3,435 results match your criteria AIDS and behavior[Journal]


Applying the Information-Motivation-Behavioral Skills Model to Understand PrEP Intentions and Use Among Men Who Have Sex with Men.

Authors:
Jennifer L Walsh

AIDS Behav 2018 Dec 15. Epub 2018 Dec 15.

Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, The Medical College of Wisconsin, 2071 N. Summit Avenue, Milwaukee, WI, 53202, USA.

Research is needed to determine targets for interventions to increase pre-exposure prophylaxis (PrEP) uptake. The Information-Motivation-Behavioral Skills (IMB) model has not been tested for PrEP use among men who have sex with men (MSM). Men and transgender women and men were surveyed at a community event in the Midwest in 2016 (N = 476, 60% White, M = 35). Read More

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http://dx.doi.org/10.1007/s10461-018-2371-3DOI Listing
December 2018

Lessons from PrEP: A Qualitative Study Investigating How Clinical and Policy Experts Weigh Ethics and Evidence When Evaluating Preventive Medications for Use in Pregnant and Breastfeeding Women.

AIDS Behav 2018 Dec 14. Epub 2018 Dec 14.

The Ethox Centre and Wellcome Centre for Ethics & Humanities, Nuffield Department of Population Health, University of Oxford, Oxford, England, UK.

This study explored how multinational HIV experts weigh clinical, evidential, and ethical considerations regarding pre-exposure prophylaxis in pregnant/breastfeeding women. Semi-structured interviews were conducted with experts in HIV policy, research, treatment, and implementation from three global regions. A constant comparative approach identified major themes. Read More

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http://link.springer.com/10.1007/s10461-018-2361-5
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http://dx.doi.org/10.1007/s10461-018-2361-5DOI Listing
December 2018
3 Reads

Effects of Migration on Risky Sexual Behavior and HIV Acquisition in South Africa: A Systematic Review and Meta-analysis, 2000-2017.

AIDS Behav 2018 Dec 13. Epub 2018 Dec 13.

Africa Health Research Institute, K-RITH Tower Building, 719 Umbilo Road, Congella, Private Bag X7, Durban, South Africa.

While human mobility has been implicated in fueling the HIV epidemic in South Africa, the link between migration and HIV has not been systematically reviewed and quantified. We conducted a systematic review of the role of migration in HIV risk acquisition and sexual behaviour based on 29 studies published between 2000 and 2017. Furthermore, we performed a meta-analysis of the association between migration and HIV risk acquisition in four of the studies that used HIV incidence as an outcome measure. Read More

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http://link.springer.com/10.1007/s10461-018-2367-z
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http://dx.doi.org/10.1007/s10461-018-2367-zDOI Listing
December 2018
1 Read

Depression, ART Adherence, and Receipt of Case Management Services by Adults with HIV in North Carolina, Medical Monitoring Project, 2009-2013.

AIDS Behav 2018 Dec 13. Epub 2018 Dec 13.

North Carolina Department of Health and Human Services, Division of Public Health, Communicable Disease Branch, Raleigh, NC, 27603, USA.

Depression among persons with HIV is associated with antiretroviral therapy (ART) interruption and discontinuation, virological failure, and poor clinical and survival outcomes. Case management services can address needs for emotional counseling and other supportive services to facilitate HIV care engagement. Using 2009-2013 North Carolina Medical Monitoring Project data from 910 persons engaged in HIV care, we estimated associations of case management utilization with "probable current depression" and with 100% ART dose adherence. Read More

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http://link.springer.com/10.1007/s10461-018-2365-1
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http://dx.doi.org/10.1007/s10461-018-2365-1DOI Listing
December 2018
1 Read

Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran's Health Administration.

AIDS Behav 2018 Dec 13. Epub 2018 Dec 13.

VA Puget Sound Health Care System, Health Services Research and Development, Seattle, WA, USA.

To quantify health care facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran's Health Administration (VHA); to identify facility characteristics associated with PrEP use. Retrospective analysis of the health care facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Read More

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http://dx.doi.org/10.1007/s10461-018-2360-6DOI Listing
December 2018

"Closing the Gap": Provider Recommendations for Implementing Birth Point of Care HIV Testing.

AIDS Behav 2018 Dec 12. Epub 2018 Dec 12.

Department of Family Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, KS, 66160, USA.

Delays in traditional HIV DNA PCR testing for early infant diagnosis (EID) at 6 weeks of age result in late antiretroviral treatment (ART). Birth point of care (POC) testing is an emerging strategy with the potential to streamline EID services. We elicited providers' recommendations for introducing birth POC testing to guide strategies in Kenya and similar settings. Read More

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http://dx.doi.org/10.1007/s10461-018-2363-3DOI Listing
December 2018
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ART Denial: Results of a Home-Based Study to Validate Self-reported Antiretroviral Use in Rural South Africa.

