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    A Strengths-Based Case Management Intervention to Reduce HIV Viral Load Among People Who Use Drugs.
    AIDS Behav 2017 Sep 15. Epub 2017 Sep 15.
    Behavioral and Urban Health Program, RTI International, 351 California Street, 5th Floor, San Francisco, CA, 94104, USA.
    Engaging highly marginalized HIV positive people in sustained medical care is vital for optimized health and prevention efforts. Prior studies have found that strengths-based case management helps link people who use drugs to HIV care. We conducted a pilot to assess whether a strengths-based case management intervention may help people who use injection drugs (PWID) or smoke crack cocaine (PWSC) achieve undetectable HIV viral load. Read More

    Will Gay and Bisexual Men Taking Oral Pre-exposure Prophylaxis (PrEP) Switch to Long-Acting Injectable PrEP Should It Become Available?
    AIDS Behav 2017 Sep 14. Epub 2017 Sep 14.
    CUNY Graduate School of Public Health and Health Policy, 55 W 125th Street, New York, NY, 10027, USA.
    Oral pre-exposure prophylaxis (PrEP) is highly effective at reducing HIV transmission risk and is CDC recommended for many gay, bisexual, and other men who have sex with men (GBM). We sought to investigate awareness of and preference for using long-acting injectable PrEP (LAI-PrEP) among GBM currently taking oral PrEP (n = 104), and identify their concerns. About half of GBM had heard of LAI-PrEP, and 30. Read More

    Risky Sex in High-Risk Adolescents: Associations with Alcohol Use, Marijuana Use, and Co-Occurring Use.
    AIDS Behav 2017 Sep 13. Epub 2017 Sep 13.
    Department of Psychology and Neuroscience, University of Colorado Boulder, Muenzinger D244, 345 UCB, Boulder, CO, 80309-0345, USA.
    Risky sexual behavior and substance use appear to be interconnected behaviors among adolescents, but data are scarce regarding the extent to which sexual risk behavior is associated with high levels of marijuana and alcohol use, both separately and in combination. 301 adolescents were recruited from a short-term detention facility, and substance use and risky sexual behavior were assessed. We found that adolescents who frequently used marijuana, but not alcohol, reported significantly less risky sex as well as greater intentions to use condoms than either adolescents who frequently used alcohol, but not marijuana, or adolescents who frequently used both substances. Read More

    The Associations of Perceived Social Support with Key HIV Risk and Protective Factors Among Young Males Who Have Sex with Males in Bangkok and Chiang Mai, Thailand.
    AIDS Behav 2017 Sep 12. Epub 2017 Sep 12.
    UNICEF Thailand Office, Bangkok, Thailand.
    This study used respondent-driven sampling to explore the effects of social support on HIV risk and protective factors among young males who have sex with males (YMSM) in Bangkok (N = 273) and Chiang Mai (N = 243), Thailand. It compared different measures of social support, including living situation, the proportion of family and friends to whom the respondent had disclosed their same-sex attraction, and scores on the multi-dimensional scale of perceived social support as predictors of two outcomes of interest-coerced first sex and HIV knowledge. Social support from family played a mediating role in both outcomes among YMSM in Bangkok but not those from Chiang Mai. Read More

    Systematic Review of Interventions for Depression for People Living with HIV in Africa.
    AIDS Behav 2017 Sep 12. Epub 2017 Sep 12.
    Division of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, 420 Delaware Street, SE, MMC 250, Minneapolis, MN, 55455, USA.
    Depression interventions for individuals with HIV/AIDS in Africa are being increasingly evaluated. MEDLINE was searched using key terms: depression, Africa, and HIV, to identify depression interventions for HIV-infected adults in Africa. Perinatal women were excluded. Read More

