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Barriers to HIV Pre-Exposure Prophylaxis Uptake and Ways to Mitigate Them: Perspectives of Ghanaian Immigrants in the United States. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-06-01 Gloria Aidoo-Frimpong,R Lorraine Collins,Kafuli Agbemenu,Heather Orom,Gene D Morse,LaRon E Nelson
African immigrants in the United States experience disparities in HIV incidence. Pre-exposure prophylaxis (PrEP) effectively prevents HIV infection, yet uptake is low among racial and ethnic minorities. To better understand PrEP adoption among African immigrants, in March 2020, we conducted interviews with Ghanaian immigrants (N = 40) to explore the barriers and ways to overcome these barriers to PrEP
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People Living With HIV in St. Petersburg, Russia: Gender and Exposure Group Differences in HIV Care Engagement, Psychosocial Health, Substance Use, and Transmission Risk Behavior. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-06-01 Yuri A Amirkhanian,Jeffrey A Kelly,Wayne J DiFranceisco,Sergey S Tarima,Timothy L McAuliffe,Anna V Kuznetsova
This study examined psychosocial and health needs of persons living with HIV (PLWH) in Russia. The study combined baseline datasets from two social network samples of PLWH in St. Petersburg (N = 872). Samples were recruited between 2014 and 2018 by enrolling a PLWH seed who was either out-of-care or treatment nonadherent as well as network members surrounding each seed, assessing each participant's
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Family Conflict Non-negotiation and HIV Disclosure Associated With ART Adherence in a Disadvantaged Population. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-04-01 Mary M Mitchell,Tuo-Yen Tseng,Dulce Cruz-Oliver,Zachary Catanzarite,Eric Hansen,Amy R Knowlton
Adherence to antiretroviral therapy (ART) is vital for reducing racial and gender disparities in morbidity and mortality among people living with HIV/AIDS (PLWH). Little research attention has been given to aspects of family functioning affecting ART adherence among PLWH vulnerable to disparities. Data were from n = 313 participants (93% African American) in the BEACON study, which recruited injection-drug-using
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HIV PrEP Clinician Communication Preferences Among Black Sexual Minority Men. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-04-01 Derek T Dangerfield,Alexander Lipson,Janeane N Anderson
Black sexual minority men (BSMM) are substantially less likely than White SMM to accept a clinician's recommendation to initiate HIV pre-exposure prophylaxis (PrEP). The purpose of this study is to identify PrEP messaging preferences among BSMM. Data were obtained from 12 focus groups and one in-depth interview among BSMM in Baltimore, MD (N = 39). Focus groups were stratified (18-24, 25-34, and 35
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Transforming Latinx HIV Care: Mixed-Methods Evaluation of a Patient-Centered HIV Practice Transformation. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-04-01 Jesus Felizzola,Veronica Pinho,Danielle Funk,Ana María Del Río-González,Maria Cecilia Zea,Catalina Sol,Suyanna Barker
We conducted a mixed-method longitudinal evaluation of an HIV primary care practice transformation project in Washington, D.C. The project aimed to enhance organizational capacity to deliver culturally appropriate and patient-centered care for Latinxs living with HIV. Quantitative and qualitative data were simultaneously collected to capture the complex interactions among care providers, staff, and
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HIV Testing Program Activities and Challenges in Four U.S. Urban Areas. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-04-01 James W Carey,Cari Courtenay-Quirk,Neal Carnes,Aisha L Wilkes,Alisú Schoua-Glusberg,Casey Tesfaye,Valerie Betley,Sarah Pedersen,Laura A Randall,Paula M Frew
The national "Ending the HIV Epidemic: A Plan for America" supports expanded testing in jurisdictions and groups with disproportionate HIV burden. Public health planners benefit from learning HIV testing service (HTS) strengths, challenges, and innovations. We conducted semistructured interviews with 120 HTS staff from local health departments, community-based organizations, and community members in
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Emotive Media as a Counterbalance to AIDS Messaging Fatigue in South Africa: Responses to an HIV/AIDS Awareness Music Video. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-02-01 Gavin Robert Walker
South Africa recorded and estimated 230,000 new infections in 2020, and low levels of AIDS risk awareness remain prevalent among the nation's youth. While public health awareness initiatives continue to be necessary, the large quantity of AIDS-related content that has permeated the media landscape since the start of the epidemic has resulted in increasing indifference to health messaging. Drawing from
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Crowdsourced PrEP Promotion Messages for an HIV High-Burden Area: A Framework-Based Content Analysis. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-02-01 Evan L Eschliman,Mudia Uzzi,Jordan J White,Allison Mathews,Marcus Henry,Meghan B Moran,Kathleen Page,Carl A Latkin,Joseph D Tucker,Cui Yang