AIDS Behav 2018 Dec 6. Epub 2018 Dec 6.

Department of Global Health and Population, Harvard T. H. Chan School of Public Health, 665 Huntington Ave, Boston, MA, 02115, USA.

There is increasing interest in home based testing and treatment of HIV to expand access to treatment in sub-Saharan Africa. Such programs rely on self-reported HIV history and use of antiretroviral therapy (ART). However, the accuracy of self-reported ART use in community settings is not well described. Read More

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http://dx.doi.org/10.1007/s10461-018-2351-7DOI Listing
December 2018

Predictors of Daily Adherence to HIV Pre-exposure Prophylaxis in Gay/Bisexual Men in the PRELUDE Demonstration Project.

AIDS Behav 2018 Dec 6. Epub 2018 Dec 6.

Kirby Institute, Wallace Wurth Building, UNSW Sydney, Sydney, NSW, 2052, Australia.

Adequate adherence to pre-exposure prophylaxis (PrEP) is critical to prevent HIV infection, but accurately measuring adherence remains challenging. We compared two biological [blood drug concentrations in plasma and peripheral blood mononuclear cells (PBMC)] and two self-reported measures (facilitated recall to clinicians and self-report in online surveys) and identified predictors of daily PrEP adherence among gay and bisexual men (GBM) in their first 12 months on PRELUDE, an open-label, single-arm PrEP demonstration project in New South Wales, Australia. 327 participants were enrolled; 263 GBM attended their 12-month follow-up visit (81% retention). Read More

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http://dx.doi.org/10.1007/s10461-018-2353-5DOI Listing
December 2018

Nativity Homogeneity in Social Networks and Prostitution Patronage Among Male Migrant Laborers.

AIDS Behav 2018 Dec 11. Epub 2018 Dec 11.

Children's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Previous studies have repeatedly found the association between network homogeneity based on native-place and sexual risk behaviors among migrants. However, it remains unclear why such a simple numerical property of network composition can be correlated with a sexual risk behavior. Using a dataset (n = 1591) with detailed information on the sexual behaviors among male migrant laborers in the two Chinese provinces with the highest migrant inflows, we confirmed network homogeneity is significantly associated with prostitution patronage. Read More

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http://dx.doi.org/10.1007/s10461-018-2357-1DOI Listing
December 2018

Mediating Effects of Depressive Symptoms on Perceived Social Support and HIV Disclosure: Assessing Moderation by Sex.

AIDS Behav 2018 Dec 11. Epub 2018 Dec 11.

Department of Mental Health Law and Policy, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL, USA.

People living with HIV may decide to disclose their HIV-positive status after considering the benefits and costs. Studies have shown associations between perceived social support, depressive symptoms and HIV disclosure among men and women; however, research assessing the mediating pathway among these variables and the associated disparities by sex are lacking. Therefore, the aims of this study were to determine the association between perceived social support from family and friends and HIV disclosure to sexual partners; assess the mediating effects of depressive symptoms; and examine the disparities by sex. Read More

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http://dx.doi.org/10.1007/s10461-018-2369-xDOI Listing
December 2018

Trends in Attitudes to and the Use of HIV Pre-exposure Prophylaxis by Australian Gay and Bisexual Men, 2011-2017: Implications for Further Implementation from a Diffusion of Innovations Perspective.

AIDS Behav 2018 Dec 11. Epub 2018 Dec 11.

Centre for Social Research in Health, UNSW Sydney, Sydney, Australia.

Using repeated, national, online, cross-sectional surveys of Australian gay and bisexual men (GBM), we analysed trends related to HIV pre-exposure prophylaxis (PrEP). Specifically, we analysed trends in PrEP use, willingness to use PrEP, and concern about using PrEP during 2011-2017. We assessed support for GBM using PrEP and willingness to have sex with men taking PrEP between 2015 and 2017. Read More

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http://dx.doi.org/10.1007/s10461-018-2368-yDOI Listing
December 2018

Barriers to Retention in Care are Overcome by Adolescent-Friendly Services for Adolescents Living with HIV in South Africa: A Qualitative Analysis.

AIDS Behav 2018 Dec 8. Epub 2018 Dec 8.

Massachusetts General Hospital, Boston, MA, USA.