    Fertility Intentions, Pregnancy, and Use of PrEP and ART for Safer Conception Among East African HIV Serodiscordant Couples.
    AIDS Behav 2017 Sep 11. Epub 2017 Sep 11.
    Department of Global Health, University of Washington, 325 Ninth Avenue, Box 359927, Seattle, USA.
    African HIV serodiscordant couples often desire pregnancy, despite sexual HIV transmission risk during pregnancy attempts. Pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) reduce HIV risk and can be leveraged for safer conception but how well these strategies are used for safer conception is not known. We conducted an open-label demonstration project of the integrated delivery of PrEP and ART among 1013 HIV serodiscordant couples from Kenya and Uganda followed quarterly for 2 years. Read More

    HIV Prevention Among Women Who Use Substances And Report Sex Work: Risk Groups Identified Among South African Women.
    AIDS Behav 2017 Sep 8. Epub 2017 Sep 8.
    University of North Carolina School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
    This cross-sectional study presents baseline data from women (n = 641) in a community-based randomized trial in Pretoria, South Africa. Women were eligible if they reported recent alcohol or other drug (AOD) use and condomless sex. Latent class analyses were conducted separately for those who reported sex work and those who did not. Read More

    Examining the Impact of Intimate Partner Violence Type and Timing on Pre-exposure Prophylaxis Awareness, Interest, and Coercion.
    AIDS Behav 2017 Sep 8. Epub 2017 Sep 8.
    School of Public Health, Yale University, 60 College Street, P.O. Box 208034, New Haven, CT, 06520, USA.
    Previous research suggests that intimate partner violence (IPV) is associated with acceptability of and adherence to pre-exposure prophylaxis (PrEP). However, very few studies have examined whether the type (i.e. Read More

    Association of Cannabis, Stimulant, and Alcohol use with Mortality Prognosis Among HIV-Infected Men.
    AIDS Behav 2017 Sep 8. Epub 2017 Sep 8.
    Brown University School of Public Health, Providence, RI, USA.
    Questionnaires over a 9-year study period (2002-2010) were used to characterize cannabis, stimulant, and alcohol use among 3099 HIV-infected men participating in the Veterans Aging Cohort Study (VACS) to determine whether use of these substances is associated with changes in the VACS Index, a validated prognostic indicator for all-cause mortality. At baseline, 18% of participants reported no substance use in the past year, 24% lower risk alcohol use only, 18% unhealthy alcohol use only, 15% cannabis use (with or without alcohol), and 24% stimulant use (with or without alcohol or cannabis). In adjusted longitudinal analyses, cannabis use [β = -0. Read More

    Memory Impairment in HIV-Infected Individuals with Early and Late Initiation of Regular Marijuana Use.
    AIDS Behav 2017 Sep 7. Epub 2017 Sep 7.
    Department of Psychology & Neuroscience, Duke University, Box 102848, Durham, NC, 27705, USA.
    Marijuana use is disproportionately prevalent among HIV-infected individuals. The strongest neurocognitive effect of marijuana use is impairment in the domain of memory. Memory impairment is also high among HIV-infected persons. Read More

    Swipe Right: Dating Website and App Use Among Men Who Have Sex With Men.
    AIDS Behav 2017 Sep 7. Epub 2017 Sep 7.
    Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
    This study explored the frequency of dating website and app usage among MSM to understand sub-group differences in use. Web-based survey data (N = 3105) were analyzed to assess the use of dating websites and apps. More than half (55. Read More

    Evaluation of Project RISE, an HIV Prevention Intervention for Black Bisexual Men Using an Ecosystems Approach.
    AIDS Behav 2017 Sep 4. Epub 2017 Sep 4.
    amfAR, The Foundation for AIDS Research, Washington, DC, USA.
    Black men who have sex with men and women (MSMW) are among the populations at highest risk for HIV infection. We describe the evaluation of Project RISE, a six-session individual-level intervention developed for black MSMW using an ecosystems approach. A randomized controlled trial was used to test the effect of the intervention on sexual risk outcomes. Read More

