Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献_第2页

Retrospective analysis of factors influencing immunologic failure among people living with HIV on antiretroviral therapy. 艾滋病病毒感染者抗逆转录病毒治疗免疫功能衰竭影响因素的回顾性分析。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-28 DOI: 10.1080/09540121.2025.2534541

Donglan Chen, Qiuhua Chen, Manzhou Lin

引用次数: 0

Exploring barriers to the HIV care continuum among people living with HIV in South Korea: a cross-sectional descriptive study. 探索韩国艾滋病毒感染者中艾滋病毒护理连续性的障碍：一项横断面描述性研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-28 DOI: 10.1080/09540121.2025.2535469

Gwang Suk Kim, Sooyoung Kwon, Layoung Kim, Seoyoung Baek

{"title":"Exploring barriers to the HIV care continuum among people living with HIV in South Korea: a cross-sectional descriptive study.","authors":"Gwang Suk Kim, Sooyoung Kwon, Layoung Kim, Seoyoung Baek","doi":"10.1080/09540121.2025.2535469","DOIUrl":"https://doi.org/10.1080/09540121.2025.2535469","url":null,"abstract":"Despite the importance of care continuum in managing chronic diseases, people living with HIV (PLWH) face multiple challenges. This study explored the multifaceted barriers to the HIV care continuum perceived by PLWH and assessed differences based on individual characteristics. A cross-sectional online survey was conducted with 243 PLWH from five hospital outpatient clinics. Factor analysis identified 26 items clustered into five subdomains of barriers to the HIV care continuum: \"unfriendly healthcare service\", \"life and environmental factors distracting from treatment\", \"internal and social stigma\", \"difficulties in adhering to medication\", and \"denial and fear of diagnosis\". Descriptive analysis showed that total barrier scores were significantly higher among individuals with college-level education or higher, unemployment, single marital status, non-receipt of National Medical Aid, and high self-efficacy in managing their healthcare (all p < .05). Regarding barrier subdomains, internal and social stigma was more prominent in the early stage of HIV diagnosis, while unfriendly healthcare service and difficulties in medication adherence were greater in the later stage. The identified barriers spanned diagnosis, treatment, healthcare services, and stigma, and vary by individual characteristics and stage of diagnosis. These findings emphasize the need for tailored, stage-specific interventions to enhance continuity of HIV care.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734018","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

"Give us a chance": recommendations from Black women living with HIV multimorbidity. “给我们一个机会”：多病黑人女性HIV感染者的建议。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-28 DOI: 10.1080/09540121.2025.2536180

Eboneé T Johnson, Carrie L Wilbert, Tiffany Simon, Amber M Hawkins, Rana Yaghmaian

{"title":"\"Give us a chance\": recommendations from Black women living with HIV multimorbidity.","authors":"Eboneé T Johnson, Carrie L Wilbert, Tiffany Simon, Amber M Hawkins, Rana Yaghmaian","doi":"10.1080/09540121.2025.2536180","DOIUrl":"https://doi.org/10.1080/09540121.2025.2536180","url":null,"abstract":"Black women with HIV Multimorbidity (i.e., living with HIV and two or more chronic health conditions) face unique barriers to care management. However, their perspectives are lacking in terms of medical and psychosocial intervention design, implementation, and evaluation. This qualitative study used disaggregated data from a community-engaged research project to identify the unique needs and experiences of Black women living with HIV multimorbidity to provide better care management. In-depth interviews were conducted with 29 Black women living with HIV multimorbidity aged 29-65 years. Participants were recruited from a HIV Case Management agency, located in the southern United States, disproportionately impacted by broader health inequities. Participants were asked to respond to the question, \"What should we consider when developing interventions to help Black women manage HIV and multiple chronic health conditions?\" The team of three qualitative researchers used iterative, reflexive thematic analysis to analyze 29 individual interviews and found four themes: (1) Elevating Lived Experiences; (2) \"Basic Human Support,\" (3) Culturally Congruent Care, and (4) Capacity Building. We conclude with suggestions for service providers, researchers, and policymakers to develop targeted and tailored interventions to meet the needs of this population.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-15"},"PeriodicalIF":1.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734017","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

Risk of hepatitis C virus reinfection after direct-acting antiviral treatment among HIV-positive men who have sex with men and people who inject drugs: a systematic review and meta-analysis. hiv阳性男男性行为者和注射吸毒者接受直接抗病毒治疗后丙型肝炎病毒再感染的风险：一项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 : 2025-07-28 DOI: 10.1080/09540121.2025.2536178

