AIDS patient care and STDs最新文献_第7页

Perceived Versus Actual Costs of HIV Pre-Exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex with Men in the United States. 美国男同性恋、双性恋及其他男男性行为者对 HIV 暴露前预防的认知成本与实际成本。

IF 4.9 2区医学

AIDS patient care and STDs Pub Date : 2024-09-18 DOI: 10.1089/apc.2024.0145

Rahel Dawit,Zachary Predmore,Julia Raifman,Philip A Chan,Lorraine T Dean

{"title":"Perceived Versus Actual Costs of HIV Pre-Exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex with Men in the United States.","authors":"Rahel Dawit,Zachary Predmore,Julia Raifman,Philip A Chan,Lorraine T Dean","doi":"10.1089/apc.2024.0145","DOIUrl":"https://doi.org/10.1089/apc.2024.0145","url":null,"abstract":"Gay, bisexual, and other men who have sex with men (GBMSM) account for the highest proportion of HIV diagnoses in the United States, with daily pre-exposure prophylaxis (PrEP) significantly reducing transmission risk. Since 2021, the Affordable Care Act rules have required PrEP and accompanying care visits to be free for most Americans; nevertheless, insurers have found ways to circumvent no-cost PrEP and some employers are receiving exemptions from including it in their formularies. Despite this, perceived costs and indirect expenses still hinder PrEP adoption. This study examines the differences between perceived and actual costs among GBMSM who have and have not used PrEP. We conducted a one-time online survey with 692 adults from six New England states between May 2020 and October 2021. Participants who had never used PrEP estimated its cost, while those with prior PrEP experience reported their actual expenses. Bivariate analysis and multi-variable logistic regression were used to assess the data. Results showed a 60% difference between perceived ($48) and actual ($30) median monthly costs. Higher perceived costs among nonusers were linked to race and income, while high actual costs for prior users were associated with insurance type, income, wealth, race, and self-rated consumer credit. This significant disparity in PrEP cost perceptions highlights the need for targeted outreach and messaging to improve PrEP uptake among at-risk populations who have not yet accessed it.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"18 1","pages":""},"PeriodicalIF":4.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248531","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

Intimate Partner Violence and HIV Pre-Exposure Prophylaxis Care Engagement Among Sexual Minority Men: A Systematic Review. 少数性取向男性中的亲密伴侣暴力与 HIV 暴露前预防护理参与度：系统回顾。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI: 10.1089/apc.2024.0115

Chenglin Hong

{"title":"Intimate Partner Violence and HIV Pre-Exposure Prophylaxis Care Engagement Among Sexual Minority Men: A Systematic Review.","authors":"Chenglin Hong","doi":"10.1089/apc.2024.0115","DOIUrl":"10.1089/apc.2024.0115","url":null,"abstract":"Sexual minority men (SMM) who experience intimate partner violence (IPV) may also be at increased risk for HIV; however, little is known about the relationship between these experiences and the utilization of pre-exposure prophylaxis (PrEP) for HIV prevention. This systematic review aimed to synthesize available literature to examine the complex interplay between IPV experiences and engagement in the PrEP care continuum among SMM. A comprehensive search following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines in Embase, PubMed, PsycINFO, Web of Science, Medline, and CINAHL identified only 13 relevant articles, most of which were conducted in the United States (n = 9) and only two in low- and middle-income countries (LMICs). Nearly all studies (n = 12, 92.3%) were quantitative in design and used cross-sectional data. The findings of this review identified critical gaps in measuring IPV and PrEP outcomes and revealed mixed findings regarding the complex interplay between IPV and PrEP care engagement in the context of syndemics experienced by SMM. The results highlight the critical need for future research to understand the impact of IPV on PrEP uptake and adherence and its underlying mechanisms. This includes investigating the effects of different types of IPV (e.g., emotional, physical, sexual) on PrEP utilization and how these experiences influence PrEP preferences, such as daily PrEP versus on-demand PrEP or long-acting injectable PrEP. The implications of this review call for comprehensive public health policies and integrated health care practices that provide tailored interventions for IPV screening in PrEP care settings to deliver IPV services and promote engagement in the PrEP care continuum among SMM, as well as further investigation in LMICs.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"438-452"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756582","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

