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AIDS and Behavior

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https://www.readbyqxmd.com/read/28528464/evidence-based-identification-of-key-beliefs-explaining-infant-male-circumcision-motivation-among-expectant-parents-in-zimbabwe-targets-for-behavior-change-messaging
#1
Daniel E Montaño, Mufuta Tshimanga, Deven T Hamilton, Gerald Gorn, Danuta Kasprzyk
Slow adult male circumcision uptake is one factor leading some to recommend increased priority for infant male circumcision (IMC) in sub-Saharan African countries. This research, guided by the integrated behavioral model (IBM), was carried out to identify key beliefs that best explain Zimbabwean parents' motivation to have their infant sons circumcised. A quantitative survey, designed from qualitative elicitation study results, was administered to independent representative samples of 800 expectant mothers and 795 expectant fathers in two urban and two rural areas in Zimbabwe...
May 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28528463/facebook-advertising-to-recruit-young-urban-women-into-an-hiv-prevention-clinical-trial
#2
Rachel Jones, Lorraine J Lacroix, Eloni Porcher
Advertising via Facebook to elicit involvement in clinical trials has demonstrated promise in expanding geographic reach while maintaining confidentiality. The purpose of this study is to evaluate Facebook advertising to reach at-risk, predominately African American or Black women in higher HIV prevalence communities for an HIV prevention clinical trial, and to compare baseline characteristics to those recruited on-the-ground. Maintaining confidentiality and the practical aspects of creating and posting ads on Facebook are described...
May 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28516378/hiv-prevalence-and-related-risk-factors-in-men-who-have-sex-with-men-in-bamako-mali-findings-from-a-bio-behavioral-survey-using-respondent-driven-sampling
#3
Maria Lahuerta, Padmaja Patnaik, Tako Ballo, Nouhoum Telly, Justin Knox, Bouyagui Traore, Seydou Doumbia, Avi Hakim
Using respondent driven sampling, we conducted a cross-sectional bio-behavioral survey among men who have sex with men (MSM) in Bamako, Mali. Eligibility criteria included age ≥18 years and having had sex with another man in the last 6 months. We enrolled 552 MSM, 99.6% were tested for HIV. MSM in Bamako were young (69.6% ≤24 years) and educated (63.7% ≥secondary). HIV prevalence among MSM in Bamako was 13.7; 90.1% of HIV-infected men were unaware of their HIV status. Almost one-third had never been tested for HIV...
May 17, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28509998/influence-of-side-effects-on-art-adherence-among-plwh-in-china-the-moderator-role-of-art-related-knowledge
#4
Guangyu Zhou, Xiaoming Li, Shan Qiao, Zhiyong Shen, Yuejiao Zhou
Despite the medical advancements in HIV treatment, realities of side effects are faced by people living with HIV (PLWH) who receive antiretroviral therapy (ART). Mixed findings have been reported on the association between side effects and ART adherence. However, few studies have explored the combined side effects and behavior-related information on medication adherence. The aim of the current study is to examine moderator role of ART-related knowledge between side effects and ART adherence. A cross-sectional survey was conducted among 2987 PLWH from October 2012 to August 2013 in China...
May 16, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28509997/social-desirability-bias-and-prevalence-of-sexual-hiv-risk-behaviors-among-people-who-use-drugs-in-baltimore-maryland-implications-for-identifying-individuals-prone-to-underreporting-sexual-risk-behaviors
#5
Amrita Rao, Karin Tobin, Melissa Davey-Rothwell, Carl A Latkin
The role of social desirability bias (SDB) in self-reported HIV risk behaviors continues to be problematic. This study examined whether SDB was associated with self-reported, via audio computer assisted self-interviewing, sexual risk behaviors among people who use drugs. The present study was conducted among 559 participants who reported having a recent sexual partner at their 6-month visit of a longitudinal study. Robust Poisson regression was used to model the association between SDB and five risk behaviors...
