Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献_第8页

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 : 2025-09-01 Epub 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":"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":"1417-1422"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","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

Rural and urban differences in HIV pre-exposure prophylaxis (PrEP) awareness and acceptability among Black cisgender women living in the U.S. South. 生活在美国南部的黑人顺性女性在HIV暴露前预防（PrEP）意识和可接受性方面的城乡差异

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-09-01 Epub Date: 2025-04-14 DOI: 10.1080/09540121.2025.2487218

Acacia Sharma, Jaquetta Revees, Kristin Heron, Sylvia Shangani

{"title":"Rural and urban differences in HIV pre-exposure prophylaxis (PrEP) awareness and acceptability among Black cisgender women living in the U.S. South.","authors":"Acacia Sharma, Jaquetta Revees, Kristin Heron, Sylvia Shangani","doi":"10.1080/09540121.2025.2487218","DOIUrl":"10.1080/09540121.2025.2487218","url":null,"abstract":"Black cisgender women in the U.S. South experience a significant disparity in HIV infection rates. Pre-exposure Prophylaxis (PrEP) is an effective medication that can reduce HIV risk but is underutilized among Black women. We assessed the association between setting and PrEP awareness and acceptability in Black cisgender women in the U.S. South. A cross-sectional online survey was administered from March to June 2022 to HIV-negative Black cisgender women living in the Southern United States. Participants reported demographic information, PrEP awareness, likelihood of PrEP use, HIV knowledge, risk perception, and healthcare access. Logistic regression models assessed correlates of PrEP awareness and acceptability. Of 491 participants (Mean age = 40.42 [SD = 17.5], 20.0% rural, 80.0% urban/suburban), 44.9% of rural and 38.2% of urban/suburban participants were PrEP aware. 44.9% of rural versus 36.1% of urban/suburban participants were likely to use PrEP. Rural Black women reported higher PrEP acceptability (adjusted odds ratio [aOR] = 1.96, 95% CI 1.20, 3.18, p = 0.01). Having health insurance (aOR = 2.43, 95% CI 1.28, 4.65, p = 0.01) and younger age (aOR = 0.98, 95% CI 0.96, 0.99, p < 0.001) were associated with PrEP acceptability. To improve PrEP awareness, acceptability, and uptake, intervention programs should be tailored to individuals' geographical circumstances and needs.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1521-1529"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062770","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

Race- and ethnicity-specific patient-provider relationship characteristics associated with antiretroviral therapy adherence and viral suppression among minority women with HIV, Miami-Dade County, Florida, 2021-2022. 佛罗里达州迈阿密-戴德县，2021-2022年，少数族裔艾滋病毒感染妇女中与抗逆转录病毒治疗依从性和病毒抑制相关的种族和民族特异性患者-提供者关系特征

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-08-25 DOI: 10.1080/09540121.2025.2547943

Ekpereka S Nawfal, Aaliyah Gray, Robert Ladner, Tan Li, Diana M Sheehan, Kristopher Fennie, Michele Jean-Gilles, Melissa K Ward, Sofia B Fernandez, Mary Catherine Beach, Jessy G Dévieux, Mary Jo Trepka

{"title":"Race- and ethnicity-specific patient-provider relationship characteristics associated with antiretroviral therapy adherence and viral suppression among minority women with HIV, Miami-Dade County, Florida, 2021-2022.","authors":"Ekpereka S Nawfal, Aaliyah Gray, Robert Ladner, Tan Li, Diana M Sheehan, Kristopher Fennie, Michele Jean-Gilles, Melissa K Ward, Sofia B Fernandez, Mary Catherine Beach, Jessy G Dévieux, Mary Jo Trepka","doi":"10.1080/09540121.2025.2547943","DOIUrl":"https://doi.org/10.1080/09540121.2025.2547943","url":null,"abstract":"We conducted a cross-sectional study to examine the associations between items of the patient-provider relationship measures and antiretroviral therapy (ART) adherence and viral suppression within each of three ethnic groups of women with HIV (WHIV) - Hispanic, Haitian, and African American - using data from 542 WHIV enrolled in the Miami-Dade County Ryan White Program. Univariate and multivariable logistic regression models were applied for each patient-provider relationship variable, stratified by race/ethnicity. Overall, 71.9% of participants were adherent to ART, and 91.2% had suppressed viral loads. Among Haitian women, patient involvement in HIV care decision-making was associated with increased adherence to ART. For African American women, ART adherence was positively associated with providers spending adequate time with patients, showing respect, listening carefully, and considering their need for privacy. Among Hispanic women, ART adherence was positively associated with providers asking about difficulties in managing health, spending adequate time, listening carefully, and involving patients in decision-making. Additionally, providers spending enough time with the patient and expressing interest in the patient as a person were strongly associated with viral suppression among Hispanics. Findings highlight the critical role of culturally sensitive, patient-centered care in promoting ART adherence and viral suppression among racial and ethnic minority WHIV.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974513","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

