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Amphetamine-Type Stimulant Use and Associated Factors Among Men Who have Sex with Men in Bangkok. 曼谷男男性行为者使用安非他明类兴奋剂及其相关因素
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-21 DOI: 10.1007/s10461-025-04725-8
Jakkrapatara Boonruang, Donn Colby, Siriporn Nonenoy, Nipat Teeratakulpisarn, Teerayuth Rungnirundorn, Rasmon Kalayasiri, Piranun Hongchookiat, Sumitr Tongmuang, Kittichai Promjantuek, Kantanat Kanetrat, Jirat Makphol, Aphakan Klinsukontakul, Waranya Tasomboon, Sujittra Suriwong, Reshmie A Ramautarsing, Nittaya Phanuphak
{"title":"Amphetamine-Type Stimulant Use and Associated Factors Among Men Who have Sex with Men in Bangkok.","authors":"Jakkrapatara Boonruang, Donn Colby, Siriporn Nonenoy, Nipat Teeratakulpisarn, Teerayuth Rungnirundorn, Rasmon Kalayasiri, Piranun Hongchookiat, Sumitr Tongmuang, Kittichai Promjantuek, Kantanat Kanetrat, Jirat Makphol, Aphakan Klinsukontakul, Waranya Tasomboon, Sujittra Suriwong, Reshmie A Ramautarsing, Nittaya Phanuphak","doi":"10.1007/s10461-025-04725-8","DOIUrl":"https://doi.org/10.1007/s10461-025-04725-8","url":null,"abstract":"<p><p>Amphetamine-type stimulants (ATS) have become prevalent among men who have sex with men (MSM), often associated with a higher risk of HIV acquisition. However, little is known about ATS use among MSM in Thailand. This study identifies ATS use patterns and associated factors among MSM in Bangkok, Thailand. Between January 2018 and May 2019, Thai MSM aged 18 years and older were recruited from an HIV testing center in Bangkok, for an 18-month longitudinal study. At each 6-month visit, participants underwent HIV testing and completed a self-administered questionnaire on demographics, substance use, sexual behavior and, mental health. Baseline characteristics and substance use patterns were summarized using descriptive statistics. Determinants of ATS use were identified by logistic regression analysis. Of 1375 MSM enrolled (median age 26), 146 (10.6%) reported using ATS in the past six months. They had more sexual partners, were more likely to engage in sex work, and were more likely to use multiple substances. HIV prevalence was higher among MSM who reported recent ATS use (19.9% vs. 10.0%, p-value < 0.001). Among those reporting ATS use, 92.5% used crystal methamphetamine, 44.4% used it via injection, and 94.5% used multiple substances. ATS use was associated with monthly income > 30,000 baht, group sex, current PrEP use or interest, and Post-Traumatic Stress Disorder and depressive symptoms. These findings highlight the patterns and determinants of ATS use among MSM, underscoring the necessity for integrated sexual and mental health services in harm reduction strategies to effectively address the complex needs of this population.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109436","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
Preference for Service Delivery for Long-Acting Pre-exposure Prophylaxis for HIV Infection Among Pregnant and Breastfeeding Women in South Africa and Botswana. 南非和博茨瓦纳孕妇和哺乳期妇女艾滋病毒感染暴露前长效预防服务的提供偏好
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-21 DOI: 10.1007/s10461-025-04751-6
Lindsey de Vos, Aamirah Mussa, Elzette Rousseau, Michael Strauss, Gavin George, Prisca Vundhla, Avuyonke Gebengu, Maipelo Tsuaneng, Lefhela Tamuthiba, Aratwa Tumagole, Neo Moshashane, Chelsea Morroni, Remco P H Peters, Chibuzor M Babalola, Jeffrey D Klausner, Dvora Joseph Davey
{"title":"Preference for Service Delivery for Long-Acting Pre-exposure Prophylaxis for HIV Infection Among Pregnant and Breastfeeding Women in South Africa and Botswana.","authors":"Lindsey de Vos, Aamirah Mussa, Elzette Rousseau, Michael Strauss, Gavin George, Prisca Vundhla, Avuyonke Gebengu, Maipelo Tsuaneng, Lefhela Tamuthiba, Aratwa Tumagole, Neo Moshashane, Chelsea Morroni, Remco P H Peters, Chibuzor M Babalola, Jeffrey D Klausner, Dvora Joseph Davey","doi":"10.1007/s10461-025-04751-6","DOIUrl":"https://doi.org/10.1007/s10461-025-04751-6","url":null,"abstract":"<p><p>HIV particularly affects women during pregnancy and postpartum, where they face a two-fold or more increased risk of HIV acquisition. We explored preferences for long-acting PrEP and multipurpose prevention technologies among pregnant and breastfeeding women (PBFW) without HIV. From April to December 2023, we conducted a discrete choice experiment at maternal healthcare clinics in Cape Town, East London (South Africa), and Gaborone (Botswana) including PrEP-experienced and PrEP-naive women. Analysis included site stratification, mixed-effects logistic regression, and latent class modeling. Among 450 pregnant and breastfeeding women (52% pregnant, 47% breastfeeding), vaginally inserted and implanted PrEP was least preferred compared to oral. East London and Gaborone preferred clinic PrEP pick-up and effectiveness, while Cape Town showed indifference for community delivery. Three latent classes emerged: 'comprehensive delivery seekers' (43%), 'physical and physiological prioritisers' (25%), and 'vaginal insertion avoiders' (32%). Future PrEP programs should prioritize user-centered approaches, aligning with user preferences for effective use.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109441","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
