Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献

Echoes of crisis: HIV risk behaviour and responses in the aftermath of multiple crises among South African vulnerable youth in an exploratory longitudinal study. 危机的回声：艾滋病毒风险行为和反应在多重危机后的南非弱势青年在一个探索性的纵向研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-05-09 DOI: 10.1080/09540121.2026.2669035

Kathryn Steventon Roberts, Lorraine Sherr, Tatenda Mawoyo, Stefani Du Toit, Christina A Laurenzi, Mark Tomlinson, Lucie Cluver

{"title":"Echoes of crisis: HIV risk behaviour and responses in the aftermath of multiple crises among South African vulnerable youth in an exploratory longitudinal study.","authors":"Kathryn Steventon Roberts, Lorraine Sherr, Tatenda Mawoyo, Stefani Du Toit, Christina A Laurenzi, Mark Tomlinson, Lucie Cluver","doi":"10.1080/09540121.2026.2669035","DOIUrl":"https://doi.org/10.1080/09540121.2026.2669035","url":null,"abstract":"The COVID-19 pandemic caused 10.5 million children and adolescents worldwide to lose a caregiver, with South Africa facing this crisis alongside the world's largest HIV epidemic. This study examines how overlapping crises shape HIV-related risk behaviours and mental health among affected young people. Using longitudinal data from 389 participants aged 9-18; researchers assessed HIV risk behaviours, mental health symptoms and social risks at two time points. Half the sample (50.4%) experienced COVID-19-associated orphanhood. Overall, HIV risk behaviours were common, reported by 78.9% at baseline and 73.5% at follow-up. However, reductions occurred only among non-orphaned children; those experiencing COVID-19 orphanhood showed a slight increase in risk behaviours over time. Orphanhood, older age, bullying, domestic violence and community violence were associated with higher HIV risk, while female sex and larger households were protective. Mental health symptoms were significantly worse among children living in HIV-affected households who also experienced COVID-19 orphanhood (66.7% at baseline), a pattern that persisted at follow-up. These findings highlight the heightened vulnerability of children facing multiple, overlapping crises. Effective HIV prevention and support strategies must account for the compounded impacts of pandemic-related loss, violence and pre-existing HIV burdens to protect long-term wellbeing.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857293","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}

引用次数: 0

A digital self-screening and education model to strengthen HIV prevention among adolescents. 加强青少年艾滋病毒预防的数字自我筛查和教育模式。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-05-06 DOI: 10.1080/09540121.2026.2668484

Rizka Ayu Setyani, Fika Lilik Indrawati, Ari Natalia Probandari, Eti Poncorini Pamungkasari

{"title":"A digital self-screening and education model to strengthen HIV prevention among adolescents.","authors":"Rizka Ayu Setyani, Fika Lilik Indrawati, Ari Natalia Probandari, Eti Poncorini Pamungkasari","doi":"10.1080/09540121.2026.2668484","DOIUrl":"https://doi.org/10.1080/09540121.2026.2668484","url":null,"abstract":"Adolescents in Indonesia remain disproportionately affected by HIV but face barriers to youth-friendly services due to stigma and structural constraints. This study developed and assessed a digital HIV education and self-screening model (EKSTRIM) for adolescents in Yogyakarta using a sequential explanatory mixed-methods design. A survey of 400 adolescents recruited through cluster random sampling was followed by focus group discussions with 16 adolescents and interviews with nine stakeholders. Findings showed high digital readiness: 98.2% had internet access, 97.2% owned smartphones, and 92.3% preferred web-based platforms. Audiovisual content was favored by 66.2%, while 57.3% had received HIV information digitally but none had been tested. Stakeholders supported digital approaches but noted challenges with consent, stigma, and sustaining peer involvement. A functional prototype was co-designed, integrating structured HIV modules, anonymous self-risk screening with automated feedback, and referral information. Adolescents emphasized simplified language and privacy features. Evaluation confirmed feasibility and acceptability, though not effectiveness. EKSTRIM demonstrates strong potential as a scalable, youth-friendly HIV prevention strategy in Indonesia and similar high-digital-engagement settings.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844727","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}

