Pub Date : 2023-07-01DOI: 10.1521/aeap.2023.35.suppA.67
Megan E Peck, Katherine Ong, Todd Lucas, Anne G Thomas, Ronald Wandira, Bene Ntwaaga, Mandzisi Mkhontfo, Tiruneh Zegeye, Fikirte Yohannes, Dejene Mulatu, Teruwork Gultie, Ambrose Wanyonyi Juma, Elijah Odoyo-June, Alice Maida, Wezi Msungama, Marcos Canda, Gram Mutandi, Brigitte L T Zemburuka, Ida Kankindi, Peter Vranken, Nandi Maphothi, Dayanund Loykissoonlal, Sudhir Bunga, Jonathan M Grund, Kokuhumbya J Kazaura, Geoffrey Kabuye, Omega Chituwo, Brian Muyunda, Royd Kamboyi, Godfrey Lingenda, John Mandisarisa, Amy Peterson, Rickie Malaba, Sinokuthemba Xaba, Talent Moyo, Carlos Toledo
Voluntary medical male circumcision (VMMC) is an HIV prevention intervention that has predominantly targeted adolescent and young men, aged 10-24 years. In 2020, the age eligibility for VMMC shifted from 10 to 15 years of age. This report describes the VMMC client age distribution from 2018 to 2021, at the site, national, and regional levels, among 15 countries in southern and eastern Africa. Overall, in 2018 and 2019, the highest proportion of VMMCs were performed among 10-14-year-olds (45.6% and 41.2%, respectively). In 2020 and 2021, the 15-19-year age group accounted for the highest proportion (37.2% and 50.4%, respectively) of VMMCs performed across all age groups. Similarly, in 2021 at the site level, 68.1% of VMMC sites conducted the majority of circumcisions among men aged 15-24 years. This analysis highlights that adolescent boys and young men are the primary recipients of VMMC receiving an important lifetime reduction in HIV risk.
{"title":"Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018-2021.","authors":"Megan E Peck, Katherine Ong, Todd Lucas, Anne G Thomas, Ronald Wandira, Bene Ntwaaga, Mandzisi Mkhontfo, Tiruneh Zegeye, Fikirte Yohannes, Dejene Mulatu, Teruwork Gultie, Ambrose Wanyonyi Juma, Elijah Odoyo-June, Alice Maida, Wezi Msungama, Marcos Canda, Gram Mutandi, Brigitte L T Zemburuka, Ida Kankindi, Peter Vranken, Nandi Maphothi, Dayanund Loykissoonlal, Sudhir Bunga, Jonathan M Grund, Kokuhumbya J Kazaura, Geoffrey Kabuye, Omega Chituwo, Brian Muyunda, Royd Kamboyi, Godfrey Lingenda, John Mandisarisa, Amy Peterson, Rickie Malaba, Sinokuthemba Xaba, Talent Moyo, Carlos Toledo","doi":"10.1521/aeap.2023.35.suppA.67","DOIUrl":"10.1521/aeap.2023.35.suppA.67","url":null,"abstract":"<p><p>Voluntary medical male circumcision (VMMC) is an HIV prevention intervention that has predominantly targeted adolescent and young men, aged 10-24 years. In 2020, the age eligibility for VMMC shifted from 10 to 15 years of age. This report describes the VMMC client age distribution from 2018 to 2021, at the site, national, and regional levels, among 15 countries in southern and eastern Africa. Overall, in 2018 and 2019, the highest proportion of VMMCs were performed among 10-14-year-olds (45.6% and 41.2%, respectively). In 2020 and 2021, the 15-19-year age group accounted for the highest proportion (37.2% and 50.4%, respectively) of VMMCs performed across all age groups. Similarly, in 2021 at the site level, 68.1% of VMMC sites conducted the majority of circumcisions among men aged 15-24 years. This analysis highlights that adolescent boys and young men are the primary recipients of VMMC receiving an important lifetime reduction in HIV risk.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11002756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10055643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1521/aeap.2023.35.suppA.20
Ashleigh L Howard, Laura Chiang, Viani Picchetti, Liping Zhu, Jennifer Hegle, Pragna Patel, Janet Saul, Lydia Wasula, Sophie Nantume, Rachel Coomer, Rahimisa Kamuingona, Rose Patricia Oluoch, Tendayi Mharadze, Meghan Duffy, Caroline A Kambona, Puleng Ramphalla, Kamagate Maman Fathim, Greta M Massetti
Violence Against Children and Youth Survey (VACS) data from seven countries were analyzed to estimate population-level eligibility for the President's Emergency Plan for AIDS Relief (PEPFAR) Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe (DREAMS) HIV prevention program for adolescent girls and young women (AGYW). The prevalence of overall eligibility and individual risk factors, including experiences of violence, social, and behavioral risks differ across countries and age groups. A large proportion of AGYW across all countries and age groups examined have at least one risk factor making them eligible for DREAMS. Experiencing multiple risks is also common, suggesting that researchers and programs could work together to identify combinations of risk factors that put AGYW at greatest risk of HIV acquisition, or that explain most new HIV infections, to more precisely target the most vulnerable AGYW. The VACS provides important data for such analyses to refine DREAMS and other youth programming.