Care for the Caregiver: How Caregiver Mortality Affects Treatment Outcomes-An Observational Cohort Study. 照顾照顾者:照顾者死亡率如何影响治疗结果-一项观察性队列研究。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-20 DOI: 10.1007/s10461-025-04760-5
Josephine Keal, Nicola van Dongen, Thalia Ferreria, Gillian Sorour, Karl-Günter Technau
{"title":"Care for the Caregiver: How Caregiver Mortality Affects Treatment Outcomes-An Observational Cohort Study.","authors":"Josephine Keal, Nicola van Dongen, Thalia Ferreria, Gillian Sorour, Karl-Günter Technau","doi":"10.1007/s10461-025-04760-5","DOIUrl":"https://doi.org/10.1007/s10461-025-04760-5","url":null,"abstract":"<p><p>Despite improvements in HIV management, children and adolescents living with HIV remain vulnerable. Caregiver mortality in a large paediatric and adolescent HIV clinic in Johannesburg is described and the effect of the death of a caregiver on children and adolescents' HIV treatment outcomes was investigated. We analysed retrospective longitudinal data and included children or adolescents attending the clinic between 01 January and 31 December 2021 divided into those with documented primary caregiver mortality and those without (ever documented). Viral load, treatment regimens, CD4, and anthropometry were analysed for 2021. Caregiver vital status was recorded in 1171 (93%) of the 1260 patients attending in 2021. In 115 children or adolescents (10%) we found a documented death of caregiver(s). Amongst 1120 mothers, 100 (9%) had died; of 460 fathers, 18 (4%) had died and one (1%) of 100 other caregivers had died. A large number (n = 54 [45%]) of the 119 deaths occurred between 2016 and 2021 and 66 (69%) after the child/adolescent's enrolment in the clinic. In 2021, stunting and wasting were more common in the participants with caregiver death than those without (χ2 = 4.98, 6.64, p = 0.01 and 0.03 respectively). No significant difference was seen between the groups for viral load, treatment regimens and CD4 counts. Caregiver death was incompletely captured in the clinic database, suggesting that clinicians were unaware of the death of a caregiver. Children experiencing the death of a caregiver were more likely to be malnourished. We propose increasing attention on the wellbeing of caregivers in paediatric HIV services.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109437","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
Extreme Weather Events and Linkages with HIV Vulnerabilities Among Young Sex Workers and Sexually Diverse Men in Nairobi, Kenya: Qualitative Multi-method Insights. 肯尼亚内罗毕的极端天气事件及其与年轻性工作者和性取向不同的男性艾滋病毒易感性之间的联系:定性多方法洞察。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-20 DOI: 10.1007/s10461-025-04759-y
Carmen H Logie, Andie MacNeil, Aryssa Hasham, Humphres Evelia, Julia Kagunda, Sarah Van Borek, Beldine Omondi, Clara Gachoki, Mercy Wanjiru, Lesley Gittings, Amaya Perez-Brumer, Peter A Newman
{"title":"Extreme Weather Events and Linkages with HIV Vulnerabilities Among Young Sex Workers and Sexually Diverse Men in Nairobi, Kenya: Qualitative Multi-method Insights.","authors":"Carmen H Logie, Andie MacNeil, Aryssa Hasham, Humphres Evelia, Julia Kagunda, Sarah Van Borek, Beldine Omondi, Clara Gachoki, Mercy Wanjiru, Lesley Gittings, Amaya Perez-Brumer, Peter A Newman","doi":"10.1007/s10461-025-04759-y","DOIUrl":"https://doi.org/10.1007/s10461-025-04759-y","url":null,"abstract":"<p><p>There is growing attention to the impacts of climate change and related extreme weather events (EWE) on HIV vulnerabilities, yet this research largely overlooks key populations such as sex workers and gay, bisexual, and other men who have sex with men (gbMSM). This is a critical knowledge gap in contexts that are greatly affected by climate change, EWE, and HIV, such as Kenya. To address this gap, this study examined the lived experiences of sex workers and gbMSM aged 18-24 in Nairobi, Kenya, regarding the relationships between climate change and EWE, resource insecurities (e.g., food, water), and HIV vulnerabilities. In 2023, we conducted a multi-method