Pilot randomized controlled trial to reduce HIV-related stigma among clinicians in Malaysia via project ECHO®. 试点随机对照试验，以减少艾滋病毒相关的耻辱在马来西亚临床医生通过项目ECHO®。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-08-01 Epub Date: 2025-07-30 DOI: 10.1080/09540121.2025.2534539

Valerie A Earnshaw, Zachary K Collier, Pui Li Wong, Rumana Saifi, Norman Chong, Rong Xiang Ng, Iskandar Azwa, Sazali Basri, Asfarina Binti Amir Hassan, Mohammad Mousavi, Sharifah Faridah Syed Omar, Suzan Walters, Marwan S Haddad, Adeeba Kamarulzaman, Frederick L Altice

{"title":"Pilot randomized controlled trial to reduce HIV-related stigma among clinicians in Malaysia via project ECHO®.","authors":"Valerie A Earnshaw, Zachary K Collier, Pui Li Wong, Rumana Saifi, Norman Chong, Rong Xiang Ng, Iskandar Azwa, Sazali Basri, Asfarina Binti Amir Hassan, Mohammad Mousavi, Sharifah Faridah Syed Omar, Suzan Walters, Marwan S Haddad, Adeeba Kamarulzaman, Frederick L Altice","doi":"10.1080/09540121.2025.2534539","DOIUrl":"10.1080/09540121.2025.2534539","url":null,"abstract":"HIV-related stigma from clinicians contributes to global disparities in HIV testing and prevention. Scalable interventions, particularly those reaching clinicians beyond individual healthcare facilities, are needed to reach clinicians worldwide. These interventions are especially important in places like Malaysia where substantial HIV-related structural stigma exists. We tested an intervention that incorporated evidence-based stigma reduction tools into a popular teletraining program for clinicians, Project ECHO for HIV Prevention and Stigma Reduction (PEHP-SR). We compared PEHP-SR to the same program but without stigma-reduction tools (PEHP) and with an existing HIV education course, HIV Connect (HC). We randomized n = 78 clinicians in Malaysia to the three intervention conditions for nine months. Participants completed surveys measuring implementation-, stigma-, and clinical-related outcomes before, mid-way, and after the interventions. A subgroup of participants engaged in qualitative focus groups after the interventions. Quantitative survey results suggested that participants found PEHP to be the most acceptable and appropriate condition, and that stigma- and clinical-related outcomes improved in all three conditions. Qualitative focus group results provided insights into components of PEHP-SR that may have been ineffective and identified potential benefits of PEHP-SR not measured by quantitative surveys. Future research should continue to explore scalable interventions to reduce HIV-related stigma worldwide.Clinical trial registration: This study is registered at ClinicalTrials.gov (NCT05597787), with materials submitted in March 2022.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1313-1331"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745552","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

Healing hearts and mending minds (FitBrain): a home-based aerobic exercise intervention to improve cognitive outcomes in older persons living with HIV. 治疗心灵和修补思想（FitBrain）：一项以家庭为基础的有氧运动干预，以改善老年艾滋病毒感染者的认知结果。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-08-01 Epub Date: 2025-07-30 DOI: 10.1080/09540121.2025.2533480