Knowledge and Attitudes About HIV Pre-Exposure Prophylaxis Among Sexually Active Black and Latina Cisgender Women: Findings from the 2017 and 2018 New York City Sexual Health Survey. 性生活活跃的黑人和拉丁裔双性恋女性对 HIV 暴露前预防措施的了解和态度：2017年和2018年纽约市性健康调查的结果。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-09-01 Epub Date: 2024-09-04 DOI: 10.1089/apc.2024.0142

Devon M Price, Marné Garretson, Xiang Cai, Fardina Miah, Kathleen Scanlin, Oni Blackstock, Zoe Edelstein

{"title":"Knowledge and Attitudes About HIV Pre-Exposure Prophylaxis Among Sexually Active Black and Latina Cisgender Women: Findings from the 2017 and 2018 New York City Sexual Health Survey.","authors":"Devon M Price, Marné Garretson, Xiang Cai, Fardina Miah, Kathleen Scanlin, Oni Blackstock, Zoe Edelstein","doi":"10.1089/apc.2024.0142","DOIUrl":"10.1089/apc.2024.0142","url":null,"abstract":"Pre-exposure prophylaxis (PrEP) is a highly effective tool to prevent HIV, yet it is underutilized among women. The current study aims to evaluate the awareness, attitudes, and perceptions of PrEP among a large survey sample of Black and Latina women in New York City (NYC). Interviewer-administered surveys were conducted in high HIV incidence neighborhoods in NYC among Black, Latina, and Afro-Latina women who reported recent sex with a man in 2017 (n = 398) and 2018 (n = 405). About 40% of participants were aware of PrEP, whereas 30.4% indicated interest in using it. The top reason for not utilizing it was low HIV risk perception. However, most participants supported the idea that using PrEP meant asserting control over their health (94.1%). Primary care providers and obstetricians/gynecologists were participants' preferred sources for PrEP (91.6%). Across survey cycles, compared to non-Black Latina participants, Black participants had significantly higher PrEP awareness (44.4% vs. 29.1%). PrEP awareness was also significantly higher among survey participants in 2018 (45.2%) than in 2017 (34.3%). Less than half of the participants were aware of PrEP, but those who were aware expressed largely positive attitudes toward the medication. Our findings may inform future PrEP implementation strategies to optimize awareness and access to PrEP among women disproportionately affected by HIV, like focusing on personal empowerment instead of risk-based messaging and training women's sexual health care providers in PrEP provision.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"428-437"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142124539","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

Reported Side Effects and Adherence of Daily HIV Pre-Exposure Prophylaxis Users in Ontario, Canada: An Analysis of the Ontario Pre-Exposure Prophylaxis Cohort Study. 加拿大安大略省每日使用艾滋病暴露前预防疗法者报告的副作用和坚持使用情况：安大略省暴露前预防队列研究分析》（Ontario Pre-Exposure Prophylaxis Cohort Study）。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-09-01 DOI: 10.1089/apc.2024.0144

Monica Rudd, Matthew McGarrity, Ryan Lisk, Paul MacPherson, David Knox, Kevin Woodward, Jeff Reinhart, John MacLeod, Isaac I Bogoch, Deanna Clatworthy, Mia J Biondi, Sean Sullivan, Alan Li, Garfield Durrant, Andrew Schonbe, Fanta Ongoiba, Ann N Burchell, Darrell H S Tan

