AIDS and Behavior最新文献

{"title":"HIV-related Stigma among People with HIV in Denmark and its Association with Psychosocial and Sexual Health: a cross-sectional Nationwide Study.","authors":"Ditte Scofield, Nina Weis, Alessandra Meddis, Merete Storgaard, Gitte Pedersen, Isik S Johansen, Terese L Katzenstein, Christian Graugaard, Lars H Omland, Morten Frisch, Ellen Moseholm","doi":"10.1007/s10461-025-04806-8","DOIUrl":"https://doi.org/10.1007/s10461-025-04806-8","url":null,"abstract":"<p><p>HIV-related stigma remains a major barrier to improving the lives of people with HIV (PWH) and curbing the epidemic globally. This cross-sectional study assessed HIV-related stigma, based on The HIV Stigma Framework, among PWH in Denmark, and examined its potential associations with sociodemographic characteristics, as well as with HIV-related, psychosocial and sexual health measures. Data from 630 participants (486 men and 144 women) in the SHARE study-a nationwide survey on psychosocial and sexual health among PWH in Denmark conducted from 2021 to 2022-were analysed using sex-stratified linear and logistic regression models adjusted for relevant confounders. Results showed that anticipated stigma was the most commonly reported stigma mechanism, with 68% of men and 77% of women expressing high levels of concern about HIV status sharing. In contrast, enacted stigma was reported by 9% of men and 22% of women. The multivariate regression analyses revealed that higher stigma levels were associated with originating from low- or middle-income countries and with a history of mental health problems, whereas non-heterosexual identity and a longer time since HIV diagnosis were linked to lower stigma. In both men and women, stigma was significantly associated with fewer close friends, loneliness, anxiety and reduced sexual desire. Among men, stigma was also significantly associated with sharing one's HIV status with fewer people, depression, suicidal tendencies and erectile dysfunction. In conclusion, HIV-related stigma, notably stigma related to anticipated stigma, remains prevalent among PWH in Denmark and it is significantly associated with a range of psychosocial and sexual challenges.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293168","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":"Masibambane (Let Us Work Together), Ladies Chat: Pilot Evaluation of an Online, Gender-Enhanced, Group-Interactive Workshop to Promote Oral PrEP to Young South African Women.","authors":"Susie Hoffman, Jill Hanass-Hancock, Abigail D Harrison, Nonhlonipho Bhengu, Curtis Dolezal, Theresa M Exner, Lori Miller, Tarylee Ready, Jiying Han, Cheng-Shiun Leu","doi":"10.1007/s10461-025-04747-2","DOIUrl":"https://doi.org/10.1007/s10461-025-04747-2","url":null,"abstract":"<p><p>Oral pre-exposure prophylaxis (PrEP) has been available to adolescent girls and young women (AGYW) in the South African public sector since 2019, yet uptake has lagged below targets. In this pilot trial focused on early PrEP cascade steps, a WhatsApp^®-based small-group interactive intervention with a gender-empowerment component- \"gender enhanced\" (GE)-was compared to a control condition providing website links to PrEP information/motivation that women accessed individually (\"individual access\", IA). PrEP was not offered as part of the trial. Eligible participants were 18-25 years, heterosexually active in the past six months, but not pre-screened for PrEP eligibility. Primary outcome was undergoing individual PrEP counselling; secondary outcomes were HIV testing and self-reported PrEP initiation. Fifty women enrolled in each condition (N = 100). Retention, feasibility and acceptability were high. Fifty-six percent underwent PrEP counseling in each condition; PrEP was initiated by 8 women in GE and 5 in IA. Stage of change (readiness) for PrEP increased more in GE than IA women post-intervention (b = 0.68 [95%CI = 0.25, 1.11, p = 0.002]) and at 3-month follow-up (b = 0.73 [95%CI = 0.18, 1.27, p = 0.009]). GE women showed greater improvements in PrEP knowledge and positive PrEP beliefs, had less decline in perceived HIV risk, and greater reduction in perceived importance of family's opinions about sexuality/reproductive health. In a setting where women were not given immediate access to PrEP, a large proportion took a behavioral step for initiation. Especially as other forms of PrEP become available, both the GE intervention and the IA control conditions merit further refinement and testing in a larger trial.