AIDS and Behavior最新文献_第3页

The Impact of Donor Funding Disruptions Across the Paediatric HIV Care Cascade in Sub-Saharan Africa (2005-2025): A Scoping Review. 捐助者资金中断对撒哈拉以南非洲（2005-2025）儿科艾滋病毒护理级联的影响：范围审查。

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-27 DOI: 10.1007/s10461-026-05320-1

Violet Bosire, Jepchirchir Kiplagat, Lilian Muchai, Sara Jewett

{"title":"The Impact of Donor Funding Disruptions Across the Paediatric HIV Care Cascade in Sub-Saharan Africa (2005-2025): A Scoping Review.","authors":"Violet Bosire, Jepchirchir Kiplagat, Lilian Muchai, Sara Jewett","doi":"10.1007/s10461-026-05320-1","DOIUrl":"https://doi.org/10.1007/s10461-026-05320-1","url":null,"abstract":"Paediatric HIV outcomes in sub-Saharan Africa (SSA) have significantly improved over the past two decades, largely due to donor-funded programmes that promote early infant diagnosis (EID), antiretroviral therapy (ART), and community-based service delivery. Despite these achievements, many countries in the region remain highly dependent on external donor financing, raising concerns about the sustainability of paediatric HIV services during periods of funding uncertainty. This scoping review examined how donor funding disruptions impact paediatric HIV service continuity in SSA and their system-level consequences for children. This review included studies published between January 2005 and November 2025. Following the PRISMA-ScR guidelines, studies were analysed using descriptive statistics and narrative synthesis with findings organised across the paediatric HIV care cascade. Across nine studies, donor transitions, especially those related to PEPFAR, were linked to workforce reductions, supply chain disruptions, and the elimination of community-based outreach programmes. These changes contributed to delays in EID, weakened linkage to care, disruptions in ART initiation, and decline in retention. These effects occurred through interconnected health-system pathways rather than isolated programme failures. Overall, the results show that paediatric HIV services remain highly dependent on donor-supported systems, with limited transition preparedness. Transition frameworks should prioritise paediatric service continuity, strengthen health-system resilience, and align financing responsibilities between donors and governments to reduce preventable child morbidity and mortality.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149056912","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

No Risk, Severe Consequence: Hepatitis C Criminalization in Indiana Involves Only Non-Transmissible Exposures. 无风险，严重后果：印第安纳州丙型肝炎定罪只涉及非传染性接触。

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-25 DOI: 10.1007/s10461-026-05312-1

Carrie Foote, Phoenix Schlebecker, Jordan Grasso, Courtney Harris, Nathan Cisneros

引用次数: 0

Barriers and Facilitators to Equitable Implementation of Long-Acting Injectable PrEP for Racial, Gender and Sexual Minority Populations in NYC: The EquiPrEP Study. 纽约市种族、性别和性少数群体公平实施长效注射PrEP的障碍和促进因素：EquiPrEP研究

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-24 DOI: 10.1007/s10461-026-05304-1

Ofole Mgbako, Emma Kaplan-Lewis, Eunice Casey, Maya Mishra, Ellie Goldfarb, Brandi Moore, Farzana Kapadia, Maria Khan, Sahnah Lim, Jason Felder, Judith Ratcliffe, Eishelle H Tillery, Sharen Duke, Gustavo A Morales Correa, Emily Goldberg-Hall, Robert Pitts