    Alcohol Types and HIV Disease Progression Among HIV-Infected Drinkers Not Yet on Antiretroviral Therapy in Russia and Uganda.
    AIDS Behav 2017 Aug 30. Epub 2017 Aug 30.
    Department of Epidemiology and Biostatistics, University of California San Francisco, 550 16th Street, 2nd floor, Mission Hall: Global Health and Clinical Sciences Building, San Francisco, CA, 94158, USA.
    In HIV-infected drinkers, alcohol types more likely to cause inflammation could plausibly increase the risk of HIV disease progression. We therefore assessed the association between alcohol type and plasma HIV RNA level (HIV viral load) among HIV-infected drinkers not on antiretroviral therapy (ART) in Russia and Uganda. We analyzed the data of participants from cohorts in Russia and Uganda and assessed their HIV viral load at enrollment by the alcohol type predominantly consumed. Read More

    Correlates of Unknown HIV Status Among MSM Participating in the 2014 American Men's Internet Survey (AMIS).
    AIDS Behav 2017 Aug 29. Epub 2017 Aug 29.
    Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
    Increasing serostatus awareness is a key HIV prevention strategy. Despite expanded testing efforts, some men who have sex with men (MSM) remain unaware of their HIV status. This study explored demographic characteristics, sexual identity, sexual role, and behavioral factors associated with unknown HIV status among MSM in the United States. Read More

    Relationships Between Illness Perception and Post-traumatic Growth Among Newly Diagnosed HIV-Positive Men Who have Sex with Men in China.
    AIDS Behav 2017 Aug 29. Epub 2017 Aug 29.
    Centre for Health Behaviours Research, The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
    Newly diagnosed HIV-positive men who have sex with men (NHMSM) are at high risk of mental health problems but may also develop post-traumatic growth (PTG). According to the Common Sense Model, illness perception (including both cognitive representation and emotional representation) affects coping and health-related outcomes. A cross-sectional survey was conducted to examine the associations between illness perception and PTG among 225 NHMSM in Chengdu, China. Read More

    Acceptability and HIV Prevention Benefits of a Peer-Based Model of Rapid Point of Care HIV Testing for Australian Gay, Bisexual and Other Men Who Have Sex with Men.
    AIDS Behav 2017 Aug 28. Epub 2017 Aug 28.
    Centre for Population Health, Burnet Institute, 85 Commercial Road, Melbourne, VIC, 3004, Australia.
    Frequent HIV testing among gay, bisexual and other men who have sex with men (GBM) is a strategic priority for HIV prevention in Australia. To overcome barriers to testing in conventional clinical services, Australia recently introduced peer HIV rapid point of care (RPOC) testing services for GBM. This mixed methods evaluation describes client acceptability and HIV prevention benefits of a peer HIV testing model. Read More

    The Impact of a Community-Based Intervention Including a Monthly Food Ration on Food Insecurity Among HIV-Positive Adults During the First Year of Antiretroviral Therapy.
    AIDS Behav 2017 Aug 28. Epub 2017 Aug 28.
    Department of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA.
    The objective of this study was to examine how food insecurity changed among HIV-positive adults during the first 12 months of combination antiretroviral therapy (cART) and whether any change differed according to the receipt of food support, which was provided in the context of a comprehensive community-based intervention. We conducted secondary data analyses of data from a prospective cohort study of the effectiveness of a community-based cART delivery model when added to clinic-based cART delivery in Rwanda. We included patients from four health centers that implemented a clinic-based cART delivery model alone and five health centers that additionally implemented the intervention, which included 10 months of food support. Read More

    HIV Linkage to Care and Retention in Care Rate Among MSM in Guangzhou, China.
    AIDS Behav 2017 Aug 28. Epub 2017 Aug 28.
    Department of AIDS/STD Control and Prevention, Guangzhou Center for Disease Control and Prevention, No.1 Qide Road, Jiahe Street, Baiyun District, Guangzhou, 510440, Guangdong, China.
    Quantifying HIV service provision along the HIV care continuum is increasingly important for monitoring and evaluating HIV interventions. We examined factors associated with linkage and retention in care longitudinally among MSM (n = 1974, 4933 person-years) diagnosed and living in Guangzhou, China, in 2008-2014. We measured longitudinal change of retention in care (≥2 CD4 tests per year) from linkage and antiretroviral therapy initiation (ART). Read More