To assess facilitators and barriers to retention in care for adolescents living with HIV, we conducted in-depth, semi-structured interviews with adolescents ages 13 to 24 years who were living with HIV and being cared for in either an adolescent-friendly or standard government-supported clinic in KwaZulu-Natal, South Africa. We used inductive content analysis approach based on grounded theory derived from reviewing, coding, and interpreting data. We interviewed 28 adolescents living with HIV (16 in the adolescent clinic and 12 from the pediatric clinic) and 14 of their caregivers. Read More

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http://dx.doi.org/10.1007/s10461-018-2352-6DOI Listing
December 2018

Demand and Supply Motivations for Antiretroviral Drugs in Illicit Street Markets: The Case of Atlanta, Georgia.

AIDS Behav 2018 Dec 8. Epub 2018 Dec 8.

Stetson School of Business and Economics, Mercer University, 1501 Mercer University Drive, Macon, GA, 31207, USA.

We studied the motivations behind supply and demand of antiretroviral drugs (ARVs) in the illicit street markets of the metropolitan statistical area of Atlanta, Sandy Springs, and Roswell, Georgia. We found that these two market actions were largely interdependent: 39.53% of participants said that they sold their ARVs to pay for personal needs, and 20. Read More

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http://dx.doi.org/10.1007/s10461-018-2359-zDOI Listing
December 2018

Drug Use Mediates the Relationship Between Depressive Symptoms and Adherence to ART Among Recently Incarcerated People Living with HIV.

AIDS Behav 2018 Dec 7. Epub 2018 Dec 7.

Department of Psychology, Texas Christian University, Fort Worth, TX, USA.

Depression is a known risk factor for antiretroviral therapy (ART) non-adherence, but little is known about the mechanisms explaining this relationship. Identifying these mechanisms among people living with HIV (PLHIV) after release from prison is particularly important, as individuals during this critical period are at high risk for both depression and poor ART adherence. 347 PLHIV recently released from prison in North Carolina and Texas were included in analyses to assess mediation of the relationship between depressive symptoms at 2 weeks post-release and ART adherence (assessed by unannounced telephone pill counts) at weeks 9-21 post-release by the hypothesized explanatory mechanisms of alcohol use, drug use, adherence self-efficacy, and adherence motivation (measured at weeks 6 and 14 post-release). Read More

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http://dx.doi.org/10.1007/s10461-018-2355-3DOI Listing
December 2018
1 Read

How Biomedical HIV Prevention Trials Incorporate Behavioral and Social Sciences Research: A Typology of Approaches.

AIDS Behav 2018 Dec 10. Epub 2018 Dec 10.

Department of Social Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.

In the field of biomedical HIV prevention, researchers have meaningfully incorporated behavioral and social sciences research (BSSR) into numerous clinical trials, though the timing and degree of integration have been highly variable. The literature offers few frameworks that systematically characterize these collaborations. To fill this gap, we developed a typology of BSSR approaches within biomedical HIV prevention research. Read More

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http://link.springer.com/10.1007/s10461-018-2358-0
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http://dx.doi.org/10.1007/s10461-018-2358-0DOI Listing
December 2018
2 Reads

HIV Physicians and Chronic Opioid Therapy: It's Time to Raise the Bar.

AIDS Behav 2018 Dec 5. Epub 2018 Dec 5.

Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.

Clinical practice that utilizes chronic opioid therapy has been recognized as one major cause of the opioid crisis. Among patients living with HIV, the risks associated with chronic opioid therapy may be complicated by factors such as co-occurring mental health diagnoses, substance use, and economic marginalization. Improving opioid prescribing practices in HIV clinics requires attention to these and other characteristics common to HIV care. Read More

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http://dx.doi.org/10.1007/s10461-018-2356-2DOI Listing
December 2018
2 Reads

Older African Americans and the HIV Care Continuum: A Systematic Review of the Literature, 2003-2018.

AIDS Behav 2018 Dec 5. Epub 2018 Dec 5.

Department of Epidemiology and Biostatistics, University of Maryland, College Park, MD, USA.

Evidence suggests that racial disparities in the HIV care continuum persist in older age groups, particularly among African Americans. The objective of this systematic review was to identify factors that facilitate or hinder older African Americans' engagement in the HIV care continuum. For studies published between 2003 and 2018, we: (1) searched databases using keywords, (2) excluded non-peer-reviewed studies, (3) limited findings to older African Americans and the HIV care continuum, and (4) retrieved and summarized data focused on barriers and facilitators of the HIV care continuum. Read More

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http://dx.doi.org/10.1007/s10461-018-2354-4DOI Listing
December 2018
1 Read

Approaches to Identify Unknown HIV-Positive Men Who Have Sex with Men in Nairobi, Kenya.

AIDS Behav 2018 Dec 1. Epub 2018 Dec 1.