{"title":"Barriers and Facilitators to Equitable Implementation of Long-Acting Injectable PrEP for Racial, Gender and Sexual Minority Populations in NYC: The EquiPrEP Study.","authors":"Ofole Mgbako, Emma Kaplan-Lewis, Eunice Casey, Maya Mishra, Ellie Goldfarb, Brandi Moore, Farzana Kapadia, Maria Khan, Sahnah Lim, Jason Felder, Judith Ratcliffe, Eishelle H Tillery, Sharen Duke, Gustavo A Morales Correa, Emily Goldberg-Hall, Robert Pitts","doi":"10.1007/s10461-026-05304-1","DOIUrl":"https://doi.org/10.1007/s10461-026-05304-1","url":null,"abstract":"Long-acting injectable cabotegravir (LAI-CAB) is a novel HIV pre-exposure prophylaxis (PrEP) modality found to significantly lower HIV risk in key populations. EquiPrEP was an observational implementation science study to examine multilevel barriers and facilitators to LAI-CAB implementation among Black and/or Latine MSM, Black and/or Latine cisgender women, and transgender and nonbinary persons. This study took place at the Pride Health Center (PHC) at NYC Health+Hospitals (H+H)/Bellevue in New York City (February 2023-February 2025). Sociodemographic and health related social needs screening data were collected from EquiPrEP participants via a survey. We conducted in-depth interviews with study participants (N=26) and implementers (N=25) guided by The Consolidated Framework for Implementation Research 2.0. Descriptive statistics were used to assess sociodemographics for all EquiPrEP participants versus those recruited for in-depth interviews. Qualitative data was analyzed using thematic content analysis. Comparing all EquiPrEP participants (N=129) with the subgroup (N=26), the subgroup was older, with more Black cisgender MSM, and transgender women, a higher percentage ever on oral PrEP, and referred from an external clinic. Facilitators included open communication among staff, a patient-centered culture of care delivery and the EquiPrEP Navigator. Barriers included distance to clinical services, financial issues and insurance access. EquiPrEP is one of the first LAI-CAB implementation studies for HIV prevention to center equitable access for communities with the highest burden of HIV and elucidate implementation determinants to LAI-CAB. Findings may inform future implementation strategies seeking to incorporate equity as part of LAI-PrEP care.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036109","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

Development of a Self-administered Sexual Behavior Assessment Tool to Facilitate Self-reflection by Young Women in South Africa About HIV/STI Risk. 开发自我管理的性行为评估工具，以促进南非年轻妇女对艾滋病毒/性传播感染风险的自我反思。

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-23 DOI: 10.1007/s10461-026-05294-0

Krishnaveni Reddy, Jiaying Hao, Merusha Govindasami, Nomasonto Matswake, Busisiwe Jiane, Lindsay Kew, Nkosiphile Ndlovu, Reginah Stuurman, Hlengiwe Mposula, Renee Heffron, Thesla Palanee-Phillips, Jennifer Velloza

{"title":"Development of a Self-administered Sexual Behavior Assessment Tool to Facilitate Self-reflection by Young Women in South Africa About HIV/STI Risk.","authors":"Krishnaveni Reddy, Jiaying Hao, Merusha Govindasami, Nomasonto Matswake, Busisiwe Jiane, Lindsay Kew, Nkosiphile Ndlovu, Reginah Stuurman, Hlengiwe Mposula, Renee Heffron, Thesla Palanee-Phillips, Jennifer Velloza","doi":"10.1007/s10461-026-05294-0","DOIUrl":"https://doi.org/10.1007/s10461-026-05294-0","url":null,"abstract":"Self-assessment of sexual behavior may empower adolescent girls and young women (AGYW) to reflect on HIV/STI risk and adopt prevention strategies. We developed a web-based sexual behavior self-assessment tool providing real-time feedback based on a numeric score and examined associations of scores with STI detection and HIV pre-exposure prophylaxis (PrEP) initiation among AGYW in South Africa. The tool was implemented as part of PALESA, a pilot randomized trial which followed up 55 sexually-active AGYW (16-20 years) for six months in Johannesburg between June 2023 and May 2024. Participants received monthly links to the tool, monthly oral PrEP offering and quarterly chlamydia, gonorrhea, and trichomoniasis testing. Multivariable generalized linear mixed-effects models and survival models assessed associations between participants' scores and STI detection and PrEP restart; interrupted time series analysis examined score changes around PrEP initiation. Tool completion rate was high (94.8%). Frequently reported items included older partners (38.4%), vaginal STI symptoms (26.3%), new sexual relationships (20.0%), multiple partners (18.9%) and partner distrust about STI symptom experiences (17%). Higher scores were associated with increased odds of STI detection (adjusted odds ratio: 2.61, 95% CI: 1.46-4.68) but not significantly with PrEP initiation (adjusted hazard ratio: 1.43, 95% CI: 0.56-3.63). Among participants who restarted PrEP, scores decreased by 0.47 points per month before PrEP restart (p = 0.002) and remained stable afterward (p = 0.39). Our findings demonstrate this tool as feasible to implement among AGYW with potential to support self-reflection and awareness of HIV/STI risk. Larger studies are warranted to fully evaluate its utility.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029696","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

