AIDS and Behavior最新文献_第5页

The Implementation and Costs To Deliver a youth-friendly multi-component Program Addressing Stigma, HIV, and Linkage To Care for Adolescent Girls and Young Women in Lusaka, Zambia. 在赞比亚卢萨卡，实施一项青年友好型多组成部分项目，解决歧视、艾滋病毒问题，并与照顾少女和年轻妇女的联系。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-03-20 DOI: 10.1007/s10461-025-04682-2

Natalie A Blackburn, Suzannah L Scanlon, Jenny Beizer, Nachela Chelwa, Laura Nyblade, Sarah T Roberts, Lyson Phiri, Drosin Mulenga, Michael Mbizvo, Sujha Subramanian

{"title":"The Implementation and Costs To Deliver a youth-friendly multi-component Program Addressing Stigma, HIV, and Linkage To Care for Adolescent Girls and Young Women in Lusaka, Zambia.","authors":"Natalie A Blackburn, Suzannah L Scanlon, Jenny Beizer, Nachela Chelwa, Laura Nyblade, Sarah T Roberts, Lyson Phiri, Drosin Mulenga, Michael Mbizvo, Sujha Subramanian","doi":"10.1007/s10461-025-04682-2","DOIUrl":"10.1007/s10461-025-04682-2","url":null,"abstract":"Community-centered HIV prevention is most effective among adolescent girls and young women (AGYW) when integrated with youth-friendly health care services; yet gaps in the literature remain about the costs and the processes of these services. We describe the implementation and costs of two intervention components: (1) the Support for HIV Integrated Education, Linkages to care, and Destigmatization (SHIELD) program, which includes a monthly group session for AGYW with content on social support, stigma, and self-efficacy in health care seeking-behaviors; and (2) the Integrated Wellness Care (IWC) clinic that provided HIV testing along with other sexual and reproductive health services in a youth-friendly clinical setting. Data (e.g., youth club attendance, daily time reporting) come from a cluster randomized trial (ClinicalTrials.gov NCT03995953) conducted in four communities in Lusaka, Zambia. The economic cost of the SHIELD component per client was approximately twice that of the IWC component per client; the greatest costs for SHIELD included participant follow-up (scheduling and session reminders). Those receiving only the SHIELD component attended an average of 7.4 group sessions and those receiving both SHIELD and IWC components attended an average of 6.6 group sessions. Understanding the processes for implementation and delivery costs of behavioral interventions integrated with existing health care models is needed to inform scale-up and adaptation, particularly for policymakers who require understanding intervention costs to make such decisions. By capturing labor and efforts to navigate clients into care we better understand the full cost of sustaining health programs and long-term health care needs of populations.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":"2179-2188"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668782","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

Drug Addiction in Gay and Bisexual Men Living with HIV Engaged in Sexualized Drug Use: Recent Drug Use, Polydrug and Depressive Symptoms as Predictors. 男同性恋和双性恋艾滋病毒感染者参与性药物使用的药物成瘾：近期药物使用，多种药物和抑郁症状作为预测因素

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-04-05 DOI: 10.1007/s10461-025-04695-x

Mar J F Ollero, Pablo Ryan, Helen Dolengevich-Segal, Joanna Cano-Smith, Luis Ramos-Ruperto, Alfonso Cabello, Matilde Sanchez-Conde, Noemí Cabello, Jose Sanz, Lucio Jesus García-Fraile, Leire Perez-Latorre, Otilia Bisbal, Sara De La Fuente, Juan Emilio Losa, Alicia González-Baeza

{"title":"Drug Addiction in Gay and Bisexual Men Living with HIV Engaged in Sexualized Drug Use: Recent Drug Use, Polydrug and Depressive Symptoms as Predictors.","authors":"Mar J F Ollero, Pablo Ryan, Helen Dolengevich-Segal, Joanna Cano-Smith, Luis Ramos-Ruperto, Alfonso Cabello, Matilde Sanchez-Conde, Noemí Cabello, Jose Sanz, Lucio Jesus García-Fraile, Leire Perez-Latorre, Otilia Bisbal, Sara De La Fuente, Juan Emilio Losa, Alicia González-Baeza","doi":"10.1007/s10461-025-04695-x","DOIUrl":"10.1007/s10461-025-04695-x","url":null,"abstract":"Evidence shows that engaging in sexualized drug use (SDU) can be associated with sexual health problems and poor mental health. However, the prevalence of drug-related problems associated with SDU remains unclear. Our study aimed to examine the prevalence and associated factors of drug-related problems and drug dependence in a sample of gay, bisexual, and other men who have sex with men living with HIV (HIV + GBMSM). We included 101 HIV + GBMSM who had engaged in SDU in the last year. Participants completed an online survey featuring a validated questionnaire (the DUDIT test) to assess the risk of drug-related problems and drug dependence. Univariate and multivariate analyses were conducted to explore variables associated with drug-related problems. 80% of our sample had symptoms suggestive of drug-related problems, with 5% showing likely drug dependence. Additionally, 10% had suffered an overdose with loss of consciousness, 9% experienced suicidal thoughts associated with SDU, and approximately 20% had sexual difficulties during sober sex since using drugs for sex. Multivariate analysis identified that recent drug use (less than 15 days prior), polydrug use, and depressive symptoms are independent predictors of drug-related problems. Our study revealed a high prevalence of drug-related problems among HIV + GBMSM engaged in SDU. The factors associated with drug-related problems identified in our study can serve as key markers in clinical settings where HIV + GBMSM receive care. These indicators can help detect community members most at risk and facilitate the provision of resources and interventions to prevent SDU-related harm.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":"2324-2335"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787492","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

