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Effect of Depression on Quality of Life among Women Living with HIV in Gondar Town, Northwest, Ethiopia, Prospective Cohort Study. 抑郁对埃塞俄比亚西北部Gondar镇艾滋病毒感染妇女生活质量的影响,前瞻性队列研究。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-24 DOI: 10.1007/s10461-025-04787-8
Tadele Amare Zeleke, Tadesse Awoke Ayele, Zewditu Abdissa Denu, Lillian Mwanri, Telake Azale
{"title":"Effect of Depression on Quality of Life among Women Living with HIV in Gondar Town, Northwest, Ethiopia, Prospective Cohort Study.","authors":"Tadele Amare Zeleke, Tadesse Awoke Ayele, Zewditu Abdissa Denu, Lillian Mwanri, Telake Azale","doi":"10.1007/s10461-025-04787-8","DOIUrl":"https://doi.org/10.1007/s10461-025-04787-8","url":null,"abstract":"<p><p>Depression is highly prevalent among women living with HIV (WLHIV) and is linked to poor quality of life (QoL), impaired functioning, and negative treatment outcomes. While studies in high-income settings report strong associations between depression, stigma, social support, and QoL, evidence from low-resource contexts such as Ethiopia remains limited. This study examined the relationship between depression and QoL among 627 WLHIV on stable antiretroviral therapy (ART) for at least six months. Data were collected prospectively at three-month intervals between September 2023 and April 2024 using structured interviews. Validated tools assessed depression (PHQ-9), HIV-related stigma, social support (Oslo scale), and QoL (WHOQOL-HIV BREF-Eth-27). Repeated measures ANOVA and linear mixed-effects models evaluated QoL trajectories and the impact of depression while adjusting for confounders. Depression was significantly associated with lower scores across all QoL domains: general (β = -0.06, p = 0.000), physical (β = -0.22, p = 0.000), psychological (β = -0.25, p=), spiritual (β = -0.08, p = 0.000), independence (β = -0.13, p = 0.000), environmental (β = -0.23, p = 0.000), and social (β = -0.09, p = 0.000). Non-adherence to ART also negatively affected multiple domains, including general (β = -0.28, p = 0.035), physical (β = -0.51, p = 0.031), psychological (β = -0.72, p = 0.003), social (β = -0.50, p = 0.006), and environmental (β = -0.97, p = 0.015). HIV-related stigma reduced QoL in six domains, while greater social support was positively associated with all domains. These findings underscore the urgent need to address depression, stigma, and ART adherence while promoting social support to improve QoL among WLHIV in Ethiopia.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473698","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
Positive Coping, Psychological Distress, and Medication Adherence Among People Living with HIV/AIDS in Henan, China: A Moderated Mediation Analysis. 积极应对、心理困扰与河南HIV/AIDS患者药物依从性:一个有调节的中介分析
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-24 DOI: 10.1007/s10461-025-04771-2
Siwei Hou, Chenguang Du, Liang He, Qinying Wang, Yuting Xia, Guifeng Ding, Bin Zhang, Liran Xu, Hanzhang Xu
{"title":"Positive Coping, Psychological Distress, and Medication Adherence Among People Living with HIV/AIDS in Henan, China: A Moderated Mediation Analysis.","authors":"Siwei Hou, Chenguang Du, Liang He, Qinying Wang, Yuting Xia, Guifeng Ding, Bin Zhang, Liran Xu, Hanzhang Xu","doi":"10.1007/s10461-025-04771-2","DOIUrl":"https://doi.org/10.1007/s10461-025-04771-2","url":null,"abstract":"","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473702","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
Randomized Controlled Trial of a Couples-Based HIV Intervention for Transgender Women and Their Partners: Findings from the "It Takes Two" Project. 基于夫妻的跨性别女性及其伴侣艾滋病干预的随机对照试验:来自“两个人”项目的发现。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-24 DOI: 10.1007/s10461-025-04798-5
Kristi E Gamarel, Don Operario, Ellen S Stein, Lance M Pollack, Torsten B Neilands, Breonna McCree, Jack Johnson, Wesley M Correll-King, David Olem, Mallory O Johnson, Jae M Sevelius