Pi-Lien Hung, Chih-Chen Chou, Susan Shin-Jung Lee, Pei-Chin Lin

{"title":"Risk of hepatitis C virus reinfection after direct-acting antiviral treatment among HIV-positive men who have sex with men and people who inject drugs: a systematic review and meta-analysis.","authors":"Pi-Lien Hung, Chih-Chen Chou, Susan Shin-Jung Lee, Pei-Chin Lin","doi":"10.1080/09540121.2025.2536178","DOIUrl":"https://doi.org/10.1080/09540121.2025.2536178","url":null,"abstract":"The incidence of hepatitis C virus (HCV) reinfection following successful direct-acting antiviral therapy in HIV/HCV co-infected individuals remains a significant public health concern. This study aimed to estimate the reinfection incidence in high-risk groups, particularly people who inject drugs and men who have sex with men (MSM). A systematic review and meta-analysis was conducted by searching PubMed, Embase, and the Cochrane Library through March 2022. Studies reporting HCV reinfection following sustained virologic response after direct-acting antiviral therapy among HIV/HCV co-infected patients were included. Ten studies involving 5,632 individuals were analyzed. The incidence rate ratio of reinfection was significantly higher in MSM (n = 1,681) than in people who inject drugs (n = 2,490) (incidence rate ratio = 3.56; 95% CI: 1.26-10.09; I² = 77%). Subgroup and meta-regression analyses showed a higher reinfection rate in MSM from studies published on or before 2020 and among individuals with chronic HCV infection. Additionally, time to reinfection was shorter in MSM, with a pooled mean difference of -0.57 years. These findings highlight a consistently higher reinfection risk in HIV-positive MSM. Targeted behavioral counseling and routine HCV RNA surveillance are essential strategies to detect reinfection early and to support long-term control of HCV.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734034","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

"I'm a really hard stick": barriers, facilitators, and preferences in emergency department HIV testing among people who inject drugs. “我是一个非常强硬的人”：在注射毒品的人群中进行急诊科艾滋病毒检测的障碍、促进者和偏好。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-25 DOI: 10.1080/09540121.2025.2536183

Matthew A Adan, Christina Psaros, Laura Kehoe, Wendy L Macias-Konstantopoulos, Robert A Parker, Diane Kanjilal, Lilly Fernandes, Francesca Caramazza, Ingrid V Bassett, Kevin L Ard

{"title":"\"I'm a really hard stick\": barriers, facilitators, and preferences in emergency department HIV testing among people who inject drugs.","authors":"Matthew A Adan, Christina Psaros, Laura Kehoe, Wendy L Macias-Konstantopoulos, Robert A Parker, Diane Kanjilal, Lilly Fernandes, Francesca Caramazza, Ingrid V Bassett, Kevin L Ard","doi":"10.1080/09540121.2025.2536183","DOIUrl":"10.1080/09540121.2025.2536183","url":null,"abstract":"Suffolk County, Massachusetts is an Ending the HIV Epidemic priority area with an ongoing cluster of HIV transmission among people who inject drugs, many of whom accessed care in emergency departments prior to diagnosis but were not offered HIV testing. Emergency-department-based HIV testing and pre-exposure prophylaxis initiation have thus become local public health priorities. We conducted a content analysis of in-depth interviews with 26 people who inject drugs recruited from a substance use disorder clinic in Suffolk County serving people who received initial care in the emergency department. Interview questions investigated acceptability, barriers, and facilitators to HIV testing and pre-exposure prophylaxis initiation in the emergency department for people who inject drugs. Mean age was 38y (SD 9.4); 62% were male, with 69% identifying as white and 27% as Latinx. We identified five themes: 1) Support for emergency-department-based HIV testing, 2) Need for multimodal HIV testing, 3) Creating a safe and supportive environment, 4) Pre-exposure prophylaxis misconceptions, and 5) Addressing competing priorities. People who inject drugs are supportive of HIV testing and pre-exposure prophylaxis initiation in emergency departments but acknowledge reasons for declining. Possible modifications to increase acceptance include offering multiple HIV testing modalities and creating safe, confidential spaces to discuss testing and pre-exposure prophylaxis.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709470","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

Using epidemiological data to explore the impact of mental health and substance use disorder treatment facilities and family planning clinic availability on pre-exposure prophylaxis use for women in the U.S. 使用流行病学数据来探索精神健康和物质使用障碍治疗设施和计划生育诊所对美国妇女暴露前预防使用的影响

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-25 DOI: 10.1080/09540121.2025.2534112

Dion C Allen, Silvia E Rabionet, Sannisha K Dale, Carmen D Zorrilla, Georgina Silva-Suarez, Ioana Popovici

