3,569 results match your criteria AIDS and behavior[Journal]


Behavioral and Cardiovascular Effects of a Behavioral Weight Loss Program for People Living with HIV.

AIDS Behav 2019 Apr 19. Epub 2019 Apr 19.

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University and The Miriam Hospital, Providence, RI, USA.

We recently reported that a 12-week internet weight loss program produced greater weight losses than education control in overweight/obese people living with HIV (PLWH) (4.4 kg vs 1.0 kg; p < 0. Read More

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http://dx.doi.org/10.1007/s10461-019-02503-xDOI Listing

Health Education Training Embedded in a Microfinance Platform Associated with Safer Sexual Behavior in Haitian Women.

AIDS Behav 2019 Apr 17. Epub 2019 Apr 17.

Fonkoze Foundation, Port-au-Prince, Haiti.

Sexual health education interventions have generally yielded modest impact, but may be more successful when integrated into programs designed to alleviate poverty and empower women. Between December 2017 and February 2018, we interviewed 304 Haitian female microfinance clients, 75 of whom had received health education training delivered within their regular meetings. Participants reported six key sexual health outcomes. Read More

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http://dx.doi.org/10.1007/s10461-019-02511-xDOI Listing

Barriers and Facilitators of PrEP Adherence for Young Men and Transgender Women of Color.

AIDS Behav 2019 Apr 16. Epub 2019 Apr 16.

Craig A. Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

We aimed to discover barriers and facilitators of HIV pre-exposure prophylaxis (PrEP) adherence in young men and transgender women of color who have sex with men (YMSM/TW). Short-term and sustained adherence were measured by urine tenofovir concentration and pharmacy refills, respectively. Optimal adherence was defined as having both urine tenofovir concentration consistent with dose ingestion within 48 h and pharmacy refills consistent with ≥ 4 doses per week use. Read More

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http://link.springer.com/10.1007/s10461-019-02502-y
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http://dx.doi.org/10.1007/s10461-019-02502-yDOI Listing
April 2019
1 Read

Cognitive Behavioral Therapy for Trauma and Self-Care (CBT-TSC) in Men Who have Sex with Men with a History of Childhood Sexual Abuse: A Randomized Controlled Trial.

AIDS Behav 2019 Apr 15. Epub 2019 Apr 15.

VA Boston Healthcare System, Boston, MA, USA.

To address childhood sexual abuse (CSA) related distress and HIV risk in men who have sex with men (MSM) using cognitive-behavioral therapy for trauma and self-care (CBT-TSC), which is a novel intervention integrating HIV risk reduction with modified cognitive and behavioral therapy strategies for post-traumatic stress. We compared CBT-TSC to HIV voluntary counseling and testing (VCT)-only in an initial 2-arm RCT in 43 HIV-negative MSM at with a history of CSA and HIV risk. Serodiscordant condomless anal/vaginal sex (CAS; CAS with HIV-postive or HIV unknown status partners) and posttraumatic stress disorder (PTSD) symptoms (Davidson Trauma Scale: total score and avoidance, intrusions, hyperarousal subscales) were outcomes immediately post-treatment, and at 6- and 9-month follow-up. Read More

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http://dx.doi.org/10.1007/s10461-019-02482-zDOI Listing

A New Generation of Drug Users in St. Petersburg, Russia? HIV, HCV, and Overdose Risks in a Mixed-Methods Pilot Study of Young Hard Drug Users.

AIDS Behav 2019 Apr 11. Epub 2019 Apr 11.

Support, Research and Development Center, Kyiv, Ukraine.

Russia has a widespread injection drug use epidemic with high prevalence of HIV and HCV among people who inject drugs (PWID). We conducted a mixed methods study of young (age 18-26) hard drug users in St. Petersburg. Read More

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http://dx.doi.org/10.1007/s10461-019-02489-6DOI Listing
April 2019
1 Read

Psychosocial Factors Associated with Food Insufficiency Among People Living with HIV/AIDS (PLWH) Initiating ART in Ethiopia.

AIDS Behav 2019 Apr 15. Epub 2019 Apr 15.

Institute for Implementation Science in Population Health, City University of New York, 55 West 125th Street, New York, NY, 10027, USA.

Food insufficiency is associated with suboptimal HIV treatment outcomes. Less is known about psychosocial correlates of food insufficiency among PLWH. This sample includes 1176 adults initiating antiretroviral therapy at HIV clinics in Ethiopia. Read More

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http://dx.doi.org/10.1007/s10461-019-02505-9DOI Listing

Social Network Organization, Structure, and Patterns of Influence Within a Community of Transgender Women in Lima, Peru: Implications for Biomedical HIV Prevention.

AIDS Behav 2019 Apr 15. Epub 2019 Apr 15.

Asociacion Civil Impacta Salud y Educacion, Lima, Peru.

