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AIDS and Behavior

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https://www.readbyqxmd.com/read/29159595/resilience-and-physical-and-mental-well-being-in-adults-with-and-without-hiv
#1
Jennifer A McGowan, James Brown, Fiona C Lampe, Marc Lipman, Colette Smith, Alison Rodger
Resilience has been related to improved physical and mental health, and is thought to improve with age. No studies have explored the relationship between resilience, ageing with HIV, and well-being. A cross sectional observational study performed on UK HIV positive (N = 195) and HIV negative adults (N = 130). Associations of both age and 'time diagnosed with HIV' with resilience (RS-14) were assessed, and the association of resilience with depression, anxiety symptoms (PHQ-9 and GAD-7), and problems with activities of daily living (ADLs) (Euroqol 5D-3L)...
November 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29159594/structural-interventions-in-hiv-prevention-a-taxonomy-and-descriptive-systematic-review
#2
REVIEW
Theresa Ann Sipe, Terrika L Barham, Wayne D Johnson, Heather A Joseph, Maria Luisa Tungol-Ashmon, Ann O'Leary
One of the four national HIV prevention goals is to incorporate combinations of effective, evidence-based approaches to prevent HIV infection. In fields of public health, techniques that alter environment and affect choice options are effective. Structural approaches may be effective in preventing HIV infection. Existing frameworks for structural interventions were lacking in breadth and/or depth. We conducted a systematic review and searched CDC's HIV/AIDS Prevention Research Synthesis Project's database for relevant interventions during 1988-2013...
November 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29159593/high-burden-of-hiv-syphilis-and-hsv-2-and-factors-associated-with-hiv-infection-among-female-sex-workers-in-tanzania-implications-for-early-treatment-of-hiv-and-pre-exposure-prophylaxis-prep
#3
Lung Vu, Kavita Misra
This paper estimates population-based prevalence of HIV, syphilis, HSV-2 and factors influencing HIV infection using a national sample of 1914 female sex workers (FSWs) in 7 regions in Tanzania. Additionally, HIV incidence was estimated by comparing biological HIV results with self-reported HIV status. The average HIV prevalence among FSWs in all 7 regions was 28%, ranging from 14% in Tabora to 38% in Shinyanga. HIV incidence was found to be 13 per 100 person-years. Syphilis prevalence was 8% with significantly higher burden found in Iringa (11%), Mbeya (13%), and Shinyanga (12%)...
November 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29159592/uptake-of-a-partner-notification-model-for-hiv-among-men-who-have-sex-with-men-and-transgender-women-in-tijuana-mexico
#4
Shirley J Semple, Heather A Pines, Steffanie A Strathdee, Alicia Harvey Vera, Gudelia Rangel, Carlos Magis-Rodriguez, Thomas L Patterson
Undiagnosed HIV infection is common among men who have sex with men (MSM) and transgender women (TW) in Latin America. We examined uptake of a partner notification (PN) model among MSM and TW in Tijuana, Mexico. Forty-six HIV-positive MSM/TW enrolled as index patients, and reported 132 MSM/TW sexual partners for PN. Of notified partners (90/132), 39% declined eligibility screening or participation, 39% tested for HIV, and of those 28% were newly-diagnosed HIV-positive. Partners who were seen by the index patient more than once in the past 4 months and those who primarily had sex with the index patient in one of their homes were more likely to be notified via PN (76% vs...
November 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29151200/a-closer-look-at-racism-and-heterosexism-in-medical-students-clinical-decision-making-related-to-hiv-pre-exposure-prophylaxis-prep-implications-for-prep-education
#5
Sarah K Calabrese, Valerie A Earnshaw, Douglas S Krakower, Kristen Underhill, Wilson Vincent, Manya Magnus, Nathan B Hansen, Trace S Kershaw, Kenneth H Mayer, Joseph R Betancourt, John F Dovidio
Social biases among healthcare providers could limit PrEP access. In this survey study of 115 US medical students, we examined associations between biases (racism and heterosexism) and PrEP clinical decision-making and explored prior PrEP education as a potential buffer. After viewing a vignette about a PrEP-seeking MSM patient, participants reported anticipated patient behavior (condomless sex, extra-relational sex, and adherence), intention to prescribe PrEP to the patient, biases, and background characteristics...