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281964","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":"Correction: The Association between Use of Adherence Support Interventions and Adherence To HIV Preexposure Prophylaxis among Young South African and Zimbabwean Women in HPTN 082.","authors":"Abubaker Ibrahim Elbur, Deborah Donnell, Sybil Hosek, Bonnie J Dye, Jennifer Velloza, Sinead Delany-Moretlwe, Connie Celum","doi":"10.1007/s10461-025-04807-7","DOIUrl":"https://doi.org/10.1007/s10461-025-04807-7","url":null,"abstract":"","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281963","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":"HIV Pre-exposure Prophylaxis (PrEP) Uptake and Persistence in Wartime Ukraine: Analysis of Data from a Scaled PrEP Program.","authors":"Ellis G Moon, Alyona P Ihnatiuk, Anna P Kazanzhy, Oksana V Danylenko, Larisa I Hetman, Lisa E Manhart, Misti R Mcdowell, Anna Y Shapoval, Nancy H Puttkammer","doi":"10.1007/s10461-025-04773-0","DOIUrl":"https://doi.org/10.1007/s10461-025-04773-0","url":null,"abstract":"<p><p>Russia's invasion of Ukraine and the ongoing war have had devastating effects on health programs. This observational study assessed uptake and persistent use of HIV pre-exposure prophylaxis (PrEP) during wartime. The study included newly-initiating daily PrEP users from 94 clinics who enrolled on PrEP from October 2022 through September 2023. PrEP persistence was defined as returning for a PrEP refill no later than 7 days after the expected refill date. We used Kaplan-Meier curves and sex-stratified Cox regression to explore PrEP discontinuation by sex, key population group, age group, and wartime location. 4537 clients initiated daily PrEP, with 31.9% being men who have sex with men (MSM), 29.7% based in a frontline location, and 16.7% aged 18-25. Six-month persistence was 37.3% overall. It was lower among MSM (28.6%), young adults aged 18-25 (17.2%), and frontline residents (15.6%), and higher among sex workers (SW) (81.5%). In adjusted analysis among women, SW had a lower risk of discontinuing PrEP compared with discordant couples (adjusted hazard ratio [aHR]: 0.22, 95% confidence interval [CI] 0.14-0.34). In both sexes, clients aged 18-25 had a higher risk of discontinuing PrEP (aHR: 1.43, 95% CI 1.25-1.65 for men; aHR: 1.60, 95% CI 1.16-2.20 for women), as did those based in frontline locations (aHR: 2.19, 95% CI 1.99-2.41 for men; aHR: 1.26, 95% CI 1.04-1.53 for women). The findings highlight the resilience of Ukraine's PrEP program and the need to support PrEP persistence among younger and frontline populations.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265078","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 Effect of Sexual and Gender Minority Violence on Depression, Hazardous Drinking, Condom Use, and HIV Acquisition: An Individual Participant Data Meta-Analysis of the CohMSM, HPTN 075, and Anza Mapema Cohort Studies in Africa.","authors":"James Stannah, Jesse Knight, Theo Sandfort, Christian Laurent, Fredrick O Otieno, Joseph Larmarange, Pierre-Julien Coulaud, Victor Mudhune, Erica Hamilton, Vanessa Cummings, Bruno Spire, Doerieyah Reynolds, Sufia Dadabhai, Duncan Okall, Bintou Dembélé Keita, Luis Sagaon-Teyssier, Ravindre Panchia, Marie-Claude Boily, Mathieu Maheu-Giroux","doi":"10.1007/s10461-025-04799-4","DOIUrl":"10.1007/s10461-025-04799-4","url":null,"abstract":"<p><p>Some sexual and gender minorities (SGM), including men who have sex with men and transgender women, are disproportionately vulnerable to HIV. Many SGM in Africa report experiencing verbal or physical violence due to their sexual and/or gender identities or behaviours. The pathways linking such SGM violence to HIV acquisition are complex. We described experiences of verbal and physical SGM violence and explored pathways to HIV acquisition among SGM assigned male sex at birth using a two-stage individual participant data meta-analysis of three African cohort studies: CohMSM (Burkina Faso, Côte d'Ivoire, Mali, Togo), HPTN 075 (Kenya, Malawi, South Africa), and Anza Mapema (Kenya). SGM violence was assessed at baseline and follow-up visits. We fit log-linear sequential conditional mean models using generalised estimating equations to estimate risk ratios linking SGM violence, moderate-to-severe depressive symptoms, hazardous drinking, condom use, and HIV acquisition, adjusted for baseline confounders and previous exposure and outcome. We pooled study estimates using random effects meta-analysis. SGM violence, mostly verbal, was reported by 36% (570/1590) participants at baseline (past 6-12 months), and 20% (321/1590) during the first year of follow-up (past 3-6 months). Baseline SGM violence was not associated with HIV acquisition (pooled adjusted risk ratio [aRR] = 1.0, 95% CI 0.5-1.9). During follow-up, SGM violence also showed no clear relationship with HIV, but was linked to depressive symptoms at the same visit (pooled aRR = 1.7, 1.3-2.1), in turn associated with hazardous drinking (pooled aRR = 1.4, 1.1-1.7). Impacts on condom use were inconclusive. SGM in Africa face high rates of violence, which are associated with depressive symptoms and hazardous drinking-potential routes to HIV vulnerability. While our study did not conclusively demonstrate higher HIV incidence among SGM reporting violence, interventions to reduce violence and support mental health remain crucial.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265079","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}

