AIDS and Behavior最新文献

{"title":"Perspectives on Clinical Pharmacist-Delivered Contingency Management to Promote Smoking Abstinence Among Individuals with HIV: A Qualitative Study.","authors":"Poyani Bavishi, Dini Harsono, Colleen Mistler, David M Ledgerwood, Krysten W Bold, Keith Sigel, June Weiss, Jessica E Yager, Steven L Bernstein, E Jennifer Edelman","doi":"10.1007/s10461-024-04592-9","DOIUrl":"10.1007/s10461-024-04592-9","url":null,"abstract":"<p><p>Contingency management (CM), an evidence-based behavioral strategy that rewards positive behavior change including tobacco cessation, is rarely offered to support people with HIV (PWH) who smoke. In this study, we explored perspectives among patients and research staff engaged in a multi-site randomized clinical trial involving clinical pharmacist-delivered CM within HIV clinics. Between February and September 2023, we conducted 1:1 interviews with 12 PWH randomized to receive CM and one focus group with 8 staff (i.e., clinical pharmacists and research coordinators). Qualitative data collection and analysis were grounded in the Promoting Action on Research Implementation in Health Services (PARIHS) implementation science framework to understand barriers and facilitators related to evidence (perspectives on CM for smoking cessation), context (HIV clinics), and facilitation (promoting effectiveness and sustainability). Regarding evidence, PWH and staff had limited prior experience with CM and supported the use of exhaled carbon monoxide to promote accountability. PWH and staff thought CM was useful in bolstering internal motivation, but differed on ideal target behaviors (i.e., cessation vs. reduction). Regarding context, clinical pharmacist-delivered tobacco treatment within HIV clinics was viewed favorably, with mixed perspectives regarding optimal visit schedules and utility of remote CM. Regarding facilitation, PWH and research staff discussed strategies to increase participant engagement and retention such as incorporating behavioral counseling services. PWH endorsed application of CM beyond smoking cessation and for people without HIV. Future efforts should consider expanding the use of CM to target smoking cessation and related health behaviors and tailoring the intervention to individual needs and goals.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942556","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}

{"title":"Exposure to COVID-19 Pandemic-Related Stressors and Their Association With Distress, Psychological Growth and Drug Use in People With HIV in Nouvelle Aquitaine, France (ANRS CO3 AQUIVIH-NA Cohort-QuAliV-QuAliCOV Study).","authors":"Jihane Ben Farhat, Mojgan Hessamfar, Didier Neau, Sophie Farbos, Estibaliz Lazaro, Pierre Duffau, Nicolas Rouanes, Charles Cazanave, Thierry Pistone, Patrick Rispal, Marie-Anne Vandenhende, Camille Krzyzanowsky, Olivier Leleux, Linda Wittkop, Fabrice Bonnet, Diana Barger","doi":"10.1007/s10461-024-04588-5","DOIUrl":"https://doi.org/10.1007/s10461-024-04588-5","url":null,"abstract":"<p><p>We investigated people living with HIV (PLWH)'s exposure to COVID-19 pandemic stressors and their association with distress, psychological growth, and substance use. PLWH in the ANRS CO3 AQUIVIH-NA cohort's QuAliV study (Nouvelle Aquitaine, France) completed an adapted CAIR Lab Pandemic Impact Questionnaire (C-PIQ) and reported substance use between 9/2021 to 3/2022. We described cumulative stressor exposure (score 0-16) and explored variation by PLWH characteristics (demographic, HIV-related, risk factors, psychosocial). Associations with distress (score 0-23), psychological growth (score 0-20), and substance use were assessed using regression models. Participants reported exposure to a median of 2 (IQR: 1-4) stressors. Stressor exposure was higher in working-age (<60) and psychosocially vulnerable PLWH. Exposure to an additional stressor correlated with a 0.7-point increase in distress scores (95% C.I. 0.5-1.0, p<0.001), a 0.04-point increase (95% C.I. 0.01-0.07, p=0.002) in psychological growth scores in working-age PLWH. In older PLWH, additional stressor correlated with a 0.8-point (95% C.I. 0.4-1.2, p<0.001) increase in distress and a 0.1-point increase (95% C.I. 0.06-0.2, p=0.001) in growth scores. Each additional stressor was associated with 1.2 (95% C.I. 1.0-1.4, p=0.02) higher adjusted odds of cannabis use in working-age PLWH, and 1.2 (95% C.I. 1.0-1.4, p=0.004) higher adjusted odds of drug use. Exposure to stressors was linked to increased distress, cannabis and drug use but also growth. Providers should not only be aware of risk (of severe COVID-19) but also be mindful of the social and psychological challenges PLWH face as these may affect their retention in care, especially during challenging times.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930413","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}