引用次数: 0

Measuring perceived social support among people living with HIV in Indonesia: psychometric evaluation of the PSS-HIV scale. 测量印度尼西亚艾滋病毒感染者的感知社会支持：PSS-HIV量表的心理测量学评估。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-05-06 DOI: 10.1080/09540121.2026.2661703

Fika Lilik Indrawati, Chia Jung Hsieh, Siti Fadlilah, Herry Susanto

{"title":"Measuring perceived social support among people living with HIV in Indonesia: psychometric evaluation of the PSS-HIV scale.","authors":"Fika Lilik Indrawati, Chia Jung Hsieh, Siti Fadlilah, Herry Susanto","doi":"10.1080/09540121.2026.2661703","DOIUrl":"https://doi.org/10.1080/09540121.2026.2661703","url":null,"abstract":"Perceived social support is essential for improving psychological well-being, self-efficacy, and treatment adherence among people living with HIV (PLHIV), particularly in collectivist contexts such as Indonesia. To date, no culturally validated instrument has been available to measure this construct in Indonesian PLHIV. This study aimed to translate, culturally adapt, and psychometrically validate the Indonesian version of the Perceived Social Support in HIV scale. Using a cross-sectional design, 200 Indonesian adults with HIV were recruited. A six-step cross-cultural adaptation process was applied, followed by psychometric evaluation including content validity, confirmatory factor analysis, construct validity, and reliability testing. The scale demonstrated excellent validity (S-CVI = 0.97), strong model fit (CFI = 0.995, TLI = 0.994, RMSEA = 0.037, SRMR = 0.018), and high correlations with self-efficacy and perceived stress. Reliability was outstanding (Cronbach's alpha = 0.962; ICC = 0.963). This validated instrument provides a robust tool for psychosocial assessment and intervention planning in HIV care.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844147","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}

引用次数: 0

Pre-frailty in people with HIV: inflammatory immune signatures and opportunities for early identification. 艾滋病毒感染者的脆弱前期：炎症免疫特征和早期识别的机会。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-05-04 DOI: 10.1080/09540121.2026.2669034

Hafeez A Adekola, Kareem Ademola Wahab, Oluwaseun Adejonwo Oyesanya, Bolatito Islam Elegbede, Blessing Olatayo Olaleye, Aisha Musah Ibrahim, Bolanle Ojelabi, Oluwatosin Olaseni Odubela, Abideen Olurotimi Salako

{"title":"Pre-frailty in people with HIV: inflammatory immune signatures and opportunities for early identification.","authors":"Hafeez A Adekola, Kareem Ademola Wahab, Oluwaseun Adejonwo Oyesanya, Bolatito Islam Elegbede, Blessing Olatayo Olaleye, Aisha Musah Ibrahim, Bolanle Ojelabi, Oluwatosin Olaseni Odubela, Abideen Olurotimi Salako","doi":"10.1080/09540121.2026.2669034","DOIUrl":"https://doi.org/10.1080/09540121.2026.2669034","url":null,"abstract":"Frailty is an emerging concern in the ageing population of people with HIV. Pre-frailty, an intermediate but reversible stage, offers a vital window for early intervention. Despite effective antiretroviral therapy, persistent immune activation and systemic inflammation accelerate biological ageing and increase vulnerability to functional decline. This review synthesizes evidence linking inflammatory immune signatures to pre-frailty in people with HIV. Elevated levels of IL-6, TNF-α, CRP, and soluble activation markers such as sCD14, sCD163, CXCL10, and D-dimer underscore contributions from microbial translocation, macrophage activation, and coagulation pathways. Immune cell alterations, including low CD4/CD8 ratios, activated CD8+ T cells, and NK cell dysfunction, further highlight the role of immune senescence. Sex- and age-related trends indicate heightened inflammatory responses in women, particularly during menopause, and distinct metabolic and immunological risks in men. Notably, most data originate from high-income settings, with limited evidence from sub-Saharan Africa. Immune profiling shows promise for early screening and risk stratification of pre-frailty in people with HIV, but challenges related to assay standardization, cost, and predictive validation remain.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822446","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}