November 18, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29151199/loneliness-in-older-adults-living-with-hiv
#6
Meredith Greene, Nancy A Hessol, Carla Perissinotto, Roland Zepf, Amanda Hutton Parrott, Cameron Foreman, Robert Whirry, Monica Gandhi, Malcolm John
We conducted a cross-sectional study among HIV-positive adults age ≥ 50 in San Francisco to evaluate the frequency of loneliness, characteristics of those who reported loneliness, and the association of loneliness with functional impairment and health-related quality of life (HRQoL). Participants (N = 356) were predominately male (85%); 57% were white; median age was 56. 58% reported any loneliness symptoms with 24% reporting mild, 22% moderate and 12% severe loneliness. Lonely participants were more likely to report depression, alcohol and tobacco use, and have fewer relationships...
November 18, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29151198/high-substance-use-and-hiv-risk-behavior-among-young-argentine-men-who-have-sex-with-men
#7
Iván C Balán, Timothy Frasca, María A Pando, Rubén O Marone, Victoria Barreda, Curtis Dolezal, Alex Carballo-Diéguez, María M Ávila
In the United States young men who have sex with men have higher rates of substance use, higher HIV incidence, and less frequent HIV testing than their heterosexual counterparts and older MSM. Less is known about comparable populations in Latin America. As part of an epidemiological study, MSM were recruited through Respondent Driven Sampling in the metropolitan area of Buenos Aires, Argentina and answered a computerized behavioral survey. From the total of 500 MSM enrolled, a sub-sample of 233 aged 18-25 was analyzed...
November 18, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29151197/impact-of-the-dapivirine-vaginal-ring-on-sexual-experiences-and-intimate-partnerships-of-women-in-an-hiv-prevention-clinical-trial-managing-ring-detection-and-hot-sex
#8
Nicole D Laborde, Elizabeth Pleasants, Krishnaveni Reddy, Millicent Atujuna, Teopista Nakyanzi, Miria Chitukuta, Sarita Naidoo, Thesla Palanee-Phillips, Jared M Baeten, Elizabeth T Montgomery
Vaginally-inserted HIV prevention methods have been reported to impact the sexual experience for women and their partners, and hence impacts acceptability of and adherence to the method. We analyzed in-depth interviews and focus group discussions about participants' sexual experiences while wearing the ring, collected during the MTN-020/ASPIRE phase 3 safety and effectiveness trial of a dapivirine vaginal ring for HIV prevention in Malawi, South Africa, Uganda, and Zimbabwe. Most women reported that partners did not feel the ring during sex, however, women felt they had to manage their partners' interaction with or reaction to the ring...
November 18, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29147810/acceptability-of-a-tenofovir-disoproxil-fumarate-vaginal-ring-for-hiv-prevention-among-women-in-new-york-city
#9
Dana Watnick, Marla J Keller, Kimberly Stein, Laurie J Bauman
Vaginal rings for pre-exposure prophylaxis are a female-initiated HIV prevention method that does not require daily or coitally-dependent dosing. As part of a randomized placebo-controlled trial of a tenofovir disoproxil fumarate intravaginal ring, we assessed product acceptability through in-depth interviews with 18 women during and after 14 days of continuous use. Women reported that the ring was comfortable with few side effects, regardless of experimental arm. However, interest in future use by this cohort was modest for several reasons including: low self-perceived HIV risk; concern that use implied promiscuity; potential for interference with relationship formation and trust; concern for interference with menstruation and cleanliness; and worries about partners' acceptability and sexual pleasure...
November 16, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29143163/sex-prep-and-stigma-experiences-with-hiv-pre-exposure-prophylaxis-among-new-york-city-msm-participating-in-the-hptn-067-adapt-study
#10
Julie Franks, Yael Hirsch-Moverman, Avelino S Loquere, K Rivet Amico, Robert M Grant, Bonnie J Dye, Yan Rivera, Robert Gamboa, Sharon B Mannheimer
The HPTN 067/Alternative Dosing to Augment Pre-Exposure Prophylaxis Pill Taking (ADAPT) study evaluated daily and non-daily dosing schedules for oral pre-exposure prophylaxis (PrEP) to prevent HIV. A qualitative sub-study including focus groups and in-depth interviews was conducted among men who have sex with men participating in New York City to understand their experience with PrEP and study dosing schedules. The 37 sub-study participants were 68% black, 11% white, and 8% Asian; 27% were of Hispanic/Latino ethnicity...