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

Kenya has been home to one of the most severe HIV/AIDS epidemics in Sub-Saharan Africa. This persistent epidemic requires interventions tailored to affected populations, particularly men who have sex with men (MSM). Given the resource constraints of many clinics and ecological challenges of Kenya, such as the illegality of sex among MSM, interventions to address HIV must strategically engage this population. Read More

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http://dx.doi.org/10.1007/s10461-018-2347-3DOI Listing
December 2018

Towards an Information Motivation and Behavioral Skills Model for New Sex Partners: Results of a Study of Condom Use as an HIV Prevention Method for Emerging Adults Who Met Partners on Dating and Sex-Seeking Platforms or Offline.

AIDS Behav 2018 Dec 1. Epub 2018 Dec 1.

Department of Community and Family Health, University of South Florida, Tampa, FL, USA.

The information, motivation, behavioral Skills (IMB) model was used to identify factors that affect condom use with new sex partners that were met offline or online. Mixed methods data were collected from adults between the ages of 18 and 29 years who reported a new sex partner. A model was composed of participants' IMB scale scores to determine the effect of these variables on condom use. Read More

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http://dx.doi.org/10.1007/s10461-018-2349-1DOI Listing
December 2018

Experienced HIV-Related Stigma and Psychological Distress in Peruvian Sexual and Gender Minorities: A Longitudinal Study to Explore Mediating Roles of Internalized HIV-Related Stigma and Coping Styles.

AIDS Behav 2018 Dec 1. Epub 2018 Dec 1.

Fred Hutchinson Cancer Research Center, Seattle, USA.

Experiencing HIV-related stigma has important impacts on the mental health of people living with HIV, which has implications for treatment adherence, disease progression, and health outcomes. The impacts of stigma are particularly important to consider among sexual and gender minorities, who often face a disproportionate burden of HIV. To address the implications of stigma in these key populations, we leveraged a longitudinal study conducted among Peruvian sexual and gender minorities to compare the relative effects of multiple mediators affecting the relationship between experienced HIV-related stigma and psychological distress: internalized HIV-related stigma, adaptive coping, and maladaptive coping. Read More

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http://dx.doi.org/10.1007/s10461-018-2348-2DOI Listing
December 2018
1 Read

Lower Neurocognitive Functioning Disrupts the Effective Use of Internet-Based Health Resources in HIV Disease: The Mediating Effects of General Health Literacy Capacity.

AIDS Behav 2018 Dec 1. Epub 2018 Dec 1.

Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77004-5022, USA.

HIV-associated neurocognitive impairment is an independent predictor of low general health literacy, which can be associated with poor disease outcomes (e.g., viremia). Read More

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http://dx.doi.org/10.1007/s10461-018-2350-8DOI Listing
December 2018

Venue-Based HIV-Testing: An Effective Screening Strategy for High-Risk Populations in Lima, Peru.

AIDS Behav 2018 Nov 30. Epub 2018 Nov 30.

Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine, University of California, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA.

Venue-based testing may improve screening efforts for HIV and syphilis, thereby reducing transmission. We offered onsite rapid dual HIV and syphilis testing at venues popular among MSM and/or transgender women in Lima, Peru. We used Poisson regression to calculate adjusted prevalence ratios (aPRs) for factors associated with each infection. Read More

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http://dx.doi.org/10.1007/s10461-018-2342-8DOI Listing
November 2018
2 Reads

Unintended Pregnancy in Women Living with HIV in Sub-Saharan Africa: A Systematic Review and Meta-analysis.

AIDS Behav 2018 Nov 22. Epub 2018 Nov 22.

Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, The University of Newcastle, Newcastle, Australia.

In 2014, about 1.5 million pregnancies occurred among HIV-positive women in low and middle-income countries. To pool magnitude and factors associated with unintended pregnancy in women living with HIV in sub-Saharan Africa, a systematic search of electronic databases was undertaken in November 2016. Read More

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http://dx.doi.org/10.1007/s10461-018-2346-4DOI Listing
November 2018

Effect of an Educational Video to Increase Calls and Screening into an Anal Cancer Clinical Trial Among HIV+ Hispanics in PR: Results from a Randomized Controlled Behavioral Trial.

AIDS Behav 2018 Nov 22. Epub 2018 Nov 22.

Cancer Control and Population Sciences Program, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.

Anal cancer incidence is higher in persons living with HIV/AIDS (PLWHA) than in the general population. Participation of PLWHA in anal cancer clinical trials (CTs) is essential; Hispanic PLWHA are underrepresented in CTs. We conducted a behavioral CT among 305 PLWHA in Puerto Rico to measure the efficacy of an educational video in increasing calls and screening into an anal cancer CT. Read More

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http://dx.doi.org/10.1007/s10461-018-2330-zDOI Listing
November 2018
1 Read

Gender Differences and Psychosocial Factors Associated with Problem Drinking Among Adults Enrolling in HIV Care in Tanzania.