    Alcohol Use and HIV Risk Within Social Networks of MSM Sex Workers in the Dominican Republic.
    AIDS Behav 2017 Aug 28. Epub 2017 Aug 28.
    Center for Latino Adolescent and Family Health (CLAFH), New York University, New York, NY, USA.
    To examine how alcohol-related HIV risk behaviors within MSM sex workers' social networks (SN) may be associated with individual risk behaviors, respondent-driven and venue-based sampling were used to collect demographic, behavioral and SN characteristics among MSM sex workers in Santo Domingo and Boca Chica (N = 220). The majority of participants reported problem drinking (71.0%) or alcohol use at their last sexual encounter (71. Read More

    Impact of a Structural Intervention to Address Alcohol Use Among Gay Bar Patrons in San Francisco: The PACE Study.
    AIDS Behav 2017 Aug 24. Epub 2017 Aug 24.
    STOP AIDS Project, San Francisco AIDS Foundation, 1035 Market Street, Suite 400, San Francisco, CA, 94103, USA.
    We evaluated the impact on alcohol intake and blood alcohol concentration (BAC) of a multi-level structural intervention to increase the availability of free water, coupled with messaging on pacing alcohol intake and normative feedback of blood alcohol concentration in a convenience sample of gay bars in San Francisco. Participants (n = 1,293) were recruited among exiting patrons of four gay bars (two intervention bars and two control bars). Participants were surveyed on alcohol intake and BAC was measured by breathalyzer. Read More

    Inter-partner and Temporal Variations in the Perception of Sexual Risk for HIV.
    AIDS Behav 2017 Aug 22. Epub 2017 Aug 22.
    Center for Sexuality & Health Disparities, University of Michigan, Ann Arbor, MI, 48109, USA.
    This study uses longitudinal qualitative methods to examine how gay and bisexual men perceive sexual risk across both a variety of partners and across time. Over ten weeks, participants completed three quantitative personal relationship diaries (PRD) describing sexual encounters during that time period. Participants then completed a timeline-based individual in-depth interview to unpack the PRD data. Read More

    A Pilot Randomized Controlled Trial of an Integrated In-person and Mobile Phone Delivered Counseling and Text Messaging Intervention to Reduce HIV Transmission Risk among Male Sex Workers in Chennai, India.
    AIDS Behav 2017 Aug 22. Epub 2017 Aug 22.
    The Fenway Institute, Fenway Health, Boston, MA, USA.
    Men who have sex with men (MSM) are at increased risk for HIV infection in India, particularly those who engage in transactional sex with other men (i.e., male sex workers; MSW). Read More

    HIV Prevalence Among Hospitalized Patients at the Main Psychiatric Referral Hospital in Botswana.
    AIDS Behav 2017 Aug 22. Epub 2017 Aug 22.
    Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
    We examined HIV prevalence among patients 18-49 year olds admitted to a psychiatric hospital in Botswana in 2011 and 2012. The retrospective study analyzed females (F) and males (M) separately, comparing proportions with Chi square test and continuous variables with Wilcoxon rank-sum test, assessing significance at the 5% level. HIV seroprevalence among hospitalized psychiatric patients was much more common among females (53%) compared with males (19%) (p < 0. Read More