Network Characteristics of Social Support Sources for People Living with HIV Under Community Follow-Up: A Social Network Analysis in Luzhou, China. 社区追踪下艾滋病感染者社会支持来源的网络特征——泸州市社会网络分析

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-21 DOI: 10.1007/s10461-026-05299-9

Xiaoxue Chen, Jiename Lang, Jingbo Zhang, Run Chen, Jinyu Chen, Rui Miao, Bingyang Wan, Lingxi He, Biao Yu, Zhiwen Pi, Ailing Li, Song Fan

{"title":"Network Characteristics of Social Support Sources for People Living with HIV Under Community Follow-Up: A Social Network Analysis in Luzhou, China.","authors":"Xiaoxue Chen, Jiename Lang, Jingbo Zhang, Run Chen, Jinyu Chen, Rui Miao, Bingyang Wan, Lingxi He, Biao Yu, Zhiwen Pi, Ailing Li, Song Fan","doi":"10.1007/s10461-026-05299-9","DOIUrl":"https://doi.org/10.1007/s10461-026-05299-9","url":null,"abstract":"For people living with HIV (PLWH), the configuration of social support networks may shape access to support, yet the structural position of support sources remains poorly understood. We conducted a cross-sectional study among 446 PLWH receiving community follow-up in Luzhou, China, from March to May 2023. A two-mode network (participants × 10 support-source categories) was analyzed in UCINET to describe support-source degree and core-periphery structure. Community Health Service Centers, hospitals, and family members occupied core positions. Overall support scores differed by gender (female vs male: t = -2.66, p = .008), age (≥ 50 vs <50 years: t = -6.79, p < .001), and transmission route (heterosexual vs homosexual: t = 6.25, p < .001). Overall, 52.47% of participants were classified as core actors. The proportion was 46.88% in the combined homosexual-transmission and other-routes group and 44.53% among young/middle-aged men. These findings describe how support sources are positioned within the community follow-up setting and may inform efforts to connect PLWH with fewer core-source ties to available services.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015250","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 and Correlates of Non-Alcoholic Beverage Consumption Among People Living with HIV: A Potential Alcohol Reduction Strategy. 艾滋病毒感染者非酒精饮料消费的流行及其相关因素：一种潜在的减少酒精的策略。

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-21 DOI: 10.1007/s10461-026-05303-2

Jacob Bleasdale, Eric W Schrimshaw, Lori Bilello, Jenn Kuretski, Maya Widmeyer, Robert L Cook, Drew A Westmoreland

