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Comparison of Two Distinct House Ball Communities Involved in an HIV Prevention Study: Baseline Data from the POSSE Project. 参与HIV预防研究的两个不同的House Ball社区的比较:来自POSSE项目的基线数据。
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-01 Epub Date: 2019-10-07 DOI: 10.1080/15381501.2019.1673868
Sybil Hosek, Marne Castillo, Anna Hotton, Christopher Balthazar, Bevin Gwiazdowski, Richard Laboy, Kortez Davis, Diana Lemos, Gary W Harper, Margo Bell

For many Black/African American gay, bisexual, and other young men who have sex with men (B-GBMSM), the House/Ball Community (HBC) offers a social network where they can be free to express diverse sexual and gender identities, but HIV prevalence and stigma are high. The POSSE project is an effectiveness-implementation trial of a popular opinion leader intervention designed to address HIV prevention in the Chicago and Philadelphia HBCs. In June 2016 baseline behavioral data were collected along with HIV, gonorrhea and Chlamydia testing. Eligible participants were sexually-active YMSM or transgender women (TGW), between the ages of 15-24, who self-identified as Black. One-third participants (32.5%) met or exceeded the clinical cut-off for depressive symptoms. Approximately 18% of the participants across both cities reported that they were HIV-positive. Overall, the baseline data establishes the need for HIV and STI prevention interventions across both cities, as well as interventions to address other co-occurring epidemics.

对于许多黑人/非裔美国男同性恋者、双性恋者和其他与男性发生性关系的年轻男性(B-GBMSM)来说,House/Ball社区(HBC)提供了一个社交网络,他们可以自由地表达不同的性和性别身份,但艾滋病毒的患病率和污名很高。POSSE项目是一项旨在解决芝加哥和费城负担沉重地区艾滋病预防问题的民意领袖干预的有效性实施试验。2016年6月,基线行为数据与艾滋病毒、淋病和衣原体检测一起收集。符合条件的参与者是性活跃的YMSM或变性女性(TGW),年龄在15-24岁之间,自认为是黑人。三分之一的参与者(32.5%)达到或超过了抑郁症状的临床临界值。两个城市中大约18%的参与者报告说他们是艾滋病毒阳性。总体而言,基线数据确定了这两个城市需要采取预防艾滋病毒和性传播感染的干预措施,以及采取措施应对其他同时发生的流行病。
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引用次数: 5
Sexual negotiation skills and risky behavior on sexual partnerships, HIV knowledge, and risk perception among urban youth of color: A latent class analysis. 城市有色人种青年在性伙伴关系、HIV知识和风险感知方面的性谈判技巧和风险行为:一个潜在阶层分析。
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-01 Epub Date: 2019-07-05 DOI: 10.1080/15381501.2019.1632237
David T Lardier, Ijeoma Opara, Andriana Herrera, Melissa Henry, Pauline Garcia-Reid, Robert J Reid

Adolescents of color in urban communities are at high risk for contracting HIV, unlikely to have access to HIV testing services, or any other form of screening services. Using latent class analysis among a sample of African American/Black (48.1%) and Hispanic/Latina(o) (42%) youth (N = 668; M age = 16.30; 51% female), this study examined the association cluster group membership, based on sexual negotiation skills and risk behavior, had on HIV knowledge, perception of risk, and the number of sexual partners. Five distinct cluster groups emerged, with significant heterogeneity observed between cluster groups on select dependent variables. A larger proportion of the study participants were in cluster groups that identified higher levels of sexual negotiation skills; however, variation was present based on risk behaviors. Results provide useful recommendations for research on HIV/AIDS and risk behaviors, as well prevention-intervention programing among urban youth of color.

