3,352 results match your criteria AIDS Patient Care STDS[Journal]


Cascade Analysis of Anonymous Voluntary HIV Counseling and Testing Among Patients with HIV Infection in Taiwan.

AIDS Patient Care STDS 2020 Jul;34(7):303-315

Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan.

Despite successful implementation of anonymous voluntary human immunodeficiency virus (HIV) counseling and testing (aVCT) in Taiwan, the trend of late HIV presentation in sexually active populations has remained unchanged in Taiwan over the past decade. We evaluated the effect and acceptance of an aVCT cascade program among Taiwanese individuals by surveying 572 participants (mean age: 29.6 years; 99. Read More

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http://dx.doi.org/10.1089/apc.2020.0044DOI Listing

HIV Pre-Exposure Prophylaxis for Conception Among HIV Serodiscordant Couples in the United States: A Cohort Study.

AIDS Patient Care STDS 2020 Jul;34(7):295-302

Department of Medicine, Center for Infectious Diseases, Boston Medical Center, Boston, Massachusetts, USA.

Practice guidelines on pre-exposure prophylaxis (PrEP) for HIV serodiscordant couples recommend PrEP when the viral load of the partner living with HIV is either detectable or unknown. However, adherence to combination antiretroviral therapy is inconsistent, and research has found that individuals vulnerable to HIV place value on additional protective barriers. We conducted a prospective cohort study to assess the feasibility, perceptions, and adherence associated with periconceptional PrEP use among females without HIV and their male partners living with HIV across four academic medical centers in the United States. Read More

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http://dx.doi.org/10.1089/apc.2020.0005DOI Listing

Health Care-Specific Enacted HIV-Related Stigma's Association with Antiretroviral Therapy Adherence and Viral Suppression Among People Living with HIV in Florida.

AIDS Patient Care STDS 2020 Jul;34(7):316-326

Department of Epidemiology, Florida International University, Miami, Florida, USA.

Among people living with HIV (PLWH) in Florida, <2/3 are virally suppressed (viral load <200 copies/mL). Previous theoretical frameworks have pointed to HIV-related stigma as an important factor for viral suppression; an important outcome related to the HIV continuum of care. This study aims to analyze the association between enacted HIV-related stigma and antiretroviral therapy (ART) adherence and viral suppression among a sample of PLWH in Florida. Read More

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http://dx.doi.org/10.1089/apc.2020.0031DOI Listing

Comorbidities in Older Persons with Controlled HIV Infection: Correlations with Frailty Index Subtypes.

AIDS Patient Care STDS 2020 Jul;34(7):284-294

Department of Neurology and Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Frailty is prevalent in persons with human immunodeficiency virus (PWH), but factors predisposing older PWH to frailty remain uncertain. We examined factors associated with frailty and determined whether there were multiple frailty subtypes in older adults with controlled HIV infection. This was a cross-sectional outpatient study in an urban HIV clinic. Read More

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http://dx.doi.org/10.1089/apc.2020.0051DOI Listing

Involvement of Cisgender and Transgender Individuals in Studies on the Impact of Hormonal Therapy on COVID-19.

AIDS Patient Care STDS 2020 Jun 17. Epub 2020 Jun 17.

Division of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.

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http://dx.doi.org/10.1089/apc.2020.0118DOI Listing

Unlocking HIV Pre-Exposure Prophylaxis Delivery: Examining the Role of HIV Providers in Pre-Exposure Prophylaxis Care.

AIDS Patient Care STDS 2020 Jun;34(6):251-258

Department of Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Despite being a promising prevention strategy for populations at risk for HIV acquisition, there has not been rapid uptake of HIV antiretroviral pre-exposure prophylaxis (PrEP). Yet, HIV clinics within the Mount Sinai Health System in New York City have successfully incorporated PrEP. HIV care providers ( = 18), who practice in these clinics and were early PrEP adopters, participated in a survey and semistructured interview. Read More

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http://dx.doi.org/10.1089/apc.2019.0288DOI Listing

"It's Me as a Person, Not Me the Disease": Patient Perceptions of an HIV Care Model Designed to Engage Persons with Complex Needs.

AIDS Patient Care STDS 2020 Jun;34(6):267-274

Department of Medicine, University of Washington, Seattle, Washington, USA.