AIDS Behav 2018 Nov 21. Epub 2018 Nov 21.

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

Problem drinking is commonly reported among people living with HIV (PLWH), associated with suboptimal HIV care outcomes and differs by gender. Psychosocial factors associated with problem drinking among PLWH remain poorly understood, including whether they differ by gender. This analysis examines the relationship between psychosocial factors and problem drinking separately by gender among PLWH in Tanzania. Read More

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http://dx.doi.org/10.1007/s10461-018-2340-xDOI Listing
November 2018
3 Reads

Adherence to Antiretroviral Therapy Among Incarcerated Persons with HIV: Associations with Methadone and Perceived Safety.

AIDS Behav 2018 Nov 21. Epub 2018 Nov 21.

Department of Medicine, Section of Infectious Diseases, AIDS Program, Yale University School of Medicine, New Haven, CT, USA.

With adequate support, people with HIV (PWH) may achieve high levels of adherence to antiretroviral therapy (ART) during incarceration. We examined factors associated with ART utilization and adherence among incarcerated PWH (N = 150) in Indonesia. ART utilization was positively associated with HIV status disclosure (adjusted odds ratio [aOR] = 5. Read More

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http://dx.doi.org/10.1007/s10461-018-2344-6DOI Listing
November 2018
1 Read

Dual Unsafe Injection and Sexual Behaviors for HIV Infection Among People Who Inject Drugs in Iran.

AIDS Behav 2018 Nov 20. Epub 2018 Nov 20.

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

We used two national surveys (2010: N = 1597; 2013: N = 1057) of people who inject drugs (PWID) in past-month to assess the prevalence and population size of PWID with either safe or unsafe injection and sex behaviors, overall and by HIV status. In 2013, only 27.0% (vs. Read More

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http://dx.doi.org/10.1007/s10461-018-2345-5DOI Listing
November 2018

Depression Among Alcohol Consuming, HIV Positive Men on ART Treatment in India.

AIDS Behav 2018 Nov 17. Epub 2018 Nov 17.

Population Council, Mumbai, India.

Depression, as well as other psychosocial factors, remains largely unaddressed among people living with HIV (PLHIV) in low and middle-income countries. Depression is a common occurrence among PLHIV and is elevated in those who consume alcohol. This paper will document the presence of depressive symptoms in alcohol-consuming male PLHIV receiving antiretroviral treatment (ART) in India. Read More

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http://link.springer.com/10.1007/s10461-018-2339-3
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http://dx.doi.org/10.1007/s10461-018-2339-3DOI Listing
November 2018
3 Reads

A Systematic Review and Meta-analysis of Antiretroviral Therapy (ART) Adherence Interventions for Women Living with HIV.

AIDS Behav 2018 Nov 15. Epub 2018 Nov 15.

International Health Institute, Brown University School of Public Health, Providence, RI, USA.

A systematic review and meta-analysis was conducted to determine the efficacy of women-focused ART adherence interventions. Included studies (a) reported on a behavioral ART adherence intervention for cis-women living with HIV, (b) measured ART adherence as an outcome, and (c) employed a randomized controlled trial design. Thirteen studies were included in the meta-analysis. Read More

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http://link.springer.com/10.1007/s10461-018-2341-9
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http://dx.doi.org/10.1007/s10461-018-2341-9DOI Listing
November 2018
3 Reads

Moderated Mediation of Perceived Intoxication and Sexual Arousal on Determinants of Sexual Risk Behavior in Men Who Have Sex with Men.

AIDS Behav 2018 Nov 14. Epub 2018 Nov 14.

Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY, 13244, USA.

Behavioral interventions remain the preferred strategy for reducing HIV-related risk behavior among men who have sex with men (MSM), one of the populations most affected by HIV. To improve intervention efforts, research is needed to identify cognitive-motivational factors that may play a role in sexual risk behaviors among MSM. This study sought to replicate and extend previous work from a heterosexual population that identified a serial mediation effect of perceived intoxication and subjective sexual arousal in the relationship between alcohol consumption and determinants of sexual risk in a population of MSM. Read More

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http://dx.doi.org/10.1007/s10461-018-2343-7DOI Listing
November 2018
9 Reads

Enrollment in HIV Care and Treatment Clinic and Associated Factors Among HIV Diagnosed Patients in Magu District, Tanzania.

AIDS Behav 2018 Nov 14. Epub 2018 Nov 14.