Understanding social network structures can contribute to the introduction of new HIV prevention strategies with socially marginalized populations like transgender women (TW). We conducted 20 semi-structured interviews and four focus groups (n = 32) with TW from selected social networks in Lima, Peru between May and July, 2015. Participants described layers of social influence from diverse actors in their social networks. Read More

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http://dx.doi.org/10.1007/s10461-019-02506-8DOI Listing
April 2019
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Predicting Retention in HIV Primary Care: Is There a Missed Visits Continuum Based on Patient Characteristics?

AIDS Behav 2019 Apr 15. Epub 2019 Apr 15.

University of Michigan, Ann Arbor, MI, USA.

Missing 3 + scheduled HIV primary care visits over a 1-year period increases mortality risk for people living with HIV (PLWH). We used electronic health data from PLWH (≥ 18 years old) at a southeastern US HIV clinic in 2016 to examine differences across patient-level characteristics and number of missed visits (1-2 vs. 0, 3 + vs. Read More

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http://dx.doi.org/10.1007/s10461-019-02508-6DOI Listing

HIV Point of Care Testing (PoCT) at Late-Night Sex on Premises Venues (SOPV) for Gay and Bisexual Men and Other Men Who Have Sex with Men (GBMSM): A Mixed Methods Analysis.

AIDS Behav 2019 Apr 13. Epub 2019 Apr 13.

School of Commerce, Institute for Resilient Regions, University of Southern Queensland, Main St, Toowoomba, QLD, 4350, Australia.

The aim of this study was to establish 'proof of concept' for a novel approach to HIV and STI testing at a sex on premises venue (SOPV) for gay and bisexual and other men who have sex with men (GBMSM) during late night group sex theme parties. A mixed-methods approach was used, and the study aimed to: (1) Build upon existing SOPV funded service delivery and establish 'proof of concept' for this unique setting within an SOPV; (2) evaluate the uptake and feasibility/acceptability of routine HIV/STI testing for GBMSM during theme parties in SOPV; and (3) identify beliefs/perceptions regarding this health promotion activity and venue suitability. The characteristics of patrons utilising PoCT (Point of Care Testing) were established to help further reach potentially stigmatised, highly sexually adventurous GBMSM. Read More

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http://link.springer.com/10.1007/s10461-019-02500-0
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http://dx.doi.org/10.1007/s10461-019-02500-0DOI Listing
April 2019
1 Read

Predictors of Successful HIV Care Re-engagement Among Persons Poorly Engaged in HIV Care.

AIDS Behav 2019 Apr 12. Epub 2019 Apr 12.

Public Health - Seattle & King County HIV/STD Program, Seattle, WA, USA.

The Data to Care (D2C) strategy uses HIV surveillance data to identify persons living with HIV (PLWH) who are poorly engaged in care and offers assistance with care re-engagement. We evaluated HIV care re-engagement among PLWH in Seattle & King County, Washington after participation in a D2C program and determined whether variables available at the time of the D2C interview predicted subsequent re-engagement in care. We defined successful re-engagement as surveillance evidence of either continuous care engagement (≥ 2 CD4 counts or HIV RNA results ≥ 60 days apart) or viral suppression (≥ 1 HIV RNA < 200 copies/mL) in the year following the D2C interview. Read More

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http://link.springer.com/10.1007/s10461-019-02491-y
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http://dx.doi.org/10.1007/s10461-019-02491-yDOI Listing
April 2019
2 Reads

The Association Between African American Parent-Child Sex Communication and Adolescent Condomless Sex.

AIDS Behav 2019 Apr 12. Epub 2019 Apr 12.

Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA.

African American adolescents are at elevated risk for HIV and sexually transmitted infections. Risk reduction efforts have focused on parent-child communications, despite inconsistent findings regarding their association with adolescent sexual risk behaviors. The present study included sexually active African American adolescents and their parents/guardians (N = 125 dyads). Read More

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http://dx.doi.org/10.1007/s10461-019-02504-wDOI Listing

Factors Associated with PrEP Refusal Among Transgender Women in Northeastern Brazil.

AIDS Behav 2019 Apr 10. Epub 2019 Apr 10.

Institute of Collective Health, Federal University of Bahia (Universidade Federal da Bahia/Instituto de Saúde Coletiva), Rua Basílio da Gama, s/n, Campos Universitário do Canela, Salvador, Bahia, CEP: 40.110-040, Brazil.

Brazil has recently integrated HIV Pre-exposure Prophylaxis (PrEP) into its public health system and offered to key populations such as transgender women (TGW). This study investigates factors associated with PrEP refusal among TGW living in one of the largest and poorest cities of Brazil. We recruited 127 TGW using Respondent Driven Sampling (RDS) in Salvador, Brazil. Read More

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http://dx.doi.org/10.1007/s10461-019-02501-zDOI Listing
April 2019
1 Read

Disparities in Viral Suppression and Medication Adherence among Women in the USA, 2011-2016.