November 15, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29143162/anti-retroviral-status-and-hiv-transmission-risk-behaviors-are-associated-with-age-time-since-diagnosis-and-psychosocial-factors-among-women-living-with-hiv-aids-enrolling-in-the-willow-intervention-at-community-based-organizations
#11
Weston O Williams, Tanesha Griffin, Gary Uhl
Safe sexual behaviors and anti-retroviral use help prevent HIV transmission. In this cross-sectional study, we assessed correlates of anti-retroviral (ART) status and transmission risk (a constructed variable) among a convenience sample of n = 1041 HIV-positive women (pre-intervention) enrolled in an evidence-based intervention at four CBOs. Multinomial logistic regression models were used. Younger women and those diagnosed with HIV in the last 5 years more often reported that they had not been prescribed ART...
November 15, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29138982/characterizing-the-hiv-prevention-and-care-continua-in-a-sample-of-transgender-youth-in-the-u-s
#12
Sari L Reisner, Laura Jadwin-Cakmak, Jaclyn M White Hughto, Miguel Martinez, Liz Salomon, Gary W Harper
In the U.S., transgender and other gender minority (TG) youth are an at-risk group understudied in HIV prevention and treatment. This study sought to characterize the HIV prevention and care continua in a diverse sample of 181 sexually-active TG ages 16-24 years (mean age = 20.7 years; 76.8% trans feminine; 69.1% youth of color) recruited July-December 2015 in 14 U.S. cities. Overall, 30.9% reported living with HIV, of which 71.4% were on antiretroviral therapy (ART) and 55.0% were medication adherent; 65...
November 14, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29138981/young-men-who-have-sex-with-men-at-high-risk-for-hiv-bangkok-msm-cohort-study-thailand-2006-2014
#13
Warunee Thienkrua, Frits van Griensven, Philip A Mock, Eileen F Dunne, Boonyos Raengsakulrach, Wipas Wimonsate, Nopporn Howteerakul, Chaiwat Ungsedhapand, Anupong Chiwarakorn, Timothy H Holtz
High HIV incidence has been reported in young men who have sex with men (YMSM) in North America and Western Europe, but there are limited data from Southeast Asia suggesting MSM may be the driver of the HIV epidemic in this region. We described HIV incidence and risk factors among 494 YMSM enrolled in a cohort study in Bangkok, Thailand. The HIV incidence was 7.4 per 100 person-years. In multivariable analysis, reporting use of an erectile dysfunction drug in combination with club drugs, having receptive or both insertive and receptive anal intercourse with men, having hepatitis A infection, having rectal Chlamydia trachomatis, having hepatitis B infection prior to HIV seroconversion, and reporting not always using condoms with male steady partners were significantly associated with HIV incidence in YMSM...
November 14, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29128941/measurements-of-sexuality-based-stigma-among-gay-bisexual-and-other-men-who-have-sex-with-men-gbmsm-in-resource-poor-settings-a-review
#14
REVIEW
Ryan Freeland, Erin Rogers, Heidi van Rooyen, Lynae Darbes, Kate Saylor, Rob Stephenson
Gay, bisexual, and other men who have sex with men (GBMSM) in resource-poor settings are disproportionately affected by the HIV/AIDS epidemic. GBMSM living in these settings may face unique barriers to HIV prevention, including legal barriers and increased sexuality-based stigma. It is therefore imperative to tailor HIV prevention and care resources to recognize the lived realities of GBMSM in these settings. Central to this is the accurate measurement of sexuality-based stigma. However, there is wide inconsistency in how sexuality-based stigma is measured among GBMSM in resource-poor settings...
November 11, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29127535/predictors-of-hiv-testing-and-their-influence-on-prep-acceptance-in-men-who-have-sex-with-men-a-cross-sectional-study
#15
Tsz Ho Kwan, Shui Shan Lee
HIV testing is the gateway to biomedical means of prevention and treatment. Identifying predictors of HIV testing is important to inform future preventive interventions. Of 444 men who have sex with men without known HIV infection enrolled in a study in Hong Kong, 64% had ever been HIV-tested. Testers were generally older, better educated, had a higher monthly income, and more likely self-identified as gay. Testers often used Internet and frequented saunas for sex networking, compared with non-testers attending bars, massage centres and public toilets...