Barriers to Retention in Care among Adults with HIV in Developed Countries: An Integrative Review. 发达国家成人艾滋病毒感染者继续接受治疗的障碍：一项综合综述。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-04-05 DOI: 10.1007/s10461-025-04685-z

Tea Nynne Sanders, Anna Katrine Haslund Roed, Malene Missel, Selina Kikkenborg Berg, Susanne Dam Nielsen, Mette Linnet Olesen, Ole Kirk

{"title":"Barriers to Retention in Care among Adults with HIV in Developed Countries: An Integrative Review.","authors":"Tea Nynne Sanders, Anna Katrine Haslund Roed, Malene Missel, Selina Kikkenborg Berg, Susanne Dam Nielsen, Mette Linnet Olesen, Ole Kirk","doi":"10.1007/s10461-025-04685-z","DOIUrl":"10.1007/s10461-025-04685-z","url":null,"abstract":"Focusing on factors hindering viral suppression is essential for improving the health outcomes of people with Human Immunodeficiency Virus (HIV) and working towards ending the HIV/AIDS epidemic. The aim of this integrative review is to create an overview of barriers to retention in care among adults with HIV living in developed countries. Based on a systematic literature search across EMBASE, PubMed, Scopus, CINAHL, and PsycInfo, 4,089 studies of various methodology were identified. A total of 52 studies met the inclusion criteria. Quality assessment was performed using the Mixed Method Appraisal Tool. Based on thematic analysis, the following five main themes were identified as most common barriers to retention in care: financial challenges, logistical challenges, stigma, mental health problems, and substance use. The integrative review highlights that various factors can hinder retention in care and underscores that strategies to promote retention in care should be person-centered and targeted the individual person's barriers to retention in care.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":"2205-2225"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787688","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

Non-disclosure of Known HIV Status among People Living with HIV in the Mozambique Population-Based HIV Impact Assessment (INSIDA 2021). 在莫桑比克基于人口的艾滋病毒影响评估中，艾滋病毒感染者不披露已知的艾滋病毒状况（INSIDA 2021）。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-04-10 DOI: 10.1007/s10461-025-04699-7

K Carter McCabe, Angelo Augusto, Olivier Koole, Stephen D McCracken, Orrin Tiberi, Makini Boothe, Isabel Sathane, Nely Honwana, Jordan McOwen, Peter W Young

{"title":"Non-disclosure of Known HIV Status among People Living with HIV in the Mozambique Population-Based HIV Impact Assessment (INSIDA 2021).","authors":"K Carter McCabe, Angelo Augusto, Olivier Koole, Stephen D McCracken, Orrin Tiberi, Makini Boothe, Isabel Sathane, Nely Honwana, Jordan McOwen, Peter W Young","doi":"10.1007/s10461-025-04699-7","DOIUrl":"10.1007/s10461-025-04699-7","url":null,"abstract":"Non-disclosure of known HIV-positive status is a barrier to ending HIV as a global health threat as it leads to biased measurements of HIV-treatment coverage indicators and inaccurate estimates of epidemic progress, resulting in wasted resources. Identifying and understanding factors driving non-disclosure among people living with HIV is necessary for encouraging engagement with HIV services and improving treatment coverage, resource allocation, and monitoring of HIV programs in high HIV-burden areas. This analysis assessed factors associated with non-disclosure among survey respondents who had antiretrovirals (ARVs) detected in blood specimens. HIV-positive blood specimens (n = 2,038) from the 2021 Mozambique Population-based HIV Impact Assessment were tested for the presence of ARVs. Weighted prevalence estimates of non-disclosure and select covariates are reported and factors associated with non-disclosure modeled via multivariate logistic regression. Among 1,358 respondents with ARVs detected, 14.1% did not self-report their HIV-positive status during the interview. Adjusting for socio-demographic and clinical factors, non-disclosure was more likely among younger participants aged 15-24 years (adjusted odds ratio [aOR]: 2.15, 95% Confidence Interval [CI] 1.16-4.01) and among those without knowledge of their recent sexual partner's HIV-status (aOR: 2.67, 95%CI: 1.38-5.15). Participants with an unsuppressed viral load were over six times (aOR: 6.27, 95%CI: 2.76-14.23) more likely to not disclose. Improving disclosure rates is vital to obtaining accurate HIV-treatment estimates and assessing epidemic progress. Initiatives prioritizing pre- and post-test counseling, stressing treatment literacy, emphasizing undetectable = untransmittable (U = U) campaigns, and encouraging programs that promote social support may encourage disclosure among individuals living with HIV.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":"2054-2065"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966203","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

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 : 2025-07-01 Epub 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