{"title":"Activity Space Mapping and Pre-Exposure Prophylaxis Uptake Among Gay, Bisexual, and Other Sexual Minority Men in Small Cities and Towns in the United States.","authors":"Bryce Puesta Takenaka, Russell Barbour, Sally J Kirklewski, Erin Nicholson, Cecil Tengatenga, Nathan B Hansen, Trace Kershaw","doi":"10.1007/s10461-024-04601-x","DOIUrl":"https://doi.org/10.1007/s10461-024-04601-x","url":null,"abstract":"<p><p>In the US, gay, bisexual, and other sexual minoritized men (GBSMM) remain disproportionately impacted by HIV, and continue to experience unmet needs for pre-exposure prophylaxis (PrEP). A growing body of literature has underscored the need to consider the geographic factors of HIV prevention, particularly beyond administrative boundaries and towards localized spaces that influence the accessibility and utilization of health-promoting resources. Therefore, the purpose of this study is to examine the associations of driving times from activity spaces to PrEP offering facilities and individual PrEP uptake. A total of 218 GBSMM (ages 18-34) from Connecticut and Georgia were sampled from a longitudinal cohort study. We used the getis-ord-gi statistic to examine the spatial clustering of PrEP offering facilities, and generalized estimating equations (GEE) and post-hoc moderation analyses to explore the state interactions on driving time and PrEP uptake. Our main findings suggest that for participants in Connecticut, state of residence was a significant moderator on driving time and ever hearing of PrEP and ever taking PrEP. Whereas for participants in Georgia, state of residence moderated the likelihood of returning to activity spaces of participants in both Connecticut and Georgia on PrEP uptake. These findings provide important direction for geographic inequities on PrEP use, but also a pragmatic method for co-creating and re-imagining place-health research. These results also offer an avenue to leverage the dynamic nuance of activity spaces as indicators to inform structural interventions for PrEP that are more equitable for GBSMM in small cities and towns in the U.S.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913711","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}

{"title":"Social Engagement and Neurocognition in Latino and Non-Latino White Older Persons with HIV.","authors":"Crystal X Wang, Mariam A Hussain, Lize Tibiriçá, Valarie Castellanos-Ponce, Mariana Cherner, Barton W Palmer, Lily Kamalyan, David Yassai-Gonzalez, Anya Umlauf, Lisa L Barnes, Robert K Heaton, Ronald J Ellis, María J Marquine","doi":"10.1007/s10461-024-04586-7","DOIUrl":"https://doi.org/10.1007/s10461-024-04586-7","url":null,"abstract":"<p><p>The present study investigated differences in the quantity and quality of social engagement, and their associations with neurocognition among older Latino and non-Latino White persons with HIV (PWH). Participants were age 50 + community-dwelling PWH living in southern California (n = 116; 50% Latino [53% Spanish-speaking], 50% non-Latino White; Age: M = 58.03; Education: M = 13.29; 82% male; 58% AIDS; 95% on antiretroviral therapy). Neurocognition was assessed with a battery of 10 tests on which demographically-adjusted T-scores were derived. Social engagement was measured via self-report of frequency of participation in social activities over the past year (quantitative) and feelings and perceptions of loneliness (qualitative). There were few ethnic differences in degree of participation in social activities, but Latino PWH reported lower loneliness. Social activity and loneliness were significantly associated with processing speed in the overall sample, and with global neurocognition only in White PWH. Latino PWH reported better quality of social engagement than non-Latino White PWH despite small ethnic differences in quantity of social engagement. Social engagement was associated with better neurocognition primarily in older White PWH. Given documented HIV disparities in neurocognition, future studies should investigate HIV-related comorbidities and structural determinants of health as potential determinants of neurocognition among older Latino PWH.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909034","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}