Ending the HIV epidemic will require dedicated efforts to engage the highest need persons living with HIV (PLWH) in treatment. We assessed patient perceptions of a clinic in Seattle, Washington, that is designed for PLWH who do not engage in conventional HIV care. The Max Clinic provides walk-in access to care, incentives for blood draws and achieving viral suppression, and intensive case management. Read More

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http://dx.doi.org/10.1089/apc.2019.0310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262637PMC

Integrating HIV Pre-Exposure Prophylaxis into Family Planning Care: A RE-AIM Framework Evaluation.

AIDS Patient Care STDS 2020 Jun;34(6):259-266

MedStar Washington Hospital Center, Washington, District of Columbia, USA.

We aimed to systematically evaluate the feasibility of integrating HIV prevention services, including pre-exposure prophylaxis (PrEP), into a family planning setting in a high-prevalence community. We used the RE-AIM Framework (Reach, Efficacy, Adoption, Implementation, Maintenance) to evaluate the integration of HIV prevention services into a family planning clinic over 6 months. Before the integration, PrEP was not offered. Read More

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http://dx.doi.org/10.1089/apc.2020.0004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262643PMC
June 2020
3.497 Impact Factor

HIV Stigma, Depressive Symptoms, and Substance Use.

AIDS Patient Care STDS 2020 Jun;34(6):275-280

Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, Connecticut, USA.

Substance use problems undermine HIV treatment and secondary prevention efforts. Research is needed to better understand predictors of substance use among people living with HIV (PLWH). We examined whether internalized stigma and enacted HIV stigma are associated with three indicators of substance use among PLWH, including numbers of (1) substances used, (2) substances used at moderate to high risk, and (3) times substances were used before sex, through the mediator of depressive symptoms. Read More

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http://dx.doi.org/10.1089/apc.2020.0021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262648PMC

A Case Series of Five People Living with HIV Hospitalized with COVID-19 in Chicago, Illinois.

AIDS Patient Care STDS 2020 May 29. Epub 2020 May 29.

Department of Medicine, University of Chicago, Chicago, Illinois, USA.

The risk of COVID-19 among people living with HIV (PLWH) is largely unknown and there have been very few reported cases in the literature. We report a case series of five PLWH with COVID-19. We identified all patients with a diagnosis of HIV who tested positive for SARS-CoV-2 at University of Chicago Medicine between March 1, 2020, and April 7, 2020. Read More

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http://dx.doi.org/10.1089/apc.2020.0103DOI Listing

COVID-19, HIV, and Migrant Workers: The Double Burden of the Two Viruses.

AIDS Patient Care STDS 2020 06 14;34(6):249-250. Epub 2020 May 14.

Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.

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http://dx.doi.org/10.1089/apc.2020.0092DOI Listing

Why Aren't People Living with HIV at Higher Risk for Developing Severe Coronavirus Disease 2019 (COVID-19)?

Authors:
Jeffrey Laurence

AIDS Patient Care STDS 2020 06 14;34(6):247-248. Epub 2020 May 14.

Division of Hematology and Medical Oncology, Weill Cornell Medical College, New York, New York, USA.

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http://dx.doi.org/10.1089/apc.2020.29005.comDOI Listing

Predictors and Barriers to Condom Use in the African Cohort Study.

AIDS Patient Care STDS 2020 May;34(5):228-236

US Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, Maryland.

Consistent condom use is an inexpensive and efficacious HIV prevention strategy. Understanding factors associated with condom use and barriers to use can inform strategies to increase condom uptake. The ongoing African Cohort Study prospectively enrolls adults at 12 clinical sites in Uganda, Kenya, Tanzania, and Nigeria. Read More

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http://dx.doi.org/10.1089/apc.2019.0302DOI Listing

HIV Nonoccupational Postexposure Prophylaxis Among Men Who Have Sex with Men: A Systematic Review and Meta-Analysis of Global Data.

AIDS Patient Care STDS 2020 May;34(5):193-204

School of Public Health (Shenzhen), Sun Yat-Sen University, Shenzhen, China.

