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AIDS and Behavior

James T Lee, Lauren A Saag, Aaron M Kipp, James Logan, Bryan E Shepherd, John R Koethe, Megan Turner, Sally Bebawy, Timothy R Sterling, Todd Hulgan
Cannabis use is prevalent among HIV-positive persons, but evidence regarding the impact of cannabis in HIV-positive persons is limited. We conducted a retrospective cohort study of HIV-positive adults initiating their first antiretroviral therapy (ART) regimen. A dedicated intake form assessed self-reported cannabis use in the preceding 7 days at each visit. The relationships between time-varying cannabis use and body mass index (BMI), CD4+ T-cell count, and HIV-1 RNA levels were assessed using random effects models adjusted for age, sex, race, and other reported substance use...
February 18, 2019: AIDS and Behavior
J Chapin-Bardales, S Masciotra, A Smith, B E Hoots, A Martin, W M Switzer, W Luo, S M Owen, G Paz-Bailey
We evaluated characteristics associated with recent HIV infection among persons who inject drugs (PWID) from 19 U.S. cities who participated in 2012 National HIV Behavioral Surveillance. Recent infection was defined as having a reactive HIV test, a Bio-Rad Avidity index cutoff ≤ 30%, no reported HIV diagnosis ≥ 12 months before interview, and no evidence of viral suppression. Of 8667 PWID, 50 (0.6%) were recently HIV infected. Having a greater number of sex partners (≥ 2 partners vs. 0) [prevalence ratio (PR) 4...
February 18, 2019: AIDS and Behavior
Karen E Kun, Aleny Couto, Kebba Jobarteh, Rose Zulliger, Elpidia Pedro, Inacio Malimane, Andrew Auld, Marisa Meldonian
The Community Antiretroviral (ARV) Therapy Support Group (CASG) program aims to address low retention rates in Mozambique's HIV treatment program and the absorptive capacity of the country's health facilities. CASG provides patients with the opportunity to form groups, whose members provide peer support and collect ARV medications on a rotating basis for one another. Based on the promising results in one province, a multi-site level evaluation followed. We report on qualitative findings from this evaluation from the patient perspective on the role of social relationships (as facilitated through CASG) in conferring time, financial, educational and psychosocial benefits that contribute to improved patient retention...
February 15, 2019: AIDS and Behavior
Kaymarlin Govender, Sean Beckett, Wilfred Masebo, Carla Braga, Pemberai Zambezi, Marcia Manhique, Gavin George, Dick Durevall
Short Message Service (SMS) offers an innovative method of promoting sexual health to key and vulnerable populations who are users of mobile phones and are at high risk of HIV infection. This cluster randomised control trial tests the effectiveness of a SMS intervention in reducing HIV risk behaviours and improving HIV testing behaviours among truck drivers, sex workers and community residents located near Roadside Wellness Clinics (RWCs) in three southern African countries. The SMS arm received 35 HIV risk reduction and HIV testing SMSs over a 6-month period...
February 15, 2019: AIDS and Behavior
José A Bauermeister, Ryan C Tingler, Michele Demers, Daniel Connochie, Gage Gillard, John Shaver, Tanaka Chavanduka, Gary W Harper
Prevention of new cases of HIV among young gay, bisexual and other men who have sex with men (YGBMSM; ages 18-24) remains a priority. We developed and pilot tested an online intervention (myDEx) using a pilot randomized trial design with 180 online-recruited single YGBMSM who reported recent unprotected anal intercourse, self-reporting as HIV negative or status-unaware, and who met sexual partners through online dating applications. myDEx participants reported higher overall satisfaction (d = 0.46) and willingness to recommend the intervention to friends (d = 0...
February 14, 2019: AIDS and Behavior
Weibin Cheng, James E Egan, Qi Liu, Huifang Xu, Ron Stall, Mackey R Friedman
We examined sociodemographic and psychosocial factors associated with HIV testing patterns in the past 2 years among 492 HIV-negative men who have sex men (MSM) at an HIV testing center in Guangzhou, China. MSM who tested for HIV frequently were more likely to be older, reside in Guangzhou, and have higher monthly income. Compared with MSM who tested frequently, MSM who never tested were less likely to report that their sexual partner(s) had ever received HIV tests or that their good friends had ever received HIV tests, and were less likely to report having an HIV-positive gay friend or ever discussing HIV with sexual partners; they were more likely to report perceiving barriers to HIV testing...
