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https://www.readbyqxmd.com/read/27750182/prevalence-and-correlates-of-substance-use-among-youth-living-with-hiv-in-clinical-settings
#1
Kristi E Gamarel, Larry Brown, Christopher W Kahler, M Isabel Fernandez, Douglas Bruce, Sharon Nichols
OBJECTIVES: The purpose of this study was to better understand the prevalence and correlates of substance use behaviors among HIV-infected adolescents in HIV care settings. METHODS: A cross-sectional sample of 2216 youth living with HIV (YLWH; ages 12-26) were recruited through the Adolescent Trials Network for HIV Interventions. Participants completed a one-time survey on sociodemographic factors, substance use and health behaviors. We used logistic regression models to understand the correlates of substance use outcomes...
October 11, 2016: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/27498094/exchange-of-sex-for-drugs-or-money-in-adolescents-and-young-adults-an-examination-of-sociodemographic-factors-hiv-related-risk-and-community-context
#2
Cherrie B Boyer, Lauren Greenberg, Kate Chutuape, Bendu Walker, Dina Monte, Jennifer Kirk, Jonathan M Ellen
The goal of this research was to examine associations among sociodemographic factors, HIV risk, and community context (e.g., economic insecurity, job training, housing instability, crime victimization, and perceived community norms) in adolescents and young adults who ever exchanged sex for drugs or money. Anonymous survey data were collected using ACASIs at community venues where adolescents and young adults congregate in resource-challenged, STI prevalent, urban, US neighborhoods. Conventional descriptive statistics, Fisher's exact tests, and generalized estimating equations approaches were used to examine associations...
August 6, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27169632/social-networks-and-social-support-among-ball-attending-african-american-men-who-have-sex-with-men-and-transgender-women-are-associated-with-hiv-related-outcomes
#3
Emily A Arnold, Emma Sterrett-Hong, Adam Jonas, Lance M Pollack
The House Ball Community (HBC) is an understudied network of African American men who have sex with men and transgender women, who join family-like houses that compete in elaborate balls in cities across the United States. From 2011 to 2012, we surveyed 274 recent attendees of balls in the San Francisco Bay Area, focusing on social networks, social support, and HIV-related behaviours. Participants with a high percentage of alters who were supportive of HIV testing were significantly more likely to have tested in the past six months (p = ...
May 11, 2016: Global Public Health
https://www.readbyqxmd.com/read/27110227/recruiting-linking-and-retaining-high-risk-transgender-women-into-hiv-prevention-and-care-services-an-overview-of-barriers-strategies-and-lessons-learned
#4
Cathy J Reback, Dahlia Ferlito, Kimberly A Kisler, Jesse B Fletcher
Despite disproportionately high HIV prevalence rates and high risk for HIV acquisition and transmission, trans women in the United States are less likely than other high-risk populations to be aware of their HIV status or to perceive HIV infection as a serious health threat. Furthermore, concurrently high rates of unstable housing, few legal employment opportunities, lack of social support, and distrust of social service providers limit trans women's interest or ability to be recruited by, retained within, or linked into HIV prevention and care services...
2015: International Journal of Transgenderism
https://www.readbyqxmd.com/read/26960017/relationship-between-housing-status-and-retention-rates-among-hiv-positive-african-americans-enrolled-in-a-comprehensive-care-program
#5
Hong Xiao, William Mains
Service provision using "one-stop shopping" of medical, psychiatric, and case management services at the same location has been associated with superior client retention. The Yadumu project tested this premise, with attention to HIV-infected African Americans. Each client was assigned a case manager, who arranged meetings with mental health, substance abuse, and medical care professionals. The Center for Mental Health Services, National Outcome Measures (CMHS NOMs) questionnaire was used to evaluate client progress...