城市社区的有色人种青少年感染艾滋病毒的风险很高,不太可能获得艾滋病毒检测服务或任何其他形式的筛查服务。在非裔美国人/黑人(48.1%)和西班牙裔/拉丁裔(42%)青年样本中使用潜在类别分析(N = 668;M年龄= 16.30;(51%女性),本研究考察了基于性谈判技巧和风险行为的协会集群成员,对艾滋病毒知识,风险感知和性伴侣数量的影响。出现了五个不同的集群组,在选择的因变量上,集群组之间观察到显著的异质性。更大比例的研究参与者在群集组中,他们的性谈判技巧水平更高;然而,风险行为存在差异。研究结果为研究城市有色人种青少年的艾滋病毒/艾滋病及其危险行为以及预防干预方案提供了有益的建议。
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引用次数: 9
HIV Self-Testing Knowledge and Attitudes at Sports-based HIV Prevention Tournaments in Nairobi, Kenya. 肯尼亚内罗毕以体育为基础的艾滋病毒预防锦标赛中的艾滋病毒自我检测知识和态度。
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-01 Epub Date: 2019-06-09 DOI: 10.1080/15381501.2019.1620663
Caroline J Vrana-Diaz, Danielle R Stevens, Enouce Ndeche, Jeffrey E Korte

HIV remains a major health problem in sub-Saharan Africa, and innovations - such as HIV self-testing (HST) - that break down barriers to testing are required to move toward elimination. Four anonymous cross-sectional surveys were conducted assessing HST knowledge and attitudes among sports-based HIV prevention tournament attendees in Nairobi, Kenya. Results suggest HST may increase testing rates in this population. Participants expressed interest in using HST and were willing to use HST as a tool to motivate others. This poses a unique opportunity for a community intervention aimed to increase knowledge of HST, and to increase HIV testing rates using HST kits.

艾滋病毒仍然是撒哈拉以南非洲的一个主要健康问题,需要创新——例如艾滋病毒自我检测——打破检测障碍,才能走向消除。在肯尼亚内罗毕进行了四项匿名横断面调查,评估了体育艾滋病毒预防锦标赛参与者的HST知识和态度。结果表明HST可能会增加这一人群的检测率。参与者表示有兴趣使用HST,并愿意使用HST作为激励他人的工具。这为社区干预提供了一个独特的机会,旨在提高对HST的认识,并提高使用HST试剂盒的艾滋病毒检测率。
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引用次数: 3
Alcohol use, mental health, and parenting practices among HIV-positive mothers. HIV 阳性母亲的酗酒、心理健康和养育方式。
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-01 Epub Date: 2019-04-21 DOI: 10.1080/15381501.2019.1596185
Marya T Schulte, William Marelich, H Isabella Lanza, Nada M Goodrum, Lisa Armistead, Debra A Murphy

Mothers living with HIV (MLH) must balance childcare, their illness, and oftentimes other mental health problems/stressors. It is important to understand how a maladaptive coping strategy, (alcohol use) is linked to poorer parenting practices. We assessed the relationship between mental health/coping (anxiety, depression, alcohol use, social support) and parenting/family dimensions (communication, parenting style/stress, family routines/cohesion) among 152 MLH. Mothers reporting more psychiatric symptoms and less social support also reported poorer parenting practices and interactions. Further, MLH who used more alcohol reported less parenting involvement and fewer family interactions. Alcohol use, even at subclinical levels, can negatively impact the parent-child relationship.