AIDS Behav 2019 Apr 9. Epub 2019 Apr 9.

Division of HIV/AIDS Prevention, DHAP/NCHHSTP/CDC, Centers for Disease Control and Prevention, 1600 Clifton Rd NE MS E-45, Atlanta, GA, 30333, USA.

We assessed disparities in viral suppression (VS) and antiretroviral therapy (ART) adherence among women of the HIV Outpatient Study to inform HIV treatment strategies. We used adjusted prevalence ratios (aPR) with 95% confidence intervals (CI) to assess VS by race/ethnicity and generalized estimating equations to investigate factors associated with not achieving VS and ART non-adherence. Among 426 women (median age = 46 years), at baseline, VS was less prevalent among black women (63%) compared with Hispanic women/Latinas (73%) and white women (78%). Read More

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http://link.springer.com/10.1007/s10461-019-02494-9
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http://dx.doi.org/10.1007/s10461-019-02494-9DOI Listing
April 2019
4 Reads

Antiretroviral Adherence Following Prison Release in a Randomized Trial of the imPACT Intervention to Maintain Suppression of HIV Viremia.

AIDS Behav 2019 Apr 8. Epub 2019 Apr 8.

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

Many people living with HIV (PLWH) pass through correctional facilities each year, a large proportion of whom do not maintain viral suppression following release. We examined the effects of imPACT, an intervention designed to promote post-release viral suppression, on antiretroviral therapy (ART) adherence. PLWH awaiting release from prisons in two southern states were randomized to imPACT (consisting of motivational interviewing, care linkage coordination, and text message medication reminders) versus standard care (SC). Read More

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http://dx.doi.org/10.1007/s10461-019-02488-7DOI Listing
April 2019
1 Read

Traditional Male Circumcision is Associated with Sexual Risk Behaviors in Sub-Saharan Countries Prioritized for Male Circumcision.

AIDS Behav 2019 Apr 6. Epub 2019 Apr 6.

Department of Biology, McMaster University, Hamilton, ON, Canada.

To understand the sexual risk behavior of men with traditional male circumcision and medical male circumcision in the context of the World Health Organization's (WHO) campaign for voluntary medical male circumcision (VMMC) scale-up, we investigated ten countries prioritized for the scale-up from the Demographic and Health Surveys. Male respondents aged 15-49 were selected. Ordinal regression was used to analyze the relationship between three sexual risk behaviors-condom use with non-cohabiting partners, number of non-cohabiting partners, and partner type-and circumcision status (traditionally circumcised before and after the VMMC scale-up, medically circumcised before and after the scale-up, and not circumcised), while controlling for social demographic covariates. Read More

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http://dx.doi.org/10.1007/s10461-019-02473-0DOI Listing
April 2019
2 Reads

Measuring Adolescent HIV Self-management: An Instrument Development Study.

AIDS Behav 2019 Apr 6. Epub 2019 Apr 6.

Human Sciences Research Council, Cape Town, South Africa.

Adolescent HIV self-management is a complex phenomenon that has been poorly researched. A mixed-method explorative sequential research design was used to develop an instrument to measure adolescent HIV self-management in the context of the Western Cape, South Africa. The development and validation was undertaken in four phases: (i) individual interviews and focus groups with adolescents aged 13 to 18, their caregivers and healthcare workers (n = 56); (ii) item identification; (iii) item refinement through cognitive interviewing (n = 11), expert review (n = 11) and pilot testing (n = 33); and (iv) psychometric evaluation (n = 385). Read More

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http://dx.doi.org/10.1007/s10461-019-02490-zDOI Listing
April 2019
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Association of History of Injection Drug Use with External Cause-Related Mortality Among Persons Linked to HIV Care in an Urban Clinic, 2001-2015.

AIDS Behav 2019 Apr 6. Epub 2019 Apr 6.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.

High mortality rates among persons with HIV with a history of injection drug use (PWID) are thought to be driven in part by higher rates of external cause-related mortality. We followed 4796 persons aged 18-70 engaged in continuity HIV care from 2001 to 2015 until death or administrative censoring. We compared cause-specific (csHR) and subdistribution hazards (sdHR) of death due to external causes among PWID and persons who acquired their HIV infection through other routes (non-IDU). Read More

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http://dx.doi.org/10.1007/s10461-019-02497-6DOI Listing
April 2019
1 Read

Incentives Versus Defaults: Cost-Effectiveness of Behavioral Approaches for HIV Screening.

AIDS Behav 2019 Apr 5. Epub 2019 Apr 5.

School of Public Health, University of California Berkeley, Berkeley, CA, USA.