HIV nonoccupational postexposure prophylaxis (nPEP) has been prescribed to men who have sex with men (MSM) for decades, but the global situation of nPEP implementation among this population remains unclear. To understand nPEP awareness, uptake, and factors associated with uptake among MSM, we searched PubMed, Scopus, Embase, the Cochrane Library, and Web of Science for studies reporting nPEP implementation among MSM published before May 19, 2019. We estimated pooled rates and their 95% confidence intervals (CIs) of awareness, uptake using a random-effects model. Read More

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http://dx.doi.org/10.1089/apc.2019.0313DOI Listing

Belief, Covariates, and Impact of the "Undetectable = Untransmittable" Message Among People Living with HIV in Australia.

AIDS Patient Care STDS 2020 May;34(5):205-212

Clinical Psychology Unit, School of Psychology, The University of Sydney, Sydney, Australia.

There is effectively no risk of transmission of HIV from an HIV-positive person with consistent undetectable viral load (UDVL) to an HIV-negative person during sex. This has been publicly disseminated by an international health campaign called "undetectable = untransmittable" (U = U). This study extends previous research by examining confidence in the U = U message and potential covariates of confidence in U = U, as well as by assessing the perceived personal risk and sexual outcomes in a sample of people living with HIV (PLWH) in Australia. Read More

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http://dx.doi.org/10.1089/apc.2019.0300DOI Listing

Individual- and Partnership-Level Correlates of Protective Barrier Use in a Sample of Transmasculine Adults with Diverse Sexual Partnerships.

AIDS Patient Care STDS 2020 May;34(5):237-246

The Fenway Institute, Fenway Health, Boston, Massachusetts.

The sexual partnerships of transmasculine adults-who were assigned female at birth and identify on the masculine gender continuum-remain understudied. This includes characteristics of transmasculine adults' sexual partnerships associated with engaging in HIV/sexually transmitted infection (STI) sexual risk behavior. This study examined individual- and partnership-level factors of transmasculine adults' sexual partnerships associated with using a protective barrier during sexual activity. Read More

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http://dx.doi.org/10.1089/apc.2019.0296DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232705PMC

Factors Associated with HIV Disclosure Status Among iENGAGE Cohort of New to HIV Care Patients.

AIDS Patient Care STDS 2020 May;34(5):213-227

Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

HIV disclosure is an important behavior with implications for HIV treatment and prevention but understudied among new to HIV care patients who face unique challenges adjusting to a new diagnosis. This study evaluated the factors associated with HIV disclosure status and patterns of HIV disclosure among new to HIV care patients. A cross-sectional study was conducted evaluating the iENGAGE (integrating ENGagement and Adherence Goals upon Entry) cohort. Read More

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http://dx.doi.org/10.1089/apc.2019.0271DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232702PMC

Household Decision-Making and HIV Care Continuum Outcomes Among Women Living with HIV in Mozambique.

AIDS Patient Care STDS 2020 Apr;34(4):173-183

Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.

Gender inequality has been associated with HIV infection among women. Less is known about the relationship between gender inequality and HIV care continuum outcomes. This study assessed whether household decision-making power (DMP), one component of gender inequality, was associated with linkage to HIV care, antiretroviral therapy (ART) initiation, or retention in care among women living with HIV in Mozambique. Read More

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http://dx.doi.org/10.1089/apc.2019.0268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194331PMC

Development and Validation of a Risk Prediction Tool to Identify People with HIV Infection Likely Not to Achieve Viral Suppression.

AIDS Patient Care STDS 2020 Apr;34(4):157-165

Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.

Identifying people with HIV infection (PHIV), who are at risk of not achieving viral suppression, is important for designing targeted intervention. The aim of this study was to develop and test a risk prediction tool for PHIV who are at risk of not achieving viral suppression after a year of being in care. We used retrospective data to develop an integer-based scoring method using backward stepwise logistic regression. Read More

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http://dx.doi.org/10.1089/apc.2019.0224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194316PMC

Perceived Knowledge of HIV-Negative Status Increases Condom Use Among Female Sex Workers in Zambian Transit Towns.