{"title":"Randomized Controlled Trial of a Couples-Based HIV Intervention for Transgender Women and Their Partners: Findings from the \"It Takes Two\" Project.","authors":"Kristi E Gamarel, Don Operario, Ellen S Stein, Lance M Pollack, Torsten B Neilands, Breonna McCree, Jack Johnson, Wesley M Correll-King, David Olem, Mallory O Johnson, Jae M Sevelius","doi":"10.1007/s10461-025-04798-5","DOIUrl":"10.1007/s10461-025-04798-5","url":null,"abstract":"<p><p>\"It Takes Two\" is a couples-based HIV prevention program designed for transgender women and their partners. The aim of this project is to alleviate HIV vulnerability by enhancing communication, improving shared goals, and decreasing relationship stigma. From November 2019 to November 2022, we conducted a randomized controlled trial with 52 couples (104 individuals). Participants were randomized into one of two groups: the intervention group received four 1-hour counseling sessions, while the control group received educational videos. Due to the COVID-19 pandemic, 60% of participants took part in a fully digital trial, including telehealth counseling. Assessments were conducted at baseline and at 3, 6, 9, and 12 months. We analyzed the outcomes using multilevel random coefficient models. While the intervention did not significantly impact HIV vulnerability, communication, or shared goals, there were reductions in relationship stigma among partners of transgender women at 3- (Cohen's d = 0.54), 6- (Cohen's d = 0.57), and 12-months (Cohen's d = 0.72) post-intervention. These findings highlight the importance of addressing relationship stigma and involving partners in HIV prevention efforts to promote the health of transgender women.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473703","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
Pilot Results of Masibambisane: Couples Motivational Interviewing with Mobile Breathalyzers to Address Unhealthy Drinking and Adherence to Antiretroviral Therapy in South Africa. Masibambisane的试点结果:在南非用移动酒精测试仪对不健康饮酒和坚持抗逆转录病毒治疗的夫妇进行动机性访谈。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-24 DOI: 10.1007/s10461-025-04804-w
Amy A Conroy, Rita M Butterfield, Buyisile Chibi, Judith A Hahn, Torsten B Neilands, Lindani Msimango, Alastair van Heerden, Hilton Humphries, Tyrel J Starks
{"title":"Pilot Results of Masibambisane: Couples Motivational Interviewing with Mobile Breathalyzers to Address Unhealthy Drinking and Adherence to Antiretroviral Therapy in South Africa.","authors":"Amy A Conroy, Rita M Butterfield, Buyisile Chibi, Judith A Hahn, Torsten B Neilands, Lindani Msimango, Alastair van Heerden, Hilton Humphries, Tyrel J Starks","doi":"10.1007/s10461-025-04804-w","DOIUrl":"https://doi.org/10.1007/s10461-025-04804-w","url":null,"abstract":"<p><p>We evaluated the feasibility, acceptability, and preliminary efficacy of couples motivational interviewing (MI) with and without mobile breathalyzers (Masibambisane) to reduce unhealthy alcohol use among couples with HIV in KwaZulu-Natal, South Africa. Ninety couples were randomized to couples MI with breathalyzers (MI-plus), couples MI without breathalyzers (MI-only), or enhanced usual care (EUC). Eligible couples had at least one partner on antiretroviral therapy (ART) with a positive AUDIT-C screen. Primary outcomes included retention, session attendance, breathalyzer completion, and satisfaction rates. Exploratory outcomes were unhealthy alcohol use (i.e., positive AUDIT-C screen and/or phosphatidylethanol [PEth] ≥ 35 ng/ml), number of drinking days in past month, AUDIT-C score, optimal adherence to ART (95% or higher), and viral suppression. Retention and attendance rates were 97.7% and 83.3% at 6-months. Breathalyzer completion was limited (58.2%) due to cellular and power challenges. Satisfaction exceeded 94.8%. MI-only and MI-plus arms had larger declines in drinking days and AUDIT-C score and larger increases in ART adherence vs. EUC. We observed no differences in biomarker-confirmed unhealthy alcohol use, which remained high across all arms at two months (94.6%, 96.5%, and 100%) for EUC, MI-only, and MI-plus. Viral suppression rates were 86.7%, 96.5%, and 86.2% for EUC, MI-only, and MI-plus. Between-arm differences for outcomes were non-significant; however, moderation analysis revealed that MI-only (p < 0.001) and MI-plus (p < 0.016) significantly reduced AUDIT-C scores for those with severe drinking (AUDIT-C > 7). Masibambisane was highly feasible and acceptable. Results provide initial evidence of couples MI with breathalyzers to reduce alcohol use among those with very high-risk drinking.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473701","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