    A Randomized Controlled Trial Evaluating Efficacy of Promoting a Home-Based HIV Self-Testing with Online Counseling on Increasing HIV Testing Among Men Who Have Sex with Men.
    AIDS Behav 2017 Aug 22. Epub 2017 Aug 22.
    Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
    We developed an innovative home-based HIV self-testing (HIVST) service that included mailing of a free HIVST kit, and providing online real-time instructions and pre-test/post-test counseling (HIVST-OIC). The present parallel-group and non-blinded randomized controlled trial was conducted to evaluate the efficacy of promoting HIVST-OIC in increasing HIV testing rate among 430 men who have sex with men (MSM), with access to online live-chat applications in Hong Kong. At month 6, as compared to the control group, the intervention group reported significantly higher prevalence of HIV testing of any type (89. Read More

    Behavioral Interventions Targeting Alcohol Use Among People Living with HIV/AIDS: A Systematic Review and Meta-Analysis.
    AIDS Behav 2017 Aug 22. Epub 2017 Aug 22.
    Centers for Behavioral and Preventive Medicine, The Miriam Hospital, CORO Building, Suite 309, 164 Summit Ave., Providence, RI, 02906, USA.
    Alcohol use is often reported among people living with HIV/AIDS (PLWHA) and is associated with increased sexual risk and poor medication adherence. This meta-analysis evaluated the efficacy of behavioral interventions addressing alcohol use among PLWHA. Twenty-one studies (N = 8461 PLWHA) that evaluated an individual-level intervention addressing alcohol use alone or as part of a more comprehensive alcohol/HIV intervention, included a control condition, and were available through December 2016 were included. Read More

    Can Burt's Theory of Structural Holes be Applied to Study Social Support Among Mid-Age Female Sex Workers? A Multi-Site Egocentric Network Study in China.
    AIDS Behav 2017 Aug 21. Epub 2017 Aug 21.
    Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, 2234 School of Public Health Building, College Park, MD, 20742, USA.
    The epidemic of HIV/AIDS continues to spread among older adults and mid-age female sex workers (FSWs) over 35 years old. We used egocentric network data collected from three study sites in China to examine the applicability of Burt's Theory of Social Holes to study social support among mid-age FSWs. Using respondent-driven sampling, 1245 eligible mid-age FSWs were interviewed. Read More

    Evaluating the Completeness of HIV Surveillance Using Capture-Recapture Models, Alameda County, California.
    AIDS Behav 2017 Aug 21. Epub 2017 Aug 21.
    Alameda County Public Health Department, Oakland, USA.
    HIV prevalence in Alameda County (including Oakland) is among the highest in California, yet the case registry may under-appreciate the full burden of disease. Using lists from health care facilities serving socioeconomically diverse populations and the HIV surveillance list, we applied capture-recapture methods to evaluate the completeness of the surveillance system by estimating the number of diagnosed people living with HIV and seeking care in Alameda County in 2013. Of the 5376 unique individuals reported from the lists, 397 were missing from the surveillance list. Read More

    Food Insecurity, HIV Disease Progression and Access to Care Among HIV-Infected Russians not on ART.
    AIDS Behav 2017 Aug 18. Epub 2017 Aug 18.
    Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine/Boston Medical Center, 801 Massachusetts Ave., 2nd Floor, Boston, MA, 02118, USA.
    Food insecurity (FI) has been associated with HIV disease progression among people on antiretroviral therapy (ART), presumably a consequence of poor medication adherence. We assessed whether there is a longitudinal association between FI and two primary outcomes reflecting on HIV disease progression (i.e. Read More

    Factors Associated with Pre-exposure Prophylaxis in a Highly Insured Population of Urban Men Who Have Sex with Men, 2014.
    AIDS Behav 2017 Aug 16. Epub 2017 Aug 16.
    Bureau of Infectious Disease and Laboratory Sciences, Massachusetts Department of Public Health, 305 South St. Office 557D, Boston, MA, 02130, USA.
    In the United States, an estimated 25% of men who have sex with men (MSM) have indications for receiving pre-exposure prophylaxis to prevent HIV infection (PrEP), but <4% reported PrEP use in the past 12 months. We evaluate factors associated with having heard of, willingness to use, and use of PrEP in a venue-based, time-spaced sample of 316 urban, highly insured Boston MSM in the 2014 NHBS. We found that 53. Read More

