{"title":"Masibambane-Ladies Chat: Developing an Online Gender-Enhanced PrEP Information-Motivation Workshop for Young South African Women.","authors":"Jill Hanass-Hancock, Nonhlonipho Bhengu, Theresa Exner, Slindile Magusthwa, Abigail Harrison, Curtis Dolezal, Lori Miller, Laurie Bauman, Susie Hoffman","doi":"10.1521/aeap.2023.35.1.14","DOIUrl":"10.1521/aeap.2023.35.1.14","url":null,"abstract":"<p><p>This article describes the processes of transforming an in-person group-based intervention to promote uptake of PrEP among young woman in South Africa to an online interactive \"workshop\" during the COVID-19 pandemic. Beginning in person and continuing virtually, we used a step-by-step participatory approach with multiple stakeholder groups to develop nine activities to increase knowledge about, as well as motivation and intention to take PrEP, and to address gender-based barriers to PrEP. Activities were informed by our theoretical framework and formative work with young women ages 18-25. We demonstrate how we developed a gender-enhanced online PrEP workshop that was interactive, group-based, and in accordance with elements of established successful intervention design; why WhatsApp emerged as the most accessible application for the young women in our workshop; and how an intervention with a hybrid approach-alternating between chat box and live sessions-combined with verbal, written, and emoji-based communication enabled interaction among participants.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 1","pages":"14-35"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10847036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10748624","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}
Scott D Rhodes, Amanda E Tanner, Lilli Mann-Jackson, Jorge Alonzo, Lucero Refugio Aviles, Carla A Galindo, Patricia A Bessler, Cari Courtenay-Quirk, Benjamin D Smart, Manuel Garcia, Tamar Goldenberg, Ana D Sucaldito, Beth A Reboussin
{"title":"Adapting a Group-Level PrEP Promotion Intervention Trial for Transgender Latinas During the COVID-19 Pandemic.","authors":"Scott D Rhodes, Amanda E Tanner, Lilli Mann-Jackson, Jorge Alonzo, Lucero Refugio Aviles, Carla A Galindo, Patricia A Bessler, Cari Courtenay-Quirk, Benjamin D Smart, Manuel Garcia, Tamar Goldenberg, Ana D Sucaldito, Beth A Reboussin","doi":"10.1521/aeap.2022.34.6.481","DOIUrl":"10.1521/aeap.2022.34.6.481","url":null,"abstract":"<p><p>The COVID-19 pandemic has profoundly affected the conduct of community-based and community-engaged research. Prior to the pandemic, our community-based participatory research partnership was testing ChiCAS, an in-person, group-level behavioral intervention designed to promote uptake of pre-exposure prophylaxis (PrEP), condom use, and medically supervised gender-affirming hormone therapy among Spanish-speaking transgender Latinas. However, the pandemic required adaptations to ensure the safe conduct of the ChiCAS intervention trial. In this article, we describe adaptations to the trial within five domains. Transgender women are disproportionately affected by HIV, and it is essential to find ways to continue research designed to support their health within the context of the COVID-19 pandemic and future infectious disease outbreaks, epidemics, and pandemics. These adaptations offer guidance for ongoing and future community-based and community-engaged research during the COVID-19 pandemic and/or potential subsequent outbreaks (e.g., monkeypox), epidemics, and pandemics, particularly within under-served marginalized and minoritized communities.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 6","pages":"481-495"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235818","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}
Johann Kolstee, James MacGibbon, Garrett Prestage, Shawn Clackett, Heath Paynter, Benjamin R Bavinton, Timothy R Broady, Jeanne Ellard, Dean A Murphy, John de Wit, Cherie Power, Martin Holt
