AIDS and Behavior最新文献_第10页

Leveraging U = U in Interventions for Black Women Living With HIV: A Scoping Review and Call To Action. 在黑人妇女感染艾滋病毒的干预措施中利用U = U：范围审查和行动呼吁。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-03-03 DOI: 10.1007/s10461-025-04670-6

Megan A Jones, Simone Sawyer, Isabella Bowman, Maniza A Habib, Deborah Wassertzug, Tamara Taggart

引用次数: 0

Social Protection and HIV risk Factors among Youth in Southern Africa: An Analysis of Cross-sectional Population-based HIV Impact Assessment Surveys. 南部非洲青年的社会保护和艾滋病毒风险因素：基于人口的艾滋病毒影响评估调查分析。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-03-03 DOI: 10.1007/s10461-025-04638-6

Boladé Hamed Banougnin, Delivette Castor, Joseph Baruch Baluku, Silinganisiwe Padline Dzumbunu, Oluwaseyi Dolapo Somefun, Waly Sene, David Chipanta, Lucas Hertzog

{"title":"Social Protection and HIV risk Factors among Youth in Southern Africa: An Analysis of Cross-sectional Population-based HIV Impact Assessment Surveys.","authors":"Boladé Hamed Banougnin, Delivette Castor, Joseph Baruch Baluku, Silinganisiwe Padline Dzumbunu, Oluwaseyi Dolapo Somefun, Waly Sene, David Chipanta, Lucas Hertzog","doi":"10.1007/s10461-025-04638-6","DOIUrl":"10.1007/s10461-025-04638-6","url":null,"abstract":"<p><p>Poverty fuels risky sexual behaviors associated with HIV infection among youth. Interventions like cash transfers may mitigate HIV risk. We explored the role of broader social protection (including food, educational, and social transfers) in reducing HIV risk among 15-24-year-olds in Southern Africa. We analyzed Population-based HIV Impact Assessment surveys data from 31,317 youth in eSwatini, Lesotho, Malawi, Namibia, Zambia, and Zimbabwe (2015-2017). Using inverse probability-weighted multivariable logistic regression, we examined associations between types of social protection and condomless sex, multiple partnerships, and high-risk sexual behaviors. Food support was associated with reduced odds of condomless sex (OR 0.71 [95% CI 0.61-0.82]), multiple partnerships (0.77 [0.63-0.95]), and high-risk sex (0.70 [0.60-0.82]). Educational support was associated with reduced odds of condomless sex (0.57 [0.46-0.59]) and high-risk sex (0.59 [0.47-0.73]). Social transfers were associated with reduced odds of condomless sex (0.62 [0.54-0.70]) and high-risk sex (0.50 [0.44-0.56]). The benefits of social protection varied across countries. Educational support was associated with reduced odds of any HIV risk factors in eSwatini, Zambia, and Zimbabwe. However, the protective effect of social transfers was only observed in eSwatini, and the benefit of food support was only significant in Namibia. Furthermore, protective associations were more pronounced among females than males. This study underscores the potential of social protection to strengthen HIV prevention efforts by mitigating poverty-related risk factors, particularly for adolescent girls and young women in Southern Africa. The impact of specific programs appears context-dependent, highlighting the need for tailored interventions.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539912","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

PrEP Uptake and Utilisation Among Adolescent Girls and Young Women in Sub-Saharan Africa: A Scoping Review 在撒哈拉以南非洲的少女和年轻妇女中PrEP的吸收和利用：范围审查。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-28 DOI: 10.1007/s10461-025-04656-4

Jenny Chen-Charles, Dvora Joseph Davey, Elona Toska, Janet Seeley, Linda-Gail Bekker