Department of Epidemiology and Biostatistics, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

HIV care and treatment clinics (CTC) are important for management of HIV morbidity and mortality, and to reduce HIV transmission. Enrollment in HIV care and treatment clinics remains low in many developing countries. We followed up 632 newly diagnosed HIV patients aged 15 years and above from Magu District, Tanzania. Read More

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http://link.springer.com/10.1007/s10461-018-2338-4
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http://dx.doi.org/10.1007/s10461-018-2338-4DOI Listing
November 2018
3 Reads

Network Modeling of PrEP Uptake on Referral Networks and Health Venue Utilization Among Young Men Who Have Sex with Men.

AIDS Behav 2018 Nov 14. Epub 2018 Nov 14.

Departments of Medicine and Public Health Sciences and the Chicago Center for HIV Elimination, University of Chicago, 5837 South Maryland Avenue MC 5065, Chicago, IL, 60637, USA.

The objective of this study is to identify individual-level factors and health venue utilization patterns associated with uptake of pre-exposure prophylaxis (PrEP) and to evaluate whether PrEP uptake behavior is further diffused among young men who have sex with men (YMSM) through health venue referral networks. A sample of 543 HIV-seronegative YMSM aged 16-29 were recruited in 2014-2016 in Chicago, IL, and Houston, TX. Stochastic social network models were estimated to model PrEP uptake. Read More

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http://dx.doi.org/10.1007/s10461-018-2327-7DOI Listing
November 2018

An Integrated Examination of County- and Individual-Level Factors in Relation to HIV Pre-exposure Prophylaxis Awareness, Willingness to Use, and Uptake Among Men Who Have Sex with Men in the US.

AIDS Behav 2018 Nov 14. Epub 2018 Nov 14.

Department of Epidemiology, Emory University School of Public Health, 1518 Clifton Rd NE, Atlanta, GA, 30322, USA.

This study explored the extent to which county- and individual-level factors were associated with awareness, willingness to use, and use of pre-exposure prophylaxis (PrEP) among US men who have sex with men (MSM). We conducted multilevel analyses using a sample of 8338 MSM residing in 1257 US counties drawn from the 2014-2015 American Men's Internet Survey to examine these associations, with focuses on variation in PrEP outcomes across counties and proportion variation explained by county-level factors (HIV prevalence, racial composition, median household income, income inequality, health insurance coverage). Results showed that PrEP awareness varied moderately across counties (intraclass correlation coefficients [ICC] = 7. Read More

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http://dx.doi.org/10.1007/s10461-018-2334-8DOI Listing
November 2018

Late Presentation and Missed Opportunities for HIV Diagnosis in Guatemala.

AIDS Behav 2018 Nov 13. Epub 2018 Nov 13.

Department of Internal Medicine, Infectious Diseases Clinic, Roosevelt Hospital, Calzada Roosevelt y 5ª. Calle, zona 11, 01100, Guatemala City, Guatemala.

Early HIV diagnosis remains a challenge in many regions with delayed diagnosis resulting in increased morbidity and mortality. We conducted a retrospective cohort study of people living with HIV receiving outpatient care at a large tertiary referral center in Guatemala to describe the proportion of late presenters (LP) and missed opportunities for HIV diagnosis. Of 3686 patients, 2990 (81. Read More

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http://link.springer.com/10.1007/s10461-018-2331-y
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http://dx.doi.org/10.1007/s10461-018-2331-yDOI Listing
November 2018
3 Reads

Understanding the Time Needed to Link to Care and Start ART in Seven HPTN 071 (PopART) Study Communities in Zambia and South Africa.

AIDS Behav 2018 Nov 10. Epub 2018 Nov 10.

Department of Medicine, Imperial College, London, UK.

To achieve UNAIDS 90:90:90 targets at population-level, knowledge of HIV status must be followed by timely linkage to care, initiation and maintenance of antiretroviral therapy (ART) for all people living with HIV (PLHIV). Interpreting quantitative patterns using qualitative data, we investigate time taken to link to care and initiate ART amongst individuals aware of their HIV-status in high HIV-prevalence urban communities in the HPTN 071 (PopART) study, a community-randomised trial of a combination HIV prevention package, including universal testing and treatment, in 21 communities in Zambia and South Africa. Data are drawn from the seven intervention communities where immediate ART irrespective if CD4 count was offered from the trial-start in 2014. Read More

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http://link.springer.com/10.1007/s10461-018-2335-7
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http://dx.doi.org/10.1007/s10461-018-2335-7DOI Listing
November 2018
2 Reads

Maternal Motivation to Take Preventive Therapy in Antepartum and Postpartum Among HIV-Positive Pregnant Women in South Africa: A Choice Experiment.