感染艾滋病病毒(MLH)的母亲必须在照顾孩子、自身疾病以及其他心理健康问题/压力之间取得平衡。了解适应不良的应对策略(酗酒)与较差的养育行为之间的关系非常重要。我们评估了 152 名精神病患者的心理健康/应对(焦虑、抑郁、酗酒、社会支持)与养育/家庭层面(沟通、养育方式/压力、家庭常规/凝聚力)之间的关系。报告有较多精神症状和较少社会支持的母亲也报告了较差的养育方式和互动。此外,酗酒较多的母亲在养育子女和家庭互动方面的参与较少。酗酒,即使是亚临床水平的酗酒,也会对亲子关系产生负面影响。
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引用次数: 0
McDonnell, T. E. (2016). Best laid plans: Cultural entropy and the unraveling of AIDS media campaigns. 麦克唐纳,t.e.(2016)。最佳计划:文化熵和艾滋病媒体运动的瓦解。
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1451795
Yong Gun Lee
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引用次数: 1
In what ways do religious congregations address HIV? examining predictors of different types of congregational HIV activities 宗教集会如何应对艾滋病毒?检验不同类型聚集性HIV活动的预测因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1477641
Malcolm V Williams, K. Derose, Ann C. Haas, Beth Ann Griffin, B. Fulton
Abstract Religious congregations play an important role in HIV prevention and care. However, most research on congregation-based HIV activities has focused on prevention. Using data from a nationally representative survey of U.S. congregations, this study found that 18.6% of congregations were engaged in some type of HIV activity; 8.7% engaged in prevention; 7.6% offered support to people with HIV; 7.4% raised awareness; and 7.6% provided donations for other organizations’ HIV activities. Among congregations that participate in some type of HIV activities, having more educated clergy is associated with higher odds of engaging in support, raising awareness, and giving donations relative to prevention activities. Being a predominantly African-American congregation is associated with lower odds of these other three types of HIV activities compared to prevention activities. Understanding the factors associated with specific types of HIV activities helps inform policy and practice related to congregation-based HIV programming.
摘要宗教集会在预防和护理艾滋病毒方面发挥着重要作用。然而,大多数关于基于会众的艾滋病毒活动的研究都集中在预防上。这项研究使用了一项具有全国代表性的美国会众调查的数据,发现18.6%的会众参与了某种类型的艾滋病毒活动;8.7%从事预防工作;7.6%的人向艾滋病毒感染者提供支持;7.4%的人提高了认识;7.6%为其他组织的艾滋病毒活动提供捐款。在参与某种类型的艾滋病毒活动的会众中,拥有受过更多教育的神职人员,参与支持、提高认识和捐赠预防活动的几率更高。与预防活动相比,作为一个以非裔美国人为主的会众,其他三种类型的艾滋病毒活动的几率较低。了解与特定类型的艾滋病毒活动相关的因素有助于为基于会众的艾滋病毒方案制定相关的政策和实践提供信息。
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引用次数: 5
Image-Sharing Via Social Media: Reflections from an Ethnically- and Age-Diverse Sample of People Living with HIV in the Midwest 通过社交媒体分享图像:来自中西部不同种族和年龄的艾滋病毒感染者样本的反思
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1519479
E. Koegler, T. Thomson, A. G. Speno, M. Teti
Abstract Social media is increasingly being used to support people living with HIV (PLWH). Existing research has not examined the use of images on social media. This study explored the benefits and challenges of using visual social media to support health among ethnically/racially diverse middle-aged adults with HIV in a major midwestern city. This qualitative study utilized posters created from a parent photovoice project to explore participants’ (N = 15) use of social media, interest in viewing posters via social media, and interest in creating their own photo stories for social media. Benefits for social media use included connecting with other PLWH, education, and sharing empowering messages. Challenges were limited technical ability, dislike of/inappropriate use of social media, and concerns for anonymity. Our findings suggest that PLWH want to see photo stories of others living with HIV and that the benefit of viewers creating and sharing their own stories on social media is worth exploring.
社交媒体越来越多地用于支持艾滋病毒感染者(PLWH)。现有的研究并没有调查社交媒体上图片的使用情况。本研究探讨了在中西部一个主要城市使用视觉社交媒体来支持不同种族/种族的中年艾滋病毒感染者的健康的好处和挑战。本定性研究利用父母photovoice项目制作的海报来探索参与者(N = 15)对社交媒体的使用,通过社交媒体观看海报的兴趣,以及为社交媒体创作自己的照片故事的兴趣。使用社交媒体的好处包括与其他PLWH联系,教育和分享授权信息。挑战是有限的技术能力,不喜欢/不恰当地使用社交媒体,以及对匿名的担忧。我们的研究结果表明,PLWH希望看到其他艾滋病毒感染者的照片故事,观众在社交媒体上创作和分享自己的故事的好处值得探索。
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引用次数: 2
Barriers to safe-sex behavior change in Zambia: Perspectives from HIV/AIDS psychosocial counselors 赞比亚改变安全性行为的障碍:来自艾滋病毒/艾滋病心理咨询师的观点