qualitative study in Nairobi, Kenya, including individual interviews using the SenseMaker web-based data collection tool and group digital storytelling workshops among 36 participants, including 21 sex workers and 15 gbMSM. Participant narratives aligned with the following themes highlighting the interconnections between EWE and HIV vulnerabilities: (1) EWE, specifically droughts and flooding, led directly and indirectly to resource scarcities and infrastructure damage; (2) participants enacted strategies to navigate resource scarcities, some of which increased HIV vulnerabilities (e.g., reduced condom agency, transactional sex engagement); (3) EWE and resource scarcities increased sexual violence risks; and (4) LGBTQ stigma exacerbated resource scarcities. Participants provided recommendations for multi-level strategies for HIV prevention, sexual health, and wellbeing for young sex workers and gbMSM in Kenya. Learning from young sex worker and gbMSM experiences can advance climate-informed HIV programming that addresses stigma, resource scarcities, and violence to advance sexual health and rights.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109439","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 the Resilience Scale for People Living with HIV/AIDS in Republic of Korea. 大韩民国艾滋病毒/艾滋病感染者复原力量表的制定。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-20 DOI: 10.1007/s10461-025-04746-3
Hye Jin Yang, GyeongAe Seomun
{"title":"Development of the Resilience Scale for People Living with HIV/AIDS in Republic of Korea.","authors":"Hye Jin Yang, GyeongAe Seomun","doi":"10.1007/s10461-025-04746-3","DOIUrl":"https://doi.org/10.1007/s10461-025-04746-3","url":null,"abstract":"<p><p>This study aimed to develop and validate a resilience measurement scale for people living with HIV/AIDS (PLWHA). Through interviews with PLWHA, resilience attributes were identified, resulting in 42 initial items. After validating construct validity, three items were excluded, leaving 39 items for further testing. Data were collected from 228 participants across two hospitals, the Korean Association for AIDS Prevention in Seoul, a Daegu branch, and two HIV-related self-help groups between April 3 and September 23, 2017. Exploratory factor analysis identified five factors and 25 items, explaining 69.43% of the total variance: positive feeling, antiretroviral agent management, information and resource use, positive relationships, and interaction. The final scale included 19 items across these five factors. Criterion, convergent, and discriminant validity were confirmed through correlations with the Connor-Davidson Resilience Scale, resilience for PLWHA, and measures of depression and anxiety, respectively. Reliability was supported with a Cronbach's α of 0.89 and test-retest reliability of 0.67. The scale shows promise as a robust screening tool for resilience in PLWHA, applicable in diverse nursing practices and research domains.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109438","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
Epidemiologic and Economic Impacts of Halting National HIV Prevention Efforts. 停止国家艾滋病毒预防工作的流行病学和经济影响。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-19 DOI: 10.1007/s10461-025-04757-0
David R Holtgrave
{"title":"Epidemiologic and Economic Impacts of Halting National HIV Prevention Efforts.","authors":"David R Holtgrave","doi":"10.1007/s10461-025-04757-0","DOIUrl":"https://doi.org/10.1007/s10461-025-04757-0","url":null,"abstract":"<p><p>News outlets are reporting that CDC's HIV prevention program including its Ending the HIV Epidemic (EHE) efforts are slated to be defunded. One way to estimate the potential impacts of halting HIV prevention in the nation is to use mathematical modeling to provide informed estimates of the epidemiologic and economic impacts of this purported policy shift. We describe here a basic transmission rate model to estimate the HIV-related epidemiologic and economic horizon through 2030 as if funding were untouched and as if it were to be ended. This model is compared to other lenses through which to view the halting of national HIV prevention. Through any employed analytic lens, the result seems similar - ending HIV prevention efforts means the epidemic will get worse, lives will be lost, and not only will money not be saved but the net additional medical costs will rapidly increase. If this worsening of the epidemic comes to pass, the nation will enter the next decade far worse off than it is now, and efforts to get back to the current HIV-related \"starting place\" will need to be larger, more intensive, and much more expensive. There was a national hope that the ending of the current decade would indeed be the end of the epidemic; but if HIV prevention support is stopped, we would not be able to experience this important and joyous HIV elimination milestone in 2030 but rather be left to witness just how much worse the epidemic may get.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092518","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
