AIDS and BehaviorPub Date : 2026-09-03DOI: 10.1007/s10461-026-05270-8
Kathryn E Lancaster, Melissa A Stockton, Judith A Hahn, Thida Chanyachukul, Ivan Marbaniang, Dhanushi Rupasinghe, Hai Thi Thanh Nguyen, Edith Kwobah, Helen Byakwaga, Aggrey Semeere, Suzanne Goodrich, Patrizia Carrieri, Gad Murenzi, Hugo Perazzo, Brenda Crabtree Ramírez, Jessica Mejía, Andreas D Haas, Ardele Mandiriri, Albert Minga, Marie Plaisy, Antoine Jaquet, Angela M Parcesepe
{"title":"Self-reported and Point-of-Care Biomarkers of Substance Use Measures Among Older Adults with HIV from Low- and Middle-Income Countries.","authors":"Kathryn E Lancaster, Melissa A Stockton, Judith A Hahn, Thida Chanyachukul, Ivan Marbaniang, Dhanushi Rupasinghe, Hai Thi Thanh Nguyen, Edith Kwobah, Helen Byakwaga, Aggrey Semeere, Suzanne Goodrich, Patrizia Carrieri, Gad Murenzi, Hugo Perazzo, Brenda Crabtree Ramírez, Jessica Mejía, Andreas D Haas, Ardele Mandiriri, Albert Minga, Marie Plaisy, Antoine Jaquet, Angela M Parcesepe","doi":"10.1007/s10461-026-05270-8","DOIUrl":"10.1007/s10461-026-05270-8","url":null,"abstract":"<p><p>Measuring alcohol and other drug (AOD) use remains challenging in HIV care in low- and middle-income countries, where self-report and point-of-care (POC) urine biomarkers capture different time windows. Among 2,059 people with HIV aged 40 years or older across eight IeDEA clinics (2020 to 2022), we examined what self-reported AOD use (AUDIT, ASSIST) and POC urine tests (uEtG for alcohol; 5-panel drug screen) each capture. Self-report identified more use than urine testing (unhealthy alcohol 19.7% versus uEtG-positive 12.2%), consistent with its longer recall window. Higher self-reported alcohol intensity was associated with uEtG positivity in a graded pattern, more strongly among women. Urine-positive but self-report-negative results, more common among men, suggested under-reporting. Self-report and biomarkers answer different measurement questions: self-report for longer-term burden and screening, biomarkers for recent use and corroboration. Combining both, including longer-window biomarkers, can strengthen AOD measurement among older PWH in LMICs.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886149","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}
AIDS and BehaviorPub Date : 2026-09-03DOI: 10.1007/s10461-026-05198-z
Carol Golin, Ella Ferguson, Elizabeth Millar, Jaya Mishra, Christina Perez, Eliza Schenck, Lauren Richey, Sarah Ball, Rima Janusziewicz, S Rahima Benhabbour, Kate M Guthrie
{"title":"Women's Perceptions of Novel 3-D Printed Vaginal Rings for Multipurpose Prevention.","authors":"Carol Golin, Ella Ferguson, Elizabeth Millar, Jaya Mishra, Christina Perez, Eliza Schenck, Lauren Richey, Sarah Ball, Rima Janusziewicz, S Rahima Benhabbour, Kate M Guthrie","doi":"10.1007/s10461-026-05198-z","DOIUrl":"https://doi.org/10.1007/s10461-026-05198-z","url":null,"abstract":"<p><p>Intravaginal rings (IVRs) can be efficacious, user-controlled devices to prevent pregnancy and HIV. Understanding potential user preferences for device characteristics can promote device uptake and use by informing design optimization. We elicited sensory perceptions from a convenience sample of women aged 18-45 years from a large statewide health system to iteratively inform design of a novel 3D-printed multipurpose (contraception and HIV prevention) technology IVRs. We assessed reactions to varying IVR designs and colors in nine virtual focus groups. We modified designs and assessed perceptions of visual AND tactile aspects of modified IVR designs in 25 individual in-person interviews. Overall, women perceived texture, hue, size, comfort, and hygiene as important. Smoother surface topography was preferred for perceived ease of insertion and ability to \"see what was on it\" for cleanliness. Lighter hues were seen as \"calming\". IVR size and pliability related most to perceived comfort, a priority for participants.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886174","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}
