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AIDS Patient Care and STDs

Steven A John, H Jonathon Rendina, Tyrel J Starks, Christian Grov, Jeffrey T Parsons
Fewer than 60,000 males-inclusive of all sexual identities-were prescribed HIV pre-exposure prophylaxis (PrEP) by mid-2017 in the United States. Efforts to increase PrEP uptake among gay, bisexual, and other men who have sex with men (GBM), in particular, are ongoing in research and practice settings, but few tools exist to support interventions. We aimed to develop and validate tools to support motivational interviewing interventions for PrEP. In 2017, a national sample of HIV-negative GBM of relatively high socioeconomic status (n = 786) was asked about sexual behaviors that encompass Centers for Disease Control and Prevention guidelines for PrEP use, a 35-item decisional-balance scale (i...
January 17, 2019: AIDS Patient Care and STDs
Rupa R Patel, Amy S Nunn, Kenneth H Mayer, Timothy McBride, Ross C Brownson, Cheryl Oliver, Maria M Perez, Laura C Harrison, Amber Salter, John S Crane, Philip A Chan
No abstract text is available yet for this article.
January 16, 2019: AIDS Patient Care and STDs
Kathy K Byrd, Felicia Hardnett, Patrick G Clay, Ambrose Delpino, Ron Hazen, Michael D Shankle, Nasima M Camp, Sumihiro Suzuki, Paul J Weidle
Poor retention in HIV care is associated with higher morbidity and mortality and greater risk of HIV transmission. The Patient-Centered HIV Care Model (PCHCM) integrated community-based pharmacists with medical providers. The model required sharing of patient clinical information and collaborative therapy-related action planning. The proportion of persons retained in care (≥1 medical visit in each 6-month period of a 12-month measurement period with ≥60 days between visits), pre- and post-PCHCM implementation, was modeled using log binomial regression...
January 16, 2019: AIDS Patient Care and STDs
Catherine Tomko, Ju Nyeong Park, Sean T Allen, Jennifer Glick, Noya Galai, Michele R Decker, Katherine H A Footer, Susan G Sherman
Pre-exposure prophylaxis (PrEP) has the potential to be an empowering HIV prevention tool among female sex workers (FSW), yet little is known about PrEP awareness and interest in this population. Sex workers and Police Promoting Health in Risky Environments (SAPPHIRE) is a prospective cohort study of street-based FSW in Baltimore, MD. A cross-sectional analysis explored awareness and interest in PrEP among HIV-negative FSW. Multivariable Poisson regressions modeled associations between individual, interpersonal, and structural variables and PrEP awareness and interest...
January 11, 2019: AIDS Patient Care and STDs
Sarah K Calabrese, Mehrit Tekeste, Kenneth H Mayer, Manya Magnus, Douglas S Krakower, Trace S Kershaw, Adam I Eldahan, Lauren A Gaston Hawkins, Kristen Underhill, Nathan B Hansen, Joseph R Betancourt, John F Dovidio
Efforts to identify and address social inequities in HIV pre-exposure prophylaxis (PrEP) access are urgently needed. We investigated early-adopting PrEP prescribers' beliefs about how stigma contributes to PrEP access disparities in health care and explored potential intervention strategies within the context of PrEP service delivery. US-based PrEP prescribers were recruited through professional networks and participant referrals. Qualitative interviews were conducted, transcribed, and thematically analyzed...
February 2019: AIDS Patient Care and STDs
Renee Smith, Yanling Huo, Katherine Tassiopoulos, Richard Rutstein, Suad Kapetanovic, Claude Mellins, Deborah Kacanek, Kathleen Malee
Youth perinatally HIV infected (PHIV) or HIV exposed, but uninfected (PHEU), are aging into adolescence and adulthood with multiple complex risk factors for mental health (MH) problems and poor MH treatment utilization. Our aims were to estimate prevalence of MH diagnoses, clinically significant symptoms, and MH treatment utilization among youth with PHIV and among PHEU youth, 10-22 years old. We also aimed to identify correlates of diagnoses and treatment utilization. Analyses of data from standardized interviews, behavioral assessments, and chart review of 551 youth revealed that 36% had a previous or current MH diagnosis, with no significant HIV status group differences...
January 2019: AIDS Patient Care and STDs
Gary W Harper, Laura A Jadwin-Cakmak, Elliot Popoff, Bré Anne Campbell, Ricky Granderson, Linda M Wesp
Transgender and other gender-diverse youth (TGDY) are disproportionately affected by HIV and in need of developmentally and culturally appropriate services as they progress along the HIV continuum of care (CoC). We conducted a phenomenological analysis of 66 in-depth interviews with TGDY living with HIV (ages 16-24) from 14 cities across the United States about their experiences within the different stages of the HIV CoC. TGDY described experiencing a wide variety of barriers across each examined stage of the HIV CoC, including HIV testing, linkage to care, retention in care, initiation of antiretroviral therapy, and adherence to antiretroviral therapy...