Pre-exposure prophylaxis (PrEP) is an important and highly effective HIV prevention strategy, but its uptake remains low, particularly among marginalized populations at high risk of HIV. Innovative and community-driven promotion strategies, such as open contests, are needed to address disparities. This directed content analysis uses a PrEP-specific adaptation of the Information-Motivation-Behavioral
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Trends in HIV Stigma Experienced by People Living With HIV in the Netherlands: A Comparison of Cross-Sectional Surveys Over Time. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-02-01 Sarah E Stutterheim,Kyran J R Kuijpers,Moon I Waldén,Renee N N Finkenflügel,Pieter A R Brokx,Arjan E R Bos
We investigated whether HIV stigma has changed in recent years. We compared data on stigma settings and manifestations from 2007 (n = 667) and, specifically for health care, 2009 (n = 262), to data acquired in 2019/2020 (n = 258). Results showed reductions in stigma from friends, family, acquaintances, at work, in the financial services sector, and in media, but stigmatizing messages in media remained
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"I Think That I Have a Good Understanding of How to Protect Myself": A Qualitative Study About HIV Risk Perceptions Among Men and Gender Diverse Individuals Who Have Sex With Men. AIDS Education and Prevention (IF 1.92) Pub Date : 2022-02-01 Daniel Resnick,Marilyn M Schapira,Mary E Andrews,Amadi Essoka-Lasenberry,Annet Davis-Vogel,José A Bauermeister,Sarah M Wood
This qualitative study aimed to determine how men and gender diverse individuals who have sex with men describe their perceived risk of HIV and what factors influence this risk assessment. We conducted in-depth, virtual interviews with 18 HIV-negative individuals from Philadelphia, eligible for or taking PrEP. The interviews assessed the participants' understanding of their HIV risk, using thematic
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Barriers and Facilitators to Participation in Long-Acting Injectable PrEP Research Trials for MSM, Transgender Women, and Gender-Nonconforming People of Color. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-12-01 Sameena Azhar,Xiangyu Tao,Vaidehi Jokhakar,Celia B Fisher
We collected 216 responses from sexually active MSM, transgender women, and gender-nonconforming (GNC) people of color through a web-based survey to understand the facilitators and barriers to research participation in a hypothetical LAI PrEP trial. In adjusted models, these items were found to be significantly associated with research participation likelihood: ever participated in HIV research study;
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Men Who Have Sex With Men and HIV Risk Behavior: Exploring the Influence of Masculinity Within the Social Ecological Model. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-12-01 Kenneth C Hergenrather,Diona Emmanuel,Robert J Zeglin,David J Ruda,Scott D Rhodes
In the United States, gay, bisexual men, and men who have sex with men (MSM) represent 86% of new HIV infections among males. Approximately 1 in 7 men with HIV are unaware of their HIV status (CDC, 2017, 2019a, 2020a). To explore influences on MSM HIV risk behavior, the authors performed a systematic review of quantitative studies conducted in the U.S. assessing what is purported as masculinity. From
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Intimate Relationships and HIV Infection Risks Among Shan Female Sex Workers From Myanmar in Chiang Mai, Thailand: A Qualitative Study. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-12-01 Arratee Ayuttacorn,Arunrat Tangmunkongvorakul,Amporn Jirattikorn,Matthew Kelly,Cathy Banwell,Kriengkrai Srithanaviboonchai
This study aimed to investigate HIV risks among female sex workers (FSWs) who were from the Shan ethnic group, and how they relate to complex relationships with inconsistent condom use. The study was conducted using in-depth interviews with 17 Shan FSWs (aged 18-45 years old) in Chiang Mai. Intimate relationships between participants and regular clients/steady partners were found to facilitate inconsistent
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At-Risk Groups of Men Who Have Sex With Men can be Reached Through Community-Based HIV Testing in Denmark AIDS Education and Prevention (IF 1.92) Pub Date : 2021-10-01 Holger Nordstrom Munck,Tavs Qvist,Marie Helleberg,Per Slaaen Kaye,Francois Pichon,Susan Cowan
This study evaluates whether the community-based HIV testing clinic Checkpoint could reach at-risk groups of men who have sex with men (MSM) and link patients to care. A prospective observational study of all Checkpoint visits during 2013–2016 and a retrospective registry study of all MSM diagnosed with HIV in Denmark during the same period were conducted. One percent of the 9,074 tests in Checkpoint
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Exchanging a "Gnawing Thought for "Taking a Pill Once a Day": Examining Sexual Minority Men's Experiences With PrEP and Mental Health in a Universal PrEP Access Context. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-10-01 Nick Gagliano,Stéphanie Black,Caroline Mniszak,Jeffrey Morgan,Nathan Lachowsky,Rod Knight