April 2016: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/26852785/stigma-activism-and-well-being-among-people-living-with-hiv
#6
Valerie A Earnshaw, Lisa Rosenthal, Shawn M Lang
Evidence demonstrates that HIV stigma undermines the psychological and physical health of people living with HIV (PLWH). Yet, PLWH describe engaging in HIV activism to challenge stigma, and research suggests that individuals may benefit from activism. We examine associations between experiences of HIV stigma and HIV activism, and test whether HIV activists benefit from greater well-being than non-activists. Participants include 93 PLWH recruited from drop-in centers, housing programs, and other organizations providing services to PLWH in the Northeastern USA between 2012 and 2013 (mean age = 50 years; 56% Black, 20% White, 18% Other; 61% non-Latino(a), 39% Latino(a); 59% male, 38% female, 3% transgender; 82% heterosexual, 15% sexual minority)...
2016: AIDS Care
https://www.readbyqxmd.com/read/26789623/use-of-drop-in-clinic-versus-appointment-based-care-for-lgbt-youth-influences-on-the-likelihood-to-access-different-health-care-structures
#7
Bernie S Newman, Kim Passidomo, Kate Gormley, Alecia Manley
The structure of health-care service delivery can address barriers that make it difficult for lesbian, gay, bisexual, and transgender (LGBT) adolescents to use health services. This study explores the differences among youth who access care in one of two service delivery structures in an LGBT health-care center: the drop-in clinic or the traditional appointment-based model. Analysis of 578 records of LGBT and straight youth (aged 14-24) who accessed health care either through a drop-in clinic or appointment-based care within the first year of offering the drop-in clinic reveals patterns of use when both models are available...
June 2014: LGBT Health
https://www.readbyqxmd.com/read/26789394/behavioral-and-health-outcomes-for-hiv-young-transgender-women-ytw-linked-to-and-engaged-in-medical-care
#8
Nadia Dowshen, Meredith Matone, Xianqun Luan, Susan Lee, Marvin Belzer, Maria Isabel Fernandez, David Rubin
We describe health and psychosocial outcomes of HIV+ young transgender women (YTW) engaged in care across the United States. When compared to other behaviorally infected youth (BIY), YTW reported higher rates of unemployment (25% vs. 19%), limited educational achievement (42% vs 13%), and suboptimal ART adherence (51% vs. 30%). There was no difference in likelihood of having a detectable viral load (38% vs. 39%) between groups. However, particular isolating psychosocial factors (unstable housing, depression, and lack of social support for attending appointments) increased predicted probability of viral detection to a greater extent among YTW that may have important health implications for this marginalized youth population...
April 2016: LGBT Health
https://www.readbyqxmd.com/read/26788671/characteristics-of-transgender-women-living-with-hiv-receiving-medical-care-in-the-united-states
#9
Yuko Mizuno, Emma L Frazier, Ping Huang, Jacek Skarbinski
PURPOSE: Little has been reported from population-based surveys on the characteristics of transgender persons living with HIV. Using Medical Monitoring Project (MMP) data, we describe the characteristics of HIV-infected transgender women and examine their care and treatment needs. METHODS: We used combined data from the 2009 to 2011 cycles of MMP, an HIV surveillance system designed to produce nationally representative estimates of the characteristics of HIV-infected adults receiving medical care in the United States, to compare demographic, behavioral, and clinical characteristics, and met and unmet needs for supportive services of transgender women with those of non-transgender persons using Rao-Scott chi-square tests...
September 2015: LGBT Health
https://www.readbyqxmd.com/read/26571482/preexposure-prophylaxis-for-hiv-infection-integrated-with-municipal-and-community-based-sexual-health-services
#10
Albert Y Liu, Stephanie E Cohen, Eric Vittinghoff, Peter L Anderson, Susanne Doblecki-Lewis, Oliver Bacon, Wairimu Chege, Brian S Postle, Tim Matheson, K Rivet Amico, Teri Liegler, M Keith Rawlings, Nikole Trainor, Robert Wilder Blue, Yannine Estrada, Megan E Coleman, Gabriel Cardenas, Daniel J Feaster, Robert Grant, Susan S Philip, Richard Elion, Susan Buchbinder, Michael A Kolber
IMPORTANCE: Several randomized clinical trials have demonstrated the efficacy of preexposure prophylaxis (PrEP) in preventing human immunodeficiency virus (HIV) acquisition. Little is known about adherence to the regimen, sexual practices, and overall effectiveness when PrEP is implemented in clinics that treat sexually transmitted infections (STIs) and community-based clinics serving men who have sex with men (MSM). OBJECTIVE: To assess PrEP adherence, sexual behaviors, and the incidence of STIs and HIV infection in a cohort of MSM and transgender women initiating PrEP in the United States...