{"title":"Population Estimates of HIV Risk Factors to Inform HIV Prevention Programming for Adolescent Girls and Young Women.","authors":"Ashleigh L Howard, Laura Chiang, Viani Picchetti, Liping Zhu, Jennifer Hegle, Pragna Patel, Janet Saul, Lydia Wasula, Sophie Nantume, Rachel Coomer, Rahimisa Kamuingona, Rose Patricia Oluoch, Tendayi Mharadze, Meghan Duffy, Caroline A Kambona, Puleng Ramphalla, Kamagate Maman Fathim, Greta M Massetti","doi":"10.1521/aeap.2023.35.suppA.20","DOIUrl":"10.1521/aeap.2023.35.suppA.20","url":null,"abstract":"<p><p>Violence Against Children and Youth Survey (VACS) data from seven countries were analyzed to estimate population-level eligibility for the President's Emergency Plan for AIDS Relief (PEPFAR) Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe (DREAMS) HIV prevention program for adolescent girls and young women (AGYW). The prevalence of overall eligibility and individual risk factors, including experiences of violence, social, and behavioral risks differ across countries and age groups. A large proportion of AGYW across all countries and age groups examined have at least one risk factor making them eligible for DREAMS. Experiencing multiple risks is also common, suggesting that researchers and programs could work together to identify combinations of risk factors that put AGYW at greatest risk of HIV acquisition, or that explain most new HIV infections, to more precisely target the most vulnerable AGYW. The VACS provides important data for such analyses to refine DREAMS and other youth programming.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11249023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1521/aeap.2023.35.suppA.39
Udhayashankar Kanagasabai, Christopher Valleau, Meagan Cain, Michelle S Chevalier, Jennifer Hegle, Pragna Patel, Regina Benevides, Joseph B Trika, Carrine Angumua, Minlangu Mpingulu, Kamanga Ferdinand, Fikirte Sida, Katelyn Galloway, Caroline Kambona, Patricia Oluoch, Wezi Msungama, Hans Katengeza, Della Correia, Meghan Duffy, Raquel Maria Violeta Cossa, Rachel Coomer, Adeola Ayo, Chioma Ukanwa, Elysee Tuyishime, Sibongile Dladla, Jennifer Drummond, Daniel Magesa, Jane Kitalile, Rose Apondi, Jackson Okuku, Tina Chisenga, Haddi J Cham
Gender-based violence (GBV) is a complex issue deeply rooted in social structures, making its eradication challenging. GBV increases the risk of HIV transmission and is a barrier to HIV testing, care, and treatment. Quality clinical services for GBV, which includes the provision of HIV postexposure prophylaxis (PEP), vary, and service delivery data are lacking. We describe GBV clinical service delivery in 15 countries supported by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention. Through a descriptive statistical analysis of PEPFAR Monitoring, Evaluation, and Reporting (MER) data, we found a 252% increase in individuals receiving GBV clinical services, from 158,691 in 2017 to 558,251 in 2021. PEP completion was lowest (15%) among 15-19-year-olds. Understanding GBV service delivery is important for policy makers, program managers, and providers to guide interventions to improve the quality of service delivery and contribute to HIV epidemic control.