November 10, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29127534/-test-and-treat-among-women-at-high-risk-for-hiv-infection-in-kampala-uganda-antiretroviral-therapy-initiation-and-associated-factors
#16
Yunia Mayanja, Onesmus Kamacooko, Daniel Bagiire, Gertrude Namale, Pontiano Kaleebu, Janet Seeley
Data on implementation of 'Test and Treat' among key populations in sub-Saharan Africa are still limited. We examined factors associated with prompt antiretroviral therapy/ART (within 1 month of HIV-positive diagnosis or 1 week if pregnant) among 343 women at high risk for HIV infection in Kampala-Uganda, of whom 28% initiated prompt ART. Most (95%) reported paid sex within 3 months prior to enrolment. Multivariable logistic regression was used to determine baseline characteristics associated with prompt ART...
November 10, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29124421/if-you-film-it-will-they-watch-factors-associated-with-willingness-to-view-safer-sex-messaging-in-internet-based-sexually-explicit-media
#17
Martin J Downing, Nadav Antebi-Gruszka, Eric W Schrimshaw, Sabina Hirshfield
Research on the association between viewing condomless sex in sexually explicit media (SEM) and engaging in risk behavior suggests the need for SEM-based safer sex messaging (e.g., PrEP, condom use), though few studies have considered viewer willingness to watch SEM containing HIV/STI prevention messages. Online survey data from a racially diverse sample of 859 men and women were used to investigate factors associated with willingness to watch SEM with safer sex messaging. Analyses were conducted separately for three groups: heterosexual men and other men who only report sex with women, heterosexual women and other women who only report sex with men, and gay, bisexual, and other men who have sex with men...
November 9, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29124420/mixed-method-evaluation-of-social-media-based-tools-and-traditional-strategies-to-recruit-high-risk-and-hard-to-reach-populations-into-an-hiv-prevention-intervention-study
#18
Sarah J Iribarren, Alhasan Ghazzawi, Alan Z Sheinfil, Timothy Frasca, William Brown, Javier Lopez-Rios, Christine T Rael, Iván C Balán, Raynier Crespo, Curtis Dolezal, Rebecca Giguere, Alex Carballo-Diéguez
Men who have sex with men and transgender women are hard-to-reach populations for research. Social media-based tools may overcome certain barriers in accessing these groups and are being tested in an ongoing study exploring HIV home-test kit use to reduce risk behavior. We analyzed pre-screening responses about how volunteers learned about the study (n = 896) and demographic data from eligible participants who came for an initial study visit (n = 216) to determine the strengths and weaknesses of recruitment strategies...
November 9, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29119474/food-insecurity-is-associated-with-poor-hiv-outcomes-among-women-in-the-united-states
#19
Matthew A Spinelli, Edward A Frongillo, Lila A Sheira, Kartika Palar, Phyllis C Tien, Tracey Wilson, Daniel Merenstein, Mardge Cohen, Adebola Adedimeji, Eryka Wentz, Adaora A Adimora, Lisa R Metsch, Janet M Turan, Margot B Kushel, Sheri D Weiser
Women in the general population experience more food insecurity than men. Few studies have examined food insecurity's impact on HIV treatment outcomes among women. We examined the association between food insecurity and HIV outcomes in a multi-site sample of HIV-infected women in the United States (n = 1154). Two-fifths (40%) of participants reported food insecurity. In an adjusted multivariable Tobit regression model, food insecurity was associated with 2.08 times higher viral load (95% confidence interval (CI): 1...
November 8, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29119473/preference-of-oral-tenofovir-disoproxil-fumarate-emtricitabine-versus-rectal-tenofovir-reduced-glycerin-1-gel-regimens-for-hiv-prevention-among-cisgender-men-and-transgender-women-who-engage-in-receptive-anal-intercourse-with-men
#20
Alex Carballo-Diéguez, Rebecca Giguere, Curtis Dolezal, Cheng-Shiun Leu, Iván C Balán, William Brown, Christine Rael, Barbra A Richardson, Jeanna M Piper, Linda-Gail Bekker, Suwat Chariyalertsak, Anupong Chitwarakorn, Pedro Gonzales, Timothy H Holtz, Albert Liu, Kenneth H Mayer, Carmen D Zorrilla, Javier R Lama, Ian McGowan, Ross D Cranston
Oral pre-exposure prophylaxis (PrEP) can prevent HIV transmission. Yet, some may prefer not to take systemic daily medication. MTN-017 was a 3-period, phase 2 safety and acceptability study of microbicide gel applied rectally either daily or before and after receptive anal intercourse (RAI), compared to daily oral tablet. At baseline, cisgender men and transgender women who reported RAI (N = 187) rated the daily oral regimen higher in overall liking, ease of use, and likelihood of future use than the gel regimens...
November 8, 2017: AIDS and Behavior
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