Rick S Zimmerman, Krista Wonderly, Halimatu Abdul-Kadr, Ralph J DiClemente, Monique Mitchell Turner, Mia Xu, Joshua G Rosenberger
{"title":"Assessing the Importance of Theory-Based Correlates of Future HIV Vaccine Intentions Among Black Men Who Have Sex With Men.","authors":"Rick S Zimmerman, Krista Wonderly, Halimatu Abdul-Kadr, Ralph J DiClemente, Monique Mitchell Turner, Mia Xu, Joshua G Rosenberger","doi":"10.1521/aeap.2024.36.5.354","DOIUrl":"10.1521/aeap.2024.36.5.354","url":null,"abstract":"<p><p>In the United States, Black men who have sex with men (BMSM) represent the most vulnerable population for HIV infection. A potential vaccine could ultimately be the most effective HIV prevention strategy. Understanding the factors that may adversely affect HIV vaccine acceptance among BMSM is critical. We conducted two online surveys with BMSM; one recruited 432 respondents, and another recruited 204. Respondents completed a demographic assessment and questions derived from health behavior change theories and the relevant empirical literature. The two surveys yielded similar results. The findings indicate that vaccine uptake self-efficacy, perceived likelihood of important others receiving the vaccine, and susceptibility to HIV were related to intentions to receive a future HIV vaccine. Other potentially important variables include perceived HIV stigma, response efficacy, how much one conceals one's sexual orientation, and perceived HIV discrimination. Future research and health communication campaigns should consider these factors in potential HIV vaccine programs.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 5","pages":"354-369"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606825","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}
Benjamin D Smart, Jorge Alonzo, Lilli Mann-Jackson, Lucero Refugio Aviles, Amanda E Tanner, Carla A Galindo, Patricia A Bessler, Cari Courtenay-Quirk, Manuel Garcia, Sandy K Aguilar-Palma, Beth A Reboussin, Scott D Rhodes
{"title":"Transgender Latinas' Perspectives on HIV PrEP Uptake, Condom Use, and Medically Supervised Gender-Affirming Hormone Therapy: Insights From ChiCAS Qualitative Interviews.","authors":"Benjamin D Smart, Jorge Alonzo, Lilli Mann-Jackson, Lucero Refugio Aviles, Amanda E Tanner, Carla A Galindo, Patricia A Bessler, Cari Courtenay-Quirk, Manuel Garcia, Sandy K Aguilar-Palma, Beth A Reboussin, Scott D Rhodes","doi":"10.1521/aeap.2024.36.5.369","DOIUrl":"10.1521/aeap.2024.36.5.369","url":null,"abstract":"<p><p>There is a dearth of HIV prevention behavioral interventions for transgender Latinas, despite this population's HIV risk. ChiCAS (Chicas Creando Acceso a la Salud) is an intervention to increase PrEP, condom, and gender-affirming hormone therapy (GAHT) use among transgender Latinas. To inform future work, semistructured interviews were conducted postintervention with 28 ChiCAS participants. Thematic analysis with inductive coding was used. Six themes emerged: (1) health-related priorities include sexual health and avoiding discrimination; (2) safe and collaborative community is of high importance; (3) interactive education with time for sharing stories and discussion was valued; (4) PrEP uptake was facilitated through awareness and health care navigation; (5) accessing GAHT depends on cost, clinic location, and individual goals; (6) ChiCAS could be improved with more PrEP/GAHT details and social connection. Interventions with goals similar to those of ChiCAS should prioritize building community, PrEP and GAHT education tailored to participants' needs, and emphasize health care options available locally.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 5","pages":"369-386"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606869","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}
Richard A Sprott, Kaston D Anderson, Erik Wert, Kenya W Mulwa, Stephen E Ratcliff, Reni Forer, Nikita Harvey, Anna Randall