Many HIV positive individuals are still undiagnosed, which has led health systems to try many approaches to expand HIV testing. In a randomized controlled trial, we found that behavioral economics interventions (opt-out testing and financial incentives) each improved HIV testing rates and these approaches are being implemented by several hospital systems. However, it is unclear if these strategies are cost-effective. Read More

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http://dx.doi.org/10.1007/s10461-019-02425-8DOI Listing
April 2019
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Mind the gaps: prescription coverage and HIV incidence among patients receiving pre-exposure prophylaxis from a large federally qualified health center in Los Angeles, California : Mind the Gaps: Cobertura de recetas e incidencia de VIH entre pacientes recibiendo profilaxis pre-exposición de un centro de salud grande y federalmente calificado en Los Ángeles, CA.

AIDS Behav 2019 Apr 5. Epub 2019 Apr 5.

Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.

We conducted a records-based cohort study of patients who initiated pre-exposure prophylaxis (PrEP) at a large federally qualified health center in Los Angeles, CA to characterize patterns of PrEP use, identify correlates of PrEP discontinuation, and calculate HIV incidence. Of 3121 individuals initiating PrEP between 2014 and 2017, 42% (n = 1314) were active (i.e. Read More

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http://dx.doi.org/10.1007/s10461-019-02493-wDOI Listing

Ending HIV in America: Not Without the Power of Community.

AIDS Behav 2019 Apr 5. Epub 2019 Apr 5.

School of Public Health, University at Albany, SUNY, Rensselaer, NY, 12144, USA.

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http://dx.doi.org/10.1007/s10461-019-02496-7DOI Listing

Will We Get to Zero HIV Stigma in San Francisco?

AIDS Behav 2019 Apr 5. Epub 2019 Apr 5.

School of Public Health, Rutgers University, Piscataway, NJ, USA.

Cities worldwide are striving to get to zero HIV stigma as a condition to get to zero new infections. We tracked an indicator of perceived HIV stigma across surveys of men who have sex with men (MSM) in San Francisco from 2011 to 2017. Little improvement in perceived HIV stigma was observed, from 22. Read More

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http://dx.doi.org/10.1007/s10461-019-02434-7DOI Listing

Prevalence and Risk Factors for HIV Infection in a Population of Homosexual, Bisexual, and Other Men Who Have Sex with Men in the Metropolitan Region of Chile: A Re-emerging Health Problem.

AIDS Behav 2019 Apr 5. Epub 2019 Apr 5.

Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Barcelona, Spain.

According to the most recent UNAIDS report, the number of new HIV infections has increased by 34% since 2010 in Chile, representing the largest increase in the Americas. The objective of this study was to identify factors associated with HIV prevalence among men who have sex with men (MSM) in the metropolitan region (MR) of Santiago, Chile. Cross-sectional study of MSM living in the MR, recruited using respondent-driven sampling (RDS). Read More

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http://dx.doi.org/10.1007/s10461-019-02486-9DOI Listing

Alcohol Misuse and Illicit Drug Use Among Occupational Groups at High Risk of HIV in Sub-Saharan Africa: A Systematic Review.

AIDS Behav 2019 Apr 3. Epub 2019 Apr 3.

MRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.

Key occupational groups in sub-Saharan Africa (SSA) are at increased risk of HIV, and may be at increased risk of substance use. In January 2018, we systematically searched for studies reporting prevalence of, and risk factors for alcohol misuse or illicit drug use and their association with HIV incidence or prevalence among fisherfolk, uniformed personnel, truckers, miners, motorcycle taxi riders and sex workers in SSA. Seventy-one studies published between 1983 and 2017 were included: 35 reported on alcohol misuse (19 using AUDIT, 5 using CAGE) and 44 on illicit drug use (eight reported both). Read More

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http://dx.doi.org/10.1007/s10461-019-02483-yDOI Listing

HIV Prevention Method Preferences Within Sexual Partnerships Reported by HIV-Negative MSM and TW in Tijuana, Mexico.

AIDS Behav 2019 Apr 3. Epub 2019 Apr 3.

Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.

To assess the potential for decreased condom use as pre-exposure prophylaxis (PrEP) is scaled-up in Latin America, we examined HIV prevention method preferences (neither PrEP nor condoms, condoms only, PrEP only, or PrEP with condoms) within 1302 sexual partnerships reported by 397 HIV-negative men who have sex with men (MSM) and transgender women (TW) in Tijuana, Mexico. Using PrEP with condoms (56%) was preferred to using condoms only (24%), using PrEP only (17%), and using neither PrEP nor condoms (3%). Compared to using condoms only, using PrEP only was preferred within primary (adjusted odds ratio [AOR] = 4. Read More

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http://dx.doi.org/10.1007/s10461-019-02492-xDOI Listing
April 2019
1 Read

Implementing Respondent-Driven Sampling to Recruit Women Who Exchange Sex in New York City: Factors Associated with Recruitment and Lessons Learned.