Better Together?: A Systematic Review of the Effectiveness of HIV Prevention Interventions that Build or Strengthen Social Ties. 更好的在一起吗?建立或加强社会联系的艾滋病毒预防干预措施有效性的系统评价。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-15 DOI: 10.1007/s10461-025-04745-4
Virginia A Fonner, Ping Teresa Yeh, Caitlin E Kennedy, Kevin R O'Reilly, Michael D Sweat
{"title":"Better Together?: A Systematic Review of the Effectiveness of HIV Prevention Interventions that Build or Strengthen Social Ties.","authors":"Virginia A Fonner, Ping Teresa Yeh, Caitlin E Kennedy, Kevin R O'Reilly, Michael D Sweat","doi":"10.1007/s10461-025-04745-4","DOIUrl":"https://doi.org/10.1007/s10461-025-04745-4","url":null,"abstract":"<p><p>Although social relationships impact health and social dynamics play a key role in shaping HIV vulnerability, results from intentional efforts to build or strengthen social relationships have not been synthesized to understand if and how such interventions work to prevent HIV in low- and middle-income countries (LMICs). We conducted a systematic review of HIV prevention interventions implemented in LMICs, published between 2010 and 2022, that used pre/post or multi-arm methods to evaluate interventions that focused on building/strengthening social relationships to impact HIV-related outcomes. We searched PubMed, CINAHL, EMBASE, Sociological Abstracts, and PsycInfo on August 16, 2022, complemented by hand-searching and secondary reference searching. We used a standardized form for data abstraction and assessed risk of bias using the Evidence Project tool. Results were synthesized narratively, and studies were classified in an emergent typology based on the function of social tie building within the intervention. Fifty-one articles presenting results from 28 studies met the inclusion criteria and were included. Within these studies, we identified five types of social tie interventions, including community-wide social mobilization (\"collaboration\", n = 3), formation of collectives to address both upstream and downstream health-related factors (\"collectivization\", n = 13), forming or strengthening groups to enhance peer support and build skills (\"clubs\", n = 4), expanding personal networks among individuals (\"companionship\", n = 2), and strengthening ties between heterogeneous groups/non-peers (\"connections\", n = 2). Four studies addressed two or more types of social ties strengthening and were classified as \"cross-cutting.\" Across these categories, most studies found that interventions were associated with some positive health-related changes, such as reduced HIV incidence, increased condom use, and increased health service utilization. However, some interventions fell short of their stated goals, especially those striving to impact upstream social and structural factors. Overall, results suggest that social ties can be intentionally altered to effect change; however, disparate contexts and implementation dynamics likely contributed to variation seen across outcomes and impact. Inconsistent measurement of social ties and use of theory made it challenging to determine whether interventions were explicitly trying to alter ties, and if so, to what extent tie building/strengthening impacted intervention effectiveness. To continue advancing our understanding of social tie interventions, more efforts are needed to operationalize theory, measure social tie constructs, describe intervention context and implementation outcomes, and apply innovative study designs.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075393","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
Correction: Modeling the Mediating Effects of HIV-Related Stigma on the Associations Between Race/Ethnicity and Antiretroviral Therapy Adherence and Viral Suppression Among Diverse Racial and Ethnic Minority Women with HIV. 修正:在不同种族和少数民族感染艾滋病毒的妇女中,种族/民族与抗逆转录病毒治疗依从性和病毒抑制之间的关联中,艾滋病相关耻辱的中介效应建模。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-15 DOI: 10.1007/s10461-025-04758-z
Ekpereka S Nawfal, Diana M Sheehan, Gladys E Ibañez, Timothy Hayes, Aaliyah Gray, Mary Jo Trepka
