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AIDS Education and Prevention: Official Publication of the International Society for AIDS Education

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https://www.readbyqxmd.com/read/30332312/stigma-diminishes-the-protective-effect-of-social-support-on-psychological-distress-among-young-black-men-who-have-sex-with-men
#1
José A Bauermeister, Kathryn E Muessig, Dalmacio D Flores, Sara LeGrand, Seulki Choi, Willa Dong, Gary W Harper, Lisa B Hightow-Weidman
Addressing stigma remains a pressing HIV priority globally. Young Black men who have sex with men (YBMSM, ages 18-30; N = 474) completed an in-person baseline survey and reported their experiences of externalized stigma (i.e., racial and sexuality discrimination), internalized stigma (i.e., homonegativity), social support, and psychological distress (i.e., anxiety and depression symptoms). We used structural equation modeling to test the association between stigma and psychological distress, and examined whether social support mediated the relationship between stigma and psychological distress...
October 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30332311/perspectives-on-factors-related-to-hiv-risk-and-preventative-interventions-at-multiple-levels-a-study-of-african-immigrant-women-survivors-of-cumulative-trauma
#2
Bushra Sabri
African immigrant women survivors of cumulative trauma are at high risk for HIV infection. This study aims to identify survivors' perceptions of (a) contextual (i.e., community, and relationship) and individual-level risk and protective factors for HIV among African immigrant women in the United States and (b) areas and strategies of HIV prevention intervention at contextual and individual levels. Qualitative data for this study were collected from African-born women (n = 39) in Maryland, Virginia, and Washington, DC, from February 2017 to March 2018...
October 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30332310/exploring-gender-differences-in-prep-interest-among-individuals-testing-hiv-negative-in-an-urban-emergency-department
#3
Jessica Ridgway, Ellen Almirol, Jessica Schmitt, Alvie Bender, Grace Anderson, Ivan Leroux, Moira McNulty, John Schneider
PrEP is greater than 90% effective at preventing HIV infection, but many people who are vulnerable to HIV choose not to take PrEP. Among women, men who have sex with women (MSW) and men who have sex with men (MSM) who tested HIV negative in our emergency department, we assessed behavioral risk factors, self-perception of HIV risk, and interest in PrEP linkage. Women had lower odds of perceiving any HIV risk versus no risk than MSM, while Whites had greater odds of perceiving themselves as high risk than Blacks...
October 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30332309/prep-continuation-hiv-and-sti-testing-rates-and-delivery-of-preventive-care-in-a-clinic-based-cohort
#4
Matthew A Hevey, Jennifer L Walsh, Andrew E Petroll
HIV pre-exposure prophylaxis (PrEP) has been demonstrated to be a safe and effective method of reducing HIV incidence. Questions remain regarding PrEP's efficacy and outcomes in real-world clinical settings. We conducted a retrospective review to assess PrEP outcomes in an academic clinic setting and focused on retention in care, reasons for discontinuation, and receipt of appropriate preventive care (immunizations, HIV testing, and STI testing). One hundred thirty-four patients were seen between 2010 and 2016 over 309 visits...
October 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30332308/predictors-of-art-and-prep-adherence-and-medication-taking-practices-and-preferences-to-inform-development-of-a-wrist-worn-adherence-system
#5
Joanne D Stekler, James M Scanlan, Jane M Simoni, Heidi M Crane, Rob J Fredericksen, Jenna Marquard, Barry G Saver
We examined adherence, medication-taking practices, and preferences to inform development of a wrist-worn adherence system. Two convenience samples of persons taking antiretroviral therapy and HIV pre-exposure prophylaxis completed a survey. Additional online questions asked about willingness to use a wrist-worn device and reminder and feedback preferences. Among 225 participants, 13% reported adherence < 90%; this was associated with younger age and clinic sample. Compared to pill bottle-using participants, mediset users less commonly reported adherence < 90% (aOR = 0...
October 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30332307/paradata-analysis-of-an-ehealth-hiv-testing-intervention-for-young-men-who-have-sex-with-men
#6
Stephen Bonett, Daniel Connochie, Jesse M Golinkoff, Keith J Horvath, José A Bauermeister
Little is known about users' intervention engagement and use patterns within eHealth interventions. We describe these patterns among young men who have sex with men (YMSM) who participated in a brief eHealth intervention designed to increase HIV testing. We merged pilot trial participants' survey data (N = 86) with their paradata (e.g., system data recorded during interaction with the intervention). We created engagement (time spent on components) and use (interaction with features) metrics, and explored whether they differed by participant characteristics...
October 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30332306/-i-don-t-need-prep-right-now-a-qualitative-exploration-of-the-barriers-to-prep-care-engagement-through-the-application-of-the-health-belief-model
#7
Marisa Felsher, Zsofia Szep, Douglas Krakower, Ana Martinez-Donate, Nguyen Tran, Alexis M Roth
The Health Belief Model has been useful for studying uptake of HIV prevention behaviors and has had limited application to understanding utilization of pre-exposure prophylaxis (PrEP), a biomedical strategy to reduce HIV acquisition. We recruited 90 persons undergoing HIV screening and educated them about PrEP. We followed up with 35 participants approximately 3 weeks later and quantitatively assessed PrEP uptake. No participant had initiated PrEP. We conducted in-depth interviews with 15 participants to explore situational factors impacting this decision...