{"title":"Attitudes, Beliefs, and Predictors of Gestational Weight Gain and Postpartum Weight Retention in South Africa: A Mixed Methods Analysis.","authors":"Chelsie Cintron, Hlengiwe Madlala, Ameerah Battle, Tishara Reid, Jennifer Pellowski, Lucia Knight, Landon Myer, Angela M Bengtson","doi":"10.1007/s10461-024-04577-8","DOIUrl":"https://doi.org/10.1007/s10461-024-04577-8","url":null,"abstract":"<p><p>Suboptimal gestational weight gain (GWG) is associated with pregnancy complications and postpartum weight retention (PPWR). Little data exists about GWG and PPWR attitudes and beliefs in low-and-middle-income countries (LMICs) to inform interventions. We examined GWG and PPWR attitudes, beliefs, and intentions among pregnant people, with and without HIV, in Cape Town, South Africa. Pregnant persons were enrolled between 2019 and 2022 (N = 400). Study visits were conducted at 24-28 weeks' and 33-38 weeks' gestation. Rate of GWG (kg/week) between the second and third trimesters was estimated and reported as below, above, or within the 2009 Institute of Medicine guidelines. Multivariable-multinomial regression estimated predictors of GWG. In-depth interviews among pregnant participants, community leaders and healthcare providers informed GWG attitudes, beliefs, and perceptions. Over 90% of participants experienced suboptimal rates of GWG (35% below and 47% above guidelines) during pregnancy. Living with HIV [OR 0.50, 95% CI (0.26-0.95)] was protective against GWG rate above guidelines compared to those without HIV. Being 25-29 years old was associated with GWG rate below guidelines [OR 0.28 95% CI (0.08-0.95)]. Little concordance occurred between intended and true GWG. Despite GWG category, two-thirds of participants felt it was 'very important' to monitor GWG while 44% viewed losing weight gained during pregnancy as \"not important\". Barriers to meeting GWG goals included lack of access to healthy foods, exercise opportunities, and education. Given rising obesity in women of reproductive age in LMIC, locally-adapted interventions are needed during pregnancy and postpartum to aide in healthy GWG and improve maternal-child health outcomes.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908959","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}

{"title":"Role of Individual and Network Factors in HIV Care Continuum Outcomes among PLWH: An Egocentric Network Study in Yunnan, China.","authors":"Wenjun Yan, Di Xu, Qiongli Duan, Nengmei Huang, Jing Han, Yuhua Shi, Jian Li, Hongjie Liu","doi":"10.1007/s10461-024-04602-w","DOIUrl":"https://doi.org/10.1007/s10461-024-04602-w","url":null,"abstract":"<p><p>Due to limited data on the determinants of HIV care continuum outcomes among people living with HIV (PLWH) in resource-limited settings, this study aimed to identify individual and social support network factors influencing these outcomes, thereby informing the development of intervention strategies to achieve the UNAIDS 95-95-95 targets. PLWH in Yunnan, China, were recruited using convenience sampling at three stages of the HIV care continuum: linkage to care, antiretroviral therapy (ART) initiation, and viral suppression. An egocentric network design combined with multilevel logit modeling was employed to investigate factors associated with ART initiation and viral suppression. A total of 410 eligible participants were recruited into the study. Of these, 145 (35.4%) were linked to care but did not initiate ART, 265 (64.6%) initiated ART, and 131 (49.4%) achieved viral suppression. Higher trust in alters, larger network density, stronger social support, and longer ego-alter relationship were positively associated with ART initiation and viral suppression. Participants who received social support from friends or family members had higher odds of initiating ART compared to those who received support from sexual partners. Factors associated with viral suppression were larger network size, having older alters and alters with higher education in an ego's social support network. The findings enhance our understanding of how social support network determinants influence HIV care continuum outcomes. Interventions for PLWH in China should consider these social support network characteristics to improve outcomes.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909028","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}