January 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/25905826/differential-hiv-risk-for-racial-ethnic-minority-trans-female-youths-and-socioeconomic-disparities-in-housing-residential-stability-and-education
#11
Erin C Wilson, Yea-Hung Chen, Sean Arayasirikul, Marla Fisher, W Andres Pomart, Victory Le, H Fisher Raymond, Willi McFarland
OBJECTIVES: We examined HIV prevalence and risk behaviors of 282 trans*female youths aged 16 to 24 years participating in the San Francisco Bay Area, California, SHINE study from 2012 to 2013 to determine differences between racial/ethnic minority and White youths. METHODS: We conducted the χ(2) test to determine distributional differences between racial/ethnic minority and White participants in sociodemographic factors, HIV-related risk behaviors, and syndemic factors...
July 2015: American Journal of Public Health
https://www.readbyqxmd.com/read/25867774/barriers-and-facilitators-to-engagement-of-vulnerable-populations-in-hiv-primary-care-in-new-york-city
#12
Robert H Remien, Laurie J Bauman, Joanne E Mantell, Benjamin Tsoi, Javier Lopez-Rios, Rosy Chhabra, Abby DiCarlo, Dana Watnick, Angelic Rivera, Nehama Teitelman, Blayne Cutler, Patricia Warne
BACKGROUND: Engagement in HIV care helps to maximize viral suppression, which in turn, reduces morbidity and mortality and prevents further HIV transmission. With more HIV cases than any other US city, New York City reported in 2012 that only 41% of all persons estimated to be living with HIV (PLWH) had a suppressed viral load, whereas nearly three-quarters of those in clinical care achieved viral suppression. Thus, retaining PLWH in HIV care addresses this central goal of both the US National HIV/AIDS Strategy and Governor Cuomo's plan to end the AIDS epidemic in New York State...
May 1, 2015: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/25642120/project-vogue-a-partnership-for-increasing-hiv-knowledge-and-hiv-vaccine-trial-awareness-among-house-ball-leaders-in-western-new-york
#13
Amina P Alio, Sheldon D Fields, Damon L Humes, Catherine A Bunce, Stephaun E Wallace, Cindi Lewis, Heather Elder, Steven Wakefield, Michael C Keefer
Men who sleep with men (MSM) and transgender individuals of color, the largest demographic in the House Ball community (HBC) are amongst the group at highest risk for HIV infection in the United States. The HBC have limited access to culturally appropriate HIV education. This study aimed to develop a partnership with HBC leaders to uncover strategies for increasing HIV prevention knowledge, including participation in HIV vaccine trials. To this end a research institution-community-HBC partnership was established...
July 1, 2014: Journal of Gay & Lesbian Social Services
https://www.readbyqxmd.com/read/25300319/an-hiv-intervention-tailored-for-black-young-men-who-have-sex-with-men-in-the-house-ball-community
#14
Sybil G Hosek, Diana Lemos, Anna L Hotton, M Isabel Fernandez, Kyle Telander, Dana Footer, Margo Bell
Black young men who have sex with men (BYMSM) are the group most disproportionately impacted by HIV in the USA and most in need of efficacious interventions to address community-level factors that increase their vulnerability to HIV. The House Ball Community (HBC) is a distinct social network within the larger BYMSM community that may be particularly vulnerable to social norms and stigma around HIV. This study tailored an evidence-based, community-level popular opinion leader (OL) intervention for use within the HBC...
2015: AIDS Care
https://www.readbyqxmd.com/read/25190499/housing-status-and-hiv-risk-behaviors-among-transgender-women-in-los-angeles
#15
Jesse B Fletcher, Kimberly A Kisler, Cathy J Reback
Due to social stigma, lack of social support, and minimal legal employment opportunities, transgender women (transwomen) face elevated rates of unstable housing. This study examined the association between housing status and HIV risk behaviors among 517 transwomen encountered through street outreach. Seven variables (including sociodemographics, HIV status, housing status, and sexual partner type) were used to estimate partial associations during multivariable analyses; housing status was coded trichotomously (housed, marginally housed, and homeless) for these analyses...