{"title":"Changing Attitudes Towards Condoms Among Australian Gay and Bisexual Men in the PrEP Era: An Analysis of Repeated National Online Surveys 2011-2019.","authors":"Johann Kolstee, James MacGibbon, Garrett Prestage, Shawn Clackett, Heath Paynter, Benjamin R Bavinton, Timothy R Broady, Jeanne Ellard, Dean A Murphy, John de Wit, Cherie Power, Martin Holt","doi":"10.1521/aeap.2022.34.6.453","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.6.453","url":null,"abstract":"<p><p>Condoms have been the primary form of HIV prevention for gay and bisexual men (GBM) for most of the HIV epidemic. The introduction of biomedical HIV prevention may have changed attitudes towards condoms. Data from repeated national online surveys of GBM in Australia were used to examine how attitudes towards condoms and confidence discussing condoms with partners changed in the period 2011-2019. The proportion of all participants who reported a positive experience in using condoms remained low and unchanged (9.6% in 2011 to 6.0% in 2019). Confidence in discussing condoms with partners decreased over time (from 72.2% in 2011 to 56.6% in 2019). Confidence in discussing condoms was associated with concern about sexually transmitted infections, and more consistent condom use. Sustaining confidence in using condoms may be more challenging as biomedical prevention methods become more commonly used.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 6","pages":"453-466"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235821","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}
Camille Bundy, Casey D Xavier Hall, James E Foran, Kyle Jozsa, Michael E Newcomb, Brian Mustanski
{"title":"Reassessing the Importance of PrEP Use Given Reduced Sex During the COVID-19 Pandemic: Perspectives From a Sample of Young Sexual Minority Men.","authors":"Camille Bundy, Casey D Xavier Hall, James E Foran, Kyle Jozsa, Michael E Newcomb, Brian Mustanski","doi":"10.1521/aeap.2022.34.6.441","DOIUrl":"10.1521/aeap.2022.34.6.441","url":null,"abstract":"<p><p>Research has begun to examine sexual behavior during the COVID-19 pandemic using quantitative methods, but less is known about the context surrounding these changes using qualitative methods, including corresponding changes in risk reduction methods. This qualitative study, guided by the Integrated Behavioral Model, examines the pandemic's impact on PrEP adherence among young men who have sex with men in Chicago. PrEP-using participants from a cohort study were recruited into a 90-day diary study measuring sexual behaviors and PrEP use. Between April and September 2020, a subset of participants was recruited for qualitative interviews (<i>n</i> = 28) exploring prevention strategies, including the impact of the pandemic. Although most were highly adherent pre-pandemic, many took fewer pills or discontinued during the pandemic due to decreased sex. Findings suggest the importance of counseling for PrEP reinitiation as \"seasons of HIV risk\" increase, as well as use of telehealth as a facilitator of PrEP use throughout the pandemic.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 6","pages":"441-452"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9979445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9242711","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":"The Construction of Pre-exposure Prophylaxis (PrEP) by Prevention Professionals as a Tool for Black African Migrant Women … or Not?","authors":"Sarah Demart, Emilie Gérard","doi":"10.1521/aeap.2022.34.6.496","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.6.496","url":null,"abstract":"<p><p>While sub-Saharan African migrants are recognized as a key population in the HIV epidemics, they are absent from the PrEP delivery system and in particular women. The central argument of this article is that PrEP for Black African migrant women is an ambivalent offer that makes it necessary to understand how migration, gender, sexuality, and origin interact. Bringing together a sociologist and a prevention project manager, this article looks at how Belgian prevention professionals navigate with this ambivalent offer. From semi-directive interviews we explore how PrEP is constructed as a prevention tool for this population. The results show that different causalities are attributed to their absence from PrEP delivery system. This pluralism leads us to argue that there is a real blurring in the definition of this public as a \"priority\" in terms not only of representations and practices but also of political agenda.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 6","pages":"496-511"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235820","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}
Yiu Tung Suen, Randolph C H Chan, Eliz Miu Yin Wong