{"title":"Prevalence and Correlates of Non-Alcoholic Beverage Consumption Among People Living with HIV: A Potential Alcohol Reduction Strategy.","authors":"Jacob Bleasdale, Eric W Schrimshaw, Lori Bilello, Jenn Kuretski, Maya Widmeyer, Robert L Cook, Drew A Westmoreland","doi":"10.1007/s10461-026-05303-2","DOIUrl":"10.1007/s10461-026-05303-2","url":null,"abstract":"Unhealthy alcohol use is prevalent among people living with HIV (PLH) and is associated with worse HIV care outcomes. Non-alcoholic beverages (NABs; beer, wine, or spirits containing 0.0% to 0.5% alcohol by volume) may represent a novel alcohol reduction strategy; however, the prevalence and correlates of NAB use among PLH remain unexamined. This study utilized baseline data from the Florida Cohort Study (N = 589; June 2024-October 2025). Self-report measures assessed past 12-month NAB consumption and likelihood of future NAB use. Multivariable logistic regression models examined sociodemographic and health-related correlates of past-year NAB consumption and future use. Overall, 26.83% of participants consumed NABs in the past 12 months; 18.34% were likely or extremely likely to use NABs in the future. In multivariable analyses, higher odds of past-year NAB consumption were associated with identifying as Non-Hispanic Black (AOR = 3.10, 95% CI: 1.77-5.42 vs. Non-Hispanic White) or Latine (AOR = 2.57, 95% CI: 1.36-4.86 vs. Non-Hispanic White), lesbian, gay, bisexual, or queer (AOR = 1.74, 95% CI: 1.14-2.64 vs. straight/heterosexual), and moderate/high risk of alcohol use disorder (AUD) (AOR = 2.43, 95% CI: 1.39-4.23 vs. no/low risk). Similar patterns were observed for future likelihood to use NABs. Approximately one-quarter of PLH reported past 12-month NAB consumption, although relatively fewer expressed interest in future use. NABs may represent a promising, yet underutilized, alcohol reduction strategy for PLH; however, additional research is needed to understand motivations, contexts of use, and impacts on alcohol-related and HIV outcomes.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015237","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

Pre-exposure Prophylaxis Outcomes from a Multilevel Cluster-Randomized Trial Among Adolescent Girls and Young Women in Tshwane, South Africa. 在南非Tshwane的青春期女孩和年轻妇女中进行的多水平集群随机试验的暴露前预防结果

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-21 DOI: 10.1007/s10461-026-05262-8

Courtney Peasant Bonner, Alexandra M Minnis, Felicia A Browne, Ilene S Speizer, Laura Nyblade, Jacqueline W Ndirangu, Tracy L Kline, Ayanna Smith, Khatija Ahmed, Wendee M Wechsberg

{"title":"Pre-exposure Prophylaxis Outcomes from a Multilevel Cluster-Randomized Trial Among Adolescent Girls and Young Women in Tshwane, South Africa.","authors":"Courtney Peasant Bonner, Alexandra M Minnis, Felicia A Browne, Ilene S Speizer, Laura Nyblade, Jacqueline W Ndirangu, Tracy L Kline, Ayanna Smith, Khatija Ahmed, Wendee M Wechsberg","doi":"10.1007/s10461-026-05262-8","DOIUrl":"https://doi.org/10.1007/s10461-026-05262-8","url":null,"abstract":"Pre-exposure prophylaxis (PrEP) effectively reduces HIV incidence among South African adolescent girls and young women (AGYW), but barriers to access and sustained use remain. We evaluated the effects of a clinic-level stigma and discrimination (S&D) training and the Young Women's Health CoOp (YWHC) intervention on oral PrEP outcomes among AGYW aged 16-24 years (N = 802) in Tshwane (Pretoria), South Africa. Using a modified 2 × 2 factorial cluster-randomized trial, 12 clinics and their catchment areas were assigned to one of four study arms based on receipt of S&D training for clinic staff and delivery of the YWHC intervention to AGYW. Outcomes included PrEP readiness (self-report), uptake (medical records), adherence, and persistence (dried blood spots), measured at baseline and 3-, 6-, and 9-month follow-up. Multilevel modeling showed that PrEP readiness scores were higher at follow-up among AGYW in the control arm than among those in intervention arms (p < 0.05). Differences in PrEP uptake were not statistically significant (p = 0.11), although they were clinically meaningful. AGYW attending clinics that received S&D training were more than twice as likely to initiate oral PrEP as participants in the control arm. AGYW who received the YWHC intervention were more likely to adhere to oral PrEP than those in the control arm (p ≤ 0.05). Participants in all intervention arms were also more likely to persist with PrEP use over time than controls (p < 0.05). These findings suggest that clinic- and individual-level interventions can optimize PrEP initiation, adherence, and persistence among AGYW.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015304","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