AIDS and BehaviorPub Date : 2026-09-02DOI: 10.1007/s10461-026-05292-2
Damian Jeremia Damian, Abbas Ismail, Alice Wang, Stephano Cosmas, Jocelyn Rwehumbiza, Fahima Issa, Jerome Kamwela, Ahmed Khatib, Rebecca L Laws, Erika Fazito, Mary Mayige, Jane Nyandele, Sarah E Porter, Prosper F Njau, Mahesh Swaminathan, Tepa Nkumbula, Joel M Francis, Nicolas Schaad, George S Mgomella
{"title":"Correlates of Alcohol Use and Hazardous Alcohol Consumption Among Adults Living with HIV in Tanzania: Evidence from the Tanzania HIV Impact Survey, 2022-2023.","authors":"Damian Jeremia Damian, Abbas Ismail, Alice Wang, Stephano Cosmas, Jocelyn Rwehumbiza, Fahima Issa, Jerome Kamwela, Ahmed Khatib, Rebecca L Laws, Erika Fazito, Mary Mayige, Jane Nyandele, Sarah E Porter, Prosper F Njau, Mahesh Swaminathan, Tepa Nkumbula, Joel M Francis, Nicolas Schaad, George S Mgomella","doi":"10.1007/s10461-026-05292-2","DOIUrl":"https://doi.org/10.1007/s10461-026-05292-2","url":null,"abstract":"<p><p>Hazardous alcohol consumption (HAC) among people living with HIV (PLHIV) has been associated with poor antiretroviral therapy (ART) adherence and unsuppressed HIV viral load (VL). We examined potential correlates of alcohol use and HAC among PLHIV aged ≥ 18 years using nationally representative data from the Tanzania HIV Impact Survey 2022-2023, a cross-sectional population-based household survey. Consenting individuals were tested for HIV and HIV-positive specimens were tested for HIV VL. HAC was determined using the World Health Organization \"Alcohol Use Disorders Identification Test-Concise.\" Correlates of alcohol use and HAC were determined using binary logistic regression and sampling weights. Jackknife variance estimation was used to generate 95% confidence intervals (95% CI) and p values. Of 1793 individuals with positive HIV test results, 686 (34.5%) reported any alcohol consumption in the past year, and 364 (17.8%) reported HAC. Higher odds of HAC were observed among PLHIV aged 35-44 years (aOR = 2.35; 95% CI, 1.12-4.93; p = 0.026), 45-54 years (aOR = 2.66; 95% CI, 1.23-5.74; p = 0.015), and 55-64 years (aOR = 2.92; 95% CI, 1.31-6.55; p = 0.011) compared to those aged ≤ 24 years (7.5%). Also, among PLHIV with one sexual partner (18.3%, aOR = 1.85; 95% CI, 1.29-2.65; p = 0.002) and multiple partners (27.7%, aOR = 3.27; 95% CI, 1.84-5.81; p < 0.001) compared to those with no partner in the past 12 months (11.0%). No significant associations were found between alcohol use or HAC and reported ART missed days or VL suppression. In Tanzania, although nearly one-fifth of PLHIV reported HAC, it was not associated with HIV treatment outcomes.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148878959","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}
AIDS and BehaviorPub Date : 2026-08-31DOI: 10.1007/s10461-026-05289-x
Maia M Cunningham, Evelyn Iriarte, Christine Horvat Davey, Lisa E Manhart, Heidi M Crane, Greer A Burkholder, Barbara M Gripshover, Julia G Fleming, Michael S Saag, Thomas W Buford, Dustin M Long, John D Cleveland, Amanda L Willig, Allison R Webel, Vitor H F Oliveira
{"title":"Aging with HIV: The Interplay of Neighborhood-Level Social Vulnerability, Social Support, and Physical Activity.","authors":"Maia M Cunningham, Evelyn Iriarte, Christine Horvat Davey, Lisa E Manhart, Heidi M Crane, Greer A Burkholder, Barbara M Gripshover, Julia G Fleming, Michael S Saag, Thomas W Buford, Dustin M Long, John D Cleveland, Amanda L Willig, Allison R Webel, Vitor H F Oliveira","doi":"10.1007/s10461-026-05289-x","DOIUrl":"https://doi.org/10.1007/s10461-026-05289-x","url":null,"abstract":"<p><p>Engaging in moderate-to-vigorous physical activity (MVPA) is essential for healthy aging in people with HIV (PWH), though social determinants may influence