AIDS and Behavior最新文献

{"title":"Preferences for and Experiences of Antenatal and Postpartum Male Partner Support Among Kenyan Women Living with HIV.","authors":"Brooke Lapke, Katherine Atcheson, Catherine Wexler, May Maloba, Kathy Goggin, Ryan Hoefferle, Vincent Staggs, Shadrack Babu, Nicodemus Maosa, Sarah Finocchario-Kessler","doi":"10.1007/s10461-026-05249-5","DOIUrl":"https://doi.org/10.1007/s10461-026-05249-5","url":null,"abstract":"<p><p>Male partner involvement in prevention of mother to child transmission of HIV (PMTCT) services is linked to improved outcomes for women living with HIV. Yet, rates of male partner support are low. Few studies have evaluated women's preferences for partner support throughout PMTCT. The purpose of this manuscript is to evaluate women's preferences and experiences with male partner support throughout the continuum of antenatal and postpartum care. Participants were surveyed at PMTCT enrollment, delivery, and 6 months postpartum to assess preferences for and experiences with male partner support. Types of support assessed were attending appointments, providing money for transport, providing encouragement, giving advice, attending the delivery, providing medication reminders, helping with chores. A total of 1,217 women were included in this analysis. At baseline, all seven types of support evaluated were important to most women: money for transport (89.8%), encouragement (90.4%), advice (85.9%), delivery attendance (80.3%), medication reminders (80.3%), male partner attendance at appointments (69.3%), and help with chores (61.4%). Among women who wanted that type of support: only 26.6% and 24.2% of women reported that their male partners attended appointments; 81.7% and 74.7% provided money for transport; 49.3% and 58.6% gave advice; 50.6% and 41.7% helped with chores, 68.7% and 63.1% provided medication reminders in the antenatal and postpartum periods, respectively, and 64.1% of partners attended delivery. For each support type, there was a pronounced gap between preferences for and experiences of support. This represents a significant opportunity to improve strategies for support throughout pregnancy.Trial Registration NCT02072603.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148597650","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":"High Burden of Sexually Transmitted Infections Among Pre-exposure Prophylaxis (PrEP) Users: Testing and Prevention Needs.","authors":"Elia Asensi-Díaz, Ana Barcenilla Martín, Ana Cortés Martínez, Ignacio Mahillo-Fernández, Marta Martín-Garcia, Beatriz Álvarez-Álvarez, Irene Carrillo-Acosta, Aws Al-Hayani, Laura Prieto-Pérez, Marta López de Las Heras, Miguel Górgolas, Alfonso Cabello-Úbeda","doi":"10.1007/s10461-026-05256-6","DOIUrl":"https://doi.org/10.1007/s10461-026-05256-6","url":null,"abstract":"<p><p>Pre-exposure prophylaxis (PrEP) effectively prevents HIV acquisition but does not protect against other sexually transmitted infections (STIs). Rising STI rates among PrEP users have raised concerns about risk compensation and highlight the need for integrated sexual health strategies. We assessed the prevalence, anatomical distribution, and behavioural determinants of STIs among PrEP users in Spain. This retrospective observational study included 724 individuals receiving daily tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) at a tertiary hospital in Madrid between March and October 2023, with one year of follow-up. Sociodemographic, behavioural, and microbiological data were obtained from medical records and electronic questionnaires. Routine quarterly PCR screening for Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium, and Trichomonas vaginalis was performed using anal, pharyngeal, and urine samples. During follow-up, 476 participants (65.7%) were diagnosed with at least one STI, accounting for 968 infectious episodes and 1271 pathogen detections. Neisseria gonorrhoeae (35.3%) and Chlamydia trachomatis (30.3%) accounted for two-thirds of episodes, followed by Mycoplasma genitalium (17.4%) and Treponema pallidum (9%). Most positive samples were anal (566; 55.1%), followed by pharyngeal (271; 26.4%) and urinary (190; 18.5%) samples. One participant acquired HIV (0.1%). Younger age, a higher number of sexual partners, and chemsex practices were independently associated with STI diagnosis. The high burden of bacterial STIs, particularly at anal sites, supports systematic multisite testing, adherence support, behavioural interventions, and consideration of additional prevention strategies, including doxycycline post-exposure prophylaxis and future gonococcal vaccines, within PrEP programmes.