This study explores how universal access to and taking no-cost preexposure prophylaxis (PrEP), which effectively prevents HIV acquisition, may impact the mental health-related experiences of sexual minority men, including HIV-related anxiety. We employed community-based and participatory methods to conduct and analyze 27 interviews with sexual minority men in British Columbia, Canada. Before starting
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What Shapes Late HIV Diagnosis in Vietnam? A Qualitative Investigation of Multilevel Factors. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-10-01 Thu Trang Nguyen,Anh Ngoc Luong,Thi Dieu Thuy Dao,Nicolas Nagot,Didier Laureillard,Laurent Visier,Minh Giang Le
Late HIV treatment remains a global public health issue despite significant efforts. To better understand what shapes this issue, we interviewed 36 Vietnamese ART-naive patients who came to HIV treatment in 2017. Half of them had intake CD4 counts fewer than 100 cells/mm3, the others had intake CD4 counts of 350 cells/mm3 and above. Late diagnosis was the reason of late treatment in our sample. Most
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At-Risk Groups of Men Who Have Sex With Men Can Be Reached Through Community-Based HIV Testing in Denmark. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-08-09 Holger Nordstr M Munck,Tavs Qvist,Marie Helleberg,Per Slaaen Kaye,Francois Pichon,Susan Cowan
This study evaluates whether the community-based HIV testing clinic Checkpoint could reach at-risk groups of men who have sex with men (MSM) and link patients to care. A prospective observational study of all Checkpoint visits during 2013-2016 and a retrospective registry study of all MSM diagnosed with HIV in Denmark during the same period were conducted. One percent of the 9,074 tests in Checkpoint
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Primary Care Providers' Knowledge, Attitudes, and Beliefs About HIV Pre-Exposure Prophylaxis (PrEP): Informing Network-Based Interventions. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-08-01 Erik D Storholm,Allison J Ober,Matthew L Mizel,Luke Matthews,Matthew Sargent,Ivy Todd,Deborah Zajdman,Hank Green
Increasing access to pre-exposure prophylaxis (PrEP) in primary care settings for patients who may be at risk for HIV could help to increase PrEP uptake, which has remained low among certain key risk populations. The current study conducted interviews with primary care providers identified from national claims data as having either high or low likelihood of serving PrEP-eligible patients based on their
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HIV Stigma Reduction Through Peer-Led Advocacy Training. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-08-01 Susan Reif,Haley Cooper,Elena Wilson,Gina Brown,Nicole Beckwith,Dafina Ward
HIV-related stigma is pervasive in the U.S. South and has potential negative effects on health outcomes and emotional well-being, and may act as a barrier to HIV-related advocacy among people living with HIV (PLWH). This article reports on the preliminary outcomes associated with participation in an HIV advocacy training for PLWH, LEAD, that included education and skills building for reducing HIV-related
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Stigma, Social Support, and Sexual Behavior Among Female Sex Workers at Risk for HIV in Malawi. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-08-01 Laura M Ruegsegger,Melissa Stockton,Vivian F Go,Hannah Piscalko,Dylane Davis,Irving F Hoffman,Mina C Hosseinipour,Emanuel Zalira,Thandie Lungu,Agatha Bula,Kathryn E Lancaster
Lack of social support and sex work stigma may hinder STI/HIV prevention for female sex workers (FSW). We explored the associations between sex work stigma and social support with sexual behaviors in Malawi. In 2017, 150 HIV-negative, venue-based FSW completed a behavioral survey containing sex work stigma items and social support. Linear binomial regression models were used to estimate prevalence
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A Rapid Review of Disparities in HIV Prevention and Care Outcomes Among Hispanic/Latino Men Who Have Sex With Men in the United States. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-08-01 Nicole Crepaz,Mary M Mullins,Darrel Higa,Jayleen K L Gunn,Yamir Salabarría-Peña
In the United States, Hispanic/Latino men who have sex with men (HLMSM) are disproportionally affected by HIV. We conducted a rapid review of national surveillance data to examine disparities in HIV prevention and care outcomes among HLMSM. Thirteen reports provided relevant data from 2011 to 2018. Compared to White MSM, a higher percentage of HIV-negative HLMSM reported not taking PrEP and engaging
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Living With HIV During the COVID-19 Pandemic: Impacts for Older Adults in Palm Springs, California. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-08-01 Annie L Nguyen,Mariam Davtyan,Jeff Taylor,Christopher Christensen,Michael Plankey,Stephen Karpiak,Brandon Brown
We conducted surveys in March 2020 with 100 older adults living in Palm Springs, CA, to (1) report the impact of the COVID-19 pandemic on their day-to-day well-being and (2) describe the factors related to missing HIV medication during the pandemic. Respondent's mean age was 64.2 and the majority identified as White, men, and gay. The majority stated that the pandemic had impacted their lives "much