AIDS Behav 2018 Nov 10. Epub 2018 Nov 10.

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

HIV-positive pregnant women who are initiated on lifelong antiretroviral therapy (ART) and isoniazid preventive therapy (IPT) have lower adherence rates after delivery. We quantified maternal motivation to take preventive therapy before and after delivery among pregnant women newly diagnosed with HIV. We enrolled pregnant women (≥ 18 years) with a recent HIV diagnosis (< 6 months) at 14 public primary health clinics in Matlosana, South Africa and followed them in the postpartum period. Read More

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http://link.springer.com/10.1007/s10461-018-2324-x
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http://dx.doi.org/10.1007/s10461-018-2324-xDOI Listing
November 2018
2 Reads

Cash Transfers, Young Women's Economic Well-Being, and HIV Risk: Evidence from HPTN 068.

AIDS Behav 2018 Nov 10. Epub 2018 Nov 10.

Carolina Population Center, University of North Carolina, Chapel Hill, NC, USA.

Despite the large interest in economic interventions to reduce HIV risk, little research has been done to show whether there are economic gains of these interventions for younger women and what intermediary role economic resources play in changing participants' sexual behavior. This paper contributes to this gap by examining the impacts of a conditional cash transfer (CCT) for young women in South Africa on young women's economic resources and the extent to which they play a role in young women's health and behavior. We used data from HIV Prevention Trials Network 068 study, which provided transfers to young women (in addition to their parents) conditional on the young woman attending at least 80% of school days in the previous month. Read More

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http://dx.doi.org/10.1007/s10461-018-2329-5DOI Listing
November 2018
2 Reads

Short Message Service (SMS) Surveys Assessing Pre-exposure Prophylaxis (PrEP) Adherence and Sexual Behavior are Highly Acceptable Among HIV-Uninfected Members of Serodiscordant Couples in East Africa: A Mixed Methods Study.

AIDS Behav 2018 Nov 7. Epub 2018 Nov 7.

Massachusetts General Hospital, Boston, USA.

Short message service (SMS) surveys are a promising data collection method and were used to measure sexual behavior and adherence to HIV pre-exposure prophylaxis (PrEP) among HIV-uninfected partners of serodiscordant couples enrolled in a sub-study of the Partners Demonstration Project (an open-label study of integrated antiretroviral therapy and PrEP for HIV prevention in Kenya and Uganda). Questionnaires were completed by 142 participants after study exit. Median age was 29 years; 69% were male. Read More

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http://link.springer.com/10.1007/s10461-018-2326-8
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http://dx.doi.org/10.1007/s10461-018-2326-8DOI Listing
November 2018
4 Reads

Factors Influencing the Risk of Becoming Sexually Active Among HIV Infected Adolescents in Kampala and Kisumu, East Africa.

AIDS Behav 2018 Nov 7. Epub 2018 Nov 7.

Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.

About 2.1 million adolescents aged 10-19 years are living with HIV, 80% of them in sub-Saharan Africa. Early sexual activity remains an important risk factor for HIV transmission and potentially result in negative health consequences including onward transmission of sexually transmitted infections. Read More

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http://link.springer.com/10.1007/s10461-018-2323-y
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http://dx.doi.org/10.1007/s10461-018-2323-yDOI Listing
November 2018
13 Reads

Stigma, the Media, and Pre-exposure Prophylaxis for HIV Prevention: Observations for Enhancing Knowledge Translation and Resisting Stigma in the Canadian Context.

AIDS Behav 2018 Nov 2. Epub 2018 Nov 2.

University of Victoria, Victoria, BC, Canada.

Pre-Exposure Prophylaxis (PrEP) is an effective, though sometimes stigmatized, strategy for HIV prevention. With the goal of examining how PrEP stigma can be addressed, this study examined the media's handling of stigma related to PrEP by searching the Canadian Newsstream and Daily Xtra news databases for key terms related to PrEP. Overall, 101 media articles were thematically coded in triplicate; 36. Read More

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http://link.springer.com/10.1007/s10461-018-2332-x
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http://dx.doi.org/10.1007/s10461-018-2332-xDOI Listing
November 2018
6 Reads

Associations Among Perceived HIV Risk, Behavioral Risk and Interest in PrEP Among Black Women in the Southern US.

AIDS Behav 2018 Nov 1. Epub 2018 Nov 1.

Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, USA.