{"title":"PrEP Uptake and Utilisation Among Adolescent Girls and Young Women in Sub-Saharan Africa: A Scoping Review","authors":"Jenny Chen-Charles, Dvora Joseph Davey, Elona Toska, Janet Seeley, Linda-Gail Bekker","doi":"10.1007/s10461-025-04656-4","DOIUrl":"10.1007/s10461-025-04656-4","url":null,"abstract":"<div><p>Adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) are disproportionately affected by HIV. Despite the effectiveness of oral pre-exposure prophylaxis (PrEP) in preventing HIV, uptake and effective utilisation among AGYW remain suboptimal. This scoping review maps research on PrEP delivery outside clinical trials to AGYW in SSA. Quantitative and qualitative data were extracted from 58 studies on the facilitators and barriers to PrEP uptake and utilisation (including initiation, persistence, and adherence), and recommendations for effective PrEP delivery from AGYW and PrEP providers. Only studies on oral PrEP met the inclusion criteria. Facilitators of effective PrEP utilisation included social support with strong familial and peer networks positively influencing PrEP adherence and persistence. Healthcare provider interactions were pivotal in promoting PrEP uptake through dissemination of accurate information and ongoing support. Studies reported consistent barriers to PrEP uptake and utilisation including anticipated or experienced stigma, pill burden, and side effects. Addressing identified barriers and leveraging facilitators can enhance future effectiveness for PrEP delivery. There is a lack of strategies to support AGYW in long-term persistence and engagement with PrEP services. Our findings emphasise the urgent need for people-centred and localised, context-specific strategies to improve PrEP delivery among AGYW in SSA. Effective PrEP delivery strategies should include differentiated service delivery models, innovative approaches such as digital health, and integration with existing services such as antenatal care for pregnant and breastfeeding AGYW. More data is needed for PrEP delivery among AGYW across the region, including other PrEP modalities as they roll out.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 6","pages":"1876 - 1896"},"PeriodicalIF":2.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10461-025-04656-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530884","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

Addressing Pain and Heavy Drinking among Patients in HIV-Care: A Pilot Study of an Integrated Telehealth Intervention 解决艾滋病毒护理患者的疼痛和酗酒：综合远程医疗干预的试点研究。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-25 DOI: 10.1007/s10461-025-04660-8

Tibor P. Palfai, Maya P. L. Kratzer, Jessica L. Taylor, John D. Otis, Michael R. Winter

{"title":"Addressing Pain and Heavy Drinking among Patients in HIV-Care: A Pilot Study of an Integrated Telehealth Intervention","authors":"Tibor P. Palfai, Maya P. L. Kratzer, Jessica L. Taylor, John D. Otis, Michael R. Winter","doi":"10.1007/s10461-025-04660-8","DOIUrl":"10.1007/s10461-025-04660-8","url":null,"abstract":"<div><p>Chronic pain is common among people living with HIV (PLWH) who engage in heavy drinking and both pain and heavy drinking influence quality of life, functioning, and HIV-outcomes. The purpose of this study was to: (1) test the acceptability and feasibility of a cognitive behavioral telehealth intervention (INTV) to reduce pain and heavy drinking among PLWH, (2) evaluate methods to implement a randomized controlled efficacy trial, and (3) provide preliminary information about its potential value. Forty-eight PLWH with chronic pain who engaged in heavy drinking were recruited from HIV-health clinics and social media. Following baseline assessment, participants were randomized to INTV or treatment-as-usual control (CTL). Participants completed outcome assessments at 3- and 6-months post-baseline. Results indicated that participants experienced high levels of satisfaction and showed strong intervention engagement. Over 85% of follow-up visits were completed across the two time-points. Condition comparisons showed small to moderate effects of the intervention on pain severity at 3-months (f<sup>2</sup> = 0.05) but not at 6-months (f<sup>2</sup> = 0.01). Effect sizes were consistent with less heavy episodic drinking for those in the INTV across timepoints (3-month aIRR = 0.72, 95% CI: [0.22, 2.41], 6-month aIRR = 0.71, 95% CI: [0.17, 2.96]) but only at 3-months for drinking quantity (3-month aIRR = 0.77, 95% CI: [0.29, 2.04]; 6-month aIRR = 1.00, 95% CI: [0.43, 2.29]). Results indicate that this is a feasible and acceptable approach for reducing chronic pain and heavy drinking among PLWH and that study methods may be useful for conducting a future efficacy trial. TRN: NCT03982433; Date of registration: 5/14/2019.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 6","pages":"1930 - 1943"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490447","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

Prevalence of Social Determinants of Health Risk Factors Among and Their Impact on Viral Suppression, Consistent Visits, and No-Show Rates Among Persons with HIV Who Identify as Hispanic 健康风险因素的社会决定因素在西班牙裔艾滋病病毒感染者中的流行及其对病毒抑制、持续就诊和未就诊率的影响

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-25 DOI: 10.1007/s10461-025-04630-0

Mary Cowden, Ana Clavijo, Yanis Bitar, Monica Diaz, Xiomara Merced, Karla Meza, Pragnya Iyengar, Ann Avery

