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}
Tooru Nemoto, Hui Xie, Mariko Iwamoto, Kirsten Piroth, Mohammad Hazratzai, Yik Koon Teh
{"title":"HIV Risk Behaviors and Psychological Well-Being Among Men Who Have Sex With Men (MSM) in Kuala Lumpur, Malaysia.","authors":"Tooru Nemoto, Hui Xie, Mariko Iwamoto, Kirsten Piroth, Mohammad Hazratzai, Yik Koon Teh","doi":"10.1521/aeap.2022.34.5.427","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.5.427","url":null,"abstract":"<p><p>HIV risk behaviors and psychological well-being among men who have sex with men (MSM) in Kuala Lumpur, Malaysia (<i>n</i> = 140), were quantitatively described in relation to demographic and psychosocial factors. Most participants were tested for HIV and 41.4% reported living with HIV. Malay participants had significantly higher levels of depression (<i>p</i> < .05), homophobia (<i>p</i> < .01), and needs for social support (<i>p</i> < .01) than Chinese. More Chinese participants reported suicidal thoughts than Malaysians <i>(p</i> < .05). A multivariate analysis revealed that participants with gay/MSM-identified or had lower levels of self-esteem showed significantly higher levels of depression. Future intervention projects should address depression and mental health issues among MSM and strengthen self-esteem and social support through culturally competent support and individual counseling programs (e.g., addressing MSM's conflicts with religious beliefs and norms). Structural changes must be made incrementally to reduce homophobia against MSM in Malaysia while advocating human rights.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 5","pages":"427-439"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589483","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":"Polydrug Use, Sexual Risk, and HIV Testing Among Cisgender Gay, Bisexual, and Other Men and Transgender and Nonbinary Individuals Who Have Sex With Men in Kazakhstan.","authors":"Yong Gun Lee, Gulnara Zhakupova, Vitaliy Vinogradov, Emily Allen Paine, Caitlin I Laughney, Kelsey Reeder, Alissa Davis, Timothy Hunt, Gaukhar Mergenova, Sholpan Primbetova, Assel Terlikbayeva, Elwin Wu","doi":"10.1521/aeap.2022.34.5.413","DOIUrl":"10.1521/aeap.2022.34.5.413","url":null,"abstract":"<p><p>This study examined substance use and sexual risk correlates of HIV testing among cisgender gay, bisexual, and other men (MSM) and transgender and nonbinary individuals (TSM) who have sex with men in Kazakhstan. We analyzed baseline data from an HIV prevention trial collected prior to intervention deployment (<i>N</i> = 304). Multivariable logistic regression analyses revealed that lifetime HIV testing was positively associated with poly-drug use (AOR = 4.4, 95% CI [2.0, 9.9]) and negatively with sexual risk (AOR = 0.4, 95% CI [0.2, 1.0]). Similarly, recent HIV testing was positively associated with polydrug use (AOR = 2.7, 95% CI [1.4, 5.2]) and negatively with sexual risk (AOR = 0.5, 95% CI [0.3, 0.9]). Current HIV testing was negatively associated with sexual risk (AOR = 0.6, 95% CI [0.3. 0.9]). Findings support the value of integrating drug treatment with HIV testing among MSM and TSM in Kazakhstan.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 5","pages":"413-426"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10662254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10208095","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}
Brandy F Henry, Jennifer Hartmann, Dawn Goddard-Eckrich, Mingway Chang, Elwin Wu, Timothy Hunt, Louisa Gilbert, Alexandra S Wimberly, Nabila El-Bassel
{"title":"Typologies of Stressful Life Events and Their Association With Sexual Risk Behaviors and Communication Among Justice-Involved Males and Their Female Sex Partners.","authors":"Brandy F Henry, Jennifer Hartmann, Dawn Goddard-Eckrich, Mingway Chang, Elwin Wu, Timothy Hunt, Louisa Gilbert, Alexandra S Wimberly, Nabila El-Bassel","doi":"10.1521/aeap.2022.34.5.379","DOIUrl":"10.1521/aeap.2022.34.5.379","url":null,"abstract":"<p><p>Stressful life events are prevalent among justice-involved populations and are associated with sexual risk behaviors and partner communication regarding safe-sex practices. We describe patterns of stress exposure for heterosexual couples (where males are under community supervision) and how stress patterns are associated with sexual risk behaviors and communication (460 individuals; 230 couples). Latent class analysis identified patterns of stress. Multinominal logistic regression models identified associations between sex, race, ethnicity, and stress classes. Multilevel Poisson regression models described relationships between sexual risk behaviors and frequency of communication about condoms/HIV, and stress classes. We found four classes that differed by sex, race, and ethnicity and were associated with the number of sexual partners, condom use self-efficacy, discussing condoms with partner, and discussing HIV prevention with partner. Partner class was associated with the number of sexual partners. Findings inform future assessment/interventions for sexual health that consider patterns of stress and demographics.