{"title":"Reported Side Effects and Adherence of Daily HIV Pre-Exposure Prophylaxis Users in Ontario, Canada: An Analysis of the Ontario Pre-Exposure Prophylaxis Cohort Study.","authors":"Monica Rudd, Matthew McGarrity, Ryan Lisk, Paul MacPherson, David Knox, Kevin Woodward, Jeff Reinhart, John MacLeod, Isaac I Bogoch, Deanna Clatworthy, Mia J Biondi, Sean Sullivan, Alan Li, Garfield Durrant, Andrew Schonbe, Fanta Ongoiba, Ann N Burchell, Darrell H S Tan","doi":"10.1089/apc.2024.0144","DOIUrl":"https://doi.org/10.1089/apc.2024.0144","url":null,"abstract":"Side effects are a common concern of current and potential HIV pre-exposure prophylaxis (PrEP) users, potentially leading to missed doses. We examined the relationship between reported side effects and adherence in the Ontario PrEP Cohort Study (ON-PrEP). In total, 600 predominantly gay (87.3%), White (65.8%), and male (95.0%) participants completed questionnaires assessing the presence and severity of five side effect categories (nausea, diarrhea, headache, abdominal pain, and \"other\") as well as their adherence to daily PrEP (any missed doses in the previous 4 days). In total, 175 participants (29%) ever reported experiencing side effects: most commonly diarrhea (7.5% of study visits), and most were of mild severity. Lower incomes (p = 0.01), identifying as bisexual (p = 0.04), and baseline concern about side effects (p < 0.001) were associated with ever reporting side effects. The odds of reporting any side effects decreased by a factor of 0.44 (95% confidence interval 0.25-0.80) with each additional year of PrEP use, however 1 in 10 participants still reported side effects after 1 year of use. The odds of reporting optimal adherence were 0.48 (0.28-0.83) times lower for participants reporting any side effects, 0.67 (0.51-0.89) times lower per additional side effect category reported, and 0.78 (0.65-0.97) times lower per incremental increase in side effect severity ratings. We found some evidence of interaction between side effect measures and duration of PrEP use, suggesting that these relationships were stronger for participants taking PrEP for longer. Clinicians should make efforts to ascertain patients' experience of side effects and consider risk counseling and alternative PrEP regimens to promote adherence.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 9","pages":"382-392"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278951","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

Rosalind Franklin Society Proudly Announces the 2023 Award Recipient for AIDS Patient Care and STDs. 罗莎琳德-富兰克林学会自豪地宣布 2023 年艾滋病患者护理和性传播疾病奖获得者。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-09-01 DOI: 10.1089/apc.2024.92345.rfs2023

Rachel K Scott

引用次数: 0

The Impact of Stigma on Self-Management Behavior Among People with HIV in China: The Role of Social Support and Self-Esteem. 污名化对中国艾滋病病毒感染者自我管理行为的影响：社会支持和自尊的作用

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-09-01 Epub Date: 2024-08-12 DOI: 10.1089/apc.2024.0104

Haitao Huang, Liao Zhang, Ling Tu, Xiaona Zhang, Hua Zhong, Qianwen Liu, Ying Liu, Hong Chen

{"title":"The Impact of Stigma on Self-Management Behavior Among People with HIV in China: The Role of Social Support and Self-Esteem.","authors":"Haitao Huang, Liao Zhang, Ling Tu, Xiaona Zhang, Hua Zhong, Qianwen Liu, Ying Liu, Hong Chen","doi":"10.1089/apc.2024.0104","DOIUrl":"10.1089/apc.2024.0104","url":null,"abstract":"Understanding the psychosocial factors influencing self-management behaviors among people with HIV (PWH) is crucial for effective medical interventions and improving their quality of life. However, there has been limited research exploring the psychosocial mechanisms influencing self-management behaviors among PWH in China. Our study examined the relationship between stigma, social support, self-esteem, and self-management behaviors among PWH, as well as whether social support and self-esteem mediate these relationships. Cross-sectional data were collected from 282 PWH in Sichuan Province, China. Data were collected using four validated self-report measures (HIV Stigma Scale, HIV/AIDS Patient Self-Management Scale, Social Support Rating Scale, and Self-Esteem Scale). Structural equation modeling was used to examine the different pathways influencing self-management behaviors. All the impacts on self-management behavior outcomes were found to be significant. The final mediation model indicated that social support and self-esteem significantly mediated the relationship between stigma and self-management behaviors. These findings underscore the importance of addressing stigma and enhancing social support and self-esteem in interventions aimed at promoting self-management behaviors among PWH.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"453-462"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911293","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