{"title":"Using epidemiological data to explore the impact of mental health and substance use disorder treatment facilities and family planning clinic availability on pre-exposure prophylaxis use for women in the U.S.","authors":"Dion C Allen, Silvia E Rabionet, Sannisha K Dale, Carmen D Zorrilla, Georgina Silva-Suarez, Ioana Popovici","doi":"10.1080/09540121.2025.2534112","DOIUrl":"10.1080/09540121.2025.2534112","url":null,"abstract":"Ending the HIV epidemic by 2030 is partly dependent on preexposure prophylaxis (PrEP), but usage has been markedly low among women. This study sought to determine if access to mental health and substance use disorder treatment, and family planning clinics have an impact on women's PrEP uptake. Using epidemiological data from publicly available data sources, we employed a difference-in-differences design to quantify the effect of the availability of these facilities on PrEP rate and PrEP-to-need ratio across all 50 states. We found that mental health and substance use disorder treatment had a small effect on PrEP rate for males 0.9% (0.888), but there was no effect on female PrEP outcomes. The availability of family planning clinics was found to be associated with an 8.1% (-0.664) decrease in PrEP rate among females. We concluded that PrEP is not being adequately implemented in mental health and substance use disorder treatment, and family planning clinics, suggesting missed opportunities. These facilities are excellent venues for promoting PrEP adoption as they already reach women susceptible to HIV. The focus should be on embedding PrEP-related care into existing standards of care in these settings to increase PrEP uptake among women who would benefit from PrEP.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715161","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

HIV provider perspectives on opioid use disorder care integration into outpatient HIV care in Baltimore, Maryland: a mixed-methods RE-AIM analysis. HIV提供者对阿片类药物使用障碍护理整合到马里兰州巴尔的摩市门诊HIV护理的观点：一项混合方法RE-AIM分析。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-25 DOI: 10.1080/09540121.2025.2534538

Sharon M Kelly, Annice Brown, Tracy Agee, Jeffrey Hsu, Nicholas Schweizer, Larry W Chang, Sheree Schwartz, Oluwaseun Falade-Nwulia

{"title":"HIV provider perspectives on opioid use disorder care integration into outpatient HIV care in Baltimore, Maryland: a mixed-methods RE-AIM analysis.","authors":"Sharon M Kelly, Annice Brown, Tracy Agee, Jeffrey Hsu, Nicholas Schweizer, Larry W Chang, Sheree Schwartz, Oluwaseun Falade-Nwulia","doi":"10.1080/09540121.2025.2534538","DOIUrl":"https://doi.org/10.1080/09540121.2025.2534538","url":null,"abstract":"Despite the high prevalence of opioid use disorders (OUD) among people with HIV (PWH), treatment among PWH remains low. Integrating OUD care into HIV care may improve OUD outcomes; however, adoption is limited due to multilevel barriers. RESTORE is a low-threshold substance use disorder (SUD) care program integrated into an outpatient HIV-care clinic that provides training and ongoing support for SUD care adoption by HIV providers. This mixed-methods study explored providers' perspectives on barriers and facilitators to RESTORE implementation and adoption of OUD treatment in HIV care. Repeated cross-sectional surveys were administered pre-RESTORE (2019; N = 42) and post-RESTORE implementation (2021; N = 48). In-depth interviews (N = 18) were completed post-implementation. Chi-square analysis assessed differences between pre- and post-implementation responses. Interviews were analyzed using thematic analysis guided by RE-AIM. Acceptability (Acceptability of Intervention Measure [range 4-20], mean = 16.4) and appropriateness (Intervention Appropriateness Measure, mean = 17.9) were high. Adoption of buprenorphine prescribing was high (29.2% post-implementation vs. 4.8% pre-implementation). Comfort managing OUD increased twofold (21.4% to 45.8%; p = 0.02). Inexperience with buprenorphine initiation and time were barriers to adopting OUD treatment. Ongoing mentoring in OUD care was a facilitator. Future research on the integration of OUD care into HIV care should incorporate task-shifting to increase provider-level support for OUD care.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709473","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

Diet quality and nutritional status in people living with HIV on dolutegravir therapy. 多替格拉韦治疗后艾滋病病毒感染者的饮食质量和营养状况

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-25 DOI: 10.1080/09540121.2025.2534126

Maria da Conceição Saraiva, Juliana Lauar Gonçalves, Mariana Dias Lula, Simone Caivano, Simone Furtado Dos Santos, Patrícia Ferreira Gomes, Emmanuelle Dutra Oliveira, Maria das Graças Braga