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590110","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 Intersection of Racial Identity and Immigration Status on Patterns of Condom Use, HIV/STI Testing, and Concurrent Sexual Partnerships in Canada.","authors":"Roger Antabe, Yujiro Sano, Sulemana Ansumah Saaka, Isaac Luginaah","doi":"10.1007/s10461-026-05247-7","DOIUrl":"https://doi.org/10.1007/s10461-026-05247-7","url":null,"abstract":"<p><p>Immigrants and visible minority populations are at higher risk of HIV infection in Canada. To understand the contributory role of these identities on HIV infection, our study examined how the intersection of racial identity and immigration status is associated with patterns of condom use, testing for HIV and other sexually transmitted infections (STIs), and having concurrent sexual partners among females and males in Canada. We used a nationally representative dataset from the 2015-2016 Canadian Community Health Survey (CCHS) and applied multivariate modified Poisson regression analysis. Our findings revealed that compared to visible minority immigrant males, white Canadian-born (RR = 0.64, p < 0.001), visible minority Canadian-born (RR = 0.72, p < 0.001), and white immigrant males (RR = 0.80, p < 0.01) were less likely to have used a condom during their last sexual intercourse. Among females, only white Canadian-born respondents were less likely to report condom use (RR = 0.67, p < 0.001). For HIV testing, visible minority Canadian-born males remained less likely to have ever been tested (RR = 0.81, p < 0.05), whereas white Canadian-born (RR = 1.29, p < 0.001), white immigrant (RR = 1.23, p < 0.01), and visible minority Canadian-born females (RR = 1.18, p < 0.05) were more likely to have been tested. For lifetime STI testing, all comparison groups of males and females showed higher probability than visible minority immigrants, with the largest effects observed among white Canadian-born females (RR = 1.91, p < 0.001). Finally, although no significant differences were observed among males for reporting more than one sexual partner in the past 12 months, all comparison groups of females were more likely to report concurrent sexual partners, including white Canadian-born (RR = 2.19, p < 0.001), visible minority Canadian-born (RR = 1.89, p < 0.01), and white immigrant females (RR = 2.18, p < 0.01) relative to visible minority immigrants. We acknowledge that geopolitical events over the last decade have shaped immigration and health landscapes in Canada; hence, our findings may not adequately capture the current dynamics of HIV infection. We recommend developing population-specific interventions to reduce the risk of HIV infection in Canada.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148576294","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 Effects of Alcohol Intoxication on Sexual Risk Behavior in Men Who Have Sex with Men: Considering PrEP, HIV Viral Load, and Inhibition Conflict.","authors":"Neil Gleason, Eric R Pedersen, Erik D Storholm, William H George","doi":"10.1007/s10461-026-05254-8","DOIUrl":"https://doi.org/10.1007/s10461-026-05254-8","url":null,"abstract":"<p><p>Experimental research has shown consistent evidence for a causal effect of alcohol on sexual risk behavior relevant to HIV. However, event-level research has produced mixed results. Limited research has assessed alcohol and sexual risk in the context of pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP; i.e., maintaining an undetectable HIV viral load). The present study explores the event-level relationship between alcohol use and sexual risk behavior in a cross-sectional sample of men who have sex with men (MSM; N = 464). Event-level data from N = 1,049 retrospectively reported sexual encounters were analyzed using a series of generalized hierarchical linear regressions. Alcohol intoxication showed inconsistent associations with sexual risk behaviors in the full sample, but PrEP and TasP significantly moderated these associations. Participants who did not use PrEP or did not currently have an undetectable viral load (n = 217) showed a positive association between alcohol intoxication and sexual risk behavior, while those using PrEP or reporting an undetectable viral load (n = 247) showed no association. Moderating effects remained significant when accounting for participants' self-reported level of concern about HIV and STI transmission. These results highlight how alcohol's disinhibiting effects on sexual risk behavior may be primarily relevant for those at greatest risk for HIV transmission. Results are discussed in the context of the inhibition conflict model of Alcohol Myopia Theory and HIV epidemiology.