    Stumbling Blocks at the Clinic: Experiences of Seeking HIV Treatment and Care in South Africa.
    AIDS Behav 2017 Aug 16. Epub 2017 Aug 16.
    Department of Behavioral and Social Sciences, Brown University School of Public Health Providence, Providence, RI, USA.
    Prompt antiretroviral therapy (ART) initiation maximises the therapeutic and prevention benefits of a treat-all strategy for HIV therapy. Using in-depth semi-structured interviews with men and women 18 years and older (N = 41), who were highly motivated and seeking treatment, this study examined salient factors that were associated with delays in treatment access and initiation. Results revealed clinic-related barriers including an onerous, inefficient multi-step process to initiate ART. Read More

    Women's Relationship Power Modifies the Effect of a Randomized Conditional Cash Transfer Intervention for Safer Sex in Tanzania.
    AIDS Behav 2017 Aug 3. Epub 2017 Aug 3.
    School of Public Health, University of California Berkeley, Berkeley, CA, USA.
    This study tests whether women's relationship power modifies the effect of a conditional cash transfer (CCT) on STI risk. We analyzed 988 women enrolled in the RESPECT study in Tanzania, a yearlong, randomized-controlled trial testing the effectiveness of a CCT to reduce STI incidence. Women were randomized at the individual level to a no-cash control group, a low-cash, or a high-cash study arm. Read More

    Health Technology-Enabled Interventions for Adherence Support and Retention in Care Among US HIV-Infected Adolescents and Young Adults: An Integrative Review.
    AIDS Behav 2017 Aug 3. Epub 2017 Aug 3.
    Center for Drug Use and HIV Research, New York University Rory Meyers College of Nursing, 433 First Avenue Room 410, New York, NY, 10010, USA.
    The objective of this integrative review was to describe current US trends for health technology-enabled adherence interventions among behaviorally HIV-infected youth (ages 13-29 years), and present the feasibility and efficacy of identified interventions. A comprehensive search was executed across five electronic databases (January 2005-March 2016). Of the 1911 identified studies, nine met the inclusion criteria of quantitative or mixed methods design, technology-enabled adherence and or retention intervention for US HIV-infected youth. Read More

    Telephone-Delivered Mindfulness Training for People Living with HIV: A Qualitative 360° Inquiry.
    AIDS Behav 2017 Aug 1. Epub 2017 Aug 1.
    Centers for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, Providence, RI, 02903, USA.
    For people living with HIV and AIDS (PLWHA), life stress often undermines quality of life and interferes with medical care. Mindfulness training (MT) may help PLWHA to manage stress. Because standard MT protocols can be burdensome, we explored telephone delivery as a potentially more feasible approach. Read More

    Acceptability of Daily Use of Free Oral Pre-exposure Prophylaxis (PrEP) Among Transgender Women Sex Workers in Shenyang, China.
    AIDS Behav 2017 Jul 27. Epub 2017 Jul 27.
    Shenyang Consultation Centre of AIDS Aid and Health Service, Shenyang, China.
    This study investigated the acceptability of daily use of free oral pre-exposure prophylaxis (PrEP) and associated factors among transgender women sex workers in Shenyang, China, following a briefing on PrEP. A total of 183 HIV negative or sero-status unknown participants completed the cross-sectional survey. The prevalence of acceptability of daily use of free oral PrEP was 61. Read More

    Readiness for Antiretroviral Therapy: Implications for Linking HIV-Infected Individuals to Care and Treatment.
    AIDS Behav 2017 Jul 25. Epub 2017 Jul 25.
    Department of Health Services, Policy & Practice (HSPP), Brown University School of Public Health, Providence, RI, USA.
    Using survey data collected immediately after referral for ART (N = 87), this study examined ART-readiness among individuals (18 years and older) attending a mobile health clinic in South Africa. Most participants reported being very ready (84%) and motivated (85%) to start ART, but only 72% were assessed as ready for ART on all measures. Treatment readiness was lower among individuals who did not think they would test HIV-positive (aOR 0. Read More