AIDS Patient Care STDS 2020 Apr;34(4):184-192

Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Knowledge of HIV status is a necessary pre-condition for most HIV interventions, including treatment as well as biomedical and behavioral prevention interventions. We used data from a female sex worker (FSW) cohort in three Zambian transit towns to understand the effect that knowledge of HIV status has on FSWs' HIV risk-related sexual behaviors with clients. The cohort was formed from an HIV self-testing trial that followed participants for 4 months. Read More

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http://dx.doi.org/10.1089/apc.2019.0266DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194317PMC

Verification of HIV Self-Testing Use and Results: A Global Systematic Review.

AIDS Patient Care STDS 2020 Apr;34(4):147-156

Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

HIV self-testing (HIVST) allows individuals to interpret and report their own test results, thus decentralizing testing. Yet, this decentralization can make it difficult to verify self-testing results, which is important for linkage to care and surveillance. The aim of this systematic review is to summarize methods for verifying HIVST use and results. Read More

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http://dx.doi.org/10.1089/apc.2019.0283DOI Listing
April 2020
3.497 Impact Factor

Exploring the Attitude of Patients with HIV About Using Telehealth for HIV Care.

AIDS Patient Care STDS 2020 Apr;34(4):166-172

Section of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.

Telehealth could address many of the factors identified as barriers for retention in HIV care. In this study, we explore people with HIV (PWH)'s attitudes about using telemedicine for HIV care instead of face-to-face clinic visits. We administered a one-time survey to PWH presenting to an outpatient HIV center in Houston, Texas, from February to June 2018. Read More

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http://dx.doi.org/10.1089/apc.2019.0261DOI Listing

Contraception as a Potential Gateway to Pre-Exposure Prophylaxis: US Women's Pre-Exposure Prophylaxis Modality Preferences Align with Their Birth Control Practices.

AIDS Patient Care STDS 2020 Mar;34(3):132-146

Center for Interdisciplinary Research on AIDS, Yale University, New Haven, Connecticut.

Addressing women's low uptake of HIV pre-exposure prophylaxis (PrEP) requires improved understanding of their product preferences. Such preferences should be contextualized according to other aspects of their reproductive health, including their contraception practices. We investigated women's preferences across 10 PrEP modalities currently available or under study and examined associations between PrEP modality preferences and contraception practices. Read More

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http://dx.doi.org/10.1089/apc.2019.0242DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7087409PMC

Partner Services Among HIV-Positive Adults Receiving Medical Care in the United States: Medical Monitoring Project, 2013-2014.

AIDS Patient Care STDS 2020 Mar;34(3):99-101

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.

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http://dx.doi.org/10.1089/apc.2019.0286DOI Listing

Perceptions of Patient HIV Risk by Primary Care Providers in High-HIV Prevalence Areas in the Southern United States.

AIDS Patient Care STDS 2020 Mar;34(3):102-110

Division of HIV/AIDS Prevention, NCHHSTP, CDC, Atlanta, Georgia.

The southern United States accounted for 52% of new HIV diagnoses in 2015. Visits to primary care providers (PCPs) offer opportunities for routine HIV screening. However, of at-risk persons in the United States who visited a health care provider within the previous year, >75% were not offered a test for HIV. Read More

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http://dx.doi.org/10.1089/apc.2019.0219DOI Listing

Factors Associated with HIV Seroconversion Among Women Attending an Urban Health Clinic in the South: A Matched Case-Control Study.

AIDS Patient Care STDS 2020 Mar 28;34(3):124-131. Epub 2020 Feb 28.

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.

Compared to knowledge about HIV risk factors among men in the south, less is known about risk factors for women. We conducted an individually matched case-control study to identify factors associated with HIV seroconversion among women. Cases had a clinician-assisted visit (CAV) between 2011 and 2016 at an Atlanta-based public health clinic before HIV diagnosis. Read More

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http://dx.doi.org/10.1089/apc.2019.0259DOI Listing

Health Care Provider Barriers to HIV Pre-Exposure Prophylaxis in the United States: A Systematic Review.

AIDS Patient Care STDS 2020 Mar 28;34(3):111-123. Epub 2020 Feb 28.

Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, Milwaukee, Wisconsin.