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148547651","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":"Examining the Association Between Violence and PrEP Use Among Indigenous Gay and Bisexual Men in Guatemala.","authors":"Catherine Purnell, José Yac, Brandon Merida, Lucy Weyer-Johnson, Christine L Gray, Hy V Huynh, E Roberto Orellana, Dirk A Davis","doi":"10.1007/s10461-026-05167-6","DOIUrl":"https://doi.org/10.1007/s10461-026-05167-6","url":null,"abstract":"<p><p>Indigenous gay and bisexual men (GBM) in Guatemala face high rates of violence and HIV. This study seeks to understand the relationship between exposure to different forms of violence and PrEP use to inform PrEP programming in Guatemala. From June 2023- May 2024, two partner organizations administered a cross-sectional questionnaire to 395 Indigenous Guatemalan GBM. We examined the relationship between violence (physical, sexual, and police violence due to sexual orientation; forced migration and knowing someone missing, injured, or killed in the internal armed conflict; and intimate partner violence [IPV] victimization and perpetration) and PrEP use using logistic regression in R. In multivariable analysis, we found that participants who experienced police violence had 75% greater odds of PrEP use than those who did not experience police violence (aOR:1.73, 95% CI: 1.09, 2.75, p = 0.02). Participants who experienced forced migration during the internal conflict had twice the odds of being current PrEP users, (aOR: 2.02, 95% CI: 1.11, 3.70, p = 0.02). Participants who perpetrated IPV had 80% lower odds of using PrEP (aOR: 0.17, 95% CI: 0.03, 0.65, p = 0.02). Indigenous GBM experience a high burden of violence which may affect their use of PrEP. Future longitudinal research should explore how violence victimization affects perceived HIV risk and resilience, which may explain why Indigenous GBM who experienced violence may be more likely to use PrEP.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535175","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 Intersectionality of Stigma Toward HIV, Aging, Mental Illness, and Dementia Among Healthcare Professionals Serving the HIV-Infected Aging Population in Vietnam.","authors":"Yaofeng Chen, Fei Sun, Qing Xia, Huong Thi Dang, Khanh Duc Nguyen","doi":"10.1007/s10461-026-05248-6","DOIUrl":"https://doi.org/10.1007/s10461-026-05248-6","url":null,"abstract":"<p><p>The intersection of HIV, aging, mental illness, and dementia presents a critical global health challenge, especially in resource-limited settings like Vietnam. This study examines the interconnected stigmas held by healthcare professionals toward older adults living with HIV/AIDS (OALWH), focusing on stigma toward HIV, aging, mental illness, and dementia, as well as knowledge gaps related to dementia. Using a cross-sectional online survey developed in collaboration with Hanoi Medical University in Vietnam and Michigan State University in the United States, data were collected from 81 healthcare professionals working with OALWH in Hanoi, Vietnam. Results indicated that stigma across these domains is highly interrelated, with stigma related to mental illness and dementia emerging as the most central factors. Additionally, participants reported moderate levels of dementia knowledge, but no significant relationship was found between knowledge and attitudes, suggesting that increasing factual knowledge alone may not reduce dementia stigma. These findings underscore the urgent need for coordinated treatment and interventions that span infectious disease, geriatrics, neurology, and psychiatry. Intervention efforts should address multiple intersecting stigmas and deliver culturally relevant content in hybrid formats to enhance accessibility and effectiveness.