activity levels. This cross-sectional study examined associations between neighborhood social vulnerability, social support, and MVPA among 198 PWH aged ≥ 50 from the PROSPER-HIV study across four U.S. sites. MVPA was measured with ActiGraph accelerometers (minutes/week), social vulnerability with the Social Vulnerability Index (SVI), and social support with the Multifactorial Assessment of Perceived Social Support-Short Form. Linear regression models were used to estimate the associations between study variables, adjusting for age, sex, and site. Median MVPA was 110 min/week (IQR: 48.03-237.05). Higher SVI was associated with MVPA in unadjusted models but did not reach statistical significance (β= -1.77; p = 0.053), and this association was attenuated after adjustment (p = 0.20). Social support was not associated with MVPA. Findings highlight the need for larger studies using more precise measures of structural factors relevant to physical activity among older PWH.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863470","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}
AIDS and BehaviorPub Date : 2026-08-31DOI: 10.1007/s10461-026-05293-1
Melissa M Klamm, Kelley Pettee Gabriel, Jung Hye Sung, Yonghua Yan, Angela Duck, Jennifer A Schrack, Adam P Spira, Valentina Stosor, Roger Detels, Sanjay R Patel, Margaret A Fischl, Stephen J Gange, Deborah Konkle-Parker
{"title":"Exploring the Interplay of Movement Dispersion, Sleep, and Quality of Life Among Men With and Without HIV.","authors":"Melissa M Klamm, Kelley Pettee Gabriel, Jung Hye Sung, Yonghua Yan, Angela Duck, Jennifer A Schrack, Adam P Spira, Valentina Stosor, Roger Detels, Sanjay R Patel, Margaret A Fischl, Stephen J Gange, Deborah Konkle-Parker","doi":"10.1007/s10461-026-05293-1","DOIUrl":"https://doi.org/10.1007/s10461-026-05293-1","url":null,"abstract":"<p><p>Pure and total movement dispersion are measures of the spread of physical activity (PA) across the day, without (pure) and with (total) intensity. Men with HIV (MWH) tend to have lower PA, more sedentary behavior, and poorer sleep quality and quality of life than men without HIV (MWOH). This study explores the relationship of pure and total movement dispersion with sleep quality, total sleep time, and quality-of-life (QoL) among MWH and MWOH. This study was a secondary analysis from the MACS/WIHS Combined Cohort Study (MWCCS). Participants wore an ActiGraph and an Actiwatch accelerometer on their wrist for 7 days to measure PA and sleep and completed the Pittsburgh Sleep Quality Index and the Medical Outcomes Study Short Form. Spearman's Rank Correlation and multivariable linear regressions were used to analyze relationships among variables. 594 participants were included (M<sub>age</sub> = 58.1, 55% MWH, 62% White). MWH demonstrated higher pure (Z = - 3.893, p < 0.001) and total movement dispersion (Z = - 3.826, p < 0.001) than MWOH. MWH reported worse sleep quality (t = - 3.030, p=.003) and general QoL (t = 2.942, p = 0.003), yet better health compared to last year (t = - 2.557, p = 0.011) than MWOH. Pure movement dispersion was significantly associated with less total sleep time (B = - 1.227, p < 0.001), and total movement dispersion was significantly associated with a higher global general health (B = 7.498, p = 0.044). Movement across the day, with and without regard to intensity, warrants exploration on whether the way an individual achieves PA is dispersed matters more than the accumulated minutes.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863483","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}
AIDS and BehaviorPub Date : 2026-08-31DOI: 10.1007/s10461-026-05296-y
Seth C Kalichman
{"title":"Editorial: Ending HIV Behavioral Surveillance of Transgender Persons: Another Casualty of the Assault on Public Health in the United States.","authors":"Seth C Kalichman","doi":"10.1007/s10461-026-05296-y","DOIUrl":"https://doi.org/10.1007/s10461-026-05296-y","url":null,"abstract":"","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863496","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}
