AIDS patient care and STDs最新文献_第2页

Letter: Provider Intuition Predicts Future Retention in Care Among People with HIV. 信：提供者直觉预测艾滋病毒感染者未来的护理保留。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-14 DOI: 10.1177/10872914261432723

Jessica P Ridgway, Eleanor E Friedman, Samantha A Devlin, Joseph A Mason, Jessica Schmitt, Anoop Mayampurath

引用次数: 0

Developing an HIV Pre-Exposure Prophylaxis Toolkit for Adolescent and Young Adults: Serving Primary Care Providers to Support Future Implementation Using the Consolidated Framework for Implementation Research. 为青少年和年轻人开发艾滋病毒暴露前预防工具包：利用实施研究综合框架为初级保健提供者提供服务，以支持未来的实施。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-14 DOI: 10.1177/10872914261432744

Trisha Arnold, A Rani Elwy, Hannah Parent, Erza Gashi, Harrison Martin, Brooke G Rogers, Jacqueline Lee, Philip A Chan, Jack Rusley

{"title":"Developing an HIV Pre-Exposure Prophylaxis Toolkit for Adolescent and Young Adults: Serving Primary Care Providers to Support Future Implementation Using the Consolidated Framework for Implementation Research.","authors":"Trisha Arnold, A Rani Elwy, Hannah Parent, Erza Gashi, Harrison Martin, Brooke G Rogers, Jacqueline Lee, Philip A Chan, Jack Rusley","doi":"10.1177/10872914261432744","DOIUrl":"https://doi.org/10.1177/10872914261432744","url":null,"abstract":"Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy for adolescents and young adults (AYAs, ages 14-26). PrEP uptake among AYAs remains low. Barriers to uptake include provider discomfort discussing sexuality, challenges engaging parents in sexual health conversations, and low perceived HIV risk. To address these gaps, we aimed to develop a toolkit to enhance AYA-serving primary care providers' (PCPs) comfort and confidence in discussing and prescribing PrEP. The Consolidated Framework for Implementation Research informed our approach. Four focus groups with youth-serving PCPs across three clinics in a Northeastern US city were held in April and May 2024. PCPs included residents (n = 10), attending physicians (n = 11), nurse practitioners (n = 2), and a physician assistant (n = 1). Debrief summaries were created following each focus group and analyzed. We used a rapid qualitative process, guided by an a priori codebook and reflexive thematic analysis. PCPs emphasized that the toolkit should be easy to access, interactive, and provide practical, age-appropriate prescribing information. They identified outer-setting factors such as the role of parents in AYAs' health care, sexual health education in schools, and uncertainty around laws that impact PrEP provision to minors. Within the clinical setting, providers noted that limited time often hindered sexual health discussions. Individually, PCPs reported moderate comfort with PrEP and were motivated to prescribe PrEP when AYAs expressed interest. Findings informed the development of a PrEP toolkit tailored for AYA-serving PCPs and future implementation tailored for AYA-serving PCPs. This approach may help expand access and address persistent barriers to PrEP uptake among AYAs.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"10872914261432744"},"PeriodicalIF":3.8,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147455159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Letter: Low Uptake of HIV Pre-Exposure Prophylaxis Despite Pharmacist-Managed Services in a Midwestern Federally Qualified Health Center. 信：在中西部联邦合格的卫生中心，尽管有药剂师管理的服务，但艾滋病毒暴露前预防的使用率很低。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-10 DOI: 10.1177/10872914261432725

Jessica Witt, Joshua P Havens, Sara H Bares, Mark Carter, Jessica Downes, Alex Dworak, Shawnalyn W Sunagawa

引用次数: 0

Letter: The Impact of HCV Coinfection on Mortality Among People with HIV: A Meta-Analysis in the Era of Modern Antiviral Therapies. 信函：HCV合并感染对HIV感染者死亡率的影响：现代抗病毒治疗时代的荟萃分析。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.1177/10872914261416611

Danwen Qiu, Komal Hayat, Magdalini Matziari, Konstantinos Douroudis

引用次数: 0

A Group Concept Mapping Study of Client and Clinician Perspectives on Scaling up HIV PrEP and doxy-PEP in Primary Care. 在初级保健中扩大HIV PrEP和doxy-PEP的客户和临床医生观点的群体概念映射研究。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-01 Epub Date: 2026-02-24 DOI: 10.1177/10872914261421894