引用次数: 0

Poor quality of sleep among people living with HIV/AIDS attending at health care setting: a systematic review and meta-analysis from Ethiopia. 在卫生保健机构就诊的艾滋病毒/艾滋病感染者睡眠质量差：来自埃塞俄比亚的系统回顾和荟萃分析

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-05-04 DOI: 10.1080/09540121.2026.2660130

Dawed Ali, Mamaru Melkam, Fentahun Andualem, Tilahun Kassew

{"title":"Poor quality of sleep among people living with HIV/AIDS attending at health care setting: a systematic review and meta-analysis from Ethiopia.","authors":"Dawed Ali, Mamaru Melkam, Fentahun Andualem, Tilahun Kassew","doi":"10.1080/09540121.2026.2660130","DOIUrl":"https://doi.org/10.1080/09540121.2026.2660130","url":null,"abstract":"Poor sleep quality is a common complaint among HIV-positive individuals, which might be due to the direct effect of the virus on the central nervous system. This study aimed to systematically review the prevalence and its associated factors of poor quality of sleep among people living with HIV/AIDS in Ethiopia. A systematic review and a meta-analysis study were conducted. Different single studies were extracted by Microsoft Excel and were analyzed by STATA version 11. Random-effect model meta-analysis was used to estimate the pooled effect size and the effect of each study with a 95% confidence interval. Nine studies with a sample of 3147 were included in this systematic review and meta-analysis. The finding of this study showed that the pooled prevalence of poor quality was 52.12% (95% CI: 43.58, 60.66). Symptoms of anxiety and depression, CD4 count<200 cells/mm3 and living alone were significant factors for poor sleep quality. The prevalence of poor quality of sleep among people living with HIV/AIDS in Ethiopia was high. Hence, timely detection and appropriate management of mental health problems, particularly poor sleep quality, is essential.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844149","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}

引用次数: 0

The present of aging with HIV: sociodemographic, psychosocial, and health-related differences between people living with HIV and people without HIV in an aging population in Houston, Texas. 艾滋病毒感染者老龄化的现状：德克萨斯州休斯顿老年人口中艾滋病毒感染者和非艾滋病毒感染者之间的社会人口学、心理社会和健康相关差异

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-30 DOI: 10.1080/09540121.2026.2666130

Robin Beach, Tess Syndergaard, Philip C Johnson

{"title":"The present of aging with HIV: sociodemographic, psychosocial, and health-related differences between people living with HIV and people without HIV in an aging population in Houston, Texas.","authors":"Robin Beach, Tess Syndergaard, Philip C Johnson","doi":"10.1080/09540121.2026.2666130","DOIUrl":"https://doi.org/10.1080/09540121.2026.2666130","url":null,"abstract":"With the success of antiretroviral therapy (ART), people living with HIV (PLWH) are increasingly aging into older adulthood, where disparities in physical and mental health persist relative to those living without HIV. While correlates of aging with HIV are well described, fewer studies directly compare PLWH with HIV-negative peers from the same clinical setting. This cross-sectional study examined sociodemographic, psychosocial, and health-related differences between PLWH (n = 132) and individuals without HIV (n = 142) aged ≥50 years who were receiving care at a single academic general medicine practice in Houston, Texas. Data collected prospectively (July 2024-August 2025) included demographics, lifestyle factors, sexual behaviors, frailty (FRAIL scale), depression (PHQ-9), anxiety (GAD-7), self-reported happiness, and anthropometrics. Compared with those without HIV, PLWH were younger (median 60 vs 66 years, p < .001), more likely to be male (75.0% vs 30.3%, p < .001), identify as Black (53.0% vs 35.2%, p = .020), and identify as homosexual (55.3% vs 9.9%, p < .001). PLWH also had higher waist-to-hip ratios, greater frailty prevalence, higher depression scores, and lower happiness, with no differences in anxiety. These findings underscore the need for integrated, multidisciplinary care models addressing frailty and mental health.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822444","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}

引用次数: 0

Art as care: visual culture, psychological support, and social intervention pathways in the context of HIV/AIDS. 艺术即关怀：爱滋病背景下的视觉文化、心理支持与社会干预途径。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-29 DOI: 10.1080/09540121.2026.2666129