    Lessons for Patient Education Around Long-Acting Injectable PrEP: Findings from a Mixed-Method Study of Phase II Trial Participants.
    AIDS Behav 2017 Jul 25. Epub 2017 Jul 25.
    Department of Psychology, Hunter College and the Graduate Center of the City University of New York (CUNY), New York, USA.
    This study aimed to identify patients' physical and psychosocial experiences of an investigational long-acting injectable PrEP product to aid in the development of patient and provider education materials. Twenty-eight participants of a Phase 2 safety, tolerability, and acceptability study of long-acting integrase inhibitor cabotegravir (CAB-LA) were interviewed on their physical and psychosocial experiences of the injections. Five themes emerged through a framework analysis on these interview transcripts: (1) injection-related pain is highly variable across individuals; (2) pain is more impactful after the injections than during; (3) patient anxiety is critical, but does not determine the experience of injections and decreases over time; (4) intimacy and awkwardness of gluteal injections impacts patients' experiences; (5) patient education and care strategies can mitigate the above factors. Read More

    Predictors of Resilience and Posttraumatic Growth Among People Living with HIV: A Longitudinal Study.
    AIDS Behav 2017 Jul 24. Epub 2017 Jul 24.
    Department of Biological and Health Psychology, School of Psychology, Universidad Autónoma de Madrid, Calle Ivan Pavlov, 6, 28049, Madrid, Spain.
    This longitudinal study investigated the predictors of HIV-related resilience (HR) and posttraumatic growth (PTG) among Spanish-speaking HIV-positive people. Perceived past resilience, internalised stigma, and coping strategies were hypothesised as possible predictors. Data were collected at two time points from 119 HIV-positive people. Read More

    HIV Positive Diagnosis During Pregnancy Increases Risk of IPV Postpartum Among Women with No History of IPV in Their Relationship.
    AIDS Behav 2017 Jul 24. Epub 2017 Jul 24.
    Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
    There has been limited study of whether and for whom physical intimate partner violence (IPV) is a consequence of an HIV-positive diagnosis. Per the diathesis stress model, the consequences of HIV infection may be worse for women with a history of IPV. We hypothesize that the positive association between HIV diagnosis in pregnancy and postpartum IPV will be exacerbated for women with a history of IPV. Read More

    A Cluster Randomised Trial to Determine the Efficacy of the "Feeding Buddies" Programme in Improving Exclusive Breastfeeding Rates Among HIV-Infected Women in Rural KwaZulu-Natal, South Africa.
    AIDS Behav 2017 Jul 24. Epub 2017 Jul 24.
    Department of Paediatrics & Child Health, University of KwaZulu-Natal, 719 Umbilo Rd, Durban, 4001, South Africa.
    This cluster randomised trial in KwaZulu-Natal South Africa, evaluated the implementation of a Feeding Buddies (FB) programme to improve exclusive breastfeeding (EBF) amongst human immunodeficiency virus infected mothers. Eight clinics were randomly allocated to intervention and control arms respectively. Pregnant women attending the prevention of mother-to-child transmission program and intending to EBF were enrolled: control (n = 326), intervention (n = 299). Read More

    African and Caribbean Nurses' Decisions about HIV Testing: A Mixed Methods Study.
    AIDS Behav 2017 Jul 24. Epub 2017 Jul 24.
    School of Nursing, University of the West Indies, Kingston, Jamaica.
    Nurses in Jamaica, Kenya, South Africa, and Uganda are at risk for occupational exposure to HIV. Little is known about the experiences and policy supports related to nurses having themselves tested for the virus. This article reports a mixed-methods study about contextual influences on nurses' decision-making about HIV testing. Read More