{"title":"Sex Conservatism, Internalized Homonegativity, PrEP Stigma, and Intention to Use PrEP: A Study of Chinese-Speaking Gay and Bisexual Male Youth in Hong Kong.","authors":"Yiu Tung Suen, Randolph C H Chan, Eliz Miu Yin Wong","doi":"10.1521/aeap.2022.34.6.467","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.6.467","url":null,"abstract":"<p><p>Pre-exposure prophylaxis (PrEP) stigma has been found to be a major barrier to PrEP acceptability and uptake. Research has found that different ethnic/cultural groups display varying levels of PrEP stigma. This article studies sex conservatism and internalized homonegativity as two sexuality- and culture-related aspects that influence PrEP stigma and intention to use PrEP. An online survey of 279 young gay and bisexual men in Hong Kong found that internalized homonegativity was positively associated with PrEP stigma. Respondents who were more conservative about sex showed lower intention to use PrEP, whereas those who had higher income and more positive attitudes about PrEP were more likely to express intention to use PrEP. This study provides novel empirical evidence for understanding PrEP stigma and uptake from a sexuality and cultural perspective. The influence of sexuality- and culture-related factors on PrEP stigma and uptake warrants greater attention, especially in the Asia-Pacific region.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 6","pages":"467-480"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235819","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}
Yuko Mizuno, Linda J Koenig, Aisha L Wilkes, Deborah Gelaude, Jarvis Carter, Lamont Scales White, Pilgrim Spikes, Laura Randall, Casey Langer Tesfaye, Daniela Glusberg, Bryan Gale, Adrian King, Paula M Frew, Alisú Schoua-Glusberg
{"title":"Utilization of HIV Prevention, Care, and Treatment Services Among Young Men Who Have Sex With Men and Transgender Persons of Color in the U.S. South: A Qualitative Analysis.","authors":"Yuko Mizuno, Linda J Koenig, Aisha L Wilkes, Deborah Gelaude, Jarvis Carter, Lamont Scales White, Pilgrim Spikes, Laura Randall, Casey Langer Tesfaye, Daniela Glusberg, Bryan Gale, Adrian King, Paula M Frew, Alisú Schoua-Glusberg","doi":"10.1521/aeap.2022.34.6.512","DOIUrl":"10.1521/aeap.2022.34.6.512","url":null,"abstract":"<p><p>To better understand utilization of HIV prevention, care, and treatment services by young men who have sex with men (YMSM) and young transgender persons (YTG), of Black race or Hispanic/Latino/Latina ethnicity in the U.S. South, we conducted semi-structured interviews with 127 clients at one of four community based organizations (CBOs) in Miami, Atlanta, New Orleans/Baton Rouge, or Columbia, South Carolina. Across sites, the service that most commonly drew respondents into the CBO was HIV and STD testing. Other services commonly used included HIV/STI treatment, counseling services/support groups, and PrEP services. Social/organizational/structural facilitators of service utilization include the welcoming climate/culture of the CBOs, ease of access to the services, and transportation services to reach the CBOs. Suggested service enhancements include broader range of comprehensive, navigational-type services beyond HIV testing and service co-location. Research on how to reduce stigma in the surrounding communities may help reduce health disparities experienced by these populations.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 6","pages":"512-527"},"PeriodicalIF":1.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10986447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235822","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}
Nicolas A Suarez, Adina C Cooper, Wojciech Kaczkowski, Jingjing Li, Leah Robin, Valerie M Sims