A Systematic Review of Factors Associated with COVID-19 Vaccine Uptake, Hesitancy, and Acceptability Among Adults with HIV: Implications for Integrating COVID-19 Immunization into HIV Care. 关于 COVID-19 疫苗在艾滋病成人中的接种率、犹豫性和可接受性相关因素的系统性综述：将 COVID-19 免疫接种纳入艾滋病护理的意义。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI: 10.1089/apc.2024.0097

Aaliyah Gray, Seyedeh Yasaman Alemohammad, Daisy Ramírez-Ortiz, Mary Jo Trepka

{"title":"A Systematic Review of Factors Associated with COVID-19 Vaccine Uptake, Hesitancy, and Acceptability Among Adults with HIV: Implications for Integrating COVID-19 Immunization into HIV Care.","authors":"Aaliyah Gray, Seyedeh Yasaman Alemohammad, Daisy Ramírez-Ortiz, Mary Jo Trepka","doi":"10.1089/apc.2024.0097","DOIUrl":"10.1089/apc.2024.0097","url":null,"abstract":"The COVID-19 virus, once a public health emergency, is now endemic. Immunization remains an important measure for mitigating high levels of disease, morbidity, and mortality related to COVID-19 infection. People with HIV (PWH), in particular, benefit from COVID-19 vaccination because of increased risk for severe COVID-19 infection. However, previous data suggest vaccine hesitancy among this population. Given this context and the evolving epidemiology of COVID-19, this review examines factors associated with COVID-19 vaccine hesitancy, acceptability, and uptake among adults with HIV. Through a systematic search of electronic databases, we identified 56 peer-reviewed articles published between the years 2020 and 2023 that matched the objectives of our review out of a total of 797 screened citations. Among our final sample of articles, nearly all global regions were represented, and 61% of studies recruited only PWH. We identified eight categories of factors associated with COVID-19 vaccination outcomes, including HIV-specific factors (e.g., CD4 count), vaccine attitudes (e.g., vaccine confidence), factors related to the COVID-19 virus (e.g., concern about infection), factors specific to the COVID-19 vaccine (e.g., accessibility), social norms and peer factors (e.g., subjective norms), mental health (e.g., anxiety/depression) and other psychological factors (e.g., substance use), demographic characteristics (e.g., age), and health factors (e.g., vaccination history). Reflecting on these factors, we discuss populations in need of vaccine promotion, modifiable targets for intervention, and integrating immunization into HIV care. Public health efforts to promote COVID-19 immunization among PWH must include educational/informational, peer, and structural interventions and must now consider uptake of COVID-19 booster doses.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"393-427"},"PeriodicalIF":3.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141764756","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

Dual Infection of Different Clusters of HIV in People Living with HIV Worldwide: A Meta-Analysis Based on Next-Generation Sequencing Studies. 全球艾滋病病毒感染者不同群组的双重感染：基于新一代测序研究的元分析》（Meta-Analysis Based on Next-Generation Sequencing Studies）。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-08-01 Epub Date: 2024-07-03 DOI: 10.1089/apc.2024.0100

Defu Yuan, Fei Zhao, Shanshan Liu, Yangyang Liu, Hongxia Yan, Lifeng Liu, Bin Su, Bei Wang