{"title":"Understanding Opportunities for Prescribing Pre-exposure Prophylaxis at Two Academic Medical Centers in a High Priority Jurisdiction for Ending the HIV Epidemic.","authors":"Moira C McNulty, Katherine McGuckin, Eleanor E Friedman, Matthew Caputo, Joseph A Mason, Samantha A Devlin, Mihai Giurcanu, Aniruddha Hazra, Jessica P Ridgway, Chad J Achenbach","doi":"10.1007/s10461-025-04767-y","DOIUrl":"10.1007/s10461-025-04767-y","url":null,"abstract":"<p><p>Pre-exposure prophylaxis (PrEP) is an effective yet underutilized tool for HIV prevention. We examined opportunities for prescribing PrEP at two large, urban, academic healthcare institutions. We analyzed electronic medical record data for 1/1/2015-12/31/2021 among patients ≥ 18 years of age, with ≥ 1 negative HIV test with indications for PrEP. Eligible encounters were six months after a sexually transmitted infection, or when injection drug use (IDU) was documented. We categorized encounter setting, including the emergency department (ED) and obstetrics and gynecology/women's health (OBGYN) department. We performed logistic mixed effects regression, reporting odds ratios and confidence intervals (OR, aOR, 95% CI). Overall, 9644 people contributed 53,031 encounters with 4653 PrEP prescriptions. The two institutions had different patient population demographics, with institution A having a higher proportion of women, patients aged 18-24, and non-Hispanic Blacks (NHB), and institution B having a higher proportion of men who have sex with men (MSM), non-Hispanic Whites (NHW), and Hispanic/Latinos. Adjusted models found lower odds of PrEP prescriptions for NHB (aOR 0.21 [0.15, 0.29]), Hispanic/Latino (aOR 0.53 [0.37, 0.76]), heterosexual women (aOR 0.10 [0.06, 0.17]), IDU (aOR 0.01 [0.001, 0.08]), and encounters at the ED or OBGYN (0.14 [0.06, 0.31]). Increased odds of PrEP prescription were seen among NHW (aOR 4.85 [3.45, 6.82]), MSM (aOR 24.87 [15.79, 39.15]), and patients at institution B (aOR 1.78 [1.25, 2.53]). Institution A contained people historically underrepresented in PrEP prescriptions, while institution B accounted for most PrEP prescriptions. Opportunities exist to improve equity in PrEP prescriptions among demographic groups and in hospital settings.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257109","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":"Patterns in Mental Health Symptoms, Substance Use, and Viral Suppression in People with HIV: A Clustering Analysis.","authors":"Y Joseph Hwang, Catherine R Lesko, Jarratt D Pytell, Oluwaseun Falade-Nwulia, Joyce L Jones, Jeanne C Keruly, LaQuita N Snow, Richard D Moore, Anthony T Fojo","doi":"10.1007/s10461-025-04797-6","DOIUrl":"https://doi.org/10.1007/s10461-025-04797-6","url":null,"abstract":"<p><p>Mental health conditions and substance use are prevalent among people with HIV (PWH), are correlated with one another, and associate with viral non-suppression independently; their joint association with viral non-suppression may be under-studied because of data sparsity. We conducted a machine learning-based clustering analysis to characterize groups of patient-reported mental health symptoms and substance use based on their relationship with HIV viral suppression. Participants in the Johns Hopkins HIV Clinical Cohort reported symptoms of depression, anxiety, and post-traumatic stress, and recent use of alcohol, cocaine, amphetamine, non-prescribed opioids, and cannabis (2013-2023). We fit a random forest model with the viral suppression status as the outcome against self-reported items as predictors and used a forest-derived similarity measure to group participants into three clusters. The cluster with the lowest viral suppression rate (74.5%) had the highest depression symptom score (median score 4, interquartile interval [IQI] 1-8) and anxiety symptom score (median score 2, IQI 0-7) along with the greatest prevalence of recent cocaine (99.9%) and opioid (28.0%) use. The cluster with the highest HIV viral suppression rate (81.1%) had the lowest depression symptom score (median 1, IQI 0-4) and anxiety symptom score (median 0, IQI 0-2) and lowest proportion of recent cocaine (0%) and opioid (2.5%) use. Clinically meaningful groups of PWH with heterogenous mental health and substance use characteristics were formed using a machine learning-based clustering approach. PWH with mental health symptoms and substance use represent an important subpopulation for interventions to improve antiretroviral treatment outcomes.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257107","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":"A Diabetes Self-Management Group to Promote Self-Efficacy in Clients with HIV in a Community Mental Health Setting: A Pilot Study.","authors":"Tara Elizabeth Ford, Sara Kate Frye, Kristen Meyer","doi":"10.1007/s10461-025-04766-z","DOIUrl":"https://doi.org/10.1007/s10461-025-04766-z","url":null,"abstract":"<p><p>Diabetes self-management (DSM) interventions are essential for reducing health risks in individuals with HIV, a group with limited research on DSM strategies tailored to their needs. This pilot study evaluated the impact of an occupational therapy-based DSM group, using the REAL Diabetes program, on diabetes knowledge and self-efficacy in six clients