January 2019: AIDS Patient Care and STDs
Emily H Adhikari, Casey S Yule, Scott W Roberts, Vanessa L Rogers, Jeanne S Sheffield, Mary Ann Kelly, Donald D McIntire, Arti Barnes
Pregnant women living with HIV are at risk for loss to follow-up and viral rebound after delivery. We conducted a retrospective cohort study of women with HIV who delivered at Parkland Hospital, Dallas, to identify factors associated with postpartum loss to HIV care 1 year after delivery. Logistic regression was used to identify factors predicting loss to follow-up. For a subset of women, we compared odds of viremia detectable at delivery and postpartum among women with higher versus lower pill burden regimens...
January 2019: AIDS Patient Care and STDs
Matthew J Mimiaga, Laura M Bogart, Idia B Thurston, Christopher M Santostefano, Elizabeth F Closson, Margie R Skeer, Katie B Biello, Steven A Safren
Adolescents are disproportionately impacted by HIV in the United States. Optimal effects from antiretroviral therapy (ART) can be achieved through stringent adherence to a daily medication regimen; for adolescents, this may be interrupted due to complex barriers unique to this age group. We previously conducted formative qualitative interviews with HIV-infected adolescents to identify key barriers facing adolescents regarding ART adherence and potential strategies to address these barriers. These data were used to inform an ART adherence intervention designed to overcome difficulties unique to HIV-infected adolescents (e...
January 2019: AIDS Patient Care and STDs
Lauren B Beach, George J Greene, Peter Lindeman, Amy K Johnson, Christian N Adames, Matthew Thomann, Patrick C T Washington, Gregory Phillips
Young men who have sex with men (YMSM) are disproportionally impacted by HIV, and continue to lag behind other age groups in the receipt of HIV prevention and care services. To inform the development of interventions to improve pre-exposure prophylaxis and HIV care engagement outcomes among YMSM, a growing number of studies have reported the barriers and facilitators YMSM encounter when accessing HIV services. Few studies, however, have assessed how HIV service providers perceive these facilitators and barriers...
November 2018: AIDS Patient Care and STDs
Amanda E Tanner, Eunyoung Y Song, Lilli Mann-Jackson, Jorge Alonzo, Katherine Schafer, Samuella Ware, J Manuel Garcia, Elias Arellano Hall, Jonathan C Bell, Cornelius N Van Dam, Scott D Rhodes
Young racial/ethnic minority men who have sex with men (MSM) and transgender women with HIV often have poor health outcomes. They also utilize a wide array of social media. Accordingly, we developed and implemented weCare, a social media intervention utilizing Facebook, texting, and GPS-based mobile social and sexual networking applications to improve HIV-related care engagement and health outcomes. We compared viral load suppression and clinic appointment attendance among 91 participants during the 12-month period before and after weCare implementation...
November 2018: AIDS Patient Care and STDs
Michael A Horberg, Jackie G Blank, Kevin B Rubenstein, Julia M Certa, Leo B Hurley, Peter M Kadlecik, Daniel B Klein, Michael J Silverberg
Kaiser Permanente Mid-Atlantic States (KPMAS) members are increasingly utilizing electronic encounter types, such as telephone appointments and secure messaging for healthcare purposes, although their impact on health outcomes is unknown. We evaluated whether use of alternative encounters by adult human immunodeficiency virus (HIV)-infected patients affected the likelihood of achieving viral suppression (VS). Our study population of 3114 patients contributed 6520 patient-years between 2014 and 2016. We compared VS (HIV RNA <200 copies/mL) by number of in-person visits (1 or ≥2), with further stratification for additional phone and/or e-mail encounters (none, phone only, e-mail only, and both phone and e-mail)...
November 2018: AIDS Patient Care and STDs
Sylvia Shangani, Violet Naanyu, Don Operario, Becky Genberg
In sub-Saharan Africa, men who have sex with men (MSM) experience high HIV prevalence, in part, due to stigma and discrimination creating barriers to engagement in prevention and care services. We examined the reliability and validity of measures of stigma and satisfaction with healthcare providers, as well as explored whether scores on the factors varied across sociodemographic variables among MSM in western Kenya. A mixed-methods design using a sequential triangulation approach was adopted, involving a survey of 89 MSM and 10 key informant interviews...