February 14, 2019: AIDS and Behavior
Lam Tran, Phoebe Tran, Liem Tran
In the US, HIV testing has been key in the identification of new HIV cases, allowing for the initiation of antiretroviral treatment and a reduction in disease transmission. We consider the influence of living in a rural area (rurality) on HIV testing between different US regions and states as existing work in this area is limited. Using the 2012-2017 Behavioral Risk Factor Surveillance Systems surveys, we explored the independent role of rurality on having ever been tested for HIV and having a recent HIV test at the national, regional, and state levels by calculating average adjusted predictions (AAPs) and average marginal effects (AMEs)...
February 14, 2019: AIDS and Behavior
H Fisher Raymond, Jonathan M Snowden, John Guigayoma, Willi McFarland, Yea-Hung Chen
Efforts in San Francisco are maximizing the use of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) where high levels of use are needed to maximize reducing new HIV infections. National HIV Behavioral Surveillance surveys MSM in San Francisco. Demographics, health care and risk behaviors are assessed. PrEP use is measured for 12 month, 6 month and 30 day periods. Of 399 HIV uninfected men sampled in 2017, 43.4% used PrEP in the past 12 months. Proportions of men using PrEP by race/ethnicity were not significant at any time point...
February 13, 2019: AIDS and Behavior
Kimberly M Nelson, Kristen Underhill, Michael P Carey
This brief report presents a preliminary investigation of the relations between minor consent laws for HIV testing/treatment and testing behavior among adolescent sexual minority males (ASMM; N = 127; ages 14-17). Most participants had legal capacity to consent without parental/guardian permission (HIV testing: 79%; HIV testing/treatment: 65%). Despite having this legal right, few (15%) had ever tested. Capacity to consent was not associated with HIV testing in this sample; nevertheless, those who had not disclosed their sexual activity to parents/guardians were less likely to have tested...
February 12, 2019: AIDS and Behavior
Alissa Davis, Lyailya Sarsembayeva, Valeriy Gulyaev, Sholpan Primbetova, Assel Terlikbayeva, Gaukhar Mergenova, Robert H Remien
Adherence to antiretroviral therapy (ART) is an important predictor of long-term treatment success and is associated with optimal individual and public health outcomes. Novel technologies, such as electronic monitoring devices (EMDs) or pharmacokinetic testing, provide more objective measures of ART adherence than traditional measures of adherence (e.g., self-report) and may facilitate improved adherence through the provision of patient feedback. This study examines preferences for ART adherence monitoring among people who inject drugs (PWID) in Kazakhstan...
February 11, 2019: AIDS and Behavior
Bernadette Hensen, Elizabeth Fearon, Ab Schaap, James J Lewis, Helen A Weiss, Margaret Tembo, Namwinga Chintu, Helen Ayles, James R Hargreaves
Increased coverage of voluntary medical male circumcision (VMMC) is needed in countries with high HIV prevalence. We applied an HIV-prevention cascade to identify gaps in male circumcision coverage in Zambia. We used survey data collected in 2013 and 2014/15 to describe circumcision coverage at each time-point, and prevalence of variables related to demand for and supply of VMMC. We explored whether circumcision coverage in 2014/15 was associated with demand and supply among uncircumcised men in 2013. Results show that circumcision coverage was 11...
February 8, 2019: AIDS and Behavior
Julie H Levison, Margarita Alegría, Ye Wang, Sheri L Markle, Larmiar Fuentes, Dianna L Mejia, Andrew Tarbox, Lucía Albarracín García, Lucía Cellerino, Nabila El-Bassel
Latino immigrants with substance use and mental health problems are at risk for undiagnosed HIV and sexually transmitted infections (STIs). Participants in a randomized control trial were recruited in Boston, USA and Madrid and Barcelona, Spain. Eligibility criteria were Latino self-identification, age 18-70, elevated substance use and mental health symptoms, and not currently in substance or mental health care. A multinomial logistic regression examined predictors of HIV/STI testing decline and lost to follow-up (LTFU) prior to testing compared with acceptance...
February 8, 2019: AIDS and Behavior
Monica O Kuteesa, Mathew Quaife, Sam Biraro, Kenneth R Katumba, Janet Seeley, Anatoli Kamali, Damalie Nakanjako
We used a discrete choice experiment to assess the acceptability and potential uptake of HIV pre-exposure prophylaxis (PrEP) among 713 HIV-negative members of fishing communities in Uganda. Participants were asked to choose between oral pill, injection, implant, condoms, vaginal ring (women), and men circumcision. Product attributes were HIV prevention effectiveness, sexually transmitted infection (STI) prevention, contraception, waiting time, and secrecy of use. Data were analysed using mixed multinomial logit and latent class models...