{"title":"Prevalence of Social Determinants of Health Risk Factors Among and Their Impact on Viral Suppression, Consistent Visits, and No-Show Rates Among Persons with HIV Who Identify as Hispanic","authors":"Mary Cowden, Ana Clavijo, Yanis Bitar, Monica Diaz, Xiomara Merced, Karla Meza, Pragnya Iyengar, Ann Avery","doi":"10.1007/s10461-025-04630-0","DOIUrl":"10.1007/s10461-025-04630-0","url":null,"abstract":"<div><p>The current study examines the association between language preference, social determinants of health (SDOH) risk factors, viral load, and HIV care outcomes among individuals of Hispanic ethnicity in the United States. More than half (54%) of all participants reported having two or more unmet needs. Hispanic individuals were more likely to be at risk in 2 or more domains than their non-Hispanic counterparts. Food insecurity was the most common risk factor reported and when present, 51% of patients also reported financial resource strain. Surprisingly, when language preference was analyzed, English-preferring Hispanic patients were at higher risk of financial resource strain, daily stress, and food insecurity compared to those who preferred Spanish. When accounting for birthplace, Hispanic patients born in the US reported higher rates of daily stress, food insecurity, and unavailable transportation compared to Hispanic patients born in Puerto Rico or elsewhere outside the US. Increased SDOH risk factors including financial resource strain, housing and utilities strain, and limited transportation access were significantly associated with higher rates of no-shows to HIV clinic appointments but not with increased viral load or consistent completed clinic visits. In a mixed-effects model, each additional at-risk domain correlated to a 0.198 increase in the no show rate. This model also demonstrates higher rates of no-show visits in English-preferring Hispanic patients compared to Spanish-preferring patients. Overall, SDOH risk factors were commonly reported in our population and their presence were associated with higher no-show rates but not with viral suppression.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 5","pages":"1598 - 1607"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10461-025-04630-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490502","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

Multiple Behaviors Associated with HIV Risk Among Female Sex Workers and Men who have Sex with Men: Results from Pooled Respondent-driven Sampling (RDS) Surveys — Uganda, 2021–2023 女性性工作者和男男性行为者中与艾滋病毒风险相关的多种行为：来自2021-2023年乌干达合并受访者驱动抽样调查的结果

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-25 DOI: 10.1007/s10461-025-04637-7

Kelly S. Chapman, George Tumusinze, Steve Gutreuter, Melissa Arons, Moses Ogwal, George Aluzimbi, Ronald Mutunzi, Fiona Nakabugo, Arthur G. Fitzmaurice, Geoffrey Musinguzi, Wolfgang Hladik

{"title":"Multiple Behaviors Associated with HIV Risk Among Female Sex Workers and Men who have Sex with Men: Results from Pooled Respondent-driven Sampling (RDS) Surveys — Uganda, 2021–2023","authors":"Kelly S. Chapman, George Tumusinze, Steve Gutreuter, Melissa Arons, Moses Ogwal, George Aluzimbi, Ronald Mutunzi, Fiona Nakabugo, Arthur G. Fitzmaurice, Geoffrey Musinguzi, Wolfgang Hladik","doi":"10.1007/s10461-025-04637-7","DOIUrl":"10.1007/s10461-025-04637-7","url":null,"abstract":"<div><p>Key populations (KP), such as female sex workers (FSW) and men who have sex with men (MSM) can engage in multiple behaviors associated with HIV risk, but they are typically categorized by a single defining behavior, i.e., selling sex and sex with a man, respectively. We estimated the prevalence of engaging in multiple KP defining behaviors such as buying/selling sex, receptive anal sex, and injection drug use (IDU) among KP in Uganda. Data were collected at survey offices in four sites (Kampala, Jinja, Mbarara, and Masaka) through respondent-driven sampling. Data across multiple sites were combined and reweighted based on the combined sample size for each population. We fitted weighted multinomial logistic models for additional KP defining behaviors using demographics as predictors, and the simplest plausible model was identified for each KP using the Bayesian Information Criterion. Among FSW and sexually exploited minors under 18 years of age, 21.8% (CI: 20.1–23.5%) ever engaged in anal sex and 12.0% (CI: 10.6–13.3%) ever engaged in IDU in our model. Among MSM, 54.8% (CI: 52.0–57.7%) ever engaged in buying/selling sex and 11.0% (CI: 9.3–12.8%) ever engaged in IDU in the model. While KP are generally viewed as independent groups, our findings demonstrate that KP defining behaviors such as buying/selling sex, anal sex with a man, and IDU are shared across populations, with buying/selling sex particularly common among MSM. Consideration of comprehensive behaviors by outreach and service providers may better inform HIV risk reduction and prevention services for key populations.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 5","pages":"1681 - 1691"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490376","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