Utilizing data from Southern women, we created an HIV risk index with expanded partner-level factors to better capture women who may benefit from HIV pre-exposure prophylaxis (PrEP). We examined the relationships between potential HIV risk as estimated by laboratory-confirmed bacterial STIs, HIV risk index, perceived HIV risk, and interest in PrEP. Women had multiple PrEP indications; partner characteristics better differentiated STI status than other indicators. Read More

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http://link.springer.com/10.1007/s10461-018-2333-9
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http://dx.doi.org/10.1007/s10461-018-2333-9DOI Listing
November 2018
4 Reads

Pharmacy Refill Data are Poor Predictors of Virologic Treatment Outcomes in Adolescents with HIV in Botswana.

AIDS Behav 2018 Nov 1. Epub 2018 Nov 1.

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

In adults living with HIV, pharmacy refill data are good predictors of virologic failure (VF). The utility of pharmacy refill data for predicting VF in adolescents has not been reported. We evaluated data from 291 adolescents on antiretroviral therapy. Read More

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http://link.springer.com/10.1007/s10461-018-2325-9
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http://dx.doi.org/10.1007/s10461-018-2325-9DOI Listing
November 2018
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Estimated Population Size of Men Who Have Sex with Men, San Francisco, 2017.

AIDS Behav 2018 Oct 31. Epub 2018 Oct 31.

University of California, San Francisco, San Francisco, CA, USA.

Current population size estimates of communities at risk for HIV are needed to adequately plan interventions and care. We update the estimated number of men who have sex with men (MSM) living in San Francisco. Multiple data sources and approaches, including population growth, registered HIV cases, wisdom of the crowd, and a published estimate on the proportion of adults who are MSM were used for estimation. Read More

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http://link.springer.com/10.1007/s10461-018-2321-0
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http://dx.doi.org/10.1007/s10461-018-2321-0DOI Listing
October 2018
6 Reads

Feasibility and Acceptability of Real-Time Antiretroviral Adherence Monitoring among Depressed Women Living with HIV in the Deep South of the US.

AIDS Behav 2018 Oct 30. Epub 2018 Oct 30.

School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.

This study presents feasibility and acceptability data on the use of a real-time wireless electronic adherence monitor (EAM), among African American women living with HIV with co-occurring depression, residing in remote areas of the Southeastern United States. EAM and self-report ART adherence was monitored over an average of 14.8 weeks among 25 participants who were recruited at four HIV clinics in Alabama. Read More

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http://link.springer.com/10.1007/s10461-018-2322-z
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http://dx.doi.org/10.1007/s10461-018-2322-zDOI Listing
October 2018
5 Reads

HIV Standard of Care for ART Adherence and Retention in Care Among HIV Medical Care Providers Across Four CNICS Clinics in the US.

AIDS Behav 2018 Oct 30. Epub 2018 Oct 30.

School of Public Health, University of Michigan, Ann Arbor, MI, USA.

Despite the issuance of evidence-based and evidence-informed guidelines to improve engagement in HIV care and adherence-related outcomes, few studies have assessed contemporary adherence or engagement support practices of HIV care providers in US clinics. As a result, the standard of HIV care in the US and globally remains poorly understood. This programmatic assessment approach aimed to identify the strengths and gaps in the current standard of HIV care from the perspective of HIV care providers. Read More

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http://dx.doi.org/10.1007/s10461-018-2320-1DOI Listing
October 2018

Making the Link: A Pilot Health Navigation Intervention to Improve Timely Linkage to Care for Men Who have Sex with Men and Transgender Women Recently Diagnosed with HIV in Guatemala City.

AIDS Behav 2018 Oct 30. Epub 2018 Oct 30.

Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.

We piloted a health navigation strategy to promote timely linkage to care among men who have sex with men (MSM) and transgender women (TW) recently diagnosed with HIV in Guatemala City. We used a mixed-methods approach, integrating quantitative data collected during clinic visits and qualitative data from in-depth interviews, to characterize acceptability of navigation and time to linkage, defined as having the first clinical care visit. Out of 54 participants who enrolled in the pilot (n = 52 MSM; n = 2 TW), 50 (92. Read More

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http://link.springer.com/10.1007/s10461-018-2328-6
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http://dx.doi.org/10.1007/s10461-018-2328-6DOI Listing
October 2018
2 Reads

Physical Activity Intensity is Associated with Symptom Distress in the CNICS Cohort.

AIDS Behav 2018 Oct 27. Epub 2018 Oct 27.

School of Medicine, Case Western Reserve University, Cleveland, OH, USA.

Symptom distress remains a challenging aspect of living with HIV. Physical activity is a promising symptom management strategy, but its effect on symptom distress has not been examined in a large, longitudinal HIV-infected cohort. We hypothesized that higher physical activity intensity would be associated with reduced symptom distress. Read More

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http://link.springer.com/10.1007/s10461-018-2319-7
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http://dx.doi.org/10.1007/s10461-018-2319-7DOI Listing
October 2018
9 Reads