May 16, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28501965/using-a-positive-deviance-framework-to-discover-adaptive-risk-reduction-behaviors-among-high-risk-hiv-negative-black-men-who-have-sex-with-men
#6
A J Ober, D T Dangerfield, S Shoptaw, G Ryan, B Stucky, S R Friedman
Despite the high incidence of HIV among young Black MSM in the United States and engagement in high risk behaviors, many men in this group avoid infection. This suggests that some men may engage in systematic risk reduction behaviors when not always using condoms or abstaining from substances. Using a "positive deviance" framework, we conducted qualitative interviews with HIV-negative, Black MSM between 25 and 35 who reported unprotected anal sex and drug use in the past six months or current heavy drinking (N = 29) to discover behaviors that could facilitate remaining HIV-uninfected...
May 13, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28501964/consensus-statement-supporting-safer-conception-and-pregnancy-for-men-and-women-living-with-and-affected-by-hiv
#7
Lynn T Matthews, Jolly Beyeza-Kashesya, Ian Cooke, Natasha Davies, Renee Heffron, Angela Kaida, John Kinuthia, Okeoma Mmeje, Augusto E Semprini, Shannon Weber
Safer conception interventions reduce HIV incidence while supporting the reproductive goals of people living with or affected by HIV. We developed a consensus statement to address demand, summarize science, identify information gaps, outline research and policy priorities, and advocate for safer conception services. This statement emerged from a process incorporating consultation from meetings, literature, and key stakeholders. Three co-authors developed an outline which was discussed and modified with co-authors, working group members, and additional clinical, policy, and community experts in safer conception, HIV, and fertility...
May 13, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28488166/perceived-hiv-prevalence-accuracy-and-sexual-risk-behavior-among-gay-bisexual-and-other-men-who-have-sex-with-men-in-the-united-states
#8
Stephen Sullivan, Rob Stephenson
Interventions that promote HIV prevention and reduce sexual risk-taking among men who have sex with men (MSM) are needed. Decisions surrounding sexual behavior and prevention are in part shaped by how individuals gauge HIV risk, which may be influenced by perceptions of local HIV prevalence. Using an online sample of self-reported HIV-negative adult MSM (n = 1477, mean age = 45) recruited in 2015, we examine associations between accuracy of perceived local HIV prevalence and self-reported condomless anal sex (CAS) and HIV testing...
May 9, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28488165/self-management-strategies-for-coping-with-adverse-symptoms-in-persons-living-with-hiv-with-hiv-associated-non-aids-conditions
#9
Sarah Iribarren, Karolynn Siegel, Sabina Hirshfield, Susan Olender, Joachim Voss, Joseph Krongold, Heidi Luft, Rebecca Schnall
People living with HIV (PLWH) are living longer, but many are now affected by HIV-associated non-AIDS (HANA) conditions and their associated adverse symptoms. An online survey was conducted with 769 PLWH with HANA conditions in the US. Information was elicited on symptoms experienced, self-management strategies employed, and the helpfulness of these strategies. Open ended responses were collected for self-management strategies. A qualitative data analytic approach was used to organize the 4036 self-management strategies into thematic categories, with eight main categories emerging, including: taking medication, modifying activity, altering diet, seeking help, waiting, substance use, managing thoughts and attitudes, and altering the physical environment...
May 9, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28484888/depression-and-anxiety-are-common-in-acute-hiv-infection-and-associate-with-plasma-immune-activation
#10
Joanna Hellmuth, Donn Colby, Victor Valcour, Duanghathai Suttichom, Serena Spudich, Jintanat Ananworanich, Peeriya Prueksakaew, Napapon Sailasuta, Isabel Allen, Linda L Jagodzinski, Bonnie Slike, Derek Ochi, Robert Paul
This observational study of 123 Thai participants sought to determine the rate and severity of affective symptoms during acute HIV infection (AHI) and possible associations to disease mechanisms. At diagnosis, just prior to starting combination antiretroviral therapy (cART), AHI participants completed assessments of depression and anxiety symptoms that were repeated at 4, 12, and 24 weeks. Blood markers of HIV infection and immune activation were measured at study entry, with optional cerebrospinal fluid measures...