Spillover Effects of an Agricultural Livelihood Intervention Among People Living with HIV on Community Empowerment in Kenya 肯尼亚艾滋病毒感染者农业生计干预对社区赋权的溢出效应。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-25 DOI: 10.1007/s10461-025-04628-8

Victoria Chi, Elly Weke, Craig Cohen, Rachel Burger, Colin Baylen, Pauline Wekesa, Elizabeth A. Bukusi, Shari L. Dworkin, Lisa Butler, Sheri D. Weiser

{"title":"Spillover Effects of an Agricultural Livelihood Intervention Among People Living with HIV on Community Empowerment in Kenya","authors":"Victoria Chi, Elly Weke, Craig Cohen, Rachel Burger, Colin Baylen, Pauline Wekesa, Elizabeth A. Bukusi, Shari L. Dworkin, Lisa Butler, Sheri D. Weiser","doi":"10.1007/s10461-025-04628-8","DOIUrl":"10.1007/s10461-025-04628-8","url":null,"abstract":"<div><p>Food insecurity and HIV are closely intertwined and together have compounded effects on morbidity and mortality. Additionally, food insecurity and HIV have combined effects on weakening communities, including causing decreased economic capacity, decreased ability of families to care for children, and intergenerational transfer of poverty. Livelihood interventions that improve food security are promising approaches for improving the quality of life of people living with HIV, and they may also have profound effects on the strength and stability of communities. We conducted a cluster randomized controlled trial of a multisectoral agricultural livelihood intervention called <i>Shamba Maisha</i> among people living with HIV in rural Kenya (NCT02815579). We conducted this qualitative sub-study at the end of the intervention to examine participant perspectives on the community-level effects of the intervention. We found that the achievement of food security led to participants taking on new roles as leaders and teachers in the community. Participants also described being newly able to provide employment to other community members, promote women’s economic empowerment, and improve community-wide food security. Additionally, participants who previously relied on others for help reported giving food and resources to those who were more impoverished, as well as funding the school fees of their own children and the children of others. There were some gender differences in the new roles and community-level impacts that participants were reportedly able to take on. Overall, our study demonstrated that improvement of food security for individuals may have profound ripple effects on surrounding communities.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 5","pages":"1580 - 1589"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490505","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

Feasibility and Acceptability of the Sense2Quit App for Improving Smoking Cessation in PWH Sense2Quit应用程序改善PWH患者戒烟的可行性和可接受性

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-25 DOI: 10.1007/s10461-025-04659-1

Rebecca Schnall, Ming-Chun Huang, Maeve Brin, Patricia A. Cioe, Jianfang Liu, Anargya Das, Sydney Fontalvo, Wenyao Xu

{"title":"Feasibility and Acceptability of the Sense2Quit App for Improving Smoking Cessation in PWH","authors":"Rebecca Schnall, Ming-Chun Huang, Maeve Brin, Patricia A. Cioe, Jianfang Liu, Anargya Das, Sydney Fontalvo, Wenyao Xu","doi":"10.1007/s10461-025-04659-1","DOIUrl":"10.1007/s10461-025-04659-1","url":null,"abstract":"<div><p>An estimated 34-47% of PWH in the US report cigarette smoking, three to four times the prevalence observed in the U.S. adult population. Given the dearth of smoking cessation interventions for PWH, our study team used community based participatory feedback to design and develop the Sense2Quit App, an mHealth app linked to a smartwatch, whose sensor technology provides for collection of hand gesture movements to detect when a participant lifts their hand to smoke a cigarette. Participants receive messages through the app to encourage their quit attempts and maintenance of smoking cessation. The goal of this feasibility study was to conduct a randomized feasibility study in 60 PWH living in NYC to assess the feasibility and acceptability of the Sense2Quit App for smoking cessation. Findings from this study suggest that the intervention was highly feasible and acceptable in this population. There was high acceptability with only 1 participant withdrawing from the trial and overall app usage increasing over the course of the study. Participants wore the sensor and used the app and rated it as highly usable. The high retention rate and engagement with the app supports the overall acceptability of this approach. ClinicalTrials.gov Identifier: NCT05609032.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 6","pages":"1920 - 1929"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497949","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

Posttraumatic Stress Symptoms and HIV Risk-Related Behaviors among Young Sexual and Gender Minorities Assigned Male at Birth: the Moderating Effects of Teenage Childhood Sexual Abuse 性和性别少数群体出生时被指定为男性的创伤后应激症状和艾滋病毒风险相关行为：青少年儿童期性虐待的调节作用

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-25 DOI: 10.1007/s10461-025-04661-7