Nathaniel Albright, Kayla Herbell, Ethan Morgan, Brittany Punches, Dianne Morrison-Beedy

{"title":"A Group Concept Mapping Study of Client and Clinician Perspectives on Scaling up HIV PrEP and doxy-PEP in Primary Care.","authors":"Nathaniel Albright, Kayla Herbell, Ethan Morgan, Brittany Punches, Dianne Morrison-Beedy","doi":"10.1177/10872914261421894","DOIUrl":"10.1177/10872914261421894","url":null,"abstract":"The rising incidence of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), among sexual and gender minorities (SGMs) remains a significant public health concern. As biomedical prevention strategies such as HIV preexposure prophylaxis (PrEP) and doxycycline postexposure prophylaxis (doxy-PEP) for bacterial STIs continue to emerge, expanding access beyond specialized infectious diseases and sexual health settings is critical. Primary care, given its broad reach and continuity of care, is well positioned to integrate STI and HIV prevention services and improve equitable access to these interventions. We used group concept mapping with distinct stakeholder groups, including SGM clients and primary care clinicians, to (1) identify client-perceived strategies that facilitate awareness, uptake, and persistence of PrEP and doxy-PEP in primary care; (2) identify clinician-perceived strategies that support these outcomes; and (3) determine shared priorities for integrating biomedical prevention into primary care practice. Six thematic clusters emerged, representing key domains for effectively increasing PrEP and doxy-PEP use in primary care. Across clusters, 49 strategies were rated highly on both importance and feasibility. Highly prioritized strategies emphasized nonjudgmental patient education during routine visits, increasing access to SGM-affirming clinicians, fostering welcoming clinical environments, and strengthening health professional education on both biomedical prevention and SGM-specific health needs. This study offers a stakeholder-informed framework to guide the integration of biomedical STI and HIV prevention into primary care. Future research should focus on the implementation, evaluation, and sustainability of these strategies to optimize prevention uptake and persistence in primary care settings.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"109-119"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147281807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Consideration of Self-Rated Health Questionnaires in the Context of HIV Prevention. 自评健康问卷在艾滋病毒预防中的应用

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-01 Epub Date: 2026-02-17 DOI: 10.1177/10872914261421905

Olatokunbo Osibogun, Irene Kuo, Jessica Justman

引用次数: 0

Letter: Awareness and Use of Doxycycline as Post-Exposure Prophylaxis to Prevent Bacterial Sexually Transmitted Infections in Jackson, Mississippi. 信函：认识和使用强力霉素作为暴露后预防在杰克逊，密西西比州细菌性传播感染。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-01 Epub Date: 2026-02-17 DOI: 10.1177/10872914261421912

Philip A Chan, Yelena Malyuta, Tamar Wolfson, Jun Tao, Peter Salhaney, A Maximillian Erbe, Michaela Maynard, Agustin Velasco, Thomas Dobbs, Mauda Monger, Amy S Nunn

引用次数: 0

Identification of Provider Barriers and Facilitators to Integration of Pre-Exposure Prophylaxis into Postpartum Care. 识别提供者障碍和促进暴露前预防纳入产后护理。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-03-01 Epub Date: 2026-02-17 DOI: 10.1177/10872914261416608

Caroline E Mullis, Jessica McWalters, Karina Avila, Cristal Finkenberg, Marla J Keller, Sarit A Golub