November 2014: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/25133547/towards-full-citizenship-correlates-of-engagement-with-the-gender-identity-law-among-transwomen-in-argentina
#16
María Eugenia Socías, Brandon D L Marshall, Inés Arístegui, Virginia Zalazar, Marcela Romero, Omar Sued, Thomas Kerr
INTRODUCTION: In May 2012, Argentina passed its "Gender Identity" Law, which aimed to address the legal invisibility, discrimination and marginalization that transgender individuals have historically faced. The aim of this study was to explore factors associated with engagement with the Gender Identity Law among transwomen living in Argentina. METHODS: Data were derived from a 2013 nationwide, cross-sectional study involving transwomen in Argentina. Using multivariate logistic regression, we assessed the prevalence and factors associated with acquiring a gender-congruent identity card within the first 18 months of enactment of the Gender Identity Law...
2014: PloS One
https://www.readbyqxmd.com/read/24835090/-we-re-just-targeted-as-the-flock-that-has-hiv-health-care-experiences-of-members-of-the-house-ball-culture
#17
Diana Rowan, Maysa DeSousa, Ethan Makai Randall, Chelsea White, Lamont Holley
The house/ball community is an understudied sub-group of young Black men who have sex with men and transgender persons in urban centers of the United States who affiliate in social structures called houses and gather at elaborate dance and performance events called balls. In Charlotte, North Carolina, 12 house/ball members were interviewed about their experiences with health care providers and their assessment of any barriers to care due to their affiliation with the rather clandestine house/ball sub-culture...
2014: Social Work in Health Care
https://www.readbyqxmd.com/read/24714446/hiv-treatment-cascade-among-transgender-women-in-a-san-francisco-respondent-driven-sampling-study
#18
Glenn-Milo Santos, Erin C Wilson, Jenna Rapues, Oscar Macias, Tracey Packer, H Fisher Raymond
OBJECTIVE: Male-to-female transgender women (transwomen) have a disproportionate burden of HIV. We sought to estimate HIV treatment cascade indicators among transwomen in San Francisco. METHODS: We conducted a respondent driven sampling (RDS) study of 314 transwomen from August to December 2010. The study tested participants for HIV and collected self-reported data on linkage and access to care, viral load and antiretroviral treatment (ART). We derived population-based estimates and 95% CIs of cascade indicators using sampling weights based on established RDS methods...
August 2014: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/24464550/sex-work-among-men-who-have-sex-with-men-and-transgender-women-in-bogot%C3%A3
#19
Fernanda T Bianchi, Carol A Reisen, Maria Cecilia Zea, Salvador Vidal-Ortiz, Felisa A Gonzales, Fabián Betancourt, Marcela Aguilar, Paul J Poppen
This qualitative study examined sex work among internally displaced male and transgender female sex workers in Bogotá, Colombia. Internal displacement has occurred in Colombia as a result of decades of conflict among armed groups and has created large-scale migration from rural to urban areas. Informed by the polymorphous model of sex work, which posits that contextual conditions shape the experience of sex work, we examined three main research questions. The first dealt with how internal displacement was related to the initiation of sex work; the second concerned the effect of agency on sex worker satisfaction; and the third examined how sex work in this context was related to HIV and other risks...
November 2014: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/23016504/hiv-prevention-service-utilization-in-the-los-angeles-house-and-ball-communities-past-experiences-and-recommendations-for-the-future
#20
Ian W Holloway, Dorian E Traube, Katrina Kubicek, Jocelyn Supan, George Weiss, Michele D Kipke
African-American young men who have sex with men and transgender persons are at elevated risk for HIV infection. House and Ball communities, networks of mostly African-American gay, bisexual, and transgender individuals who compete in modeling and dance, represent a prime venue for HIV prevention with these difficult-to-reach populations; however, little research exists on effective approaches to HIV prevention within these communities. Using a mixed-methods approach, the present study sought to document participation in HIV prevention activities of a sample from the Los Angeles House and Ball communities (n = 263) in order to inform future service development...
October 2012: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
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