living with HIV across six weekly two-hour sessions. Grounded in the Lifestyle Redesign® framework and self-efficacy theory, the intervention provided tailored support, addressing the unique challenges posed by HIV and comorbid mental health issues. Participation barriers, including mobility and transportation challenges, were observed, highlighting key considerations for engagement in DSM programs. Results indicated that 80% of participants experienced an increase in self-efficacy and diabetes knowledge after each session, though the change was not statistically significant. Due to the small sample size and lack of a control group, these findings are preliminary and should be interpreted with caution. Findings suggest that DSM interventions adapted to the needs of individuals living with HIV may enhance diabetes knowledge and self-efficacy, supporting occupational therapy's role in chronic disease management. Further research with larger samples and adaptations, such as flexible scheduling and virtual options, is recommended to optimize engagement and effectiveness in high-need populations.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257105","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":"Predictors of Past-Year Formal and Informal Mental Health Services Utilization Among Young Black Sexually Minoritized Men Living with HIV in Atlanta, GA.","authors":"Daniel I Alohan, Ryan M Wade, Gary W Harper, Antonio Newman, Kamini Doraivelu, Sophia A Hussen","doi":"10.1007/s10461-025-04780-1","DOIUrl":"https://doi.org/10.1007/s10461-025-04780-1","url":null,"abstract":"<p><p>Young Black sexually minoritized men living with HIV (SMM-LWH) face interlocking systems of oppression, including racism, homophobia, and HIV-related stigma, that negatively affect mental health. While mental health services can alleviate some of these inequities, many young Black SMM do not access them. This study aimed to examine factors associated with formal (e.g., psychologists) and informal (e.g., peer support groups) mental health service use among young Black SMM-LWH in Atlanta, GA. Between April 2021 and November 2022, we surveyed 200 young Black SMM aged 18-29 years (mean: 25). Guided by Andersen's Behavioral Model of Health Service Utilization, we used hierarchical logistical regression to examine how predisposing (e.g., education attainment), enabling (e.g., insurance coverage), and need-based (e.g., psychological symptoms) factors were associated with past-year formal and informal mental health use, using hierarchical logistic regression. Participants with higher educational attainment (adjusted odds ratio [aOR] = 1.38; 95% confidence interval [CI]: 1.07-1.77), more adverse childhood experiences (ACEs, aOR = 1.16; 95% CI: 1.06-1.26), and greater trauma symptoms (aOR = 1.03; 95% CI: 1.00-1.06) had greater odds of informal mental health service use. Higher trauma symptoms were the only factor associated with formal service use (aOR = 1.04; 95% CI: 1.01-1.07). Findings suggest that trauma symptoms are key drivers of both formal and informal mental health use, while educational attainment and ACES may facilitate informal help-seeking. Interventions that address trauma and social-structural disadvantage such as limited educational access and early-life adversity may enhance mental health service utilization among this underserved population.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257108","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":"Development and Evaluation of Decision Partner: A Decision Aid for HIV Remission Clinical Trial Participation.","authors":"Rebecca R Moultrie, Gail Henderson, Sarah Nelson Potter, Emily Cheves, Kristine J Kuczynski, Dean Jackman, Stuart Rennie, Cynthia Gay, Chelsea Gieck, Yujiemi Chisholm, Holly L Peay","doi":"10.1007/s10461-025-04764-1","DOIUrl":"https://doi.org/10.1007/s10461-025-04764-1","url":null,"abstract":"<p><p>HIV remission (or cure) clinical trials require potential participants to understand trial-related risks, approaches to minimize risks, potential benefits, procedures, and participation alternatives to make an informed decision. Decision aids (DAs) support preference-sensitive decisions. We report on the development and evaluation of a DA called Decision Partner, designed to support informed consent. We used an iterative, mixed-methods approach to develop and test Decision Partner. We conducted research and engagement activities among people living with HIV (PLWHIV), advocates, researchers, trialists, and clinicians which resulted in a product reflective of information required for informed choice. Among 20 PLWHIV, 90% rated that Decision Partner would be useful for decision-making. Decision conflict significantly decreased after using Decision Partner (37.3 to 16.8, p =.007) and knowledge significantly increased from pre to-post(z = -3.11, p <.01). Our findings indicated that Decision Partner holds promise to augment the informed consent process, in HIV remission trials.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257106","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}