    Social Support Networks and HIV/STI Risk Behaviors Among Latino Immigrants in a New Receiving Environment.
    AIDS Behav 2017 Jul 21. Epub 2017 Jul 21.
    Department of Epidemiology, Tulane University School of Public Health & Tropical Medicine, 1440 Canal St. SL-18, New Orleans, LA, USA.
    The objectives of this study were to: (1) describe the quantity and quality of social support networks of Latino immigrants living in a new receiving environment, and (2) determine the role such networks play in their HIV/STI risk behaviors, including substance use. Double incentivized convenience sampling was used to collect egocentric social support network data on 144 Latino immigrants. Latent class analysis was used for data reduction and to identify items best suited to measure quality and quantity of social support. Read More

    Complementary and Alternative Medicine Among Persons living with HIV in the Era of Combined Antiretroviral Treatment.
    AIDS Behav 2017 Jul 21. Epub 2017 Jul 21.
    Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
    Complementary and alternative medicine (CAM), often pursued independent of prescribing clinicians, may interact with traditional treatments, yet CAM use has not been well characterized among people living with HIV (PLWH) in the combined antiretroviral therapy (ART) era. We analyzed data from the Veterans Aging Cohort Study (October 2012-April 2015) to characterize CAM use in PLWH on ART. CAM users were more likely to have lived longer with HIV, report more bothersome symptoms, be prescribed more benzodiazepines and opioids, and consume less nicotine and alcohol. Read More

    Substance Use, Violence, and Antiretroviral Adherence: A Latent Class Analysis of Women Living with HIV in Canada.
    AIDS Behav 2017 Jul 21. Epub 2017 Jul 21.
    Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
    We used latent class analysis to identify substance use patterns for 1363 women living with HIV in Canada and assessed associations with socio-economic marginalization, violence, and sub-optimal adherence to combination antiretroviral therapy (cART). A six-class model was identified consisting of: abstainers (26.3%), Tobacco Users (8. Read More

    Injection Drug Use, Unemployment, and Severe Food Insecurity Among HIV-HCV Co-Infected Individuals: A Mediation Analysis.
    AIDS Behav 2017 Jul 19. Epub 2017 Jul 19.
    Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Purvis Hall, 1020 Pine Avenue West, Montreal, QC, H3A 1A2, Canada.
    Severe food insecurity (FI), which indicates reduced food intake, is common among HIV-hepatitis C virus (HCV) co-infected individuals. Given the importance of unemployment as a proximal risk factor for FI, this mediation analysis examines a potential mechanism through which injection drug use (IDU) is associated with severe FI. We used biannual data from the Canadian Co-infection Cohort (N = 429 with 3 study visits, 2012-2015). Read More

    Reproductive Desires and Considerations of HIV-Positive Men in Heterosexual Relationships in New York City.
    AIDS Behav 2017 Jul 19. Epub 2017 Jul 19.
    Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University Medical Center, 722 West 168th Street, 9th Fl., New York, NY, 10032, USA.
    The reproductive desires of HIV-positive men have been investigated far less than those of HIV-positive women, especially in the US. This qualitative study of a sample of 94 HIV-positive men in New York City who were in a relationship with a woman of reproductive age examined their reasons for wanting a child as well as the conditions under which they would feel ready to attempt conception. Participants felt a child would make them feel normal, give meaning to their lives, or make others in their life happy. Read More

    Alcohol Use, HIV Treatment Adherence, and Sexual Risk Among People with a History of Injecting Drug Use in Vietnam.
    AIDS Behav 2017 Jul 19. Epub 2017 Jul 19.
    National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
    Alcohol use can limit the effectiveness of antiretroviral therapy (ART) for people living with HIV (PLH) who have a history of injecting drug use. This study described the patterns of alcohol use among PLH with a history of injecting drug use in Vietnam and examined the relationships between alcohol use, adherence to ART, and sexual risks. We utilized cross-sectional data of 109 PLH on ART collected from a randomized controlled intervention trial in Vietnam. Read More

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