{"title":"Dual Infection of Different Clusters of HIV in People Living with HIV Worldwide: A Meta-Analysis Based on Next-Generation Sequencing Studies.","authors":"Defu Yuan, Fei Zhao, Shanshan Liu, Yangyang Liu, Hongxia Yan, Lifeng Liu, Bin Su, Bei Wang","doi":"10.1089/apc.2024.0100","DOIUrl":"10.1089/apc.2024.0100","url":null,"abstract":"To understand the global dual HIV infection (DI) profiles comprehensively, the databases Cochrane Library, Embase, PubMed, and Web of Science were the data sources up to March 31, 2024 (PROSPERO: CRD42023388328). Stata and R-language software were used to analyze the extracted data. Publication bias was assessed using Egger's test. Sensitivity analysis was conducted to evaluate the stability of the combined effect values. Data from 17 eligible studies across four continents (Africa, Asia, Europe, and North America) with 1,475 subjects were used. The combined dual infection rate (DIR) was 10.47% (95% CI: 7.11%-14.38%) without a time trend (p = 0.105). The DIRs of target population groups differed significantly, with FSWs having the highest DIR (15.14%), followed by general population (12.08%), MSM (11.84%), and DUs (9.76%). The subtype profiles of 122 patients with dual infection were extracted, and the results showed that intrasubtype infections were predominant in coinfection (16/22, 72.73%) and superinfection (68/100, 68.00%) groups, with the subtype pattern B and B accounts for the largest proportion. The global dual infection rate may be underestimated, even though the data fluctuated around 10% and showed no time trend. The occurrence of DI indicated that individuals still do not acquire sufficient resistance to HIV even after primary infection, which could potentially compromise the patient's treatment effect and lead to the emergence of new subtypes, posing a significant challenge to HIV prevention, control, and treatment, suggesting that behavioral counseling and health education for all HIV-infected individuals are still crucial during the antiviral therapy.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"348-357"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490522","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

Decreasing HIV Transmission and Improving Linkage to Care with Opt-out Screening for Adults in the UHealth Tower Emergency Department in Miami, Florida. 在佛罗里达州迈阿密的 UHealth Tower 急诊室，通过选择不进行成人筛查来减少 HIV 传播并改善护理链接。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-08-01 DOI: 10.1089/apc.2024.0123

Yaa F Abu, Barbara Huang, Emmanuel Thomas, David M Lang, Tanira Ferreira, Kimar Estes, Monica Bahamon, Paula Pagan, Kira Villamizar, Kenneth A Scheppke, Michelle Battles, Dushyantha Jayaweera

引用次数: 0

Peer Influence on Motivation to Use Pre-Exposure Prophylaxis Among Latino Sexual Minority Men in Miami, Florida: A Network Autocorrelation Model. 佛罗里达州迈阿密拉丁裔性少数群体男性中同伴对使用暴露前预防措施动机的影响：网络自相关模型

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-08-01 DOI: 10.1089/apc.2024.0077

Cho Hee Shrader, Lacey Craker, Ariana L Johnson, Edda Rodriguez, John Skvoretz, Kyle J Self, Mariano Kanamori

{"title":"Peer Influence on Motivation to Use Pre-Exposure Prophylaxis Among Latino Sexual Minority Men in Miami, Florida: A Network Autocorrelation Model.","authors":"Cho Hee Shrader, Lacey Craker, Ariana L Johnson, Edda Rodriguez, John Skvoretz, Kyle J Self, Mariano Kanamori","doi":"10.1089/apc.2024.0077","DOIUrl":"10.1089/apc.2024.0077","url":null,"abstract":"Despite the availability of pre-exposure prophylaxis (PrEP), Latino sexual minority men (LSMM) continue to experience disparities in PrEP uptake and subsequently, HIV vulnerability. Social network norms are an underutilized solution to increase PrEP uptake. We used a peer influence model (network autocorrelation model) to examine the role of social network descriptive norms (i.e., actual behaviors) surrounding PrEP use. A total of 11 sociocentric networks of 13 friends (n = 143 LSMM) were recruited into our study from 2018 to 2019 in South Florida. Most participants were in PrEP pre-contemplation (n = 44), and almost one-third of our sample were using PrEP (n = 38). Three network autocorrelation models were estimated using an empirically informed Bayesian analysis. We found a positive association between participants' Motivational PrEP Cascade (MPC) position and their network members' (friends') cascade position based on three different measures of connection even when accounting for PrEP knowledge: friendship (ρ = 0.22; 95% CIa = 0.01-0.42), emotional closeness (ρ = 0.24; 95% CI = 0.03-0.44), and frequency of interaction (ρ = 0.22; CI = 0.03-0.42). Our findings highlight that an individual's progress in the MPC may be influenced by their network members' progress in the MPC, suggesting that LSMM using PrEP may serve as role models to their peers for PrEP use due to descriptive norms. Our findings further suggest that PrEP interventions for LSMM along the MPC can be implemented at the social network level.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 8","pages":"370-379"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003335","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