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Usability Evaluation of the mLab App for Improving Home HIV Testing Behaviors in Youth at Risk of HIV Infection. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-08-01 Gabriella Sanabria,Thomas Scherr,Robert Garofalo,Lisa M Kuhns,Brady Bushover,Nathanael Nash,Rindcy Davis,Rebecca Schnall
Improving access to HIV testing among youth at high risk is essential for reaching those who are most at risk for HIV and least likely to access health care services. This study evaluates the usability of mLab, an app with image-processing feature that analyzes photos of OraQuick HIV self-tests and provides real-time, personalized feedback. mLab includes HIV prevention information, testing reminders
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Testing the Effectiveness of Two Psychosocial Interventions on Socio-Cognitive Risk Factors for HIV/AIDS in Mozambican Women: A Randomized Controlled Trial. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-06-01 Ana Luísa Patrão,Teresa M McIntyre,Eleonora C V Costa,Eduardo Matediane,Vanessa Azevedo
The objective of this study was to evaluate the efficacy of two psychosocial interventions (Didactic and ACCENT) on socio-cognitive risk factors, in vulnerable Mozambican women at risk for HIV/AIDS infection. The study design was a randomized controlled trial on Mozambican women at HIV/AIDS risk (n = 150). The participants were randomized into three groups: Didactic Intervention (experimental group)
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Linking Women Experiencing Incarceration to Community-Based HIV Pre-Exposure Prophylaxis Care: A Qualitative Study. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-06-01 Susan E Ramsey,Evan G Ames,Julia Uber,Samia Habib,Laura Hunt,Lauren Brinkley-Rubinstein,Anne M Teitelman,Jennifer Clarke,Clair Kaplan,Nicole J Phillips,Matthew Murphy
Women experiencing incarceration (WEI) in the United States are disproportionately impacted by HIV, yet HIV pre-exposure prophylaxis (PrEP) is underutilized by women in the United States. In order to inform an intervention to promote PrEP initiation during incarceration and facilitate linkage to PrEP care following release from incarceration, we conducted individual, semistructured qualitative interviews
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Quality of Life in People Living With HIV: An Exploratory Cross-Sectional Survey in Belgium. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-06-01 Gert Scheerder,Sandra Van den Eynde,Patrick Reyntiens,Ria Koeck,Jessika Deblonde,Charles Ddungu,Eric Florence,Christina Joosten,Eric Van Wijngaerden,Alexis Dewaele
This cross-sectional survey explored the quality of life in 505 people living with HIV in Belgium. Several domains of quality of life were impaired: 26% had been diagnosed with depression and 43% had weak social support. HIV-related stigma is still widespread, with 49% believing most people with HIV are rejected and 65% having experienced discrimination due to HIV. The impact of HIV was limited on
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Experiences With Smoking Cessation Attempts and Prior Use of Cessation Aids in Smokers With HIV: Findings From a Focus Group Study Conducted in Durham, North Carolina. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Lauren R Pacek,Alicia D Holloway,Karen L Cropsey,Christina S Meade,Maggie M Sweitzer,James M Davis,F Joseph McClernon
Cigarette smoking remains disproportionately prevalent and is increasingly a cause of death and disability among people with HIV (PWH). Many PWH are interested in quitting, but interest in and uptake of first-line smoking cessation pharmacotherapies are varied in this population. To provide current data regarding experiences with and perceptions of smoking cessation and cessation aids among PWH living
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Tu'Washindi na PrEP: Working With Young Women and Service Providers to Design an Intervention for PrEP Uptake and Adherence in the Context of Gender-Based Violence. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Miriam Hartmann,Sophie Otticha,Kawango Agot,Alexandra M Minnis,Elizabeth T Montgomery,Sarah T Roberts
HIV pre-exposure prophylaxis (PrEP) reduces HIV acquisition among adolescent girls and young women (AGYW). Existing evidence suggests that uptake and adherence are low among AGYW and that relationship factors such as gender-based violence (GBV) are important barriers. Through a community-based participatory research (CBPR) process, a youth advisory board (YAB), service providers (SP), and a study team
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Redeveloping a Digital Sexual Health Intervention for Adolescents to Allow for Broader Dissemination: Implications for HIV and STD Prevention. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Hannah Javidi,Laura Widman,Nikolette Lipsey,Julia Brasileiro,Farhad Javidi,Arnav Jhala
HIV/STDs and unintended pregnancy persist among adolescents in the United States; thus, effective sexual health interventions that can be broadly disseminated are necessary. Digital health interventions are highly promising because they allow for customization and widespread reach. The current project involved redeveloping and expanding HEART (Health Education and Relationship Training)-a brief, digital