AIDS Behav 2019 Mar 30. Epub 2019 Mar 30.

HIV Epidemiology and Field Services Program, Bureau of HIV/AIDS Prevention and Control, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Queens, New York, NY, 11101, USA.

Respondent-driven sampling (RDS) relies on productive peer recruitment to capture hidden populations. Domestic studies have identified characteristics of productive recruitment among RDS samples of men who have sex with men and persons who use drugs, but not of women who exchange sex, a group vulnerable to HIV infection. We examined sociodemographic-, behavioral-, exchange-sex-, and protocol-related factors associated with recruitment among seeds (n = 25) and peers (n = 297) in the 2016 New York City National HIV Behavioral Surveillance Study cycle focused on women who exchange sex. Read More

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http://dx.doi.org/10.1007/s10461-019-02485-wDOI Listing
March 2019
2 Reads

Evaluation of a Computer-Based HIV Education Program for Adults Living with HIV.

AIDS Behav 2019 Mar 30. Epub 2019 Mar 30.

Department of Psychiatry and Behavioral Sciences, Center for Learning and Health, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Suite 350 East, Baltimore, MD, 21224, USA.

This study evaluated a computer-delivered HIV and antiretroviral treatment education program in adults (N = 102) living with detectable HIV viral loads (> 200 copies/mL). The self-paced program provided immediate feedback for responses and financial incentives for responding correctly. The program was divided into three courses and a test of content from all three courses was delivered before and after participants completed each course. Read More

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http://dx.doi.org/10.1007/s10461-019-02474-zDOI Listing
March 2019
1 Read

Metabolic Syndrome Among People Living with HIV Receiving Medical Care in Southern United States: Prevalence and Risk Factors.

AIDS Behav 2019 Mar 30. Epub 2019 Mar 30.

Cornell Scott-Hill Health Center, New Haven, CT, USA.

Using representative data among 1861 in care people living with HIV (PLWH) in four southern states (Texas, Mississippi, Florida, and Georgia) from the 2013-2014 Medical Monitoring Project (MMP) survey, we estimated the prevalence and odds of metabolic syndrome (MetS) among various demographic and HIV related risk factors. Overall MetS prevalence was 34%, with our participants being mostly black (55%), male (72%), ≥ 50 years old (46%), and overweight or obese (60%) with undetectable viral loads (≤ 200 copies/ml, 69%), and were currently taking antiretroviral medication (98%). Compared to those who were ≥ 60 years, 18-39 year olds had a 79% (95% CI 0. Read More

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http://link.springer.com/10.1007/s10461-019-02487-8
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http://dx.doi.org/10.1007/s10461-019-02487-8DOI Listing
March 2019
3 Reads

Who Do You Reach? A Norwegian Pilot Project on HIV Self-Testing that Targeted Men Who Have Sex with Men.

AIDS Behav 2019 Mar 30. Epub 2019 Mar 30.

Norwegian Social Research (NOVA), OsloMet Oslo Metropolitan University, Postboks 4, St.Olavs Plass, 0130, Oslo, Norway.

HIV self-testing reduces barriers associated with other HIV testing services, such as concerns about confidentiality and inconvenience. This article demonstrates who might benefit from this approach to HIV testing by describing the characteristics of men who have sex with men (MSM) who took interest in a Norwegian pilot project on HIV self-testing. Of the MSM users, 27% reported that they had never been tested for HIV. Read More

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http://dx.doi.org/10.1007/s10461-019-02484-xDOI Listing
March 2019
2 Reads

The Role of Pharmacy Refill Measures in Assessing Adherence and Predicting HIV Disease Markers in Youth with Perinatally-Acquired HIV (PHIV).

AIDS Behav 2019 Mar 30. Epub 2019 Mar 30.

Department of Neurosciences, University of California, San Diego, 9500 Gilman Drive, Mail Code 0935, La Jolla, CA, 92093, USA.

Antiretroviral (ARV) adherence is critical in monitoring disease response in youth with perinatally-acquired HIV (PHIV). We used pharmacy refill (PR) information for PHIV youth from the PHACS Memory Sub-study to calculate medication availability over 2, 4, and 6 months. PR, a proxy of adherence, was compared with self-reported 7-day adherence in predicting suppressed viral load (SVL < 400 copies/mL) and higher CD4% (≥ 25%). Read More

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http://dx.doi.org/10.1007/s10461-019-02468-xDOI Listing
March 2019
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Gender, HIV-Related Stigma, and Health-Related Quality of Life Among Adults Enrolling in HIV Care in Tanzania.

AIDS Behav 2019 Mar 30. Epub 2019 Mar 30.