{"title":"Investigating the Invisible: Protocol for a Randomized Controlled Pilot Study Testing the Entertainment-Education Model to Provide a PrEP Education Intervention to Kink-Involved Populations.","authors":"Richard A Sprott, Kaston D Anderson, Erik Wert, Kenya W Mulwa, Stephen E Ratcliff, Reni Forer, Nikita Harvey, Anna Randall","doi":"10.1521/aeap.2024.36.5.341","DOIUrl":"10.1521/aeap.2024.36.5.341","url":null,"abstract":"<p><p>A growing proportion of the global population engages in alternative sexual behaviors and relationships, which are commonly grouped and known as kink or BDSM (bondage-discipline, dominance-submission, sadism-masochism). Mainstream stigma and provider pathologizing of these behaviors and relationships may make kink-involved populations reticent to seek health care treatment. Moreover, some kink activities appear to expose kink-involved people to higher risks for HIV infection. To date, no studies have explored HIV risk prevention interventions for kink-involved people. The proposed study seeks to address the absence by describing a study designed to address HIV risk prevention with PrEP for this understudied and neglected population by testing an educational-entertainment intervention designed to focus on kink specifically. Using a repeated-measures randomized experimental methodology, this study proposes to include data collection and exposure to intervention materials at 3-month intervals over 12 months.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 5","pages":"341-353"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606830","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":"Longitudinal Impacts of Medicaid Expansion and Social Determinants of Health on PrEP Prevalence and PrEP-to-Need Ratio (PNR).","authors":"Sarah J Miller, Xueying Yang, Shan Qiao","doi":"10.1521/aeap.2024.36.5.324","DOIUrl":"10.1521/aeap.2024.36.5.324","url":null,"abstract":"<p><p>Despite its efficacy, pre-exposure prophylaxis (PrEP) for HIV has a low uptake, with many disparities remaining. This study aimed to assess the impact of Medicaid expansion and social determinants of health (SDOH) on PrEP prevalence and PrEP-to-need ratio (PnR) using county-level data from 2012 to 2022. Differences-in-differences regressions indicated that Medicaid expansion is associated with increased PnR but not PrEP prevalence. Linear regressions were conducted to evaluate the impact of county-level SDOH on PrEP outcomes. Rurality was associated with lower PnR and PrEP prevalence. Racial disparities were present, with areas with greater concentrations of non-Hispanic Black populations having lower PrEP prevalence and PnR. Greater concentrations of Hispanic populations were associated with lower PnR. Income inequality, socioeconomic status vulnerability, and primary care physician concentration were all associated with higher PnR. Medicaid expansion supports increasing PrEP use in the areas of greatest need. Efforts should be made to improve PrEP access, particularly in areas with high SDOH vulnerabilities.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 5","pages":"324-340"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606853","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}
Charisse V Ahmed, Ayanda Dlamini, Majaha Mbuyisa, Mthobisi Simelane, Darby Gallagher, Aleksandra Golos, Gregory Donworth, Jacob Dubner, Lindsey McLain, Elizabeth D Lowenthal, Bridgette M Rice, Merrian J Brooks, Alison M Buttenheim
{"title":"The NUDGE Framework: Application to Address Behavioral Barriers to Antiretroviral Therapy in Adolescents Living With HIV in Eswatini.","authors":"Charisse V Ahmed, Ayanda Dlamini, Majaha Mbuyisa, Mthobisi Simelane, Darby Gallagher, Aleksandra Golos, Gregory Donworth, Jacob Dubner, Lindsey McLain, Elizabeth D Lowenthal, Bridgette M Rice, Merrian J Brooks, Alison M Buttenheim","doi":"10.1521/aeap.2024.36.4.285","DOIUrl":"10.1521/aeap.2024.36.4.285","url":null,"abstract":"<p><p>Behavioral economics offers a unique opportunity to understand the social, cognitive, and psychological nuances that may influence health behavior. The purpose of this article is to demonstrate the application of NUDGE, a novel behavioral economics and design thinking framework, to address barriers to antiretroviral therapy adherence among adolescents living with HIV in eSwatini. NUDGE comprises five steps: (1) Narrow the focus to a specific target behavior, (2) Understand the context of the behavior through inquiry, (3) Discover behavioral insights related to the target behavior, (4) Generate intervention design features to address behavioral barriers to the target behavior, and (5) Evaluate the design features through iterative pilot testing. This article demonstrates the application of the Discover and Generate steps using qualitative data. In showing the utility of the NUDGE framework, we provide a practical tool for creating interventions informed by behavioral insights.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"285-298"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074204","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}