May 8, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28470458/a-simple-risk-prediction-algorithm-for-hiv-transmission-results-from-hiv-prevention-trials-in-kwazulu-natal-south-africa-2002-2012
#11
Handan Wand, Tarylee Reddy, Sarita Naidoo, Suri Moonsamy, Samantha Siva, Neetha S Morar, Gita Ramjee
We aimed to develop a HIV risk scoring algorithm for targeted screening among women in South Africa. We used data from five biomedical intervention trials (N = 8982 Cox regression models were used to create a risk prediction algorithm and it was internally and externally validated using standard statistical measures; 7-factors were identified as significant predictors of HIV infection: <25 years old, being single/not cohabiting, parity (<3), age at sexual debut (<16), 3+ sexual partners, using injectables and diagnosis with a sexually transmitted infection(s)...
May 3, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28456895/cannabis-use-medication-management-and-adherence-among-persons-living-with-hiv
#12
Denise C Vidot, Brenda Lerner, Raul Gonzalez
Cannabis is used to relieve nausea, trigger weight gain, and reduce pain among adults living with HIV; however, the relationship between its use and medication adherence and management is unclear. Participants (N = 107) were from an ongoing cohort study of community-dwelling HIV+ adults, stratified by cannabis (CB) use: HIV+/CB+ (n = 41) and HIV+/CB- (n = 66). CB+ participants either tested positive in a urine toxicology screen for THC or had a self-reported history of regular and recent use. HIV-status was provided by physician results and/or biomarker assessment...
April 29, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28451891/pilot-randomized-controlled-trial-of-acceptance-based-behavior-therapy-to-promote-hiv-acceptance-hiv-disclosure-and-retention-in-medical-care
#13
Ethan Moitra, Andrea LaPlante, Megan L Armstrong, Philip A Chan, Michael D Stein
HIV patients who are not retained in medical care risk viral resistance, disease progression to AIDS, and mortality. Numerous interventions have been tested to improve retention, but they are limited by their resource-intensive approaches and lack of focus on new patients, who are at highest risk for drop-out. Data show that acceptance and disclosure of HIV status might impact retention, yet these variables have not been targeted in previous interventions. In this pilot randomized controlled trial, we assessed feasibility, acceptability, and preliminary efficacy of a brief, 2-session acceptance based behavior therapy (ABBT), relative to treatment-as-usual (TAU), in 34 new-to-care HIV patients...
April 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28451890/hiv-prevention-in-gay-family-and-house-networks-fostering-self-determination-and-sexual-safety
#14
Heidi M Levitt, Sharon G Horne, Darren Freeman-Coppadge, Tangela Roberts
Many gay, bisexual, and transgender (GBT) people of color (POC) join house and/or constructed family communities, which serve as support networks composed mostly of other non-biologically related GBT/POC. These networks can decrease or increase the risk of exposure to HIV via multiple mechanisms (e.g., providing informal sexual safety education versus stigmatizing family members with HIV, encouraging sexual safety practices versus unsafe escorting, teaching self-care versus substance use) but act to support family members in the face of social and economic hardship...
April 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28451889/chronic-pain-predicting-reciprocity-of-support-among-vulnerable-predominantly-african-american-persons-living-with-hiv-aids
#15
Mary M Mitchell, Sarina R Isenberg, Allysha C Maragh-Bass, Amy R Knowlton
Among persons living with HIV/AIDS (PLHIV), approximately two-thirds report moderate to severe pain. Chronic pain can negatively affect PLHIVs' health behaviors and outcomes by interfering with their reciprocity (mutual exchange) of support in their caregiving relationships, which has been found to be associated with PLHIVs' antiretroviral adherence and viral suppression. Data were longitudinal (baseline, 6- and 12-month follow-up) from 383 PLHIV who were formerly or currently using drugs. Utilizing a longitudinal lagged fixed effects structural equation model, we found that never having pain in the past 6 months was predictive of increased reciprocity of support...