AIDS and BehaviorPub Date : 2026-08-31DOI: 10.1007/s10461-026-05291-3
Ryan B Wilkerson, Walter P Parrish, Joey Nicholson, Michelle Odlum, John P Allegrante
{"title":"The Role of Social Networks, House Ballrooms, and Religion in HIV Prevention for Black Gay and Bisexual Men: A Scoping Review.","authors":"Ryan B Wilkerson, Walter P Parrish, Joey Nicholson, Michelle Odlum, John P Allegrante","doi":"10.1007/s10461-026-05291-3","DOIUrl":"https://doi.org/10.1007/s10461-026-05291-3","url":null,"abstract":"<p><p>In the United States, Black gay, bisexual, and other men who have sex with men (BGBM) continue to face disproportionate burdens of HIV. Contributing factors include unprotected sex with multiple partners, limited awareness of HIV prevention, stigma, racism, and structural barriers to healthcare access. Biomedical prevention strategies such as pre-exposure prophylaxis (PrEP) have demonstrated effectiveness in reducing HIV transmission. However, social perceptions, stigma, and anticipated discrimination continue to influence uptake and adherence. This scoping review examined literature published between 2017 and 2024 to identify how social networks and social media shape prevention behaviors among BGBM. Guided by Social Network Theory (SNT), the review synthesized findings from 21 studies across four contexts: House Ballroom communities, social media, faith-based settings, and dating apps. Results highlight the role of culturally tailored and community-based interventions, including those delivered in religious settings, in supporting prevention uptake, while digital platforms demonstrated strong potential for outreach, testing, and linkage to care. These findings underscore the need for interventions that integrate biomedical prevention tools with culturally responsive approaches to reduce disparities and improve HIV prevention outcomes for BGBM. Findings provide suggestions for future HIV interventions for BGBM.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863517","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}
AIDS and BehaviorPub Date : 2026-08-26DOI: 10.1007/s10461-026-05286-0
Beo Oliveira Leite, Laio Magno, João Pedro Azevedo, Lorenza Dezanet, Fabiane Soares, Dirceu Greco, Alexandre Grangeiro, Inês Dourado
{"title":"Sexualized Drug Use Among Sexually and Gender Diverse Adolescents in Brazil.","authors":"Beo Oliveira Leite, Laio Magno, João Pedro Azevedo, Lorenza Dezanet, Fabiane Soares, Dirceu Greco, Alexandre Grangeiro, Inês Dourado","doi":"10.1007/s10461-026-05286-0","DOIUrl":"https://doi.org/10.1007/s10461-026-05286-0","url":null,"abstract":"<p><p>Sexualized drug use (SDU) is a known phenomenon with significant implications for HIV vulnerability. Chemsex, a specific subset of SDU, involves the use of substances such as GHB/GBL, mephedrone, or methamphetamine to facilitate sexual activity. This study investigated factors associated with SDU among sexual and gender diverse adolescents (SGDa) in Brazil. This study used data from the PrEP15-19 project, a cohort investigating the implementation of daily oral PrEP among SGDa in Brazil. A structured sociobehavioral questionnaire was administered at baseline between February 2019 and February 2023. SDU was defined as the use of alcohol or drugs before or during sexual intercourse. Bivariate and multiple logistic regression models were used to identify factors associated with SDU. Among 1,264 adolescents, the prevalence of SDU was 30.1%. The most frequently used substances in the three months prior to the survey were alcohol (87.7%), marijuana (44.8%), and cocaine (8.5%). The prevalence of chemsex was low (2.4%). Adjusted factors significantly associated with increased SDU included: being a transgender woman (aOR: 1.80; 95% CI: 1.04-3.11); engaging in transactional sex in the last 3 months (aOR: 2.16; 95% CI: 1.45-3.23); engaging in group sex in the last 3 months (aOR: 1.54; 95% CI: 1.07-2.22); and having more than three sexual partners in the last 3 months (aOR: 1.67; 95% CI: 1.20-2.33). SDU has a high prevalence among Brazilian SGDa and represents a critical factor in understanding the high rates of HIV infection in this population.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148823964","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}