Yixuan Zeng

{"title":"Art as care: visual culture, psychological support, and social intervention pathways in the context of HIV/AIDS.","authors":"Yixuan Zeng","doi":"10.1080/09540121.2026.2666129","DOIUrl":"https://doi.org/10.1080/09540121.2026.2666129","url":null,"abstract":"HIV/AIDS is not only a physiological condition requiring long-term medical intervention but also a complex public health issue embedded within social structures, psychological experiences and cultural contexts. Although the widespread use of highly active antiretroviral therapy (HAART) has significantly extended the life expectancy of people living with HIV and improved outcomes, socially stigmatized perceptions, persistent psychological trauma and systemic social exclusion remain obstacles that limit the effectiveness of care, forming a \"physiologically manageable, psychologically and socially intractable\" care paradox. Drawing on an interdisciplinary perspective integrating art therapy, public health, sociology and cultural studies, this paper reviews the value, mechanisms, and practical paradigms of visual arts, participatory arts, and arts education in HIV/AIDS care, prevention, and social support systems. By examining multiple globally documented art intervention projects, the study explores the logic of art as a non-clinical intervention medium in emotional empowerment, meaning reconstruction, and social network building, demonstrating its central role in supplementing limitations of traditional medical and social work approaches and addressing stigma surrounding HIV/AIDS. Ultimately, the paper proposes an integrated \"art-medical-social\" care pathway, providing theoretical support and practical guidance for establishing a more inclusive and human-centered HIV/AIDS care system.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785925","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}

引用次数: 0

Kotawêw: indigenous doulas in the HIV care continuum in Canada. Kotawêw：加拿大艾滋病毒护理连续体中的土著助产师。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-27 DOI: 10.1080/09540121.2026.2662083

Rusty Souleymanov, Tara Christianson, Candace Neumann, Melissa Morris, Skye Wikjord, Laverne Gervais, Albert McLeod, Randy Jackson, Ann Favel, Leslie Spillett, Kimberly Templeton, Alexandra King, Linda Larcombe, Paula Migliardi, Margaret Kisikaw Piyesis, Laurie Ringaert, Michael Payne, Gayle Restall, Christie Johnston, Jody Jollimore

{"title":"Kotawêw: indigenous doulas in the HIV care continuum in Canada.","authors":"Rusty Souleymanov, Tara Christianson, Candace Neumann, Melissa Morris, Skye Wikjord, Laverne Gervais, Albert McLeod, Randy Jackson, Ann Favel, Leslie Spillett, Kimberly Templeton, Alexandra King, Linda Larcombe, Paula Migliardi, Margaret Kisikaw Piyesis, Laurie Ringaert, Michael Payne, Gayle Restall, Christie Johnston, Jody Jollimore","doi":"10.1080/09540121.2026.2662083","DOIUrl":"https://doi.org/10.1080/09540121.2026.2662083","url":null,"abstract":"Indigenous women, two-spirit, transgender, and gender-diverse people in Canada experience disproportionate HIV and sexually transmitted and blood-borne infection (STBBI) inequities shaped by colonial violence and systemic racism. While Indigenous doula work is resurging as reproductive justice, its application to HIV/STBBI prevention and care remains underexplored. We examined how Indigenous HIV/STBBI doula care is envisioned and what competencies are needed to support implementation.This community-based study was guided by an Indigenous Community Guiding Circle of people living with HIV/STBBI and anchored in cultural protocols and ceremony. We conducted 40 in-depth interviews with Indigenous community members living with HIV/STBBI (n = 20), relatives (n = 7), helpers/service providers (n = 8), and Elders/Knowledge Holders (n = 5). Interviews were analyzed using thematic analysis guided by Indigenous storywork principles.Participants described doulas as kin and \"helpers\" who: (1) provide sustained, nonjudgmental presence across diagnosis, parenting, substance use, and grief; (2) reconnect people to culture, land-based healing, and ceremony; (3) offer peer mentorship rooted in lived experience; (4) deliver practical HIV/STBBI education and stigma reduction; and (5) enact structural advocacy across healthcare, justice, housing, and child welfare systems.Indigenous HIV/STBBI doula care offers a culturally grounded, peer-led model with potential to strengthen engagement across the HIV/STBBI care cascade.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785921","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}