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1519478
Sherinah K Saasa, Y. Choi, L. Nackerud
Abstract Despite being one of the Sub-Saharan African countries most affected by HIV/AIDS, few studies address the mismatch between continued practices of high-risk sexual behaviors considering increased HIV/AIDS knowledge in Zambia. This article reports findings from an exploratory qualitative study that addressed the research question, “What are the attitudinal, cultural, interpersonal, and contextual barriers to safer sexual behavior change among the Zambian population?” The study involved semistructured interviews with eight psychosocial counselors from two Zambian cities who provide HIV testing and counseling services. Data were analyzed using the constant comparative method. Findings indicated individual level barriers including gendered differences, adolescent specific barriers, and issues related to illiteracy. Lack of communication and perceived meaning of condom use emerged as factors influencing unsafe sex at partner levels. Community level factors included high rates of poverty, substance abuse, availability of antiretroviral therapy, inconsistent condom supplies, cultural beliefs, unemployment, and limited recreational activities.
尽管赞比亚是受艾滋病毒/艾滋病影响最严重的撒哈拉以南非洲国家之一,但考虑到艾滋病毒/艾滋病知识的增加,很少有研究解决高风险性行为的持续做法之间的不匹配。本文报告了一项探索性定性研究的结果,该研究解决了研究问题,“赞比亚人口中改变安全性行为的态度、文化、人际关系和背景障碍是什么?”这项研究包括对来自赞比亚两个城市的8名提供艾滋病毒检测和咨询服务的心理咨询师进行半结构化访谈。数据分析采用恒定比较法。研究结果表明,个体层面的障碍包括性别差异、青少年特有的障碍以及与文盲有关的问题。在伴侣层面上,缺乏沟通和对使用避孕套意义的理解是影响不安全性行为的因素。社区层面的因素包括贫困率高、药物滥用、抗逆转录病毒治疗的可获得性、避孕套供应不一致、文化信仰、失业和娱乐活动有限。
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引用次数: 2
Correlates and Predictors of Medication Adherence in Outpatients Living with HIV/AIDS 门诊HIV/AIDS患者药物依从性的相关因素和预测因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1502709
S. Dalmida, Katryna McCoy, H. Koenig, A. Miller, M. McDonnell Holstad, T. Thomas, Dora Clayton-Jones, Mary Grant, Terri Fleming, Menka Munira Wirani, C. Mugoya
Abstract Antiretroviral therapy (ART) is important in HIV outcomes and HIV prevention. However, ART adherence remains suboptimal in people living with HIV/AIDS (PLWH). This study examined associations among ART adherence and demographic, psychosocial, and religious factors in a sample of 292 PLWH. Average age of participants was 45.1 ± 7.8 years and they had been living with HIV for 10.8 ± 7.0 years, on average. Mean ART adherence scores differed significantly between participants based on age (F = 5.861, p = .016), depressive symptom status (F = 17.61, p < .0001), religious attendance (F = 5.901, p = .016), and prayer (F = 5.791, p = .017). Only age, social support, prayer, and negative religious coping were significant predictors of ART adherence, in a multivariate regression model. Higher ART adherence scores were significantly associated with being older than 50 years (β = .17, p = .014), greater social support satisfaction (β = .15, p = .031), praying daily or more (β = .17, p = .021) and lower negative religious coping scores (β = −.18, p = .014). Clinicians should assess/address these factors during ART treatment counseling.
摘要抗逆转录病毒疗法(ART)在HIV治疗和预防中具有重要意义。然而,在艾滋病毒/艾滋病患者中,抗逆转录病毒疗法的依从性仍然不理想。本研究调查了292名PLWH样本中抗逆转录病毒疗法依从性与人口统计学、心理社会和宗教因素之间的关系。参与者的平均年龄为45.1岁 ± 7.8年,他们感染艾滋病毒10.8年 ± 平均7.0年。受试者的平均抗逆转录病毒治疗依从性评分因年龄而有显著差异(F = 5.861,p = .016),抑郁症状状态(F = 17.61,p < .0001),宗教出席(F = 5.901,p = .016)和祈祷(F = 5.791,p = .017)。在多元回归模型中,只有年龄、社会支持、祈祷和消极的宗教应对是ART依从性的重要预测因素。ART依从性评分越高与年龄大于50岁显著相关(β = .17,p = .014),更高的社会支持满意度(β = .15,p = .031),每天或更多地祈祷(β = .17,p = .021)和较低的消极宗教应对得分(β = −.18,p = .014)。临床医生应在ART治疗咨询期间评估/解决这些因素。
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引用次数: 2
The Frightening Rise of HIV in Pakistan and the Need for Immediate Remediation 艾滋病毒在巴基斯坦的可怕上升和立即补救的必要性
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1514345
G. Nabi, R. McLaughlin, M. Waqar, Suliman Khan, S. Ullah
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引用次数: 3
期刊
Journal of HIV-AIDS & Social Services
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