AIDS and BehaviorPub Date : 2026-08-25DOI: 10.1007/s10461-026-05244-w
Jelani Kerr, Blake Skidmore, Lesley Harris, Nqobile Nzama, Harideep Samanapally, Andrea Reyes-Vega, Adrienne Smith, Nana Ama Aya Bullock, Vania Remenik-Zarauz, Sadaf Sedaghatshoar, Amie Baltes, Dani LaPreze, Shirish Barve
{"title":"Systematic Review of Use of Motivational Interviewing to Increase Pre-exposure Prophylaxis Care Continuum Participation.","authors":"Jelani Kerr, Blake Skidmore, Lesley Harris, Nqobile Nzama, Harideep Samanapally, Andrea Reyes-Vega, Adrienne Smith, Nana Ama Aya Bullock, Vania Remenik-Zarauz, Sadaf Sedaghatshoar, Amie Baltes, Dani LaPreze, Shirish Barve","doi":"10.1007/s10461-026-05244-w","DOIUrl":"https://doi.org/10.1007/s10461-026-05244-w","url":null,"abstract":"<p><p>Pre-exposure prophylaxis (PrEP) is a prevention approach with potential for reducing HIV incidence with widespread adoption. Despite this, more research is needed to inform interventions to optimize PrEP use. Motivational interviewing (MI) shows promise for enhancing PrEP utilization, however, research comprehensively examining its effectiveness in advancing PrEP care continuum participation remains limited. This study aims to address this deficit through a systematic literature review, utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Let Evidence Guide Every New Decision (LEGEND) guidelines to examine facets of MI's impact on PrEP awareness, uptake, and retention. Though this research is relatively nascent (n = 22), findings indicate MI's effectiveness in advancing PrEP care continuum participation, interventions integrating MI are deemed acceptable and feasible, and various factors (e.g. capable staff, cultural tailoring, fidelity/adherence to process) advance intervention effectiveness. Future studies should explore long-acting PrEP modalities and consider the impacts of social determinants.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817123","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}
AIDS and BehaviorPub Date : 2026-08-25DOI: 10.1007/s10461-026-05288-y
Margaret G Miller, Ashley Hailer, Philip R Wang, Ann K Avery, Corrilynn O Hileman, David C Kaelber, Akhil Anand
{"title":"Trends in Buprenorphine Prescribing Among Adults with Opioid Use Disorder and Coexisting HIV or Viral Hepatitis, 2015-2025.","authors":"Margaret G Miller, Ashley Hailer, Philip R Wang, Ann K Avery, Corrilynn O Hileman, David C Kaelber, Akhil Anand","doi":"10.1007/s10461-026-05288-y","DOIUrl":"https://doi.org/10.1007/s10461-026-05288-y","url":null,"abstract":"<p><p>We examined buprenorphine prescribing among adults in the United States with opioid use disorder or other opioid-related diagnoses and coexisting HIV, hepatitis B, or hepatitis C from 2015 to 2025. Using the TriNetX USA Minimal Date Shift Network, we constructed annual cohorts and assessed encounter-day buprenorphine prescribing, with and without chronic pain diagnoses. Prescribing rose from 6% in 2015 to 17% in 2020, then plateaued at 16-19% through 2025, with marked attenuation after 2020. Despite expanded prescriber eligibility, most were not prescribed buprenorphine at clinical contact, suggesting regulatory reform alone is insufficient and that integrated, systemic approaches are needed.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817210","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}