{"title":"Understanding Gender-Based Violence Service Delivery in CDC-Supported Health Facilities: 15 Sub-Saharan African Countries, 2017-2021.","authors":"Udhayashankar Kanagasabai, Christopher Valleau, Meagan Cain, Michelle S Chevalier, Jennifer Hegle, Pragna Patel, Regina Benevides, Joseph B Trika, Carrine Angumua, Minlangu Mpingulu, Kamanga Ferdinand, Fikirte Sida, Katelyn Galloway, Caroline Kambona, Patricia Oluoch, Wezi Msungama, Hans Katengeza, Della Correia, Meghan Duffy, Raquel Maria Violeta Cossa, Rachel Coomer, Adeola Ayo, Chioma Ukanwa, Elysee Tuyishime, Sibongile Dladla, Jennifer Drummond, Daniel Magesa, Jane Kitalile, Rose Apondi, Jackson Okuku, Tina Chisenga, Haddi J Cham","doi":"10.1521/aeap.2023.35.suppA.39","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.suppA.39","url":null,"abstract":"<p><p>Gender-based violence (GBV) is a complex issue deeply rooted in social structures, making its eradication challenging. GBV increases the risk of HIV transmission and is a barrier to HIV testing, care, and treatment. Quality clinical services for GBV, which includes the provision of HIV postexposure prophylaxis (PEP), vary, and service delivery data are lacking. We describe GBV clinical service delivery in 15 countries supported by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Centers for Disease Control and Prevention. Through a descriptive statistical analysis of PEPFAR Monitoring, Evaluation, and Reporting (MER) data, we found a 252% increase in individuals receiving GBV clinical services, from 158,691 in 2017 to 558,251 in 2021. PEP completion was lowest (15%) among 15-19-year-olds. Understanding GBV service delivery is important for policy makers, program managers, and providers to guide interventions to improve the quality of service delivery and contribute to HIV epidemic control.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1521/aeap.2023.35.suppA.52
Julian Chipukuma, Brianna Lindsay, Linah K Mwango, Pawel Olowski, Caitlin Baumhart, Kalima Tembo, Adebayo A Olufunso, Christine Bwale, Priscilla Makasa, Monde Muchoka, Salina Tembo, Waitolo Mbokile, Comfort Panda, Siphiwe Malupande, Richard Lubinda, Brenda Bwembelo, Everess Fundulu, Chimpinde Munsongo, Kelvin Watala, Bupe Musonda, Omega Chituwo, Jackson Okuku, Annie Mwila, Carlos Muleya, Pragna Patel, Cassidy W Claassen
Adolescent girls and young women (AGYW) in sub-Saharan Africa remain at high risk for HIV, yet limited data exist on implementation of HIV pre-exposure prophylaxis (PrEP) for this group. We examined PrEP uptake among AGYW using a retrospective cohort enrolled in the Determined Resilient Empowered AIDS-free Mentored Safe (DREAMS) initiative in Zambia between October 2020 and March 2022. Consent was obtained from eligible AGYW at substantial risk for HIV, and they voluntarily participated in PrEP. Multivariable logistic regression was used to examine factors associated with PrEP refills following initiation. Of 4,162 HIV-negative AGYW, 3,233 (77%) were at substantial risk and initiated on PrEP. Overall, 68% of AGYW had at least one refill, but this differed significantly by age group and district. DREAMS was successful at reaching AGYW with PrEP services. More evidence is needed to assess reasons for discontinuation and to improve persistence for those with sustained HIV risk.
{"title":"Fostering Access to PrEP Among Adolescent Girls and Young Women Aged 16 to 24 Years at High Risk of HIV Through the DREAMS Initiative in Four Districts in Zambia.","authors":"Julian Chipukuma, Brianna Lindsay, Linah K Mwango, Pawel Olowski, Caitlin Baumhart, Kalima Tembo, Adebayo A Olufunso, Christine Bwale, Priscilla Makasa, Monde Muchoka, Salina Tembo, Waitolo Mbokile, Comfort Panda, Siphiwe Malupande, Richard Lubinda, Brenda Bwembelo, Everess Fundulu, Chimpinde Munsongo, Kelvin Watala, Bupe Musonda, Omega Chituwo, Jackson Okuku, Annie Mwila, Carlos Muleya, Pragna Patel, Cassidy W Claassen","doi":"10.1521/aeap.2023.35.suppA.52","DOIUrl":"10.1521/aeap.2023.35.suppA.52","url":null,"abstract":"<p><p>Adolescent girls and young women (AGYW) in sub-Saharan Africa remain at high risk for HIV, yet limited data exist on implementation of HIV pre-exposure prophylaxis (PrEP) for this group. We examined PrEP uptake among AGYW using a retrospective cohort enrolled in the Determined Resilient Empowered AIDS-free Mentored Safe (DREAMS) initiative in Zambia between October 2020 and March 2022. Consent was obtained from eligible AGYW at substantial risk for HIV, and they voluntarily participated in PrEP. Multivariable logistic regression was used to examine factors associated with PrEP refills following initiation. Of 4,162 HIV-negative AGYW, 3,233 (77%) were at substantial risk and initiated on PrEP. Overall, 68% of AGYW had at least one refill, but this differed significantly by age group and district. DREAMS was successful at reaching AGYW with PrEP services. More evidence is needed to assess reasons for discontinuation and to improve persistence for those with sustained HIV risk.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1521/aeap.2023.35.suppA.82
