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":"<p><p>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 (<i>n</i> = 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 (<i>n</i> = 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.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 3","pages":"201-212"},"PeriodicalIF":1.6,"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}
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":"<p><p>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 (<i>p</i> < .001). Girls who had ever been pregnant (<i>p</i> < .001) or out-of-school without completing a secondary education (<i>p</i> < .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.</p>","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}
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":"<p><p>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.</p>","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}
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":"10.1521/aeap.2023.35.2.101","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"35 2","pages":"101-113"},"PeriodicalIF":1.2,"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}
{"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}
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}
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}
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}