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Estimating the Roles of Racism and Homophobia in HIV Testing Among Black Sexual Minority Men and Transgender Women With a History of Incarceration in the HPTN 061 Cohort. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Rodman Turpin,Maria Khan,Joy Scheidell,Jonathan Feelemyer,Christopher Hucks-Ortiz,Jasmyn Abrams,Charles Cleland,Kenneth Mayer,Typhanye Dyer
Black sexual minority men (BSMM) and Black transgender women (BTW) have disproportionately high HIV prevalence, making HIV testing critical for treatment and prevention. Racism and homophobia may be barriers to testing among BSMM/BTW, particularly in the context of previous incarceration. We analyzed a subsample (n = 655) of HIV-negative, previously incarcerated BSMM/BTW in the HIV Prevention Trials
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Development and Validation of the Community PrEP-Related Stigma Scale (Community-PSS). AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Angel B Algarin,Cho Hee Shrader,Benjamin T Hackworth,Nelson Varas-Diaz,Kristopher P Fennie,Diana M Sheehan,Gladys E Ibañez
Despite increasing availability of pre-exposure prophylaxis (PrEP), HIV prevention efforts have stalled. It is important to study potential barriers to HIV prevention methods, such as pre-exposure prophylaxis stigma. This study aims to develop and validate the Community PrEP-related Stigma Scale (Community-PSS) to address gaps in the literature. Participants were 108 sexual and gender minority men
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Development and Validation of the Community PrEP-Related Stigma Scale (Community-PSS). AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Angel B Algarin,Cho Hee Shrader,Benjamin T Hackworth,Nelson Varas-Diaz,Kristopher P Fennie,Diana M Sheehan,Gladys E Ibañez
Despite increasing availability of pre-exposure prophylaxis (PrEP), HIV prevention efforts have stalled. It is important to study potential barriers to HIV prevention methods, such as pre-exposure prophylaxis stigma. This study aims to develop and validate the Community PrEP-related Stigma Scale (Community-PSS) to address gaps in the literature. Participants were 108 sexual and gender minority men
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Understanding Beliefs, Intention, and Behavior on Daily PrEP Uptake Among MSM in California and New York. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Minhao Dai,Nancy Grant Harrington
Pre-exposure prophylaxis (PrEP) is an effective daily prevention medicine to reduce the risks of HIV infections. Even though the number of PrEP users has been rapidly growing in the United States since 2012, only approximately 5% of the men who have sex with men (MSM) population is currently taking PrEP. This study examined PrEP uptake among MSM using the integrative model of behavioral prediction
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Understanding Beliefs, Intention, and Behavior on Daily PrEP Uptake Among MSM in California and New York. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-04-01 Minhao Dai,Nancy Grant Harrington
Pre-exposure prophylaxis (PrEP) is an effective daily prevention medicine to reduce the risks of HIV infections. Even though the number of PrEP users has been rapidly growing in the United States since 2012, only approximately 5% of the men who have sex with men (MSM) population is currently taking PrEP. This study examined PrEP uptake among MSM using the integrative model of behavioral prediction
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How Can We PrEP? Exploring Black MSM's Experiences With Pre-Exposure Prophylaxis Through Photovoice. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-02-01 Katherine LeMasters,Kaitlyn Atkins,Saeed Ahmadi Oloonabadi,Terry Munn,Eugenia Eng,Alexandra F Lightfoot
Pre-exposure prophylaxis (PrEP) can reduce the risk of HIV infection by over 90% among those at high risk via sexual transmission. PrEP acceptance and adherence remains low among those at highest risk of HIV, including Black men who have sex with men (MSM) in the southern U.S. This community-based participatory research project explored Black MSM's experiences with PrEP in North Carolina through photovoice
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Education, Perceptions, and Delivery: Factors Shaping the Perceived Role in the Pre-Exposure Prophylaxis (PrEP) Care Continuum Among a Sample of Osteopathic Medical Students. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-02-01 Andrew M O'Neil,Hunter J Meyers,Kyle R DeBoy,Mollie Stowe,Justin Hamrick,Zachary Giano,Randolph D Hubach
Pre-exposure prophylaxis (PrEP) uptake has been suboptimal despite its demonstrated efficacy in reducing the risk of HIV acquisition. Medical education is one distal determinant that shapes medical providers' perceived role in the PrEP care continuum. However, there is limited understanding of how osteopathic medical students and those wanting to practice in rural areas perceive their role in the PrEP
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Trends in Belief That HIV Treatment Prevents Transmission Among Gay and Bisexual Men in Australia: Results of National Online Surveys 2013-2019. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-02-01 Martin Holt,James MacGibbon,Brandon Bear,Toby Lea,Johann Kolstee,David Crawford,Dean Murphy,Cherie Power,Jeanne Ellard,John de Wit