Anthony E. Hitch, Emils Sietins, Brian Mustanski, Michael E. Newcomb

{"title":"Posttraumatic Stress Symptoms and HIV Risk-Related Behaviors among Young Sexual and Gender Minorities Assigned Male at Birth: the Moderating Effects of Teenage Childhood Sexual Abuse","authors":"Anthony E. Hitch, Emils Sietins, Brian Mustanski, Michael E. Newcomb","doi":"10.1007/s10461-025-04661-7","DOIUrl":"10.1007/s10461-025-04661-7","url":null,"abstract":"<div><p>Young sexual and gender minorities assigned male at birth (SGM-AMAB) experience significant sexual health disparities. Teenage childhood sexual abuse (CSA) may have lasting effects on adulthood trauma response, including engagement in HIV-related risk behaviors (HRB). This study examined the moderating effects of teenage CSA on the longitudinal associations between posttraumatic symptom clusters and HRB among young SGM-AMAB. The analytic sample comprised SGM-AMAB (<i>N</i> = 487) living in the Chicago metropolitan area, aged 17–32 (<i>M</i> = 24.78) enrolled in the RADAR longitudinal cohort study. Structural equation models (SEM) using Bayes estimation with 10,000 iterations were estimated to examine the moderating effects of any CSA exposure and severity indices (e.g., touching, penetration) on the associations between posttraumatic symptom clusters at Time 1 (T1) and HRB at Time 2 (T2) 6-month follow-up. Model fit was acceptable, χ<sup>2</sup> (<i>df</i> = 164) = 450.15, <i>p</i> <.001, RMSEA = 0.06, SRMR = 0.04, CFI = 0.93, TLI = 0.92. Avoidance at T1 predicted fewer condomless sex partners at T2 across CSA models. We observed 15 interaction effects across CSA models and outcomes. The moderating effects of both any CSA (β = 0.20, 95% CI = 0.02 − 0.38) and penetration CSA (β = 0.34, 95% CI = 0.14 − 0.55) changed the direction of the direct effect of avoidance on condomless sex partners, such that avoidance symptoms predicted more condomless sex partners among those with these CSA histories. This study observed patterns of association by posttraumatic symptom cluster, CSA index, and HRB outcome. Future directions and clinical implications are discussed.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 6","pages":"1944 - 1961"},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490397","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

Impact of Sexual Orientation Disclosure to Parents on Sexual Risk Behaviors and HIV Infection in Chinese Gay Men: A 15-Year Longitudinal Case–Control Study 向父母披露性取向对中国男同性恋者性危险行为和HIV感染的影响：一项15年的纵向病例对照研究

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-02-22 DOI: 10.1007/s10461-025-04665-3

Yong Yu, Zheng Ren, Shishi Tang

{"title":"Impact of Sexual Orientation Disclosure to Parents on Sexual Risk Behaviors and HIV Infection in Chinese Gay Men: A 15-Year Longitudinal Case–Control Study","authors":"Yong Yu, Zheng Ren, Shishi Tang","doi":"10.1007/s10461-025-04665-3","DOIUrl":"10.1007/s10461-025-04665-3","url":null,"abstract":"<div><p>Sexual orientation disclosure has been shown to be associated with sexual risk behaviors (SRBs) and HIV infection among gay men. However, most previous studies are based on a cross-sectional design without a control group and do not distinguish between the subjects of disclosure. This study aimed to explore the impact of sexual orientation disclosure to parents on SRBs and HIV infection over 15 years. We conducted a longitudinal case–control study with 648 gay men who disclosed their sexual orientation to their parents and 648 who did not, all from Changsha, China. Data were collected at baseline in 2009 and at follow-up in 2024, focusing on five types of SRBs and HIV infection status. Generalized linear models were used to assess the impact of disclosure at baseline on SRBs and HIV infection at follow-up. The results showed that the disclosure group was less likely to have SRBs, including CAS (Risk Ratio [RR]: 0.61, 95% Confidence Interval [CI] 0.51–0.73), multiple concurrent sexual partners (RR: 0.74, 95% CI 0.62–0.88), group sex (RR: 0.64, 95% CI 0.51–0.81), chemsex (RR: 0.71, 95% CI 0.52–0.96), and commercial sex (RR: 0.54, 95% CI 0.42–0.70). They were also less likely to be infected with HIV (RR: 0.78, 95% CI 0.64–0.94). The study underscores the importance of sexual orientation disclosure in reducing the risk of SRBs and HIV infection among gay men, with significant implications for informing future public health policies and interventions for HIV prevention.</p></div>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":"29 6","pages":"1995 - 2002"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476011","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