Udhayashankar Kanagasabai, Tiffiany Aholou, Michelle S Chevalier, James L Tobias, Jackson Okuku, Ray W Shiraishi, Robb Sheneberger, Yvonne Chilufya Pande, Clifton Chifuwe, Lauren Erickson Mamane, Gillian Njika, Chris Obongo, Viva C Thorsen
Faith leaders can be uniquely positioned to guide and support young people on health issues, particularly HIV/AIDS and sexual violence. Faith Matters!, a 2-day training workshop for faith leaders, was delivered in September 2021 in Zambia. Sixty-six faith leaders completed a questionnaire at baseline, 64 at posttraining, and 59 at 3-month follow-up. Participants' knowledge, beliefs, and comfort communicating about HIV/AIDS and sexual violence were assessed. More faith leaders accurately identified common places where sexual violence occurs at the 3-month point compared to baseline: at church (2 vs. 22, p = .000), the fields (16 vs. 29, p = .004), parties (22 vs. 36, p = .001), and clubs (24 vs. 35, p = .034). More faith leaders stated that they engaged in conversations that supported people living with HIV (48 at baseline vs. 53, p = .049 at 3-month follow-up). These findings can inform future HIV/AIDS initiatives focusing on increasing the capacity among communities of faith.
{"title":"Reaching Youth Through Faith Leaders: Evaluation of the Faith Matters! Initiative.","authors":"Udhayashankar Kanagasabai, Tiffiany Aholou, Michelle S Chevalier, James L Tobias, Jackson Okuku, Ray W Shiraishi, Robb Sheneberger, Yvonne Chilufya Pande, Clifton Chifuwe, Lauren Erickson Mamane, Gillian Njika, Chris Obongo, Viva C Thorsen","doi":"10.1521/aeap.2023.35.suppA.82","DOIUrl":"10.1521/aeap.2023.35.suppA.82","url":null,"abstract":"<p><p>Faith leaders can be uniquely positioned to guide and support young people on health issues, particularly HIV/AIDS and sexual violence. Faith Matters!, a 2-day training workshop for faith leaders, was delivered in September 2021 in Zambia. Sixty-six faith leaders completed a questionnaire at baseline, 64 at posttraining, and 59 at 3-month follow-up. Participants' knowledge, beliefs, and comfort communicating about HIV/AIDS and sexual violence were assessed. More faith leaders accurately identified common places where sexual violence occurs at the 3-month point compared to baseline: at church (2 vs. 22, <i>p</i> = .000), the fields (16 vs. 29, <i>p</i> = .004), parties (22 vs. 36, <i>p</i> = .001), and clubs (24 vs. 35, <i>p</i> = .034). More faith leaders stated that they engaged in conversations that supported people living with HIV (48 at baseline vs. 53, <i>p</i> = .049 at 3-month follow-up). These findings can inform future HIV/AIDS initiatives focusing on increasing the capacity among communities of faith.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11075127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1521/aeap.2023.35.suppA.1
Regina Benevides, J Logan, Pragna Patel
{"title":"Introduction to the Youth HIV Prevention Supplement.","authors":"Regina Benevides, J Logan, Pragna Patel","doi":"10.1521/aeap.2023.35.suppA.1","DOIUrl":"https://doi.org/10.1521/aeap.2023.35.suppA.1","url":null,"abstract":"","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1521/aeap.2023.35.suppA.4
Alinune N Kabaghe, Reno Stephens, Danielle Payne, Joe Theu, Misheck Luhanga, Davie Chalira, Melissa M Arons, Gabrielle O'Malley, Kerry A Thomson, Mtemwa Nyangulu, Rose Nyirenda, Pragna Patel, Nellie Wadonda-Kabondo
Awareness of HIV status in Malawi is 88.3% and lowest among 15-24-year-olds (76.2%). There is a need to understand HIV testing history and transmission in this age group. We analyzed pooled HIV surveillance data to describe testing history and HIV recent infection among 8,389 HIV-positive 15-24-year-olds from 251 sites in Malawi between 2019 and 2022. Most HIV-positive 15-24-year-olds were female; aged 23-24 years; rural residents; and diagnosed at voluntary counseling and testing. No prior HIV testing was reported in 43.5% and 32.9% of 15-19-year-olds and males, respectively. Overall, 4.9% of HIV-positive diagnoses were classified as recent HIV infections, with the highest proportions among breastfeeding women (8.2%); persons tested at sexually transmitted infection clinics (9.0%); persons with a prior negative test within 6 months (13.0%); and 17-18-year-olds (7.3%). Tailored and innovative HIV prevention and testing strategies for young adolescents, young males, and pregnant and breastfeeding women are needed for HIV epidemic control.