We have tracked belief in the effectiveness of HIV treatment as prevention (TasP) among Australian gay and bisexual men (GBM) since 2013. National, online cross-sectional surveys of GBM were conducted every 2 years during 2013-2019. Trends and associations were analyzed using multivariate logistic regression. Data from 4,903 survey responses were included. Belief that HIV treatment prevents transmission
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Substance Use and Sexual Risk Behavior Among Black Men Who Have Sex With Men in New York City: Evidence for Increased Risk During Young Adulthood. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-02-01 Christina Aivadyan,Yong Gun Lee,Nabila El-Bassel,Elwin Wu
This study evaluated whether the association between substance use and sexual risk behavior varies as a function of age among 1,009 Black men who have sex with men (BMSM) in New York City. Hierarchical linear regression was used to examine the relationship between age (18-26 vs. 27+), substance use, and number of sexual partners and acts of condomless anal sex (CAS) in the past 90 days. Age moderated
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Perpetuated HIV Microaggressions: A Novel Scale to Measure Subtle Discrimination Against People Living With HIV. AIDS Education and Prevention (IF 1.92) Pub Date : 2021-02-01 Marcie Berman,Lisa A Eaton,Ryan J Watson,Jessica L Maksut,Katherine B Rucinski,Valerie A Earnshaw
HIV discrimination has served as a barrier to addressing the HIV epidemic and providing effective HIV treatment and care. Measuring HIV discrimination, particularly covert HIV discrimination, has proven to be complex. Adapted from a previous scale, we developed a perpetuated HIV micro-aggressions scale to assess covert forms of discriminatory beliefs among HIV-negative/unknown HIV status individuals
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Culturally-Based Challenges to and Recommendations for Delivering Adherence Counseling in a Multicultural Biomedical HIV Prevention Trial in Four African Countries. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Cody Lentz,Rebecca Giguere,Bryan A Kutner,Curtis Dolezal,Clare Kajura-Manyindo,Makanaka Yambira,Florence Asiimwe,Caroline Mugocha,Wezi Mwenda,Thakasile Ndlovu,Nalini Naidu,Bernadette Madlala,Iván C Balán
Research is needed to identify how to effectively tailor evidence-based interventions across cultures with limited resources, particularly for behavioral components in large HIV prevention trials. Through surveys and interviews with counselors of sub-Saharan African women during an open-label microbicide trial (MTN-025), we examined language, education, and cultural barriers in delivering a motivational
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Sexually Unexperienced Adolescents Benefit the Most From a Sexual Education Program for Adolescents: A Longitudinal Cluster Randomized Controlled Study. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Alexandra Morales,Mireia Orgilés,José P Espada
Using a longitudinal cluster-randomized controlled design, we examined whether the effects of Competencies for Adolescents with a Healthy Sexuality (COMPAS), an evidence-based sexual health promotion intervention, differ by adolescents' sexual experience. Participants were 699 students aged 14-16, 45.9% were sexually experienced, and assessed in the baseline, posttest, and 12- and 24-month follow-ups
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Sexually Unexperienced Adolescents Benefit the Most From a Sexual Education Program for Adolescents: A Longitudinal Cluster Randomized Controlled Study. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Alexandra Morales,Mireia Orgilés,José P Espada
Using a longitudinal cluster-randomized controlled design, we examined whether the effects of Competencies for Adolescents with a Healthy Sexuality (COMPAS), an evidence-based sexual health promotion intervention, differ by adolescents' sexual experience. Participants were 699 students aged 14-16, 45.9% were sexually experienced, and assessed in the baseline, posttest, and 12- and 24-month follow-ups
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"Mini Dial-A-Nurses" and "Good Brands": What Are the Desirable Features of Online HIV/STI Risk Calculators? AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Oralia Gómez-Ramírez,Kim Thomson,Travis Salway,Devon Haag,Titilola Falasinnu,Troy Grennan,Daniel Grace,Mark Gilbert
A wide variety of risk calculators estimate individuals' risk for HIV/sexually transmitted infections (STI) online. These tools can help target HIV/STI screening and optimize clinical decision-making. Yet, little evidence exists on suitable features for these tools to be acceptable to end-users. We investigated the desirable characteristics of risk calculators among STI clinic clients and testing service
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"Mini Dial-A-Nurses" and "Good Brands": What Are the Desirable Features of Online HIV/STI Risk Calculators? AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Oralia Gómez-Ramírez,Kim Thomson,Travis Salway,Devon Haag,Titilola Falasinnu,Troy Grennan,Daniel Grace,Mark Gilbert