Department of Epidemiology, Columbia University, New York, NY, USA.

HIV-related stigma has been associated with worse health-related quality of life (HRQoL) among people living with HIV (PLWH). Little is known about how different types of HIV-related stigma (i.e. Read More

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http://dx.doi.org/10.1007/s10461-019-02480-1DOI Listing

Employment Cessation, Long Term Labour Market Engagement and HIV Infection Risk Among People Who Inject Drugs in an Urban Canadian Setting.

AIDS Behav 2019 Mar 28. Epub 2019 Mar 28.

British Columbia Centre On Substance Use, Vancouver, BC, Canada.

The potential for changes in socio-economic status, such as employment exits, to increase HIV infection risk are not well examined among people who inject illicit drugs (PWID). We used longstanding cohort data from Vancouver, Canada, to longitudinally assess associations between employment cessation and outcomes with documented linkages to HIV infection risk among PWID. From 2005 to 2015, 1222 participants reported 1154 employment exits. Read More

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http://link.springer.com/10.1007/s10461-019-02472-1
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http://dx.doi.org/10.1007/s10461-019-02472-1DOI Listing
March 2019
2 Reads

Self-Disclosure of HIV Status Among Youth Living with HIV: A Global Systematic Review.

AIDS Behav 2019 Mar 28. Epub 2019 Mar 28.

Department of Psychology, University of South Florida St. Petersburg, 140 7th Avenue South, St. Petersburg, FL, 33701, USA.

Self-disclosure of HIV serostatus by youth has been considered an essential component of HIV prevention and medication adherence efforts. Therefore, a comprehensive investigation of disclosure goals, processes, and outcomes is warranted. We conducted a global systematic review in accordance with the 2015 Preferred Items for Reporting Systematic Reviews and Meta-Analysis tool to assess HIV self-disclosure among youth ages 13-24. Read More

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http://dx.doi.org/10.1007/s10461-019-02478-9DOI Listing
March 2019
1 Read

HIV Testing Among Chinese Men Who Have Sex with Men: The Roles of HIV Knowledge, Online Social Life, and Sexual Identity Concerns.

AIDS Behav 2019 Mar 28. Epub 2019 Mar 28.

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, 167 Point Street, Providence, RI, 02901, USA.

HIV testing is critical for timely care and controlling the HIV epidemic among men who have sex with men (MSM), particularly for regions with increasing infection rates such as China. This study investigated HIV testing and associated demographic, psychosocial, and risk behavior factors among internet-using Chinese MSM (n = 332). Most participants received HIV testing before (74. Read More

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http://dx.doi.org/10.1007/s10461-019-02471-2DOI Listing

Exploring the Potential of Savings-Led Economic Strengthening HIV Interventions Among High-Risk Economically Vulnerable Fishing Communities in Uganda: Associations Between Use of Commitment Savings, Sexual Risk Behavior, and Problematic Alcohol Use.

AIDS Behav 2019 Mar 28. Epub 2019 Mar 28.

Makerere University School of Public Health, Kampala, Uganda.

Fishing communities are a most-at-risk population for HIV in Uganda. Alcohol use and abuse and economic vulnerability fuel risky sexual practices and lead to increased risk of HIV infection in these communities. Economic strengthening is an emerging intervention approach and interventions promoting saving money via mechanisms with a "soft commitment" in the form of restricting or charging small fees for withdrawals, may serve to reduce spending on alcohol and spending that leads to HIV risk behaviors in cash-based economies. Read More

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http://link.springer.com/10.1007/s10461-019-02475-y
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http://dx.doi.org/10.1007/s10461-019-02475-yDOI Listing
March 2019
4 Reads

Intimate Partner Violence Experiences Among Men Living with HIV in Rural Appalachia.

AIDS Behav 2019 Mar 28. Epub 2019 Mar 28.

Section of Infectious Diseases, Department of Internal Medicine, West Virginia University School of Medicine, 2181 Health Sciences Center North, Morgantown, WV, 26506-9163, USA.

There has been limited study of the syndemic link between HIV and intimate partner violence (IPV) among rural populations in the United States. We utilized the Revised Conflict Tactics Scale-2 to examine the past year prevalence, type (psychological aggression, physical assault, and sexual assault), and the impact of IPV on HIV clinical outcomes among men living with HIV in rural Appalachia. Approximately 39% of participants experienced some type of IPV in the preceding year, with 67% of those individuals experiencing more than 1 type of IPV. Read More

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http://dx.doi.org/10.1007/s10461-019-02438-3DOI Listing
March 2019
1 Read

Intimate Partner Violence Influences Women's Engagement in the Early Stages of the HIV Pre-exposure Prophylaxis (PrEP) Care Continuum: Using Doubly Robust Estimation.

AIDS Behav 2019 Mar 26. Epub 2019 Mar 26.