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 5","pages":"379-394"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9576004/pdf/nihms-1841717.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589486","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}
José A Bauermeister, Ryan C Tingler, Ken Ho, Rachel Scheckter, Tara McClure, Jontraye Davis, Jeanna Piper, Barbara A Friedland, Stacey Edick, Mei Song, Yuqing Jiao, Craig W Hendrix, Craig Hoesley
{"title":"Acceptability of PC-1005 Gel Administered Rectally to HIV-1 Seronegative Adults at Three Different Volume Levels (MTN-037).","authors":"José A Bauermeister, Ryan C Tingler, Ken Ho, Rachel Scheckter, Tara McClure, Jontraye Davis, Jeanna Piper, Barbara A Friedland, Stacey Edick, Mei Song, Yuqing Jiao, Craig W Hendrix, Craig Hoesley","doi":"10.1521/aeap.2022.34.4.257","DOIUrl":"10.1521/aeap.2022.34.4.257","url":null,"abstract":"<p><p>Multipurpose prevention technologies (MPT) have been increasingly researched for their dual-purpose preventative properties against HIV and other STIs. The acceptability of PC-1005, a topical MPT candidate, was explored among men and women participating in the MTN-037 Phase I trial at two U.S. sites (Pittsburgh, PA, and Birmingham, AL). We triangulated quantitative and qualitative assessments of the acceptability of three volumes (4 mL, 16 mL, 32 mL) of PC-1005 administered rectally (N = 12; 6 males, 6 females). Participants rated overall gel acceptability on a scale of 1-10, with a median of 7.17 (<i>SD</i> = 2.04) and had positive feelings about all three dose volumes, citing them to be very comfortable or comfortable (dose 1 = 91.7%; dose 2 = 91.7%; dose 3 = 83.3%). High acceptability of and comfort with all three dose volumes shows promise for PC-1005 as an MPT to prevent HIV and STIs, warranting future clinical development.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 4","pages":"257-271"},"PeriodicalIF":1.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9924357/pdf/nihms-1871492.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10231292","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}
Jingjing Li, Zach Timpe, Nicolas Suarez, Carmen L Ashley, Catherine N Rasberry, Leah Robin
{"title":"Intervening at the Right Level to Improve Student Health: An Analysis of Levels of Influence on Sexual Behavior of High School Students.","authors":"Jingjing Li, Zach Timpe, Nicolas Suarez, Carmen L Ashley, Catherine N Rasberry, Leah Robin","doi":"10.1521/aeap.2022.34.4.300","DOIUrl":"https://doi.org/10.1521/aeap.2022.34.4.300","url":null,"abstract":"<p><p>This study adopts a socio-ecological framework and examines school- and district-level influences on sexual behaviors among high school students from 16 school districts that were federally funded to conduct a school-based, multilevel sexual health program. We drew cross-sectional data from the 2015 and 2017 Youth Risk Behavior Survey from funded school districts containing 648 schools and 101,728 students. We used multilevel modeling to determine the percentage of variance in sexual health outcomes explained at school and district levels, overall and by race/ethnicity and biological sex. We found protective behaviors such as using hormonal birth control had considerable district-level variance (10.1%) while sexual risk behaviors such as having multiple sex partners showed considerable school-level variance (12.7%). We also found significant subgroup heterogeneity in the variance. Findings indicate school-based interventions should address all levels of influences of the educational system to effectively improve a myriad of student sexual health outcomes.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"34 4","pages":"300-310"},"PeriodicalIF":1.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923753/pdf/nihms-1872118.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9905684","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}