November 2018: AIDS Patient Care and STDs
Anita Raj, Jennifer Yore, Lianne Urada, Daniel P Triplett, Florin Vaida, Laramie R Smith
This study assesses effects of a community-based intervention across seven sites in the United States on HIV care utilization and study retention, among people living with HIV (PLWH). A two-armed study was conducted from 2013 to 2016 in each of seven community-based agencies across the United States. Each site conducted interventions involving community engagement approaches in the form of case management or patient navigation. Control conditions were standard of care involving referral to HIV clinical care...
November 2018: AIDS Patient Care and STDs
Jason Zucker, Benjamin Patterson, Tanya Ellman, Jacek Slowikowski, Susan Olender, Peter Gordon, Ellen A B Morrison, Magdalena E Sobieszczyk
Even though over the last 25 years, the Centers for Disease Control and Prevention recommendations for HIV screening have expanded to encompass population-wide screening in all healthcare settings, and despite the availability of pre-exposure prophylaxis (PrEP), a large proportion of individuals at risk of infection are not linked to prevention care. We evaluated missed opportunities for HIV screening and linkage to PrEP from 2006 through 2017 at an urban academic medical center serving a predominantly minority community...
November 2018: AIDS Patient Care and STDs
Judy Y Tan, Chadwick K Campbell, Amy A Conroy, Alyssa P Tabrisky, Susan Kegeles, Shari L Dworkin
The primary romantic relationship may offer critical opportunities for improving HIV care among key populations affected by high rates of HIV infection and low rates of care engagement, such as black men who have sex with men. A conceptual framework is needed to identify dyadic processes involved in addressing challenges in retention in care and adherence to antiretroviral therapy. This study conducted dyadic and individual-level qualitative analyses of individual interviews with men living with HIV from 14 black gay couples (n = 28)...
November 2018: AIDS Patient Care and STDs
JeeWon Cheong, Jalie A Tucker, Susan D Chandler
Advancing HIV prevention and treatment among at-risk Southern communities of color requires understanding why voluntary HIV testing is accepted or declined. Reasons for testing decisions were investigated among young African American women (n = 223, mean age = 20.4 years) recruited from disadvantaged areas in a Southern US city. A free HIV test was offered following field interviews that assessed HIV risk behaviors and personal and social network characteristics; 69.1% accepted testing, and all were seronegative...
October 17, 2018: AIDS Patient Care and STDs
Angela R Bazzi, Dea L Biancarelli, Ellen Childs, Mari-Lynn Drainoni, Alberto Edeza, Peter Salhaney, Matthew J Mimiaga, Katie B Biello
People who inject drugs (PWID) experience sexual and injection-related HIV risks, but uptake of pre-exposure prophylaxis (PrEP) for HIV prevention among PWID has been low. Improving PrEP uptake in this population will require understanding of PrEP knowledge and interest. In 2017, we conducted in-depth, semistructured interviews with HIV-uninfected PWID and key informants (PrEP and harm reduction providers) in the US Northeast. Thematic analysis of coded data explored PrEP knowledge and the factors that influence PrEP interest...
October 11, 2018: AIDS Patient Care and STDs
Ellen A Almirol, Moira C McNulty, Jessica Schmitt, Rebecca Eavou, Michelle Taylor, Audra Tobin, Kimberly Ramirez, Nancy Glick, Madison Stamos, Stephanie Schuette, Jessica P Ridgway, David Pitrak
Women account for 25% of all people living with HIV and 19% of new diagnoses in the United States. African American (AA) women are disproportionately affected. Yet, differences in the care continuum entry are not well understood between patient populations and healthcare sites. We aim to examine gender differences in diagnosis and linkage to care (LTC) in the Expanded HIV Testing and Linkage to Care (X-TLC) program within healthcare settings. Data were collected from 14 sites on the South and West sides of Chicago...
October 2018: AIDS Patient Care and STDs
Olga Tymejczyk, Kelly Jamison, Preeti Pathela, Sarah Braunstein, Julia A Schillinger, Denis Nash
Outcomes among people living with HIV (PLWH) in New York City (NYC) remain suboptimal. To assess the potential role of the city's sexual health clinics (SHCs) in improving HIV outcomes and reducing HIV transmission, we examined HIV care status and its correlates among HIV-positive SHC patients in NYC. Clinic electronic medical records were merged with longitudinal NYC HIV surveillance data to identify HIV-positive patients and derive their retrospective and prospective HIV care status. Evidence of HIV care and viral load suppression (VLS) after clinic visit were considered outcomes...
October 2018: AIDS Patient Care and STDs
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