马拉维对艾滋病毒感染状况的认知率为 88.3%,15-24 岁人群的认知率最低(76.2%)。我们有必要了解这一年龄段人群的 HIV 检测史和传播情况。我们分析了汇集的 HIV 监测数据,以描述 2019 年至 2022 年期间马拉维 251 个地点的 8389 名 15-24 岁 HIV 阳性者的检测史和 HIV 近期感染情况。大多数 15-24 岁 HIV 阳性者为女性;年龄在 23-24 岁之间;农村居民;在自愿咨询和检测中确诊。据报告,在 15-19 岁的青少年和男性中,分别有 43.5% 和 32.9% 的人之前未进行过艾滋病毒检测。总体而言,4.9%的艾滋病毒阳性诊断结果被归类为近期感染艾滋病毒,其中比例最高的人群是哺乳期妇女(8.2%)、在性传播感染诊所接受检测的人(9.0%)、之前在 6 个月内检测呈阴性的人(13.0%)和 17-18 岁人群(7.3%)。要控制艾滋病毒的流行,就需要针对青少年、年轻男性、孕妇和哺乳期妇女制定有针对性的创新型艾滋病毒预防和检测策略。
{"title":"HIV Recent Infection and Past HIV Testing History Among Newly HIV-Diagnosed 15-24-Year-Olds in Malawi: An Analysis of 2019-2022 HIV Recent Infection Surveillance Data.","authors":"Alinune N Kabaghe, Reno Stephens, Danielle Payne, Joe Theu, Misheck Luhanga, Davie Chalira, Melissa M Arons, Gabrielle O'Malley, Kerry A Thomson, Mtemwa Nyangulu, Rose Nyirenda, Pragna Patel, Nellie Wadonda-Kabondo","doi":"10.1521/aeap.2023.35.suppA.4","DOIUrl":"10.1521/aeap.2023.35.suppA.4","url":null,"abstract":"<p><p>Awareness of HIV status in Malawi is 88.3% and lowest among 15-24-year-olds (76.2%). There is a need to understand HIV testing history and transmission in this age group. We analyzed pooled HIV surveillance data to describe testing history and HIV recent infection among 8,389 HIV-positive 15-24-year-olds from 251 sites in Malawi between 2019 and 2022. Most HIV-positive 15-24-year-olds were female; aged 23-24 years; rural residents; and diagnosed at voluntary counseling and testing. No prior HIV testing was reported in 43.5% and 32.9% of 15-19-year-olds and males, respectively. Overall, 4.9% of HIV-positive diagnoses were classified as recent HIV infections, with the highest proportions among breastfeeding women (8.2%); persons tested at sexually transmitted infection clinics (9.0%); persons with a prior negative test within 6 months (13.0%); and 17-18-year-olds (7.3%). Tailored and innovative HIV prevention and testing strategies for young adolescents, young males, and pregnant and breastfeeding women are needed for HIV epidemic control.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1521/aeap.2023.35.3.185
Juan Pablo Zapata, Andres Alvarado Avila, Manuel Hurtado, Ed de St Aubin, Carlos E Rodriguez-Diaz, Gabriel Robles
Compared with non-Latino White sexual minority men, Latino sexual minority men (LSMM) have lower engagement with HIV pre-exposure prophylaxis (PrEP) and likelihood of discussing PrEP with a health care provider. The overall goal of the current study was to collect data from community stakeholders to inform the integration of culturally relevant factors into an empirically supported PrEP prevention program. Between December 2020 and August 2021, 18 interviews were conducted with 18 stakeholders with experience delivering health and social services. Themes identified are: (1) stakeholders' perspectives of new HIV infections among LSMM; (2) stakeholders' perspectives of general cultural variables; and (3) the development of culturally tailored programs. Our findings demonstrate how culturally competent stakeholders can leverage their established rapport and trust to reduce the negative effects of machismo and/or homophobia in the Latinx community to promote HIV prevention.