Disentangling Between- and Within-Person Effects of HIV PrEP and Treatment Attitudes on Condom Use and Bacterial STIs Among Sexual Minority Men. 在性少数男性中，HIV PrEP的个人和个人影响以及对避孕套使用和细菌性传播感染的治疗态度。

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-18 DOI: 10.1007/s10461-026-05301-4

Trevor A Hart, Paolo A Palma, Yangqing Deng, Syed W Noor, David Moore, Terri Zhang, Daniel Grace, Nathan J Lachowsky, Joseph Cox, Shayna Skakoon-Sparling, Aki Gormezano, Milada Dvorakova, Allan Lal, Jody Jollimore, Darrell H S Tan

{"title":"Disentangling Between- and Within-Person Effects of HIV PrEP and Treatment Attitudes on Condom Use and Bacterial STIs Among Sexual Minority Men.","authors":"Trevor A Hart, Paolo A Palma, Yangqing Deng, Syed W Noor, David Moore, Terri Zhang, Daniel Grace, Nathan J Lachowsky, Joseph Cox, Shayna Skakoon-Sparling, Aki Gormezano, Milada Dvorakova, Allan Lal, Jody Jollimore, Darrell H S Tan","doi":"10.1007/s10461-026-05301-4","DOIUrl":"https://doi.org/10.1007/s10461-026-05301-4","url":null,"abstract":"HIV treatment attitudes and HIV PrEP are associated with sexual behavior that elevates the risk for bacterial STIs (B-STIs) among gay, bisexual and other men who have sex with men (GBM). Using a longitudinal multi-site study (Engage Cohort Study, 2017-2024), we modelled direct and indirect within- and between-person effects of HIV treatment attitudes and PrEP use on condomless anal sex (CAS) and incident B-STIs among 1863 HIV-negative GBM. We modelled up to four years of follow-up visits using multi-level mediation analysis, with CAS as a mediating variable between HIV treatment attitudes and PrEP use on incident B-STIs. We found direct within-person effects of HIV treatment attitudes and PrEP use on incident B-STIs, such that participants were more likely to report incident B-STIs at time points if they reported using PrEP and being more optimistic about HIV treatments; there were no indirect within-person effects through CAS. In contrast, we found both direct and indirect between-person effects. Specifically, participants who reported more PrEP use or who were more optimistic about HIV treatments over the course of the study were more likely to report incident B-STIs. Further, these effects were partially mediated by CAS. Given that we found within-person PrEP use is associated with increased CAS and STIs, and the general increase in adoption of PrEP over time, there is a need to expand biomedical intervention programs for B-STIs prophylaxis by integrating them with social and informational interventions about B-STIs risks, especially for GBM who use HIV PrEP.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001154","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

Promoting HIV-Testing Amongst Gay, Bisexual and Other Men who have Sex with Men in Amsterdam: Systematic Co-creation and Pilot Testing of a Novel Web-Based Intervention. 在阿姆斯特丹的同性恋、双性恋和其他男男性行为者中促进艾滋病毒检测：一种新型网络干预的系统共同创造和试点测试。

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-15 DOI: 10.1007/s10461-026-05305-0

Muhammad Sharjeel, Nina Schat, Udi Davidovich, Godelieve de Bree, John de Wit

引用次数: 0

Racial/Ethnic Disparity Among Persons Newly Diagnosed with HIV in New York State. 纽约州新诊断艾滋病毒感染者的种族/民族差异

IF 2.5 2区医学

AIDS and Behavior Pub Date : 2026-09-11 DOI: 10.1007/s10461-026-05283-3

Katherine M Tote, Randall Collura, Wendy Patterson

引用次数: 0