Increasing prescription of pre-exposure prophylaxis (PrEP) is imperative to ending the HIV epidemic in the United States. The objective of this review was to identify health care provider barriers to PrEP implementation. A systematic review was conducted in February 2019 using PubMed to identify barriers to PrEP prescribing practices in the United States. Read More

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http://dx.doi.org/10.1089/apc.2019.0189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7087402PMC

Adherence to Antiretroviral Regimens in Australia: A Nationwide Cohort Study.

AIDS Patient Care STDS 2020 02;34(2):81-91

Faculty of Medicine, Centre for Big Data Research in Health, UNSW Sydney, Sydney, Australia.

The lifetime use of combination antiretroviral therapy (cART) highlights the need to understand patterns of and factors associated with adherence to cART. In this cohort study using a 10% random sample of dispensing claims data for eligible Australians, we identified 2042 people dispensed cART between January 2016 and December 2017 (mean age 48.0 ± 12. Read More

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http://dx.doi.org/10.1089/apc.2019.0278DOI Listing
February 2020

HIV/STI Service Delivery Within Juvenile Community Supervision Agencies: A National Survey of Practices and Approaches to Moving High-Risk Youth Through the HIV Care Cascade.

AIDS Patient Care STDS 2020 02;34(2):72-80

Department of Social and Behavioral Sciences, New York University, New York, New York.

Justice-involved youth (JIY) are at considerable risk for human immunodeficiency virus (HIV), but are disconnected from treatment and prevention. Juvenile justice agencies providing community supervision (CS) are well positioned to provide HIV prevention, testing, and prompt referral to treatment for JIY. However, we lack an understanding of juvenile CS agency responses to HIV/sexually transmitted infection (STI) needs among JIY. Read More

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http://dx.doi.org/10.1089/apc.2019.0157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044763PMC
February 2020

Virological Outcome After Choice of Antiretroviral Regimen Guided by Proviral HIV-1 DNA Genotyping in a Real-Life Cohort of HIV-Infected Patients.

AIDS Patient Care STDS 2020 02;34(2):51-58

Infectious Diseases Department, Tourcoing Hospital, Tourcoing, France.

Issues have been raised concerning clinical relevance of HIV-1 proviral DNA genotypic resistance test (DNA GRT). To assess impact of DNA GRT on choice of antiretroviral therapy (ART) and subsequent virological outcome, we retrospectively reviewed decision-making and viral load (VL) evolution following DNA GRT performed in our center between January 2012 and December 2017, except those prescribed within the framework of a clinical trial. A total of 304 DNA GRTs were included, 185 (62%) performed in a context of virological success. Read More

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http://dx.doi.org/10.1089/apc.2019.0198DOI Listing
February 2020

A Systematic Review of Mobile Phone Interventions (SMS/IVR/Calls) to Improve Adherence and Retention to Antiretroviral Treatment in Low-and Middle-Income Countries.

AIDS Patient Care STDS 2020 02;34(2):59-71

Institute of Social Studies, Erasmus University Rotterdam, The Hague, The Netherlands.

The use of mobile health technologies (mHealth) to ameliorate HIV care has considerably risen in low- and middle-income countries (LMICs) since 2010. Yet, the discrepancies in the results of accompanying studies warrant an updated and systematic consolidation of all available evidence. We report a systematic review of studies testing whether text/image messages, interactive voice response reminders, or calls promote adherence and retention to antiretroviral therapy (ART) in LMICs. Read More

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http://dx.doi.org/10.1089/apc.2019.0181DOI Listing
February 2020

Acceptability of HIV Pre-Exposure Prophylaxis Among Transgender Women in India: A Qualitative Investigation.

AIDS Patient Care STDS 2020 02 17;34(2):92-98. Epub 2020 Jan 17.

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada.

Despite high HIV prevalence among transgender women (TGW) in India, there is limited exploration of pre-exposure prophylaxis (PrEP) acceptability. With PrEP licensure pending, we conducted six focus group discussions (FGDs) with diverse TGW ( = 36), and eight key informant interviews with community leaders and physicians, in Mumbai and Chennai. Data were explored using framework analysis guided by the Theoretical Framework of Acceptability. Read More

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http://dx.doi.org/10.1089/apc.2019.0237DOI Listing
February 2020
3.497 Impact Factor

A Pharmacist-Led, Same-Day, HIV Pre-Exposure Prophylaxis Initiation Program to Increase PrEP Uptake and Decrease Time to PrEP Initiation.

