690257","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}
Kathryn P Derose, Jannette Berkley-Patton, Chavon Hamilton-Burgess, Carole Bowe Thompson, Eric D Williams, Stephen Simon, Jenifer E Allsworth
{"title":"Correlates of HIV-Related Stigmas Among African American Church-Affiliated Populations in Kansas City.","authors":"Kathryn P Derose, Jannette Berkley-Patton, Chavon Hamilton-Burgess, Carole Bowe Thompson, Eric D Williams, Stephen Simon, Jenifer E Allsworth","doi":"10.1521/aeap.2023.35.1.54","DOIUrl":"10.1521/aeap.2023.35.1.54","url":null,"abstract":"<p><p>HIV-related stigmas contribute to disparities, and contact with HIV-positive individuals has been suggested to reduce stigma. Faith-based organizations have been recognized as important to stigma reduction efforts among African American populations; however, relatively few church-based studies have measured HIV-related stigma. This study uses baseline data (<i>N</i> = 1,448) from a study with 14 African American churches in Kansas City, Missouri and Kansas, to examine correlates of HIV-related stigmas among church members and community members accessing church social services using two previously validated scales that measure discomfort interacting with individuals with HIV and anticipated stigma or rejection. Knowing someone with HIV was associated with lower discomfort, even after adjusting for sociodemographic characteristics and sexual risk, HIV knowledge, previous communication about HIV at church, and mean drug and homosexuality stigmas. Knowing someone with HIV was not associated with anticipated stigma or rejection after adjustment. Contact-based interventions hold promise for reducing discomfort around people with HIV among church-affiliated populations.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 1","pages":"54-68"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10690260","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}