April 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28451888/use-of-an-outreach-coordinator-to-reengage-and-retain-patients-at-risk-of-falling-out-of-hiv-care-does-the-amount-of-time-matter
#16
Madelyne C Bean, Linda Scott, Lauren E Richey
Retention in care remains a major problem for people living with HIV and it is well known that retention in high quality HIV care improves clinical outcomes. This project used an outreach coordinator to perform phone and letter interventions to improve retention in patients at risk of falling out of care. Sixty-one (5%) patients were at risk in 2015 and received an intervention by the outreach coordinator. Fifty (82%) had a visit and 22 (36%) met the HRSA definition of retention. The mean time per patient was 59 min; therefore, it took 2...
April 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28447269/estimating-hiv-medication-adherence-and-persistence-two-instruments-for-clinical-and-research-use
#17
David A Wohl, A T Panter, Christine Kirby, Brooke E Magnus, Michael G Hudgens, Andrew G Allmon, Katie R Mollan
Antiretroviral therapy (ART) requires lifelong daily oral therapy. While patient characteristics associated with suboptimal ART adherence and persistence have been described in cohorts of HIV-infected persons, these factors are poor predictors of individual medication taking behaviors. We aimed to create and test instruments for the estimation of future ART adherence and persistence for clinical and research applications. Following formative work, a battery of 148 items broadly related to HIV infection and treatment was developed and administered to 181 HIV-infected patients...
April 26, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28444470/sexual-orientation-differences-in-health-and-wellbeing-among-women-living-with-hiv-in-canada-findings-from-a-national-cohort-study
#18
Carmen H Logie, Ashley Lacombe-Duncan, Ying Wang, Angela Kaida, Alexandra de Pokomandy, Kath Webster, Tracey Conway, Mona Loutfy
Sexual orientation differences in health and wellbeing among women living with HIV (WLH) are underexplored. Limited research available, however, suggests that sexual minority WLH may experience barriers to HIV care. Cross-sectional baseline data was analyzed from a Canadian cohort study with WLH (sexual minority women [SMW]: n = 180; heterosexual women: n = 1240). SMW (median age 38 years, IQR 13) included bisexual (58.9%), lesbian (17.8%) and other sexualities (23.3%). In multivariable analyses adjusting for age, poverty, education, and ethnicity, SMW identity was associated with increased odds of: clinical (80% vs...
April 25, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28444469/modelling-the-unaids-90-90-90-treatment-cascade-for-gay-bisexual-and-other-men-who-have-sex-with-men-in-south-africa-using-the-findings-of-a-data-triangulation-process-to-map-a-way-forward
#19
Andrew Scheibe, Michael Grasso, Henry Fisher Raymond, Albert Manyuchi, Thomas Osmand, Tim Lane, Helen Struthers
A data triangulation exercise was carried out between 2013 and 2015 to assess the HIV epidemic and response among gay, bisexual and other men who have sex with men (GBMSM) in South Africa. We used the findings to assess progress in achieving the UNAIDS 90-90-90 goals for GBMSM in the country. Three scenarios were developed using different GBMSM population factors (2.0, 3.5 and 5.0% of males aged ≥15) to estimate the population size, HIV prevalence of 13.2-49.5%, and 68% of GBMSM knowing their status. Due to data gaps, general population data were used as estimates of GBMSM on antiretroviral therapy (ART) and virologically suppressed (25...
April 25, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28439756/psychological-distress-among-methadone-maintenance-patients-in-vietnamese-mountainous-areas
#20
Long Hoang Nguyen, Bach Xuan Tran, Huong Lan Thi Nguyen, Cuong Tat Nguyen, Canh Dinh Hoang, Hai Quan Le, Hung Van Nguyen, Huong Thi Le, Tho Dinh Tran, Carl A Latkin, Thuc Minh Thi Vu
We conducted a cross-sectional study in Tuyen Quang Province, a mountainous province in northern Vietnam, to examine rates of psychological distress among 241 patients receiving methadone maintenance treatment (MMT). Using the Kessler psychological distress Scale, we found that approximately one-fourth (26.8%) of respondents suffered from mental health pathologies. Physical health problems, current drug use, and alcohol abuse were found to be associated with mental health problems among the participants. Our findings highlight the high prevalence of psychological distress among MMT patients in northern Vietnam, and the need to integrate mental and physical health care services, as well as behavioral health counseling, into currently existing MMT clinics in this region...
April 24, 2017: AIDS and Behavior
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