AIDS Patient Care STDS 2020 01;34(1):1-6

Division of Infectious Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.

Mississippi has one of the highest rates of HIV in the United States, but has low pre-exposure prophylaxis (PrEP) uptake, particularly among black men who have sex with men (MSM) and women. From November 2018 to May 2019, patients at high risk of HIV who tested negative for HIV at a nonclinical testing center in Jackson, Mississippi, were referred to an on-site clinical pharmacist for same-day PrEP initiation. The pharmacist evaluated patients for medical contraindications to PrEP, but no baseline labs were obtained. Read More

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http://dx.doi.org/10.1089/apc.2019.0235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983741PMC
January 2020

Role of Structural Marginalization, HIV Stigma, and Mistrust on HIV Prevention and Treatment Among Young Black Latinx Men Who Have Sex with Men and Transgender Women: Perspectives from Youth Service Providers.

AIDS Patient Care STDS 2020 01;34(1):7-15

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Young black and Latinx men who have sex with men (YBLMSM) and transgender women (YBLTW) are disproportionately impacted by HIV. Structural and social marginalization, the social barriers, and structures that unevenly distribute benefits and burdens to different groups, may contribute to inability for youth to access prevention and treatment care services. Yet, few reports have examined the community and health care experiences of social marginalization among youth service providers who have multiple roles in the community (i. Read More

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http://dx.doi.org/10.1089/apc.2019.0165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983743PMC
January 2020

Stigma and Judgment Toward People Living with HIV and Key Population Groups Among Three Cadres of Health Workers in South Africa and Zambia: Analysis of Data from the HPTN 071 (PopART) Trial.

AIDS Patient Care STDS 2020 01;34(1):38-50

Department of Public Health Environments and Society, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Stigma and judgment by health workers toward people living with HIV (PLHIV) and key populations can undermine the uptake of HIV services. In 2014, we recruited health workers delivering HIV services from 21 urban communities in South Africa and Zambia participating in the first year of the HPTN 071 (PopART) cluster-randomized trial. We analyzed self-reported levels of stigma and judgment toward (1) PLHIV, (2) women who sell sex, (3) men who have sex with men (MSM), and (4) young women who become pregnant before marriage. Read More

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http://dx.doi.org/10.1089/apc.2019.0131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983735PMC
January 2020

Engagement and Retention in HIV Care for Transgender Women: Perspectives of Medical and Social Service Providers in New York City.

AIDS Patient Care STDS 2020 01 17;34(1):16-26. Epub 2019 Dec 17.

HIV Center for Clinical and Behavioral Studies, Division of Gender, Sexuality, and Health, New York State Psychiatric Institute, Columbia University Irving Medical Center, New York, New York.

Transgender women are less likely to engage in HIV care and adhere to antiretroviral medications than other at-risk populations. Health care and social service providers, in addition to consumers, have experiences that can elucidate barriers and facilitators to care and inform interventions. Guided by the social/ecological model, we conducted interviews with 19 providers working with transgender women. Read More

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http://dx.doi.org/10.1089/apc.2019.0067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983737PMC
January 2020

HIV Pre-Exposure Prophylaxis Implementation Cascade Among Health Care Professionals in the United States: Implications from a Systematic Review and Meta-Analysis.

AIDS Patient Care STDS 2019 12;33(12):507-527

Division of Epidemiology, Department of Public Health Science, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York.

Although pre-exposure prophylaxis (PrEP) has been approved for primary HIV prevention for individuals aged 18 years or older since 2012, PrEP utilization has been suboptimal. To understand trends in PrEP provision from the health care providers' perspective, we systematically assessed each specific stage along the PrEP implementation cascade (i.e. Read More

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http://dx.doi.org/10.1089/apc.2019.0119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918849PMC
December 2019
3.497 Impact Factor

Association of Diastolic Dysfunction with Reduced Cardiorespiratory Fitness in Adults Living with HIV.

AIDS Patient Care STDS 2019 12;33(12):493-499

Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.