Characteristics Associated with HIV Testing Frequency Among Gay and Bisexual Cisgender Men Who Have Sex with Men in the United States: Cross-sectional Study. 美国男同性恋和双性恋男同性恋者中HIV检测频率的相关特征:横断面研究
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-17 DOI: 10.1007/s10461-025-04800-0
Xaviera Villarino, Travis Sanchez, Cristian Acero Martinez, Stefan Baral, Iaah L Lucas, Sarah M Murray, Amrita Rao, Michael Smith, Mariah Valentine-Graves, Jeb Jones
{"title":"Characteristics Associated with HIV Testing Frequency Among Gay and Bisexual Cisgender Men Who Have Sex with Men in the United States: Cross-sectional Study.","authors":"Xaviera Villarino, Travis Sanchez, Cristian Acero Martinez, Stefan Baral, Iaah L Lucas, Sarah M Murray, Amrita Rao, Michael Smith, Mariah Valentine-Graves, Jeb Jones","doi":"10.1007/s10461-025-04800-0","DOIUrl":"https://doi.org/10.1007/s10461-025-04800-0","url":null,"abstract":"<p><p>Current HIV testing recommendations for sexually active gay and bisexual men who have sex with men (GBMSM) are to test for HIV annually. However, some GBMSM might benefit from more frequent HIV testing. We conducted a cross-sectional, online survey of cisgender GBMSM across the United States. Data collection occurred from October 2022-October 2023. Participants reported demographic information, sexual behavior, and HIV testing frequency over the past 2 years. HIV testing frequency was categorized as less than annual, annual, or greater than annual. We examined demographic, behavioral, mental health, and stigma correlates of HIV testing frequency among respondents without a history of pre-exposure prophylaxis (PrEP) use. Of 1972 GBMSM included in the analysis, 1171 (59%), 379 (19%), and 422 (21%) reported less than annual, annual, and greater than annual HIV testing, respectively. Hispanic and non-Hispanic Black GBMSM, who experience the highest HIV incidence among GBMSM, were likely to test more frequently than non-Hispanic White GBMSM. More frequent testing was also associated with PrEP eligibility; less frequent testing was associated with living in a non-urban area. More frequent HIV testing was reported by groups that experience higher HIV incidence and by those who had indications for PrEP, indicating that HIV testing frequency aligns with need for many GBMSM. More efforts are needed to increase HIV testing among GBMSM who test less frequently, including those living in rural areas.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315723","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
Opinions and Concerns Surrounding Long-Acting Injectable (LAI) and Oral HIV Pre-exposure Prophylaxis (PrEP) Among Current and Former LAI and Oral PrEP Users. 目前和以前长效注射(LAI)和口服HIV暴露前预防(PrEP)使用者的意见和关注
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-17 DOI: 10.1007/s10461-025-04749-0
Alice K Schaack, Maxwell B Allamong, Frances Hung, Richard T Barfield, Sarah M Wilson, Tina Watkins, Katherine Link, Mehri S McKellar
{"title":"Opinions and Concerns Surrounding Long-Acting Injectable (LAI) and Oral HIV Pre-exposure Prophylaxis (PrEP) Among Current and Former LAI and Oral PrEP Users.","authors":"Alice K Schaack, Maxwell B Allamong, Frances Hung, Richard T Barfield, Sarah M Wilson, Tina Watkins, Katherine Link, Mehri S McKellar","doi":"10.1007/s10461-025-04749-0","DOIUrl":"https://doi.org/10.1007/s10461-025-04749-0","url":null,"abstract":"<p><p>Long-acting injectable (LAI) pre-exposure prophylaxis (PrEP) has potential to increase PrEP uptake and adherence. However, most studies investigating opinions about LAI PrEP were done prior to its approval. We administered a cross-sectional electronic survey to clients at an urban PrEP clinic in the U.S. South. Eligible participants were 18 + and had previously taken or been prescribed oral or LAI PrEP. They were asked their opinions on PrEP, barriers to access, perceived HIV risk, and PrEP stigma. Between January and April 2024, 123 people participated. Twenty-two (17.9%) used LAI PrEP, 80 (65.0%) oral PrEP, and 21 (17.1%) were not currently using PrEP. Most participants identified as men (87.8%), and mean age was 38.6 (range 19-78). Participants were 52.8% White, 27.6% Black, and 14.6% Latinx. 