{"title":"Identification of Provider Barriers and Facilitators to Integration of Pre-Exposure Prophylaxis into Postpartum Care.","authors":"Caroline E Mullis, Jessica McWalters, Karina Avila, Cristal Finkenberg, Marla J Keller, Sarit A Golub","doi":"10.1177/10872914261416608","DOIUrl":"10.1177/10872914261416608","url":null,"abstract":"The postpartum period presents an opportunity to provide pre-exposure prophylaxis (PrEP) to cisgender women who may benefit. As patients rely on providers to provide PrEP education and frame relevance, barriers and facilitators to providers' initiating sexual health and HIV prevention discussions as a part of postpartum care must be identified to support implementation. Semi-structured interviews with 33 postpartum providers (10 residents, 6 advanced practice providers, 6 attendings, and 11 registered nurses) were conducted utilizing social cognitive theory as a framework. Providers expected that their postpartum patients would find HIV prevention discussions uncomfortable, not personally relevant, and/or stigmatizing. Providers identified normalization of PrEP discussions, universalization of PrEP discussions and tailoring conversations to meet their patients' needs as strategies to support comfort and confidence in discussing PrEP with their patients. Providers who believed that obstetrical care extended beyond an exclusive focus on pregnancy identified the postpartum context as an opportunity to provide PrEP education and other sexual health services. Providers identified environmental barriers, including frequent interruptions, language barriers, and lack of time for discussions. Nurses demonstrated receptivity to discussing PrEP, suggesting task shifting as a potential implementation strategy for integration of PrEP into postpartum care. Findings indicate that to support integration of PrEP into postpartum care, providers must be (1) educated on patient preferences surrounding sexual health discussions to align their expectations, (2) empowered with communication strategies that support normalization and tailoring of universally delivered PrEP education, and (3) supported in providing postpartum care that is comprehensive and includes education about HIV prevention.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"100-108"},"PeriodicalIF":3.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13074394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pre-Exposure Prophylaxis Cascade Outcomes Among Black Cisgender Women in the Southern United States. 美国南部黑人顺性别妇女暴露前预防级联结果

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-02-01 Epub Date: 2025-11-25 DOI: 10.1177/10872914251399940

Sylvia Shangani, Acacia R Sharma, Shivesh Shourya, Sabrina A Assoumou, Jessica M Sales, Carlos E Rodriguez-Diaz

{"title":"Pre-Exposure Prophylaxis Cascade Outcomes Among Black Cisgender Women in the Southern United States.","authors":"Sylvia Shangani, Acacia R Sharma, Shivesh Shourya, Sabrina A Assoumou, Jessica M Sales, Carlos E Rodriguez-Diaz","doi":"10.1177/10872914251399940","DOIUrl":"10.1177/10872914251399940","url":null,"abstract":"Black cisgender women in the Southern United States experience disproportionate human immunodeficiency virus (HIV) rates. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention tool but is underutilized in this population. We assessed PrEP cascade outcomes and correlates among Black women in the Southern United States. Between March and June 2022, we administered a cross-sectional online survey to Black cisgender women residing in the Southern United States who reported unprotected sex in the past 6 months and were negative for HIV by self-report. Participants provided information on sociodemographic characteristics, HIV knowledge, PrEP awareness and use, psychosocial factors, and health care access. We used descriptive statistics and multivariate logistic regression models to describe the sample and assess the correlates of PrEP outcomes, respectively. Participants included 491 Black women, with a mean age of 40.1 years (SD: 17.5); 53% had a college degree or lower, and 79% were single. PrEP awareness was 39.5%, willingness 25.7%, and current use only 5.5%. The factors associated with PrEP awareness included younger age (aOR = 1.02, 95% CI: 1.01-1.03), higher education (aOR = 1.68, 95% CI: 1.09-2.60), medical trust (aOR = 1.09, 95% CI: 1.03-1.15), binge drinking (aOR = 1.77, 95% CI: 1.06-2.94), and HIV testing in the past year (aOR = 1.55, 95% CI: 0.98-2.45). The PrEP willingness predictors included HIV testing in the past year (aOR = 1.80, 95% CI: 1.11-2.90) and HIV worry (aOR = 1.84, 95% CI: 1.09-3.09). HIV testing emerged as a key facilitator for both PrEP awareness and willingness, suggesting that testing encounters represent critical opportunities for PrEP integration. PrEP strategies should address both individual-level factors and structural barriers, particularly medical trust within health care systems.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"68-77"},"PeriodicalIF":3.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Letter: A Longitudinal Model of HIV Clinical Pharmacy Service Expansion: A Decade-Plus Model of Clinical Expansion and Practice Integration. HIV临床药学服务扩展的纵向模型：临床扩展与实践整合的十多年模型。

IF 3.8 2区医学

AIDS patient care and STDs Pub Date : 2026-02-01 Epub Date: 2026-01-21 DOI: 10.1177/10872914261415703

Shawnalyn W Sunagawa, Sara H Bares, Nada Fadul, Kimberly K Scarsi, Jennifer M Davis, Susan Swindells, Joshua P Havens

引用次数: 0