Despite the high prevalence of diastolic dysfunction in adults living with HIV, the impact on cardiorespiratory fitness (CRF) is understudied. The objective of this cross-sectional study was to investigate the relationship between cardiac function and CRF in adults with HIV. Adults receiving antiretroviral therapy with no history of coronary artery disease (CAD) or heart failure were eligible to participate. Read More

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http://dx.doi.org/10.1089/apc.2019.0149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918848PMC
December 2019

Medical, Mental Health, and Social Service Linkage Predicts Better HIV Outcomes: A Network Analytic Approach.

AIDS Patient Care STDS 2019 12;33(12):538-548

Mailman School of Public Health, Columbia University, New York, New York.

This study presents a conceptual and quantitative approach to assess service linkages among people living with HIV (PLWH). We use network analytic techniques to document linkages among service providers based on client reports of service utilization. Data are provided by a cohort study of 1012 PLWH in New York City interviewed up to 8 times from 2002 to 2015. Read More

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http://dx.doi.org/10.1089/apc.2019.0086DOI Listing
December 2019

Association of Medical Mistrust and Poor Communication with HIV-Related Health Outcomes and Psychosocial Wellbeing Among Heterosexual Men Living with HIV.

AIDS Patient Care STDS 2020 01 22;34(1):27-37. Epub 2019 Nov 22.

School of Nursing, University of Rochester Medical Center, Rochester, New York.

Studies have suggested that effective patient-provider relationships may reduce health disparities and foster engagement across the HIV care continuum among people living with HIV/AIDS. However, no studies have explored specific mechanisms between medical mistrust/poor communication and HIV-related/psychosocial health outcomes among HIV-positive men of color who have sex with women (MCSW) in the United States. From 2011 to 2012, the research team recruited 317 eligible participants in New York City. Read More

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http://dx.doi.org/10.1089/apc.2019.0200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6983731PMC
January 2020
3.497 Impact Factor

Analysis of Systematic Reviews of Medication Adherence Interventions for Persons with HIV, 1996-2017.

AIDS Patient Care STDS 2019 12 21;33(12):528-537. Epub 2019 Nov 21.

Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.

This overview of reviews summarizes the evidence from systematic reviews (SR) on the effectiveness of antiretroviral therapy (ART) adherence interventions for people with HIV (PWH) and descriptively compares adherence interventions among key populations. Relevant articles published during 1996-2017 were identified by comprehensive searches of CDC's HIV/acquired immunodeficiency syndrome (AIDS) Prevention Research Synthesis Database and manual searches. Included SRs examined primary interventions intended to improve ART adherence, focused on PWH, and assessed medication adherence or biologic outcomes (e. Read More

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http://dx.doi.org/10.1089/apc.2019.0125DOI Listing
December 2019

Switching from Tenofovir Disoproxil Fumarate to Tenofovir Alafenamide Significantly Worsens the Lipid Profile in a Real-World Setting.

AIDS Patient Care STDS 2019 12 19;33(12):500-506. Epub 2019 Nov 19.

Department of Infectious Diseases, Inflammation Center, Helsinki, Finland.

Tenofovir disoproxil fumarate (TDF) has increasingly been replaced by tenofovir alafenamide (TAF) because of reduced kidney and bone toxicity with TAF. This switch has, however, caused worsening of lipid concentrations in clinical trials, but data from any real-world setting are scarce. The objective of this study was to characterize the effect of TDF to TAF switch on plasma lipid concentrations in a real-world clinic population. Read More

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http://dx.doi.org/10.1089/apc.2019.0236DOI Listing
December 2019

Intervention Messaging About Pre-Exposure Prophylaxis Use Among Young, Black Sexual Minority Men.

AIDS Patient Care STDS 2019 11;33(11):473-481

Department of Psychiatry, Warren Alpert Medical School, Brown University, Providence, Rhode Island.

Approximately 1.1 million individuals in the United States are living with HIV/AIDS. HIV disproportionately affects young, black men who have sex with men (YBMSM). Read More

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http://dx.doi.org/10.1089/apc.2019.0139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839422PMC
November 2019

A Case Study of an Effective and Sustainable Antiretroviral Therapy Program in Rural South Africa.

AIDS Patient Care STDS 2019 11;33(11):466-472

Department of Psychiatry, University of California Los Angeles, Los Angeles, California.