{"title":"Reported Suicide Attempts among Adolescents in Uganda: Differences by HIV Status.","authors":"Angel Nanteza, Joy Gumikiriza-Onoria, Anthony F Santoro, Christine Karungi, Christopher M Ferraris, Daphne Tsapalas, Courtney Kirsch, Mina Nguyen, Nana Asiedu, Mei Tan, Jun Liu, Curtis Dolezal, Victor Musiime, Sahera Dirajlal-Fargo, Reuben N Robbins","doi":"10.1007/s10461-024-04581-y","DOIUrl":"https://doi.org/10.1007/s10461-024-04581-y","url":null,"abstract":"<p><p>Suicide remains a global public health concern and is a leading cause of death among adolescents. Adolescents with perinatally-acquired HIV (PHIV) are particularly vulnerable to suicide and other challenges, including discrimination, stigma, educational difficulties, risk-taking behaviors, and medical complications. In Uganda, adolescents with PHIV experience a high burden of mental health problems, but there is scant information regarding suicide attempts. This study examined lifetime suicide attempts, depressive symptoms, and adverse experiences among adolescents with PHIV and demographically matched HIV-negative adolescents. One hundred Ugandan adolescents (12-20 years old), 50 with and 50 without PHIV, completed the Adverse Childhood Experiences (ACEs) questionnaire, Patient Health Questionnaire-A (PHQ-A), and the Adolescent Life Events Questionnaire (ALEQ), which included additional questions about suicide attempts. Independent t-test and chi-square analyses were used to compare scores between the two HIV status groups. There were no significant differences in sex across the HIV groups. The mean total scores of the full sample were ACEs M = 2.92 (SD = 2.49), ALEQ M = 10.61 (SD = 9.08) and PHQ-A M = 2.25 (SD = 3.55). The PHIV group had significantly higher PHQ-A (p < .001), ALEQ (p < .01), and ACEs (p < .001) scores than the HIV-negative group. Among adolescents with PHIV, 14% reported at least one previous suicide attempt, while none of the HIV-negative adolescents reported any attempt (X² = 8.20, p = .02). Despite overall low depression scores, the PHIV group had significantly more depressive symptoms and were more likely to have suffered from psychosocial stressors.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909022","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}

{"title":"The Use of HIV Prevention Strategies and Services Reported by Black Women with a Risk for and with HIV in the United States.","authors":"Toria Reaves, Rashunda Lewis, Sharoda Dasgupta, Shacara Johnson Lyons, Yunfeng Tie, Priya Nair, Tamara Carree, Xiaohong Hu, Jerris L Raiford, Ruthanne Marcus","doi":"10.1007/s10461-024-04578-7","DOIUrl":"https://doi.org/10.1007/s10461-024-04578-7","url":null,"abstract":"<p><p>Black women are disproportionately affected by HIV. We analyzed data from two Centers for Disease Control and Prevention's HIV surveillance systems to better understand HIV prevention strategies used by Black women at risk for and with HIV to help inform efforts to end HIV. Among sexually active Black women, we analyzed 2019 National HIV Behavioral Surveillance data on women without HIV (n = 4,033) and 2018-2020 Medical Monitoring Project data on women with HIV (n = 967). We reported percentages of HIV prevention strategies and services used and assessed differences between groups using Rao-Scott chi-square tests. Among Black women without HIV, 39% were aware of pre-exposure prophylaxis (PrEP); of these, 7% discussed PrEP with a healthcare provider, and 1% used PrEP in the past 12 months. Approximately 16% used a condom with their last sex partner; 36% reported that their last sex partner did not have HIV. Among Black women with HIV, 58% had condom-protected sex, 56% reported having sex while having sustained viral suppression, 3% had condomless sex with a partner on PrEP, and 24% had sex with a partner with HIV; 12% engaged in sex without using any HIV prevention strategy. HIV prevention strategies and services differed by selected demographic characteristics and social determinants of health. Although many sexually active Black women reported using HIV prevention strategies, there is room for improvement among those at risk for or with HIV. Tailoring prevention efforts based on individual needs and circumstances is essential for ending the HIV epidemic.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909055","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}