October 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30148673/cost-analysis-of-implementing-a-video-based-ehealth-intervention-for-hiv-positive-gay-bisexual-and-other-men-who-have-sex-with-men
#8
Prabal De, Martin J Downing, Sabina Hirshfield
Clinician-delivered HIV prevention interventions are common and often effective but have small reach, particularly in remote, rural, or sparsely populated areas. Electronic health (eHealth) interventions may be an efficient alternative to providing HIV prevention to geographically dispersed or traditionally hard-to-reach populations, though eHealth interventions tend to have high start-up costs. We present cost data from a video-based eHealth intervention, Sex Positive!, among 1,208 U.S. gay, bisexual, and other men who have sex with men living with HIV...
August 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30148672/characterizing-sexual-agreements-with-one-s-most-recent-sexual-partner-among-young-men-who-have-sex-with-men
#9
Brian A Feinstein, Trey V Dellucci, Patrick S Sullivan, Brian Mustanski
Men who have sex with men (MSM) often create sexual agreements with their partners, but little is known about agreements with serious versus causal partners. We used data from 472 young MSM to examine agreements with one's most recent partner, individual differences across types of partnerships and agreements, and predictors of condomless anal sex (CAS). Two-thirds of participants did not have agreements. Monogamous agreements were most common among those who were seriously dating their partner, but also present among those who were casually dating their partner and those who were not dating their partner...
August 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30148671/-an-evil-lurking-behind-you-drivers-experiences-and-consequences-of-hiv-related-stigma-among-men-who-have-sex-with-men-with-hiv-in-manila-philippines
#10
Alexander C Adia, Amiel Nazer C Bermudez, Michael W Callahan, Laufred I Hernandez, Reynaldo H Imperial, Don Operario
The Philippines has a rapidly growing HIV epidemic, with men who have sex with men (MSM) accounting for a majority of known cases. Currently, there is little understanding about MSM's experiences of HIV-related stigma in the Philippines and how they influence behavior and quality of life. Twenty-one interviews with MSM living with HIV and with communitybased organization workers were conducted in Manila from June to August 2017. MSM participants were affected by the intersection of HIV-related stigma and stigma toward homosexuality that are rooted in connotations of morality, "dirtiness," and sin...
August 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30148670/how-do-gay-and-bisexual-men-make-up-for-missed-prep-doses-and-what-impact-does-missing-a-dose-have-on-their-subsequent-sexual-behavior
#11
Christian Grov, Alexa B D'Angelo, Anthony W P Flynn, Javier Lopez-Rios, David W Pantalone, Ian W Holloway, Thomas H F Whitfield, Jeffrey T Parsons
HIV pre-exposure prophylaxis (PrEP) is being adopted by members of key populations, such as gay and bisexual men (GBM). Since adherence to a daily PrEP regimen ensures a maximum protection, it is critical to understand GBM's behavioral responses to having missed PrEP doses. We report on qualitative interviews with GBM taking PrEP. We identified three behavioral responses: (1) 59% continued with their next scheduled dose; (2) 49% described "making up" for a missed dose by taking medication as soon as possible; and (3) 11% reported "doubling" the next PrEP dose...
August 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30148669/evaluation-of-a-computer-based-training-program-to-teach-adults-at-risk-for-hiv-about-pre-exposure-prophylaxis
#12
Carol-Ann Getty, Shrinidhi Subramaniam, August F Holtyn, Brantley P Jarvis, Andrew Rodewald, Kenneth Silverman
This study developed a computer-based program to teach HIV prevention behaviors and raise awareness of pre-exposure prophylaxis (PrEP) among individuals at risk for HIV. The program was divided into modules containing educational material and multiple-choice questions. Participants received immediate feedback for responses and incentives for correct responses to multiple-choice questions. Participants trained on each module until they met speed and accuracy criteria. The modules were divided into: Course 1 (HIV), Course 2 (PrEP), and Course 3 (HIV risk behaviors)...
August 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30148668/elevated-hiv-and-sti-prevalence-and-incidence-among-methamphetamine-using-men-who-have-sex-with-men-in-los-angeles-county
#13
Cathy J Reback, Jesse B Fletcher
Methamphetamine use is associated with increased HIV/STI infection among men who have sex with men (MSM). From March 2014 through January 2016, 286 methamphetamine-using MSM enrolled in a study to reduce methamphetamine use and sexual risk behaviors. Participants were tested for HIV/STIs at baseline and every 3 months for 9 months. At baseline, 115 participants (40.2%) were HIV-positive; three participants seroconverted (incidence = 2.6/100 person-years). Baseline testing diagnosed 77 STI cases (21 chlamydia, 18 gonorrhea, 38 syphilis); by 9-month follow-up, 71 incident STIs were diagnosed (22 chlamydia, 24 gonorrhea, 25 syphilis); 78% occurred among HIV-positive participants...