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535183","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":"Uptake of Influenza, Pneumococcal, and COVID-19 Vaccines Among People Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study.","authors":"Catharine Chambers, Tsegaye Bekele, Ramandip Grewal, Colin Kovacs, Lawrence Mbuagbaw, Muthoni Ndung'u, Dane Record, Sarah E Wilson, Abigail Kroch, Ann N Burchell","doi":"10.1007/s10461-026-05237-9","DOIUrl":"https://doi.org/10.1007/s10461-026-05237-9","url":null,"abstract":"<p><p>People living with HIV are at higher risk of severe illness due to common respiratory pathogens. We estimated uptake of influenza, pneumococcal, and COVID-19 vaccines among people engaged in HIV care in Ontario, Canada, and identified factors associated with vaccine uptake. We conducted a cross-sectional analysis of interviewer-administered, annual questionnaires (2021-2023) linked to medical charts and laboratory data. We used modified Poisson regression to calculate adjusted prevalence ratios and 95% confidence intervals for self-reported uptake of influenza (yes vs. no, last year), pneumococcal (≥ 1 vs. 0 doses, lifetime), and COVID-19 (≥ 2 vs. 0 - 1 doses and ≥ 3 vs. 2 doses, lifetime) vaccines. Among 3,163 people with HIV (median age = 54 years; 78% men; 98% on antiviral treatment), overall uptake was 70% (95%CI = 68.5% - 72.1%) for influenza, 72.7% (95%CI = 70.8% - 74.7%) for pneumococcal, and 89% (95%CI = 88.0% - 90.3%) for ≥ 2 doses COVID-19 vaccines. Among two-dose COVID-19 vaccine recipients, uptake of ≥ 3 doses was 84.9% (95%CI = 83.4% - 86.5%). Across all three vaccines, uptake was significantly associated with older age, identifying as a sexual minority man, higher education, difficulty paying for housing costs, food insecurity, being a former or non-smoker, abstaining from alcohol or recreational drugs, having greater social support, certain comorbidities, entering HIV care earlier in time, and having well-managed HIV. Despite generally high coverage, vaccine uptake remains below national targets in people living with HIV in Ontario, particularly for those at highest risk of severe respiratory infections. Interventions that address predisposing, enabling, and need factors associated with vaccine uptake may help improve access and promote vaccine confidence in this population.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535124","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":"Association Between Alcohol Use, CD4 Count, and Depressive Symptoms Among People with HIV with Viral Load Suppressed in Southwestern Uganda.","authors":"Alain Favina, Robin Fatch, Sowmya R Rao, Gabriel Chamie, Winnie Muyindike, Julian Adong, Nneka I Emenyonu, Adah Tumwegamire, Christine Ngabirano, Allen Kekibiina, Marson Kara, Brian Beesiga, Adam W Carrico, Judith A Hahn","doi":"10.1007/s10461-026-05214-2","DOIUrl":"https://doi.org/10.1007/s10461-026-05214-2","url":null,"abstract":"<p><p>Despite the current effective antiretroviral therapy (ART) and viral suppression, depression remains the most prevalent mental health challenge among people with HIV (PWH) in Uganda and worldwide. This study examined the relationship between CD4 cell count and depressive symptoms among PWH on ART with viral suppression, and the potential modification effect of alcohol use on this relationship. We combined baseline data from two longitudinal studies (DIPT (NCT03492216) and ADEPTT (NCT03302299)) conducted between May 2017 and August 2021 across four health facilities in Southwestern Uganda. Eligible participants were adults with suppressed HIV viral load. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CESD) Scale (≥ 16 considered significant). CD4 + count was measured through blood tests, while alcohol use was measured using both the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) and the alcohol biomarker phosphatidylethanol (PEth), measured in dried blood spots. Multivariable mixed effects logistic regression models examined associations. Among 908 participants, 14.6% had depressive symptoms. The median CD4 count was 632 cells/mm³ (IQR: 467.5-825.5), and 62.1% had high or very high-risk alcohol use. Overall, no significant association was found between CD4 count and depressive symptoms (aOR: 1.04; 95% CI: 0.97-1.12; p = 0.26). Additionally, no evidence of effect modification by level of alcohol use (p = 0.10) was found. The prevalence of depressive symptoms is high among PWH with viral suppression. Healthcare providers should assess and manage depression among this population. Further studies should also explore the causes of the depressive symptoms and develop targeted interventions.