Tareerat Chemnasiri, Anchalee Varangrat, Andrea L Wirtz, Michele R Decker, Kamolnetr Okanurak, Surang Janyam, Danai Linjongrat, Eileen F Dunne, Sandra Hsu Hnin Mon, Brian Weir, Joseph Woodring, Andrew Hickey, Chris Beyrer
{"title":"Perceived Feasibility and Acceptability of HIV Prevention Research With Daily Oral PrEP Among Young Transgender Women (YTGW) Who Sell or Trade Sex in Bangkok and Pattaya, Thailand.","authors":"Tareerat Chemnasiri, Anchalee Varangrat, Andrea L Wirtz, Michele R Decker, Kamolnetr Okanurak, Surang Janyam, Danai Linjongrat, Eileen F Dunne, Sandra Hsu Hnin Mon, Brian Weir, Joseph Woodring, Andrew Hickey, Chris Beyrer","doi":"10.1521/aeap.2024.36.4.244","DOIUrl":"10.1521/aeap.2024.36.4.244","url":null,"abstract":"<p><p>Young transgender women (YTGW) who sell or trade sex have among the highest HIV incidence rates in Thailand. Using qualitative methods, we assessed perceived acceptability, feasibility, and optimal design of a combination HIV prevention intervention including PrEP for YTGW. Key informant interviews were conducted during July 2016-July 2018 with 21 YTGW, aged 18-26 years, who sold sex and resided in Bangkok or Pattaya, Thailand. Grounded theory and content analysis were used for data analysis. Most YTGW interviewed reported high interest in HIV prevention research and believed participation in it supported sexual health. However, participants perceived HIV studies as complicated and time-consuming. Regarding PrEP, participants suggested more PrEP options beyond daily oral PrEP and expressed concerns related to perceived side effects of PrEP, including interaction with gender-affirming hormone therapy. Improving PrEP knowledge, being able to self-assess HIV risk, and reducing HIV/PrEP stigma could increase interest in research and PrEP uptake among YTGW.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"244-260"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074202","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}
Jorge Salazar, Nadra E Lisha, Torsten B Neilands, Natasha Ludwig-Barron, Mallory O Johnson, Edward R Cachay, Sonia Napravnik, Heidi M Crane, Richard D Moore, Robert J Fredericksen, Kenneth H Mayer, Katerina A Christopoulos, John A Sauceda
{"title":"The HIV Index Is Associated With Retention in Care Among Latinx Persons Living With HIV in the CFAR Network of Integrated Clinical Systems Cohort.","authors":"Jorge Salazar, Nadra E Lisha, Torsten B Neilands, Natasha Ludwig-Barron, Mallory O Johnson, Edward R Cachay, Sonia Napravnik, Heidi M Crane, Richard D Moore, Robert J Fredericksen, Kenneth H Mayer, Katerina A Christopoulos, John A Sauceda","doi":"10.1521/aeap.2024.36.4.261","DOIUrl":"10.1521/aeap.2024.36.4.261","url":null,"abstract":"<p><p>The HIV Index is a validated self-report scale of engagement in HIV care previously correlated with future retention and virologic suppression. However, its performance in a monoethnic Latinx population has not been studied. We evaluated the HIV Index among Latinx persons living with HIV in the Centers for AIDS Research Network of Integrated Clinical Systems cohort and performed multivariable logistic regression to estimate its association with primary outcomes of suboptimal retention (not keeping 100% of HIV clinic appointments) and virologic suppression (HIV viral load <200 copies/mL). The mean Index score was 4.5 (standard deviation 0.6) in both analytic samples, indicative of feeling well-engaged. Higher Index scores were associated with lower odds of suboptimal retention (OR = 0.12, 95% CI [0.03, 0.54], <i>p</i> = .005), however, there was no association between Index score and virologic suppression. The HIV Index is useful for assessing engagement and retention among Latinx PLWH in routine care.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"261-271"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074203","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}
Pedro B Carneiro, Adam Carrico, Sarit Golub, Asa E Radix, Nicholas Grosskopf, Leah Davis Ewart, Samantha Dilworth, Susanne Doblecki-Lewis, Christian Grov