A wide variety of risk calculators estimate individuals' risk for HIV/sexually transmitted infections (STI) online. These tools can help target HIV/STI screening and optimize clinical decision-making. Yet, little evidence exists on suitable features for these tools to be acceptable to end-users. We investigated the desirable characteristics of risk calculators among STI clinic clients and testing service
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Barriers and Facilitators to PrEP Initiation and Adherence Among Transgender and Gender Non-Binary Individuals in Southern California. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 C Wei-Ming Watson,Elizabeth Pasipanodya,Micah J Savin,Eric E Ellorin,Katya C Corado,Risa P Flynn,Chloé Opalo,Elizabeth Lampley,Brook L Henry,Jill Blumenthal,Robert Bolan,Sheldon Morris,David J Moore
While transgender and gender non-binary (trans/nb) individuals are disproportionately affected by HIV, pre-exposure prophylaxis (PrEP) uptake remains low in this underserved population. We conducted four focus groups with 37 trans/nb individuals in San Diego and Los Angeles to assess barriers and facilitators of PrEP usage. Transcripts were coded for qualitative themes. Although overall PrEP awareness
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Applying the Behavioral Model for Vulnerable Populations to Pre-Exposure Prophylaxis Initiation Among Women Who Inject Drugs. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Marisa Felsher,Scarlett Bellamy,Brogan Piecara,Barbara Van Der Pol,Rose Laurano,Alexis M Roth
This study used Behavioral Model for Vulnerable Populations (BMVP) to identify factors associated with pre-exposure prophylaxis (PrEP) initiation among women who inject drugs (WWID) when PrEP was offered at a syringe services program (SSP). Participants (n = 89) were WWID, $ge18 years, and eligible for PrEP. Most (69) initiated PrEP. Chi square and t tests were used to identify bivariate relationships
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Applying the Behavioral Model for Vulnerable Populations to Pre-Exposure Prophylaxis Initiation Among Women Who Inject Drugs. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Marisa Felsher,Scarlett Bellamy,Brogan Piecara,Barbara Van Der Pol,Rose Laurano,Alexis M Roth
This study used Behavioral Model for Vulnerable Populations (BMVP) to identify factors associated with pre-exposure prophylaxis (PrEP) initiation among women who inject drugs (WWID) when PrEP was offered at a syringe services program (SSP). Participants (n = 89) were WWID, $ge18 years, and eligible for PrEP. Most (69) initiated PrEP. Chi square and t tests were used to identify bivariate relationships
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Effectively Confronting the COVID-19 Pandemic: Critical Lessons From HIV Prevention, Care, and Treatment and Innovative Strategies to Conduct Community-Based and Community-Engaged Research Safely. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Scott D Rhodes,Francisco S Sy
Coronavirus disease 2019 (COVID-19) is a new infectious disease caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The COVID-19 pandemic has profoundly altered the ways in which members of communities live, learn, work, and play. Similarly, the pandemic has affected the conduct of community-based and community-engaged research, which are essential research approaches
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Effectively Confronting the COVID-19 Pandemic: Critical Lessons From HIV Prevention, Care, and Treatment and Innovative Strategies to Conduct Community-Based and Community-Engaged Research Safely. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-12-01 Scott D Rhodes,Francisco S Sy
Coronavirus disease 2019 (COVID-19) is a new infectious disease caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The COVID-19 pandemic has profoundly altered the ways in which members of communities live, learn, work, and play. Similarly, the pandemic has affected the conduct of community-based and community-engaged research, which are essential research approaches
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Associations Among HIV Risk Perception, Sexual Health Efficacy, and Intent to Use PrEP Among Women: An Application of the Risk Perception Attitude Framework. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-10-01 Whitney C Sewell,Rupa R Patel,Stephanie Blankenship,Julia L Marcus,Douglas S Krakower,Phillip A Chan,Kimberly Parker
HIV risk perception is a known determinant of HIV prevention behaviors among vulnerable populations. Lesser known is the combined influence of risk perception and efficacy beliefs on PrEP use. We examined the associations between levels of risk perception and strength of efficacy beliefs on intent to use PrEP in a sample of adult Black and Latina women. Guided by the risk perception attitudes (RPA)
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Individual and Partner Characteristics Associated With Intentions to Use PrEP Among Partnered Men, Trans Men, and Trans Women in Sero-Concordant and -Discordant Relationships in the United States. AIDS Education and Prevention (IF 1.92) Pub Date : 2020-10-01 Drew A Westmoreland,Alexa D'Angelo,Denis Nash,Christian Grov