Drenna Waldrop, Raphiel Murden, Crista Irwin, Jordan Pelkmans, Rebecca Gary

{"title":"Healing hearts and mending minds (FitBrain): a home-based aerobic exercise intervention to improve cognitive outcomes in older persons living with HIV.","authors":"Drenna Waldrop, Raphiel Murden, Crista Irwin, Jordan Pelkmans, Rebecca Gary","doi":"10.1080/09540121.2025.2533480","DOIUrl":"10.1080/09540121.2025.2533480","url":null,"abstract":"Advances in antiviral treatment for HIV have led to greater longevity but there is continued risk for developing cardiovascular disease and cognitive impairment, particularly among older persons with HIV (PWH). The benefits of aerobic exercise for reducing cardiovascular disease are well established and have been shown to improve cognitive function in older adults but has had limited testing in older PWH and are inconclusive. This study aimed to test the efficacy of a home-based moderate intensity aerobic exercise intervention (Let's Move) to an attention control stretching and flexibility group (Let's Flex) over a one-year period among PWH with mild cognitive impairment and a minimum of 2 cardiovascular disease risk factors. Clinically stable (N = 115), asymptomatic older PWH (55 ± 5.2 years) were enrolled using 2:1 randomization to a Let's Move (N = 76) or Let's Flex (N = 39) group. Participants were predominately male (N = 66, 57.4%), African American (N = 100, 87%), and low cardiorespiratory fitness (mean V02 max 20.60 ± 5.33). There were no significant changes between or within groups in the primary outcome cognitive function. Retention rates were excellent > 90%, and high participant satisfaction. With the number of aging PWH anticipated to grow exponentially over the next several decades, it is essential that intervention strategies be developed to mitigate cognitive decline.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1244-1260"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745537","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

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-08-01 Epub Date: 2025-07-30 DOI: 10.1080/09540121.2025.2534533

Irene Esu, Shan Qiao, Monique J Brown, Xiaoming Li

引用次数: 0

Socio-structural barriers to mental health services among women living with HIV in Metro Vancouver, Canada. 加拿大大温哥华地区感染艾滋病毒的妇女获得心理健康服务的社会结构障碍。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-08-01 Epub Date: 2025-07-26 DOI: 10.1080/09540121.2025.2534115

Parisa Kabir, Kate Shannon, Mary Kestler, Colleen Thompson, Haoxuan Zhou, Kathleen Deering

{"title":"Socio-structural barriers to mental health services among women living with HIV in Metro Vancouver, Canada.","authors":"Parisa Kabir, Kate Shannon, Mary Kestler, Colleen Thompson, Haoxuan Zhou, Kathleen Deering","doi":"10.1080/09540121.2025.2534115","DOIUrl":"10.1080/09540121.2025.2534115","url":null,"abstract":"Women living with HIV experience high levels of mental health conditions and gendered social and systemic inequities to healthcare services access. This study therefore examined the prevalence and socio-structural factors associated with being unmet need for mental health services among women living with HIV. Data were drawn from Sexual Health & HIV/AIDS: Longitudinal Women's Needs Assessment (SHAWNA), an open longitudinal community-based study among women living with HIV in Metro Vancouver (2014-present). Bivariate and multivariable logistic regression using generalised estimation equations were used to examine associations between socio-structural factors and unmet need for mental health services in the last six months. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were reported. Overall, the study sample included 296 among 13 possible surveys with 1886 observations (2014-2023). In multivariable analysis, HIV-related stigma (AOR = 1.06;CI:1.03-1.08), food insecurity (AOR = 1.46;CI:1.04-2.04), being unable to access primary healthcare services (AOR = 1.42;CI:1.02-1.98), and gender-based violence (AOR = 1.89;CI:1.30-2.76) were significantly associated with unmet needs for mental health services. Addressing intersecting mental health and HIV stigma could help support safe disclosures of mental health conditions and facilitate referrals to care. Long-term, sustainable strategies to address shortages of primary care and affordable, trauma-informed mental health care services among women living with HIV are needed.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1221-1232"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876098","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