{"title":"Missed Opportunity or Cause for Concern? Methamphetamine Use Is Associated With Greater Interest in Event-Driven PrEP Among Sexual Minority Men.","authors":"Pedro B Carneiro, Adam Carrico, Sarit Golub, Asa E Radix, Nicholas Grosskopf, Leah Davis Ewart, Samantha Dilworth, Susanne Doblecki-Lewis, Christian Grov","doi":"10.1521/aeap.2024.36.4.272","DOIUrl":"10.1521/aeap.2024.36.4.272","url":null,"abstract":"<p><p>Our study assessed the association between methamphetamine (i.e., crystal meth, CM) use and awareness and interest in event-driven (ED) PrEP among HIV-negative and those with unknown serostatus cisgender males and transgender people. We performed log-binomial regression analysis to predict awareness (i.e., having heard of ED PrEP) and being interested in ED PrEP. We found that participants who recently used CM were less likely to know of ED PrEP (aPR = 0.83, 95% CI [0.69, 0.99]) but more interested in ED PrEP (aPR = 1.12, 95% CI [1.01, 1.30]), after accounting for demographic and HIV-related behaviors. Opportunities to expand PrEP uptake and improve adherence among individuals who report CM use are essential to impact the HIV epidemic significantly. Continued research on the needs and best practices to work with this community is needed to ensure a successful rollout and implementation of ED PrEP.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"272-284"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074174","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}
Danielle M DeMaio, Ellis P Barerra, Julian Post, Elizabeth R Boskey, Carly E Guss
{"title":"Understanding Gaps of HIV Knowledge Among Transgender Young Adults: A Pilot Interview Study.","authors":"Danielle M DeMaio, Ellis P Barerra, Julian Post, Elizabeth R Boskey, Carly E Guss","doi":"10.1521/aeap.2024.36.4.229","DOIUrl":"10.1521/aeap.2024.36.4.229","url":null,"abstract":"<p><p>Many transgender young adults are unaware of the role of pre-exposure prophylaxis (PrEP) in HIV prevention. Our aim was to understand where transgender and gender-diverse young adults receive health information about HIV and PrEP and their preferences for future learning. Semistructured, qualitative individual and group interviews were done with 14 transgender and gender-diverse young adults. Interviews were transcribed verbatim and analyzed using thematic analysis. Four themes emerged from the interviews related to (1) making trustworthy education materials, (2) the importance of communities, (3) knowledge needed about PrEP, and (4) a lack of early and diverse classroom education. Transgender and genderdiverse persons are at higher risk for HIV than their cisgender peers, yet they have information gaps and hold misconceptions about preventative measures like PrEP. Such misconceptions may be addressed by early, inclusive conversations about HIV transmission and prevention.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 4","pages":"229-243"},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074205","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}
Lisa M Kuhns, Judy Perloff, Amy K Johnson, Josie Lynne Paul, Kevin Pleasant, Kaiji Evans, Damian J Denson, Deborah J Gelaude, Patricia A Bessler, Marbella Cervantes, Abigail L Muldoon, Robert Garofalo, Anna L Hotton
{"title":"An Evaluation of TransLife Care: A Locally Developed Structural HIV Prevention Intervention for Transgender Women in Chicago, Illinois.","authors":"Lisa M Kuhns, Judy Perloff, Amy K Johnson, Josie Lynne Paul, Kevin Pleasant, Kaiji Evans, Damian J Denson, Deborah J Gelaude, Patricia A Bessler, Marbella Cervantes, Abigail L Muldoon, Robert Garofalo, Anna L Hotton","doi":"10.1521/aeap.2024.36.3.155","DOIUrl":"10.1521/aeap.2024.36.3.155","url":null,"abstract":"<p><p>Transgender women are disproportionately impacted by HIV infection. We report herein the findings of a pre-post evaluation of the TransLife Care (TLC) project in Chicago, Illinois, on behaviors associated with HIV transmission among transgender women. Participants who received any TLC component versus those who did not were compared using mixed-effects logistic regression with random intercepts across follow-up time points. Ninety-seven participants aged 18 to 59 (median age 24) enrolled; 76.3% were transgender women of color. There was a decrease in condomless sex without consistent PrEP use at 8 months, which was not significantly different between those who did and did not receive the TLC intervention, controlling for calendar time. Evidence does not indicate that the TLC reduces condomless sex without PrEP protection among urban transgender women. However, given the preponderance of evidence of the influence of structural barriers on condomless sex, future research should continue to test the efficacy of structural interventions.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 3","pages":"155-167"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451902","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}