{"title":"Willingness to Use Oral and Long-Acting Injectable PrEP in Substance-Using Men who have Sex with Men (SU-MSM) in High HIV Incidence Southern U.S. Cities: A NIDA Clinical Trials Network Study.","authors":"Susan Tross, Tanja C Laschober, Margaret Paschen-Wolff, Melissa Ertl, C Mindy Nelson, Lynette Wright, Chloe Lancaster, Daniel J Feaster, Mauda Monger, Phil Toal, Joshua P Fegley, David Meche, Colby Hankey, Christina Woodhouse, Anya Spector, Lauren Dresser, Landhing Moran, Eve Jelstrom, Louise Haynes, Steven Shoptaw, Mary A Hatch","doi":"10.1007/s10461-024-04594-7","DOIUrl":"https://doi.org/10.1007/s10461-024-04594-7","url":null,"abstract":"<p><p>In Southern U.S. states with high HIV incidence and low HIV Pre-Exposure Prophylaxis (PrEP) uptake, enhanced efforts to increase interest in and willingness to use PrEP are needed. This implementation survey examined the associations of sociodemographic background, substance use, and sexual risk behaviors with willingness to use daily oral and long-acting injectable (LAI) PrEP among substance using men who have sex with men (SU-MSM). Participants were 225 SU-MSM recruited from sexually transmitted infection (STI) clinics, syringe services programs (SSPs), and substance use treatment programs (SUTPs) in eight Southern U.S. cities. Rates of willingness were high for both daily oral PrEP (78%) and LAI PrEP (66%). In multivariable analyses, distinct factors were associated with willingness towards each. For daily oral PrEP, greater willingness was associated with condomless anal sex, less frequent non-injection opioid use, prior PrEP awareness, and past use of PrEP. For LAI PrEP, greater willingness was associated with Black race, identifying as gay, being single, and higher injection drug use frequency. Lower willingness to use LAI PrEP was associated with higher non-injection opioid use frequency. Findings about willingness to use LAI PrEP, as a relatively newer modality, and greater willingness among Black SU-MSM as a disproportionately HIV-impacted population, are especially important. These findings argue for the necessity to enhance PrEP promotion efforts that distinguish between oral and LAI PrEP and that are specifically tailored to major SU-MSM subgroups in the Southern U.S.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909060","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}

{"title":"Psychosocial and Behavioral Impacts of the Mpox Outbreak among People with and without HIV in the United States.","authors":"Hannah Yellin, Sydney Bornstein, Madhu Balachandran, Marc Siegel, Manya Magnus","doi":"10.1007/s10461-024-04603-9","DOIUrl":"https://doi.org/10.1007/s10461-024-04603-9","url":null,"abstract":"<p><p>Over 32,000 mpox cases were identified in the United States (US) within one year of the start of the global outbreak in 2022. Research on how the mpox outbreak affected individuals' lives is limited. We analyzed qualitative and quantitative cross-sectional survey data collected from 60 participants in August 2022 to (1) describe mpox-related psychosocial and behavioral impacts among adults in the US and (2) explore differences in mpox-related impacts by HIV status. Results indicate that the outbreak affected both people with HIV (PWH) and people without HIV (PWOH) in our sample, while also highlighting the unique experience of PWH. The majority of participants reported that they felt at risk, experienced negative impacts across multiple life domains, changed aspects of their behavior, and anticipated mpox-related stigma. These findings can be used to inform the public health response in the event of future mpox outbreaks.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909018","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}