{"title":"Correction: Modeling the Mediating Effects of HIV-Related Stigma on the Associations Between Race/Ethnicity and Antiretroviral Therapy Adherence and Viral Suppression Among Diverse Racial and Ethnic Minority Women with HIV.","authors":"Ekpereka S Nawfal, Diana M Sheehan, Gladys E Ibañez, Timothy Hayes, Aaliyah Gray, Mary Jo Trepka","doi":"10.1007/s10461-025-04758-z","DOIUrl":"https://doi.org/10.1007/s10461-025-04758-z","url":null,"abstract":"","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075400","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
The Impact of a Family Economic Empowerment Intervention on Cultural Gender Norm Beliefs Among HIV-Orphaned Adolescents in Southern Uganda. 家庭经济赋权干预对乌干达南部艾滋病孤儿青少年文化性别规范信仰的影响。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-15 DOI: 10.1007/s10461-025-04750-7
Portia B Nartey, Vicent Ssentumbwe, Proscovia Nabunya, Samuel Kizito, Mitra Naseh, Fred M Ssewamala
{"title":"The Impact of a Family Economic Empowerment Intervention on Cultural Gender Norm Beliefs Among HIV-Orphaned Adolescents in Southern Uganda.","authors":"Portia B Nartey, Vicent Ssentumbwe, Proscovia Nabunya, Samuel Kizito, Mitra Naseh, Fred M Ssewamala","doi":"10.1007/s10461-025-04750-7","DOIUrl":"https://doi.org/10.1007/s10461-025-04750-7","url":null,"abstract":"<p><p>Sub-Saharan Africa (SSA) ranks lowest on the UNDP's Gender Inequality Index (GII), with a score of 0.56 out of 1 (1 being the worst), while Uganda scores 0.53, reflecting high gender inequality between males and females. These gender disparities are deeply rooted in longstanding inequitable gender norms and worsened by poverty. This study assessed a family economic empowerment intervention's impact on gender norm beliefs among HIV-orphaned adolescents in Uganda using three time-points data from the Suubi-Maka study, a cluster-randomized trial with 346 adolescent-caregiver dyads. Participants were randomized to control (n = 167) or treatment (n = 179) groups, with data collected at baseline, 12, and 24 months. We used mixed effects linear regression to assess the effect of the economic empowerment intervention on gender norms. Results indicated significant group-by-time interaction effects but non-significant independent group or time effects. Social support was positively significantly associated with equitable gender norms, emphasizing the role of supportive networks in facilitating change in gender norm beliefs. These findings suggest that economic interventions alone may not be sufficient for altering deeply entrenched gender norms, and future efforts should include more targeted, gender-transformative approaches.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075414","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
Daily Factors Associated with Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men with HIV: A 28-Day Daily Diary Study. 与年轻拉丁裔性少数男性艾滋病患者抗逆转录病毒治疗依从性相关的日常因素:一项为期28天的每日日记研究。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-05-15 DOI: 10.1007/s10461-025-04756-1
Diana M Sheehan, Daisy Ramírez-Ortiz, Tendai Gwanzura, Patrice S Lewis, Melissa M Ertl, Dustin T Duncan, Dallas Swendeman, Miguel Muñoz-Laboy, Jessy G Devieux, Mary Jo Trepka
{"title":"Daily Factors Associated with Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men with HIV: A 28-Day Daily Diary Study.","authors":"Diana M Sheehan, Daisy Ramírez-Ortiz, Tendai Gwanzura, Patrice S Lewis, Melissa M Ertl, Dustin T Duncan, Dallas Swendeman, Miguel Muñoz-Laboy, Jessy G Devieux, Mary Jo Trepka","doi":"10.1007/s10461-025-04756-1","DOIUrl":"https://doi.org/10.1007/s10461-025-04756-1","url":null,"abstract":"<p><p>We assessed the relationship between same-day and next-day antiretroviral therapy (ART) adherence and adherence self-efficacy, daily routine disruptions, mental health, sleep, social support, substance use, and contextual factors in an ecological momentary assessment (EMA) study. Twenty-eight days of data from a convenience sample of 54 18-34-year-old young Latino sexual minority men (YLSMM) was used in generalized mixed models. Participants adhered to ARTs on 96% of 1,306 person-days. Daily motivation to stay healthy, to prevent HIV transmission, and ART self-efficacy were associated with same-day adherence. Routine disruptions, poor sleep, and drug use were associated with same-day non-adherence. Stress was associated with next-day non-adherence, and increased routine disruptions with non-adherence. Findings suggest an opportunity to design and test innovative interventions for YLSMM to improve ART adherence that increase daily adherence motivation and self-efficacy and provide real-time assistance during changes in routine, poor sleep, drug use, and stress.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075403","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
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