Rapid Diffusion of Awareness and Uptake of Doxy-PEP among Men who Have Sex with Men in San Francisco. 旧金山男男性行为者对Doxy-PEP的认识和吸收迅速扩散。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1007/s10461-025-04728-5

Antonio A M Moscatelli, Paloma L Ramirez, Bow Suprasert, Moranda Tate, Stephanie E Cohen, Maria Amelia S M Veras, Glenda Baguso, Erin C Wilson, Willi McFarland

引用次数: 0

Undermining America's HIV Prevention Capacity: Wrong and Dangerous. 削弱美国的艾滋病预防能力：错误和危险。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-05-30 DOI: 10.1007/s10461-025-04770-3

Ronald O Valdiserri

引用次数: 0

Interventions and Strategies to Increase Cervical Cancer Screening, Treatment, and Retention in Care among Persons with HIV in Low- and Middle-Income Countries: A Systematic Review. 在低收入和中等收入国家增加艾滋病毒感染者宫颈癌筛查、治疗和保留护理的干预措施和策略：一项系统综述。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-03-07 DOI: 10.1007/s10461-025-04678-y

Riya Mittal, Katherine E Kabel, Madison R Fertig, Jane H Lee, Nzwakie Mosery, Jennifer N Githaiga, Jenni Smit, Christina Psaros, Amelia M Stanton

{"title":"Interventions and Strategies to Increase Cervical Cancer Screening, Treatment, and Retention in Care among Persons with HIV in Low- and Middle-Income Countries: A Systematic Review.","authors":"Riya Mittal, Katherine E Kabel, Madison R Fertig, Jane H Lee, Nzwakie Mosery, Jennifer N Githaiga, Jenni Smit, Christina Psaros, Amelia M Stanton","doi":"10.1007/s10461-025-04678-y","DOIUrl":"10.1007/s10461-025-04678-y","url":null,"abstract":"Cervical cancer (CC) and HIV pose two major public health challenges, with low and middle-income countries (LMICs) exhibiting the highest disease burden and mortality rate for both HIV and CC-related deaths worldwide. Populations with HIV in LMICs are six times more likely to develop CC compared to the general population. Further, CC is the most frequently detected cancer and leading cause of death among women with HIV (WWH). This systematic review synthesized the literature and identified key elements of interventions to increase CC awareness, screening, treatment, and retention in care among persons with HIV in LMICs. Four databases were searched for peer reviewed articles in the last 10 years that described and assessed the effectiveness of these interventions, and 10 articles were identified and reviewed. Interventions that included community/spiritual leaders, trained non-physician medical providers, used pre-existing facilities (e.g. HIV, family planning, reproductive health), integrated \"screen and treat\" approaches, and used visual inspection methods (VIA/VILI; excluding Pap smears) were associated with higher rates of CC awareness, screening, engagement in subsequent treatment, and overall retention in care. Most studies focused on increasing awareness, screening, and engagement in care, demonstrating the need for interventions that are also designed to increase retention in the CC continuum of care among WWH. Additionally, few interventions had long follow-up periods, which should be included to effectively track sustained retention in care.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":"2144-2157"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584336","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

Impact of DEI on HIV Research. DEI对HIV研究的影响。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1007/s10461-025-04715-w

David M Stoff

引用次数: 0

A Rapid Review of HIV-Related Stigma-Reduction Randomized Controlled Trials. 艾滋病相关的减少耻辱的随机对照试验的快速回顾。

IF 2.7 2区医学

AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-04-05 DOI: 10.1007/s10461-025-04673-3

Paul C J Berthe, Yanis Ben Amor

{"title":"A Rapid Review of HIV-Related Stigma-Reduction Randomized Controlled Trials.","authors":"Paul C J Berthe, Yanis Ben Amor","doi":"10.1007/s10461-025-04673-3","DOIUrl":"10.1007/s10461-025-04673-3","url":null,"abstract":"We conducted a rapid review to identify and describe randomized controlled trials (RCTs) aimed at reducing HIV-related stigma. Using a rapid review design in accordance with PRISMA guidelines, we searched five major databases (PubMed, PsycINFO, OVID/Medline, EMBASE, and Scopus) from July 1981 to June 2023, and analyzed 27 studies from an initial pool of 2,383 articles. Our analysis revealed three primary intervention strategies: (1) alleviating internalized stigma through confidence-building and emotional validation, (2) addressing anticipated and enacted stigma via training and sensitization campaigns, and (3) challenging institutional and cultural beliefs through macro-scale interventions. Community-driven approaches and locally-engaged interventions demonstrated particular promise, especially in resource-constrained settings. While intrapersonal and interpersonal approaches-particularly those involving professional discussions, peer education, and in-person training-showed the most positive outcomes, digital and infotainment interventions yielded mixed results. Our findings highlight the complexity of HIV-related stigma, revealing the importance of holistic strategies that address intersecting psychosocial factors and potential unintended consequences of stigma-reduction efforts. By studying the nuanced landscape of stigma intervention, this review provides insights for developing more comprehensive and contextually sensitive approaches to reducing HIV-related stigma.","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":"2088-2106"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787680","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