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

Intimate partner violence (IPV) is associated with pre-exposure prophylaxis (PrEP) acceptability among US women, but whether IPV influences other steps along the PrEP care continuum remains unclear. This study estimated the causal effects of IPV on the early stages of the PrEP care continuum using doubly robust (DR) estimation (statistical method allowing causal inference in non-randomized studies). Data were collected (2017-2018) from a cohort study of 124 US women without and 94 women with IPV experiences in the past 6 months (N = 218). Read More

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http://dx.doi.org/10.1007/s10461-019-02469-wDOI Listing

Public Health, HIV Care and Prevention, Human Rights and Democracy at a Crossroad in Brazil.

AIDS Behav 2019 Mar 22. Epub 2019 Mar 22.

Division of Equity, Gender and Population, Department of Psychiatry, University of Toronto, Toronto, Canada.

On January 2019, Brazil's new far-right president Jair Bolsonaro was sworn into office. Bolsonaro's administration supports downsizing the Brazilian Unified Health System (SUS), while increasing the size of the private health sector. The new administration might leave millions of Brazilians without medical care, including hundreds of thousands of people living with HIV/AIDS. Read More

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http://link.springer.com/10.1007/s10461-019-02470-3
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http://dx.doi.org/10.1007/s10461-019-02470-3DOI Listing
March 2019
2 Reads

Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada.

AIDS Behav 2019 Mar 21. Epub 2019 Mar 21.

Faculty of Health Sciences, Simon Fraser University, Blusson Hall Rm 10522, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.

In 2012, the Supreme Court of Canada ruled that people with HIV are legally obligated to disclose their serostatus before sex with a "realistic possibility" of HIV transmission, suggesting a legal obligation to disclose unless they use condoms and have a low HIV viral load (< 1500 copies/mL). We measured prevalence and correlates of ruling awareness among 1230 women with HIV enrolled in a community-based cohort study (2015-2017). While 899 (73%) participants had ruling awareness, only 37% were both aware of and understood ruling components. Read More

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http://dx.doi.org/10.1007/s10461-019-02463-2DOI Listing

Emotional Communication in HIV Care: An Observational Study of Patients' Expressed Emotions and Clinician Response.

AIDS Behav 2019 Mar 20. Epub 2019 Mar 20.

Department of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Emotional support is essential to good communication, yet clinicians often miss opportunities to provide empathy to patients. Our study explores the nature of emotional expressions found among patients new to HIV care, how HIV clinicians respond to these expressions, and predictors of clinician responses. Patient-provider encounters were audio-recorded, transcribed, and coded using the VR-CoDES. Read More

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http://dx.doi.org/10.1007/s10461-019-02466-zDOI Listing
March 2019
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Measuring Antiretroviral Adherence Among Young People Living with HIV: Observations from a Real-Time Monitoring Device Versus Self-report.

AIDS Behav 2019 Mar 19. Epub 2019 Mar 19.

Bradley/Hasboro Children's Research Center, 167 Point Street, Suite 161, Providence, RI, 02903, USA.

This report compares self-report (SR) antiretroviral (ARV) adherence data to adherence data collected via Wisepill, a real-time electronic monitoring (EM) device, among young people living with HIV (YPLH) in the southern United States. Participants (n = 66; ages 16 to 26) were followed for 14 weeks. Descriptive analyses were used to compare SR to EM data. Read More

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http://dx.doi.org/10.1007/s10461-019-02448-1DOI Listing

Examining the Impact of a Psychosocial Syndemic on Past Six-Month HIV Screening Behavior of Black Men who have Sex with Men in the United States: Results from the POWER Study.

AIDS Behav 2019 Mar 18. Epub 2019 Mar 18.

Center for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.

Syndemic production theory has been used to explore HIV transmission risk or infections but has not been used to investigate prevention behavior, or with large samples of non-Whites. This analysis is the first to explore the impact of syndemic factors on previous six-month HIV screening behavior among US Black MSM. Data from Promoting Our Worth, Equality and Resilience (POWER) were analyzed from 3294 participants using syndemic variable counts and measures of interaction/synergy. Read More

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http://dx.doi.org/10.1007/s10461-019-02458-zDOI Listing
March 2019
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A Pilot Randomized Trial of Intervention Components Addressing Drug Use in Couples HIV Testing and Counseling (CHTC) with Male Couples.

AIDS Behav 2019 03 18. Epub 2019 Mar 18.

Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave. 611 Hunter North, New York, NY, 10065, USA.