Barriers and facilitators to integrated mental health and HIV care: administrator and provider perspectives. 心理健康和艾滋病毒综合护理的障碍和促进因素：管理者和提供者的观点。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-08-01 Epub Date: 2025-07-17 DOI: 10.1080/09540121.2025.2534107

Alexis A Bender, Kiera Chan, Riley Hunt, Kimberly B Sessions Hagen, Sophia Hussen, Samuel Chidi Ohiwerei Opara, Molly M Perkins

{"title":"Barriers and facilitators to integrated mental health and HIV care: administrator and provider perspectives.","authors":"Alexis A Bender, Kiera Chan, Riley Hunt, Kimberly B Sessions Hagen, Sophia Hussen, Samuel Chidi Ohiwerei Opara, Molly M Perkins","doi":"10.1080/09540121.2025.2534107","DOIUrl":"10.1080/09540121.2025.2534107","url":null,"abstract":"Since the 1980s when the HIV epidemic began, HIV and substance use have been intricately linked. A promising area for improving access to care and treatment for people living and aging with HIV and substance use is through integrated care (i.e., \"the systematic coordination of general and behavioral healthcare\"). There is a recognized need to increase collaboration and integration of mental health, substance use, and primary care providers, including infectious disease specialties. We conducted in-depth interviews with 15 administrators (e.g., clinic managers and care coordinators) and 21 providers (e.g., Physicians, Advanced Practice Providers (APPs), nurses) across Georgia between January 2021 and November 2022. Interviews explored administrator and provider perceptions of clinic integration and their desire to increase integration. Data were analyzed using inductive and deductive thematic analysis guided by the Consolidated Framework for Implementation Research. Overall, study participants in a variety of public, private, and community healthcare settings across the state recognized the benefits of integrated behavioral and physical healthcare and noted some facilitators. However, they reported significant individual-, organizational-, and community-level barriers to implementing it in practice. Our findings highlight opportunities for improvement at the provider, organization, and policy/system levels.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1261-1270"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660762","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

Syndemic vulnerability for suicidal ideations among youth with and without HIV in India: a latent class approach. 印度感染和未感染艾滋病毒的青年自杀意念的综合脆弱性：潜在阶层方法。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-08-01 Epub Date: 2025-07-30 DOI: 10.1080/09540121.2025.2534123

Amrita Gill, Kristefer Stojanovoski, Katherine P Theall, Rohidas Borse, Smita Nimkar, Amita Gupta, Vidya Mave, Nishi Suryavanshi

{"title":"Syndemic vulnerability for suicidal ideations among youth with and without HIV in India: a latent class approach.","authors":"Amrita Gill, Kristefer Stojanovoski, Katherine P Theall, Rohidas Borse, Smita Nimkar, Amita Gupta, Vidya Mave, Nishi Suryavanshi","doi":"10.1080/09540121.2025.2534123","DOIUrl":"10.1080/09540121.2025.2534123","url":null,"abstract":"Suicide is a vital public health challenge among adolescents in low-middle-income countries. HIV might be clustering health conditions among adolescents in India, contributing to suicidal ideation (SI). We used data from a cross-sectional and conveniently sampled study among adolescents (15-19 years) at a tertiary care government hospital conducted between August 2018 and June 2020. Latent class analysis was used to identify syndemic vulnerability for SI according to differential clustering of mental health conditions, malnutrition, food insecurity, and parental loss. A total of 195 adolescents were included in the analysis. SI was reported by 20.51% of the adolescents. Three latent classes of syndemic vulnerability were identified: 1. Low syndemic vulnerability (Class I) 2. Multiple syndemic vulnerability (Class II) 3. Mental health syndemic vulnerability (Class III). HIV status was associated with a five-fold increase in multiple vulnerabilities. Class II and Class III were associated with a nine-fold and eight-fold increase in SI. Mental health syndemic vulnerability was seen to moderate the relationship between HIV status and SI. Findings indicate that syndemic-informed interventions should target mental health screening, treatment, and nutritional intervention at the individual level, food security, and support for parental loss at the societal level among adolescents, including adolescents with HIV.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1292-1301"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754910","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 : 2025-08-01 Epub 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":"1271-1282"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","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