February 8, 2019: AIDS and Behavior
Saeedeh Moayedi-Nia, Leila Taheri, Negin Hosseini Rouzbahani, Mehrnaz Rasoolinejad, Rana Nikzad, Mehrdad Eftekhar Ardebili, Minoo Mohraz
To date, no study has looked at the prevalence of HIV and the high-risk behaviors among transgender women in Iran. Between May 2013 and February 2014, 104 transgender women were recruited for participation in this study. Inclusion criteria consisted of having an official letter from the Tehran Psychiatric Institute, or a well-known psychiatrist, that showed a diagnosis of gender dysphoria and/or completed Gender-Affirming Surgery at least 6 months prior to this study. Of the 104 participants, 2 were diagnosed with HIV, which translates to a HIV prevalence of 1...
February 7, 2019: AIDS and Behavior
Rachel Rinehart, Deepa Rao, Rivet K Amico, Eduardo Ruiz, Peter Brandes, Cecilia Correa, Siavash Pasalar, Javier R Lama, Ann Duerr, Yamile Molina
Correction to: AIDS and Behavior (2018) 1-14 . In the original publication of the article, the given name of the second author was not correct. The name has been corrected with this erratum.
February 7, 2019: AIDS and Behavior
Meagan Zarwell, William T Robinson
The HIV burden among gay, bisexual, and other men who have sex with men (GBM) may be related to variations in network characteristics of the individual's social and sexual network. This study investigates variations in network properties among 188 Black and 295 White GBM recruited in New Orleans during the National HIV Behavioral Surveillance in 2014. Participants described up to five people who provided social support and five sex partners in the past 3 months. Network properties and network dissimilarity indicators were aggregated to the participant level as means or proportions and examined using PROC GLM...
February 6, 2019: AIDS and Behavior
Kiyomi Tsuyuki, Steven J Shoptaw, Yusuf Ransome, Gordon Chau, Carlos E Rodriguez-Diaz, Ruth K Friedman, Kriengkrai Srithanaviboonchai, Sue Li, Matthew J Mimiaga, Kenneth H Mayer, Steven A Safren
The effect of non-injection substance use on HIV viral load (VL) is understudied in international settings. Data are from HPTN063, a longitudinal observational study of HIV-infected individuals in Brazil, Thailand, and Zambia, with focus on men with VL data (Brazil = 146; Thailand = 159). Generalized linear mixed models (GLMM) assessed whether non-injection substance use (stimulants, cannabis, alcohol, polysubstance) was associated with VL undetectability. ART adherence and depressive symptoms were examined as mediators of the association...
February 6, 2019: AIDS and Behavior
Amanda Yoshioka-Maxwell, Eric Rice
Recent research shows high rates of poor behavioral health outcomes among homeless former foster youth, including increased risk for HIV-risk behaviors. In the current study, data were collected from 184 youth at drop-in centers in Los Angeles using behavioral health questionnaires to explore the relationships between specific aspects of foster care experiences and engagement in HIV-risk behaviors. Results indicated that youth whose first homelessness experience occurred before leaving foster care were significantly more likely to engage in drug use with sex and exchange sex than those whose first homelessness experience occurred after leaving foster care...
February 4, 2019: AIDS and Behavior
Margaret M Paschen-Wolff, Arjee Restar, Anisha D Gandhi, Stephanie Serafino, Theodorus Sandfort
As of 2017, the Centers for Disease Control and Prevention (CDC) HIV testing guidelines recommend that those at increased risk for HIV are tested two to four times per year. Evidence-based interventions that promote frequent and repeated testing remain sparse. We conducted a systematic review to: (1) identify frequent testing interventions; and (2) determine which were successful in increasing frequent testing rates. We searched PubMed, PsycINFO, Web of Science, Embase, and CINAHL for peer-reviewed articles published between January 1, 2010 and September 30, 2017...
February 1, 2019: AIDS and Behavior
Kellie Schueler, Matthew Ferreira, Georgios Nikolopoulos, Britt Skaathun, Dimitrios Paraskevis, Angelos Hatzakis, Samuel R Friedman, John A Schneider
Improved implementation of pre-exposure prophylaxis (PrEP) should be a valuable tool within communities experiencing high HIV incidence, such as black men who have sex with men (MSM). Using baseline data from the Chicago arm of the Transmission Reduction Intervention Project (TRIP), we examined awareness and use of PrEP within HIV potential transmission networks. Transmission Reduction Intervention Project recruited participants ages 18-69 (N = 218) during 2014-2016 from networks originating from recently and chronically HIV-infected MSM and transgender persons...
January 31, 2019: AIDS and Behavior
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