Men who have sex with men (MSM) experience high rates of substance use and HIV infection. Main partners are the source of many (35-68%) of these new HIV infections. This study developed and examined the efficacy of two adjunct components to couples HIV testing and counseling (CHTC)-communication training (CT) videos and a substance use module (SUM)-to reduce drug use and sexual HIV transmission risk in MSM couples. Read More

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http://dx.doi.org/10.1007/s10461-019-02455-2DOI Listing

A Randomized Controlled Trial of a Rapid Re-housing Intervention for Homeless Persons Living with HIV/AIDS: Impact on Housing and HIV Medical Outcomes.

AIDS Behav 2019 Mar 16. Epub 2019 Mar 16.

New York City Department of Social Services, New York, NY, USA.

We conducted a randomized controlled trial to determine whether, for homeless persons living with HIV/AIDS (PLWHA), rapid re-housing can improve housing and HIV viral suppression more than standard housing assistance. We recruited 236 PLWHA from HIV emergency housing in New York City (NYC) and randomized them to: (1) Enhanced Housing Placement Assistance (EHPA), i.e. Read More

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http://dx.doi.org/10.1007/s10461-019-02461-4DOI Listing
March 2019
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Physician Mistrust, Medical System Mistrust, and Perceived Discrimination: Associations with HIV Care Engagement and Viral Load.

AIDS Behav 2019 Mar 16. Epub 2019 Mar 16.

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Medical mistrust is an important risk factor for many health outcomes. For individuals with HIV and substance use co-morbidities, mistrust may influence engagement with health care, and affect overall health and transmission risk. Medical mistrust can be measured by an individual's mistrust of his/her physician, or mistrust of the medical system. Read More

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http://dx.doi.org/10.1007/s10461-019-02464-1DOI Listing

Implementing an Updated "Break the Cycle" Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US "opioid epidemic" Setting.

AIDS Behav 2019 Mar 16. Epub 2019 Mar 16.

HIV Center for Clinical and Behavioral Studies at The New York State Psychiatric Institute and Columbia University, New York, USA.

We tested the hypothesis that an updated "Break the Cycle" (BtC) intervention, based in social cognitive theory and motivational interviewing, would reduce the likelihood that current persons who inject drugs (PWID) would assist persons who do not inject drugs (non-PWID) with first injections in Tallinn, Estonia and Staten Island, New York City. 402 PWID were recruited, a baseline interview covering demographics, drug use, and assisting non-PWID with first drug injections was administered, followed by BtC intervention. 296 follow-up interviews were conducted 6 months post-intervention. Read More

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http://dx.doi.org/10.1007/s10461-019-02467-yDOI Listing
March 2019
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Antiretroviral Concentration in Hair as a Measure for Antiretroviral Medication Adherence: A Systematic Review of Global Literature.

AIDS Behav 2019 Mar 15. Epub 2019 Mar 15.

South Carolina SmartState Center for Healthcare Quality (CHQ), University of South Carolina Arnold School of Public Health, Discovery I, 915 Greene Street, Columbia, SC, 29028, USA.

This review aims to validate hair antiretroviral concentration (HAC) as a measure for antiretroviral medication adherence. This review included 31 studies that analyzed a total of 11 ARV drugs in four different drug classes. The associations between HAC and non-pharmacokinetic measures were generally lower than the association between HAC and other pharmacokinetic measures: the correlation coefficients (r) ranged from - 0. Read More

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http://dx.doi.org/10.1007/s10461-019-02460-5DOI Listing

Using a Social Support Framework to Understand How HIV Positive Kenyan Men Engage in PMTCT/EID Care: Qualitative Insights From Male Partners.

AIDS Behav 2019 Mar 15. Epub 2019 Mar 15.

Department of Family Medicine, University of Kansas Medical Center, Mailstop 3064, 4125 Rainbow Blvd., Kansas City, KS, 66160, USA.

Greater male partner involvement in Prevention of Mother to Child Transmission (PMTCT) and Early Infant Diagnosis (EID) is associated with improved outcomes. Perceived low social support for the mother can negatively impact the uptake of PMTCT/EID services. Most research relies on women's reports of the types and quality of male partner support received versus what is desired. Read More

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http://dx.doi.org/10.1007/s10461-019-02451-6DOI Listing
March 2019
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A Mixed-Methods Study Examining Adherence to and Acceptability of Intravaginal Rings for HIV Prevention: Behavioral Results of MTN-027.

AIDS Behav 2019 Mar 15. Epub 2019 Mar 15.

Division of AIDS, National Institutes of Health, Bethesda, MD, USA.

Intravaginal rings (IVR) containing antiretroviral drugs are a promising method for HIV prevention. We triangulated quantitative and qualitative assessments to evaluate the acceptability of four IVRs used continuously for 28 days as part of a Phase I trial (N = 48 HIV-negative women; ages 18-45). Adherence was high throughout the trial, yet 30% of participants reported involuntary IVR expulsions followed by re-insertion. Read More

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http://dx.doi.org/10.1007/s10461-019-02457-0DOI Listing
March 2019
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