56.1% preferred injection versus daily oral pill. Common concerns about PrEP included side effects (n = 48), cost of medication (n = 21), and cost of clinic visits/tests (n = 21). Of those taking oral PrEP, 56.3% reported remaining on oral because LAI was not offered to them and/or they were not aware of it. Perceived HIV risk scores were on average higher for those not currently taking PrEP (not on = 26.8, SD = 6.54; LAI = 22.3, SD = 6.45; oral = 24.2, SD = 6.13). Overall, participants had low to moderate PrEP stigma scores. Despite majority preference for LAI PrEP, patients are frequently unaware of or not offered LAI. Common concerns about PrEP include side effects and costs. These data demonstrate the importance of improving LAI PrEP awareness and accessibility of choice.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309423","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
Trends in HIV Testing Among Adults in the Deep South: Behavioral Risk Factor Surveillance System, 2017-2023. 美国南方腹地成人HIV检测趋势:行为风险因素监测系统,2017-2023。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-17 DOI: 10.1007/s10461-025-04776-x
Precious Patrick Edet, Azad R Bhuiyan, Trisha Arnold, Amy Nunn, Andrew Yockey, Ruaa Al Juboori, Hannah K Allen
{"title":"Trends in HIV Testing Among Adults in the Deep South: Behavioral Risk Factor Surveillance System, 2017-2023.","authors":"Precious Patrick Edet, Azad R Bhuiyan, Trisha Arnold, Amy Nunn, Andrew Yockey, Ruaa Al Juboori, Hannah K Allen","doi":"10.1007/s10461-025-04776-x","DOIUrl":"https://doi.org/10.1007/s10461-025-04776-x","url":null,"abstract":"<p><p>HIV testing is an entry point for both HIV prevention and treatment, and the CDC recommends that all adults of reproductive age undergo HIV testing at least once in their lifetime. However, HIV testing rates remain suboptimal. This study analyzed trends in HIV testing using Behavioral Risk Factor Surveillance System data from 2017 to 2023 across nine Deep South states-Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, and Texas. Descriptive statistics and Joinpoint linear regression were employed to assess lifetime HIV testing and testing within the past 12 months. Findings showed that the overall trend in having ever tested for HIV rose from 43% in 2017 to 47% in 2019 but declined to 40% in 2022, with a slight increase to 41% in 2023. Significant declines in ever testing were observed in North Carolina and among adults aged 25-44, non-Hispanic Black, non-Hispanic multiracial, and those identifying as lesbian or gay. Furthermore, the overall trend in HIV testing in the past 12 months declined significantly from 48% in 2017 to 42% in 2022, with a slight increase to 43% in 2023. Significant declines were found in Florida, Georgia, Louisiana, North Carolina, and South Carolina, and among adults aged 18-34, non-Hispanic White, non-Hispanic Black, male, female, and heterosexual individuals. These trends, observed largely during the COVID-19 pandemic, underscore the need to scale up HIV prevention and care initiatives, particularly in populations and regions experiencing significant declines. Trends should continue to be monitored and examined post-COVID pandemic.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309424","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
A Randomized Comparison Trial Testing Two Culturally Adapted HIV Prevention Approaches for Native Americans Reducing Trauma Symptoms Versus Substance Misuse. 一项随机比较试验测试了两种文化适应的艾滋病预防方法,以减少美洲原住民的创伤症状和药物滥用。
IF 2.4 2区 医学
AIDS and Behavior Pub Date : 2025-06-17 DOI: 10.1007/s10461-025-04777-w
C R Pearson, D Huh, M Bedard-Gilligan, D Walker, R A Marín, K Saluskin, D Kaysen