引用次数: 0

PrEP and PEP: awareness, use, and preferences among Latina immigrant transgender women in the Washington DC metropolitan area. PrEP和PEP：华盛顿特区大都市区拉丁裔移民变性妇女的认识、使用和偏好。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-23 DOI: 10.1080/09540121.2026.2659660

Ana María Del Río-González, Andrea Mantsios, Nachelyn Reyes-Martinez, Jenny Hernandez, Maria Cecilia Zea

{"title":"PrEP and PEP: awareness, use, and preferences among Latina immigrant transgender women in the Washington DC metropolitan area.","authors":"Ana María Del Río-González, Andrea Mantsios, Nachelyn Reyes-Martinez, Jenny Hernandez, Maria Cecilia Zea","doi":"10.1080/09540121.2026.2659660","DOIUrl":"https://doi.org/10.1080/09540121.2026.2659660","url":null,"abstract":"Latina immigrant transgender women are disproportionately affected by the HIV epidemic in the United States yet are rarely the focus of HIV-prevention research. This longitudinal concurrent mixed-methods study examined pre- and post-exposure prophylaxis (PrEP and PEP) awareness, use, and preferences among 37 HIV-negative Latina immigrant transgender women living in the Washington, DC metropolitan area. Overall, awareness, use, and preference were higher for PrEP than PEP. Many participants, however, expressed interest in PEP once learning about it and nearly all expressed the intention to use PEP in the case of risk exposure. When asked to explain their preferences, three key themes emerged from the qualitative data: PrEP and PEP in the body, familiarity and access, and self-perceived risk. Despite the higher awareness, preference, and use of PrEP, there is interest in PEP among Latina immigrant transgender women. For individuals who are unsuitable candidates for PrEP - due to infrequent HIV exposure or unpredictable sexual risk - PEP remains a reliable and effective method of HIV prevention. Both PrEP and PEP are important strategies that should be promoted as part of the menu of HIV prevention options for this population.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785854","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}

引用次数: 0

Cultural formation and determinants of HIV stigma among a minority group in Southwest China. 西南少数民族艾滋病污名的文化形成及决定因素

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-23 DOI: 10.1080/09540121.2026.2660134

Rachel Sing-Kiat Ting, Jia-Yee Choo, Ke-Jia Zhang, Mu-Di Li, Ezer Kang, Azhi Lewu, Ke-Ning Zhang, Da-Wei Zhang

{"title":"Cultural formation and determinants of HIV stigma among a minority group in Southwest China.","authors":"Rachel Sing-Kiat Ting, Jia-Yee Choo, Ke-Jia Zhang, Mu-Di Li, Ezer Kang, Azhi Lewu, Ke-Ning Zhang, Da-Wei Zhang","doi":"10.1080/09540121.2026.2660134","DOIUrl":"https://doi.org/10.1080/09540121.2026.2660134","url":null,"abstract":"ABSTRACTDeeply ingrained cultural beliefs shape how HIV is framed and stigmatized, particularly among rural minoritized communities such as the Yi-Nuosu of Liangshan, China. This parallel-convergent mixed-methods study investigated the sociocultural formation and determinants of HIV-related stigma among Yi-Nuosu minorities. We conducted qualitative interviews with 19 Yi-Nuosu participants to understand local beliefs about the HIV-illness course and perceptions of people living with HIV (PLWH). We then administered an online quantitative survey to Yi-Nuosu (n = 221) and Han-Chinese (majority group; n = 109) residents of Liangshan to examine the relationships between HIV etiology beliefs and HIV-related stigma. Qualitative results indicated that prevailing fear of \"unclean blood\" and its perceived threat to communal harmony and familial lineage perpetuated stigmatization and exclusion of PLWH. Quantitatively, endorsement of traditional spiritual explanations of HIV, attributions of HIV transmission to unhygienic practices and casual contact with PLWH were associated with higher levels of stigma towards PLWH for both groups. Collectively, these findings underscore the importance of HIV stigma-mitigation interventions that integrate biomedical and traditional belief frameworks that challenge fears of proximal engagement with PLWH and reify intra- and inter-familial support for PLWH - a core cultural value within Yi communities.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785893","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}

引用次数: 0