The delivery of high-quality HIV care in rural settings is a global challenge. Despite the successful expansion of antiretroviral therapy (ART) in Africa, viral load (VL) monitoring and ART adherence are poor, especially in rural communities. This article describes a case study of an ART program in the deeply rural Eastern Cape of South Africa. Read More

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http://dx.doi.org/10.1089/apc.2019.0055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839417PMC
November 2019

Incidence of Venous Thromboembolism in Patients Living with HIV: A Cohort Study.

AIDS Patient Care STDS 2019 11;33(11):455-458

Service de Médecine interne du Centre Hospitalier de l'Université de Montréal, Montréal, Canada.

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http://dx.doi.org/10.1089/apc.2019.0154DOI Listing
November 2019

Natural History of Anal Squamous Intraepithelial Lesions in HIV-Positive Men with Normal Baseline Cytology.

AIDS Patient Care STDS 2019 11;33(11):459-465

Lluita Contra La SIDA Foundation, Barcelona, Catalonia, Spain.

The natural history of squamous intraepithelial lesions (SILs) in the anal canal of HIV-infected men is incompletely understood. We assessed the incidence and factors associated with SIL and invasive anal squamous cell carcinoma (IASCC) among HIV-infected men with normal cytology at baseline. We performed a single-center prospective cohort study [men who have sex with men (MSM) and men who have sex with women (MSW)]. Read More

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http://dx.doi.org/10.1089/apc.2019.0186DOI Listing
November 2019

Next-Generation HIV Pre-Exposure Prophylaxis Preferences Among Men Who Have Sex with Men Taking Daily Oral Pre-Exposure Prophylaxis.

AIDS Patient Care STDS 2019 11 11;33(11):482-491. Epub 2019 Oct 11.

Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island.

Next-generation forms of HIV pre-exposure prophylaxis (PrEP) currently in development, including long-acting injectables (LAIs), rectal microbicides (RMs), antibody infusions (AIs), and subdermal implants (SIs), may address barriers to daily oral PrEP uptake and adherence. The purpose of this study was to evaluate barriers to oral PrEP, preferences for next-generation PrEP modalities, sociodemographic characteristics and sexual behaviors associated with preferences, and reasons for wanting or not wanting each formulation among a sample of men who have sex with men (MSM). We administered a cross-sectional survey to a diverse sample of MSM currently taking oral PrEP ( = 108) at two sexually transmitted disease clinics. Read More

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http://dx.doi.org/10.1089/apc.2019.0093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839421PMC
November 2019

Potential Impact of Interventions to Enhance Retention in Care During Real-World HIV Pre-Exposure Prophylaxis Implementation.

AIDS Patient Care STDS 2019 10;33(10):434-439

Department of Epidemiology, and Policy and Practice, Brown University, Providence, Rhode Island.

Pre-exposure prophylaxis (PrEP) has the potential to significantly reduce HIV incidence among men who have sex with men (MSM) in the United States. However, the extent to which suboptimal PrEP adherence and retention in care may limit successful implementation is unknown. An agent-based model was used to represent the entire population of MSM in Rhode Island from 2013 to 2017. Read More

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http://dx.doi.org/10.1089/apc.2019.0064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806311PMC
October 2019
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3.497 Impact Factor

Reasons Why Young Men Who Have Sex with Men Report Not Using HIV Pre-Exposure Prophylaxis: Perceptions of Burden, Need, and Safety.

AIDS Patient Care STDS 2019 10;33(10):449-454

Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan.

Uptake of pre-exposure prophylaxis (PrEP) has dramatically increased but remains well below the estimated number of individuals who could benefit from PrEP in the United States, and uptake remains limited among young men who have sex with men (YMSM) and MSM of color. Reasons for adopting PrEP as a prevention strategy among those at elevated risk for HIV is an important area of inquiry that could advise efforts to better position PrEP as an active part of prevention programs. As part of a mixed methods study investigating experiences with repeat HIV testing, we identified main themes emerging from in-depth interview data pertaining to reasons why YMSM report using PrEP, among YMSM with frequent access to HIV testing services. Read More

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http://dx.doi.org/10.1089/apc.2019.0150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6785168PMC
October 2019