{"title":"A Randomized Comparison Trial Testing Two Culturally Adapted HIV Prevention Approaches for Native Americans Reducing Trauma Symptoms Versus Substance Misuse.","authors":"C R Pearson, D Huh, M Bedard-Gilligan, D Walker, R A Marín, K Saluskin, D Kaysen","doi":"10.1007/s10461-025-04777-w","DOIUrl":"10.1007/s10461-025-04777-w","url":null,"abstract":"<p><p>We compared two counseling approaches aimed at preventing HIV: Narrative Exposure Therapy (NET) targeting posttraumatic stress disorder (PTSD) and Motivational Interviewing with CBT-skills training (MIST), addressing substance misuse. We recruited 125 participants aged 16 + rural American Indians. Participants were screened for current sexual activity, probable PTSD, and substance misuse, then randomly assigned to either NET or MIST. Interventions were culturally adapted and up to 6 sessions delivered by local counselors. Primary outcomes included PTSD severity, number of sexual partners, frequency of sex, sex while using substances, and overall substance use. Both treatments reduced PTSD severity, risky sexual behavior, number of sexual partners, sexual encounters with unknown HIV serostatus partners, and substance use symptoms at follow-up. However, NET showed greater effectiveness than MIST, specifically in reducing risky sexual behaviors and substance use. Results suggest that interventions addressing either PTSD symptoms or substance misuse can effectively reduce HIV sexual risk behaviors.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309421","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
Initial and Subsequent Engagement of Recently Diagnosed Persons Living with HIV in Contact Tracing Interviews Conducted by Public Health Practitioners. 由公共卫生从业人员进行的接触者追踪访谈中,新近确诊的艾滋病毒感染者最初和随后的参与情况。
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-17 DOI: 10.1007/s10461-025-04796-7
John Fulton, Thomas Bertrand, Aditya Khanna, Jon Steingrimsson, Joseph Hogan, Meghan MacAskill, Lila Bhattarai, Vladimir Novitsky, Fizza Gillani, August Guang, Joel Hague, Casey Dunn, Utpala Bandy, Rami Kantor
{"title":"Initial and Subsequent Engagement of Recently Diagnosed Persons Living with HIV in Contact Tracing Interviews Conducted by Public Health Practitioners.","authors":"John Fulton, Thomas Bertrand, Aditya Khanna, Jon Steingrimsson, Joseph Hogan, Meghan MacAskill, Lila Bhattarai, Vladimir Novitsky, Fizza Gillani, August Guang, Joel Hague, Casey Dunn, Utpala Bandy, Rami Kantor","doi":"10.1007/s10461-025-04796-7","DOIUrl":"10.1007/s10461-025-04796-7","url":null,"abstract":"<p><p>Contact tracing is effective in disrupting HIV transmission, but may be limited by the reluctance or inability of recently HIV-diagnosed persons (RDPs) to engage collaboratively with public health. Leveraging an ongoing study endeavoring to increase the yield of standard-of-care contact tracing by re-interviewing a subset of RDPs, we assessed RDP engagement during first and second interviews and compared the two. We used Likert scale scores to develop and employ a 35-point index tool, to assess engagement during first interviews (standard of care) and second interviews (executed in a parent study to inform RDPs of clustering in an attempt to identify additional contacts). Cronbach's Alpha was used to assess the internal consistency of the index, and differences between the index scores of paired (first vs. second) interviews were assessed using paired Student's t-tests. Between January/2021 and December/2022, first interviews were performed with 120 RDPs, and second interviews with 20 of the 120 RDPs. The index was simple to use and internally consistent (Alpha = 0.93). Higher engagement was observed in first interviews (~ 30/35, soon after diagnosis) and lower engagement in second interviews (~ 22/35, usually several weeks later) (P < 0.01). Using a novel engagement tool, we observed diminished engagement between first and second contact tracing interviews, suggesting the limits of RDPs' collaboration with public health praxis. The simple, reliable, and informative engagement index we developed and tested may be used in the future to explore interactions between RDPs and public health practitioners.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12272342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309422","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
Health-Related Quality of Life Among People Living with HIV in Vietnam, a Three-Year Longitudinal Analysis. 越南艾滋病毒感染者与健康相关的生活质量:一项为期三年的纵向分析
IF 2.7 2区 医学
AIDS and Behavior Pub Date : 2025-06-16 DOI: 10.1007/s10461-025-04788-7
Hao T Duong, Cuong D Do, Donn J Colby, Todd M Pollack
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