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535178","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":"Instruments for Assessing Population Knowledge of Pre-exposure Prophylaxis (PrEP) and/or Post-exposure Prophylaxis (PEP) for HIV: A Scoping Review.","authors":"Renata Braga Cordeiro, Vitor Santos de Sá Galina, Mayra Cardozo Mendes, Laura Candeias Dos Santos, Dyego Carlos Souza Anacleto de Araujo, Kérilin Stancine Santos Rocha","doi":"10.1007/s10461-026-05253-9","DOIUrl":"https://doi.org/10.1007/s10461-026-05253-9","url":null,"abstract":"<p><p>Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are central strategies for HIV prevention; however, a comprehensive understanding of how knowledge about these strategies is measured across different contexts remains limited. This scoping review aimed to map the instruments used to assess knowledge of PrEP and/or PEP. The study followed the recommendations of the JBI Reviewer's Manual, with a systematic search conducted on August 27, 2024, in PubMed, Embase, Web of Science, the Virtual Health Library, and grey literature. Original studies assessing knowledge of PrEP and/or PEP were included. Two reviewers independently conducted study selection through title and abstract screening, followed by full-text assessment. Data extraction was performed by a single researcher, and the findings were presented descriptively. A total of 1,922 records were retrieved, of which 49 studies were included. Cross-sectional studies predominated (n = 45; 91.8%), as did publications from 2020 to 2024 (n = 25; 51.0%). The instruments focused mainly on PEP (n = 27; 55.1%), followed by PrEP (n = 20; 40.8%), and were administered primarily to healthcare professionals or healthcare students (n = 35; 71.4%). The instruments varied in terms of the number of items, response formats, and scoring criteria, and showed limited reporting of their development and psychometric properties. The findings highlight substantial variability in the characteristics of instruments used to assess population knowledge of PrEP and/or PEP. Important gaps were identified in the reporting of instrument development and validation processes, reinforcing the need for methodologically robust instruments to assess population knowledge of PrEP and PEP.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535189","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":"Self-reported Intimate Partner Violence Before and After Return of Recency Test Results: Findings from the Rwanda HIV Recency Evaluation Study.","authors":"Eugenie Poirot, Giles Reid, Suzue Saito, Jean Claude Irabona, Collins Kamanzi, Vusumuzi Maliwa, Veronicah Mugisha, Eric Remera, Beata Sangwayire, Eugenie Kayirangwa, Samuel Malamba, Meagan Cain, Jennifer Hegle, Jessica Justman, Stephanie Behel, Gallican N Rwibasira","doi":"10.1007/s10461-026-05236-w","DOIUrl":"https://doi.org/10.1007/s10461-026-05236-w","url":null,"abstract":"<p><p>We conducted a prospective cohort study to assess IPV experiences after returning recency test results to PLHIV in Rwanda. At 60 health facilities, newly diagnosed PLHIV underwent HIV recency testing and baseline viral load measurement. Recency test results were returned after viral load testing. During interviews conducted at four study visits over 6 months, participants self-reported IPV victimization and perpetration experiences with current partner(s) in the past four weeks. We compared IPV prevalence before/after HIV diagnosis and before/after return of recency test results. Victimization experiences were also compared between recent (RT) and long-term (LT) cases using generalized linear mixed models. Between August 2021 and October 2022, 932 newly diagnosed PLHIV had IPV data from ≥ 1 visits after return of recency test results. Of these, 91.1% had LT infection and 8.9% had RT infection. Victimization prevalence was higher before HIV diagnosis compared to after HIV diagnosis (29.8% vs. 17.6%, p < 0.001) and did not increase after return of recency test results at 2 (17.6% vs. 16.8%, p = 0.7) or 6 months (17.6% vs. 15.3%, p = 0.2). Victimization or perpetration prevalence did not differ between RT and LT participants before/after return of recency test results, and return of RT infection result was not associated with increased victimization relative to return of LT infection result in multivariable analysis. In a setting with high baseline IPV, returning recency test results did not increase IPV experience over 6 months. HIV testing services should nonetheless continue to implement strategies to mitigate IPV risks.Clinical Trial Number: NCT05063487.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535114","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}