August 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/30148667/-all-we-had-were-the-streets-lessons-learned-from-a-recreation-based-community-health-space-for-young-black-msm-and-trans-women-across-the-hiv-prevention-and-care-continuum
#14
Brian Adams, Sarah Krier, Jess Netto, Nayck Feliz, M Reuel Friedman
Young Black men who have sex with men (MSM) and transgender people experience disparities in HIV incidence and HIV outcomes. To effectively engage these communities in HIV-related programming, we developed a recreation-based community health space. We sought to examine the challenges and successes in implementing this program. Qualitative data were collected from federal progress reports and by a process evaluator who recorded interviews with staff, stakeholders, and participants. These data were coded for themes related to barriers and successes...
August 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29969312/getting-to-zero-we-can-t-do-it-without-addressing-substance-use
#15
Richard A Jenkins
HIV elimination by 2030 cannot occur without attention to substance use. It cuts across risk groups and affects sexual risk behavior, treatment adherence, and systemic processes such as immunity and inflammation. There continues to be often limited attention to non-injection drug use and the syndemic character of HIV and substance use. There is a need for a more comprehensive approach that addresses the multiple influences of substance use on HIV prevention and care, integrating this into evidence-based services and building on the successes of comprehensive Seek, Test, Treat, and Retain approaches to substantially reducing new HIV cases among drug users...
June 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29969311/hiv-education-reflections-on-the-past-priorities-for-the-future
#16
Peter Aggleton, Deevia Bhana, David J Clarke, Mary Crewe, Kane Race, Ekua Yankah
From early in the epidemic, education has been central to HIV prevention, treatment, and care. This paper reflects on lessons learned over the last 30 years. It signals the limits of high level international commitments to education and HIV and the strategies of information-giving and life skills development adopted in their wake. It argues for the adoption of a more genuinely educational approach to HIV, sex, and sexuality education in which difficult questions are raised, diversity is recognized, and options are provided for a differentiated yet effective response...
June 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29969310/economic-and-policy-analytic-approaches-to-inform-the-acceleration-of-hiv-prevention-in-the-united-states-future-directions-for-the-field
#17
Erika G Martin, Eli S Rosenberg, David R Holtgrave
The fields of economic and policy analysis have long played a role in quantifying the burden of the HIV epidemic and informing how to best deploy interventions and policies aimed at maximizing HIV care and reducing transmission. Looking towards the ultimate goal of ending the AIDS epidemic, we describe five areas for further development and application towards HIV policies: (1) setting measurable objectives to create a vision and monitor progress, (2) taking a health and wellness approach to goal-setting, (3) using impact matrices to inform quantitative analysis to explicitly address health disparities, (4) conducting budget impact analyses to project annual program costs and benefits, and (5) advancing the public health systems and services research agenda...
June 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29969309/cutting-edge-success-in-preventing-heterosexual-hiv-transmission-in-africa-voluntary-medical-male-circumcision-has-reached-15-million-men
#18
Inon Schenker
Male circumcision is a minor surgery performed for religious and medical reasons. Three randomized clinical trials demonstrated it could reduce heterosexual HIV transmission from infected females to males by over 60%, paving the way in 2006 for multinational efforts to circumcise 27 million men in sub-Saharan Africa by 2021. It is estimated that by 2030 male circumcision will avert at least 500,000 HIV infections in Africa, saving lives and budgets. Voluntary medical male circumcision (VMMC) of adults and adolescents has challenged policy makers, implementers, funders, and civil society in bringing surgery to the frontline of HIV prevention...
June 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29969308/community-engaged-research-as-an-approach-to-expedite-advances-in-hiv-prevention-care-and-treatment-a-call-to-action
#19
Scott D Rhodes, Amanda E Tanner, Lilli Mann-Jackson, Jorge Alonzo, Danielle N Horridge, Cornelius N Van Dam, Scott Trent, Jonathan Bell, Florence M Simán, Aaron T Vissman, Jennifer Nall, Mario Andrade
Throughout the world, we continue to face profound challenges to reducing the impact of the HIV epidemic. Community-engaged research has emerged as an approach to increase our understanding of HIV and reduce health disparities, increase health equity, and promote community and population health. Our partnership has conducted more than 25 community-engaged research studies in the U.S. and Guatemala, and members have identified nine themes to facilitate community-engaged research and expedite advances in HIV prevention, care, and treatment...
June 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29969307/global-citizen-immigrant-survivor-activist-gayby-boomer-academic-and-editor-dr-sy-and-the-history-of-aids-education-and-prevention
#20
Jesus Ramirez-Valles
In this 30th anniversary of AIDS Education and Prevention, we turn our attention to its founder and editor, Dr. Francisco Sy. I trace Dr. Sy's trajectory, from growing up in a Filipino-Chinese family in Manila to Harvard, Johns Hopkins, South Carolina, and then to the journal. The loss of friends and colleagues to the AIDS epidemic stands out as Sy's driving force behind the journal. AIDS Education and Prevention was also created to fill a tremendous gap in the field: a scientific platform to circulate and discuss research on HIV and AIDS prevention...
June 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
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