{"title":"Associations of a Multilevel School Health Program and Health Outcomes Among Lesbian, Gay, and Bisexual Youth.","authors":"Nicolas A Suarez, Adina C Cooper, Wojciech Kaczkowski, Jingjing Li, Leah Robin, Valerie M Sims","doi":"10.1521/aeap.2022.34.5.395","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.5.395","url":null,"abstract":"<p><p>Lesbian, gay, and bisexual (LGB) adolescents are often at higher risk than their heterosexual peers for adverse sexual health, violence, mental health, and substance use outcomes. Schools are a vital resource for enhancing protective behaviors and reducing risk behaviors. Sixteen school districts selected schools to implement a sexual health program (exposed) or usual programming (unexposed). We analyzed LGB student health outcomes using 2015 and 2017 Youth Risk Behavior Surveys. Analyses compared LGB student health outcomes by exposure status across time points using a multilevel approach. Program exposure was associated with decreased odds of ever having sex, ever testing for HIV, and using effective hormonal birth control, and an increased odds of condom use. There were no significant findings among secondary violence, mental health, and substance use outcomes. This evaluation highlights the potential for schools to reduce sexual risk behaviors among LGB youth, and opportunities to improve access to health services.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 5","pages":"395-412"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10009884/pdf/nihms-1870698.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9477429","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}
Javier López Rios, Cody Lentz, Iván C Balán, Nicholas Grosskopf, Alexa D'Angelo, Matthew Stief, Christian Grov
{"title":"Engagement in Care Among Newly Diagnosed HIV-Positive Gay, Bisexual, and Other Men Who Have Sex With Men in the United States: Results From the Together 5,000 Study.","authors":"Javier López Rios, Cody Lentz, Iván C Balán, Nicholas Grosskopf, Alexa D'Angelo, Matthew Stief, Christian Grov","doi":"10.1521/aeap.2022.34.5.349","DOIUrl":"10.1521/aeap.2022.34.5.349","url":null,"abstract":"<p><p>One-quarter of gay, bisexual, and other men who have sex with men (GBMSM) with diagnosed HIV are not engaged in HIV care. Between 2018 and 2019, 50 GBMSM completed qualitative interviews 3 months after receiving an HIV-positive result. Interviews explored barriers to and facilitators of engagement and retention in HIV testing and care. Thematic analysis revealed five major themes: (1) reason for HIV testing (e.g., self-testing), (2) linkage to care (e.g., appointment/logistic issues and social support as encouragement), (3) barriers to engagement in care (e.g., financial burden, competing priorities, and fear/stigma), (4) facilitators of engagement (e.g., financial assistance, patient-provider relationships, auxiliary support services, and health agency), and (5) PrEP as a missed prevention opportunity. Addressing individual-, social-, and policy-level barriers could improve GBMSM's engagement in HIV care. Further, capitalizing on GBMSM's health agency through partnerships with local agencies and fostering better patient-provider relationships could optimize HIV care continuity.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 5","pages":"349-364"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9619412/pdf/nihms-1842474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282162","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}
Nguyen K Tran, Omar Martinez, Ayden I Scheim, Neal D Goldstein, Seth L Welles
{"title":"Perceived Barriers to and Facilitators of Long-Acting Injectable HIV PrEP Use Among Black, Hispanic/Latino, and White Gay, Bisexual, and Other Men Who Have Sex With Men.","authors":"Nguyen K Tran, Omar Martinez, Ayden I Scheim, Neal D Goldstein, Seth L Welles","doi":"10.1521/aeap.2022.34.5.365","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.5.365","url":null,"abstract":"<p><p>Long-acting injectable pre-exposure prophylaxis (LAI-PrEP) was recently approved for HIV prevention as an alternative to daily oral PrEP. We explored preferences and attitudes toward LAI-PrEP among Black, Hispanic/Latino, and White gay, bisexual, and other men who have sex with men (GBM) using focus groups (<i>n</i> = 13) and in-depth interviews (<i>n</i> = 17). Participants expressed differing levels of interest in LAI-PrEP. While important benefits of LAI-PrEP included convenience, provider-facilitated PrEP discussion, and expansion of PrEP options, participants raised concerns about treatment efficacy and side effects, discomfort with needles/injections, cost, and frequency of clinic visits. Our findings highlight ongoing challenges with accessing HIV-prevention tools and provide guidance for developing strategies to enhance LAI-PrEP uptake among GBM.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 5","pages":"365-378"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10644278","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}