Despite proven effectiveness in reducing HIV transmission, pre-exposure prophylaxis (PrEP) use remains low among those who meet the recommended CDC guidance for PrEP use. Data are from a U.S. national cohort of men and trans persons who have sex with men (2017-2018). Logistic regression analyses were used to determine individual and partner factors associated with intentions to use PrEP among non-PrEP-using
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Meta-synthesis of Qualitative Research of Pre-exposure Prophylaxis (PrEP) Adherence Among Men Who Have Sex With Men (MSM). AIDS Education and Prevention (IF 1.92) Pub Date : 2020-10-01 Su Zhen Ching,Li Ping Wong,Mas Ayu Binti Said,Sin How Lim
The aim of the study was to consolidate evidence on barriers and facilitators to PrEP adherence among men who have sex with men. PubMed, Science Direct, and EBSCO host were utilized to search for relevant articles. Six articles from PubMed, published between 2010 and 2018, were reviewed. Thematic analysis was employed to synthesize findings. At the individual level, HIV susceptibility, knowledge of
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The Impact of Male Partner Circumcision on Women's Health Outcomes AIDS Education and Prevention (IF 1.92) Pub Date : 2020-08-01 Jayajothi Moodley, Sarita Naidoo, Cliff Kelly, Tarylee Reddy, Gita Ramjee
Medical male circumcision is a proven method of HIV risk reduction in men with no known direct benefit to women. We investigated the benefit of partner circumcision on women's health. We conducted a secondary analysis of 5,029 women enrolled in the Vaginal and Oral Interventions to Control the Epidemic trial across 15 African sites, to look at the impact of partner circumcision status on sexually transmitted
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A System-Level Intervention to Encourage Collaboration Between Juvenile Justice and Public Health Agencies to Promote HIV/STI Testing AIDS Education and Prevention (IF 1.92) Pub Date : 2020-08-01 Katherine S. Elkington, Anne Spaulding, Sheena Gardner, Danica Knight, Steven Belenko, Jennifer E. Becan, Angela A. Robertson, Carrie Oser, Ralph DiClemente
Justice-involved youth are at high risk for HIV and STIs, and justice agencies are uniquely poised to offer HIV/STI testing. However, testing in these settings is not routine and represents a missed opportunity. This study describes a system-level implementation intervention designed to increase access to HIV/STI testing through juvenile justice (JJ) and public health agency collaboration across six
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Factors Associated With HIV Testing Among Atlanta's Homeless Youth AIDS Education and Prevention (IF 1.92) Pub Date : 2020-08-01 Ranell L. Myles, Janae Best, Greg Bautista, Eric R. Wright, Ana LaBoy, Zewditu Demissie, Hazel D. Dean
Homeless youth experience increased risk of contracting HIV, making HIV testing imperative in this population. We analyzed factors associated with HIV testing among homeless youth in Atlanta, Georgia using data from the 2015 Atlanta Youth Count and Needs Assessment. The analysis included 693 homeless youth aged 14-25 years, of whom 88.4% reported ever being tested for HIV, and 74.6% reported being
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Small Randomized Controlled Trial of the New Passport to Wellness HIV Prevention Intervention for Black Men Who Have Sex With Men (BMSM) AIDS Education and Prevention (IF 1.92) Pub Date : 2020-08-01 Nina T. Harawa, Katrina M. Schrode, Charles McWells, Robert E. Weiss, Charles L. Hilliard, Ricky N. Bluthenthal
We developed and tested Passport to Wellness (PtW), a client-centered intervention to improve engagement in HIV/STI prevention and services to improve social determinants of health among Black men who have sex with men (BMSM) using incentives and peer support. We assessed PtW's impact on HIV/STI screening and pre/post-exposure prophylaxis (PrEP/PEP) knowledge/uptake using a randomized trial that compared
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STEPS to Care: Translating an Evidence-Informed HIV Care Coordination Program Into a Field-Tested Online Practice Improvement Toolkit AIDS Education and Prevention (IF 1.92) Pub Date : 2020-08-01 Lydia O'Donnell, Mary K. Irvine, Aisha L. Wilkes, Julie Rwan, Athi Myint-U, Deborah McLean Leow, David Whittier, Graham Harriman, Patricia Bessler, Darrel Higa, Cari Courtenay-Quirk
Increasing care engagement is essential to meet HIV prevention goals and achieve viral suppression. It is difficult, however, for agencies to establish the systems and practice improvements required to ensure coordinated care, especially for clients with complex health needs. We describe the theory-driven, field-informed transfer process used to translate key components of the evidence-informed Ryan
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Immigrant Generational Differences in Social Support and Sexual Risk Behaviors Among Men Who Have Sex With Men in Seattle, Washington AIDS Education and Prevention (IF 1.92) Pub Date : 2020-08-01 Jane Lee, Susan Cassels
Different immigrant generations may encounter distinct sexual opportunities with implications for HIV transmission. Yet, few studies have examined how immigrant generational status is associated with sexual risk behaviors among men who have sex with men (MSM). We explored relationships between immigrant generational status, social support, and sexual risk behaviors among English-speaking MSM using