{"title":"Diet quality and nutritional status in people living with HIV on dolutegravir therapy.","authors":"Maria da Conceição Saraiva, Juliana Lauar Gonçalves, Mariana Dias Lula, Simone Caivano, Simone Furtado Dos Santos, Patrícia Ferreira Gomes, Emmanuelle Dutra Oliveira, Maria das Graças Braga","doi":"10.1080/09540121.2025.2534126","DOIUrl":"https://doi.org/10.1080/09540121.2025.2534126","url":null,"abstract":"While antiretroviral therapy (ART) has improved life expectancy for people living with HIV (PLWHIV), it has also brought new health challenges, including poor diet quality and excess weight. This cross-sectional study evaluated the diet quality and nutritional status of PLWHIV on dolutegravir (DTG)-based therapy in a Brazilian specialized care service. Adults (≥18 years) who initiated DTG between February 2017 and March 2020 were included. Data on sociodemographic, clinical, anthropometric, and dietary aspects were collected through interviews and medical records. Among the 148 participants (92.6% men, mean age 39.2 years), 48.0% were overweight and 24.3% had abdominal obesity. Overweight and obesity were more common among older individuals and those with higher baseline BMI. Abdominal obesity was also associated with lower education, being single, and lower CD4+ T-cell counts. Most women had abdominal obesity, despite most men being of normal weight. Diet quality was poor or intermediate in nearly all participants, marked by low intake of fresh foods and high consumption of ultra-processed items. No correlation was found between diet quality and nutritional status. The findings highlight the need for nutritional monitoring and interventions that also incorporate psychosocial and structural determinants of health among PLWHIV on DTG.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-15"},"PeriodicalIF":1.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715160","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

Comparing fertility clinic care for individuals and couples living with and affected by HIV and in Canada from 2014 to 2023. 比较2014年至2023年加拿大艾滋病毒感染者和受影响的个人和夫妇的生育诊所护理。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-25 DOI: 10.1080/09540121.2025.2534529

Jordan Hausman, V Logan Kennedy, Heather Shapiro, Mona Loutfy

{"title":"Comparing fertility clinic care for individuals and couples living with and affected by HIV and in Canada from 2014 to 2023.","authors":"Jordan Hausman, V Logan Kennedy, Heather Shapiro, Mona Loutfy","doi":"10.1080/09540121.2025.2534529","DOIUrl":"https://doi.org/10.1080/09540121.2025.2534529","url":null,"abstract":"Access to fertility care, particularly medically assisted conception (MAC), is a reproductive justice concern for individuals with HIV. This longitudinal study investigates MAC access for people with HIV in Canada. Surveys were distributed to medical and laboratory directors from 58 fertility clinics across nine provinces. Responses were initiated by 24/89 (27.0%) participants, representing 19/58 (32.8%) clinics in 7 provinces. Complete responses were received from 16/24 (66.7%) participants. Of the 14 clinics, 8 (57.1%) reported they will see individuals with HIV in consultation, with an additional 2 (10.5%) limiting this to people with an undetectable viral load. Respondents from 11 clinics, who completed the survey, answered questions about access to MAC. 9/11 (81.8%) offer intrauterine insemination if the viral load is undetectable, while 8/11 (62.5%) offer in vitro fertilization (IVF) under the same condition. Only one (9.1%) offers IVF regardless of viral load, 18.2% (2/11) do not offer IVF in the context of HIV. Three-quarters of the respondents were aware of Canadian guidelines related to HIV. Among those adopting guideline recommendations, 75% found them helpful. While the study's low response limits the generalizability, findings suggest that advocacy efforts are warranted to address reproductive rights for people with HIV, emphasizing U = U.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709471","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

Developing implementation strategies to enhance PrEP delivery to immigrant Latino men who have sex with men using concept mapping. 制定实施战略，利用概念图加强对与男性发生性关系的拉丁裔移民男子提供预防措施。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-07-24 DOI: 10.1080/09540121.2025.2534530

Ronald A Brooks, Elena Rosenberg-Carlson, Omar Nieto, Dilara K Üsküp, Martin Santillan

{"title":"Developing implementation strategies to enhance PrEP delivery to immigrant Latino men who have sex with men using concept mapping.","authors":"Ronald A Brooks, Elena Rosenberg-Carlson, Omar Nieto, Dilara K Üsküp, Martin Santillan","doi":"10.1080/09540121.2025.2534530","DOIUrl":"https://doi.org/10.1080/09540121.2025.2534530","url":null,"abstract":"In the United States, immigrant Latino men who have sex with men (ILMSM) are disproportionately impacted by HIV. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy; however, ILMSM experience barriers to accessing PrEP. To address these barriers, we used concept mapping to identify and prioritize innovative and culturally centered strategies to improve service delivery to ILMSM in Los Angeles County. Community experts brainstormed strategies to enhance delivery to ILMSM. Next, they consolidated the strategies into groups of like strategies, and rated each strategy by relative importance and feasibility. In total, 19 participants created 80 unique implementation strategies, which were sorted into seven clusters of like strategies. The strategy rated most important involved providing immediate access to and enrollment in PrEP services for ILMSM using approaches such as same-day services and walk-in clinics. The two strategies equally rated as most feasible centered on providing education and information to ILMSM about key topics relevant to their PrEP access, including PrEP services, other STI prevention options, healthcare and immigrant rights. The proposed strategies can be considered by County and community-based agencies alike to inform the existing PrEP service delivery system or development of a differentiated service delivery model to better serve ILMSM.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700126","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