{"title":"Stakeholders' Perspectives About Cultural Strategies to Support PrEP for Latino Sexual Minority Men.","authors":"Juan Pablo Zapata, Andres Alvarado Avila, Manuel Hurtado, Ed de St Aubin, Carlos E Rodriguez-Diaz, Gabriel Robles","doi":"10.1521/aeap.2023.35.3.185","DOIUrl":"10.1521/aeap.2023.35.3.185","url":null,"abstract":"<p><p>Compared with non-Latino White sexual minority men, Latino sexual minority men (LSMM) have lower engagement with HIV pre-exposure prophylaxis (PrEP) and likelihood of discussing PrEP with a health care provider. The overall goal of the current study was to collect data from community stakeholders to inform the integration of culturally relevant factors into an empirically supported PrEP prevention program. Between December 2020 and August 2021, 18 interviews were conducted with 18 stakeholders with experience delivering health and social services. Themes identified are: (1) stakeholders' perspectives of new HIV infections among LSMM; (2) stakeholders' perspectives of general cultural variables; and (3) the development of culturally tailored programs. Our findings demonstrate how culturally competent stakeholders can leverage their established rapport and trust to reduce the negative effects of machismo and/or homophobia in the Latinx community to promote HIV prevention.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10162713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1521/aeap.2023.35.3.213
Brooke A Levandowski, Jessica Steinke, Cheyenne Stewart, Antonio E Urbina, Terri L Wilder, Erin Bevec, Timothy D Dye
Since 2015, Mount Sinai HIV/HCV Center of Excellence has implemented two-day HIV and HCV preceptorships for New York State health care. Participants assessed their knowledge of and confidence to perform 13 HIV or 10 HCV prevention- and treatment-related skills, measured on a 4-point Likert scale from "not at all" to "very" knowledgeable/confident at baseline, exit survey, and a recent evaluation. Wilcoxon signed rank sum tests determined mean differences at all three time points. Between baseline to exit assessment and baseline to evaluation assessment, HIV and HCV preceptorship attendees reported significant increases in knowledge for five HIV and three HCV components and confidence for two HIV and three HCV tasks (p < .05), respectively. The preceptorship significantly and positively impacted short-term and long-term knowledge and confidence around HCV and HIV clinical skills. The implementation of HIV and HCV preceptorship programs may increase HIV and HCV treatment and prevention service efficacy within key population areas.
自 2015 年以来,西奈山 HIV/HCV 高级研究中心为纽约州医疗保健机构实施了为期两天的 HIV 和 HCV 前导课程。参与者在基线调查、退出调查和近期评估中评估了自己对 13 种 HIV 或 10 种 HCV 预防和治疗相关技能的了解程度和信心,这些技能采用李克特 4 点量表,从 "完全不了解 "到 "非常了解"。Wilcoxon 符号秩和检验确定了所有三个时间点的平均差异。从基线评估到退出评估,以及从基线评估到评估评估,参加 HIV 和 HCV 培训前培训的人员报告说,他们对 HIV 的五项内容和 HCV 的三项内容的了解程度以及对 HIV 的两项任务和 HCV 的三项任务的信心分别有了显著提高(p < .05)。实习前培训对有关 HCV 和 HIV 临床技能的短期和长期知识与信心产生了重大而积极的影响。实施艾滋病和丙型肝炎病毒治疗前培训计划可提高重点人群地区的艾滋病和丙型肝炎病毒治疗和预防服务效率。
{"title":"Ending the Epidemic: Building Health Care Capacity Through HIV and HCV Preceptorship Programs.","authors":"Brooke A Levandowski, Jessica Steinke, Cheyenne Stewart, Antonio E Urbina, Terri L Wilder, Erin Bevec, Timothy D Dye","doi":"10.1521/aeap.2023.35.3.213","DOIUrl":"10.1521/aeap.2023.35.3.213","url":null,"abstract":"<p><p>Since 2015, Mount Sinai HIV/HCV Center of Excellence has implemented two-day HIV and HCV preceptorships for New York State health care. Participants assessed their knowledge of and confidence to perform 13 HIV or 10 HCV prevention- and treatment-related skills, measured on a 4-point Likert scale from \"not at all\" to \"very\" knowledgeable/confident at baseline, exit survey, and a recent evaluation. Wilcoxon signed rank sum tests determined mean differences at all three time points. Between baseline to exit assessment and baseline to evaluation assessment, HIV and HCV preceptorship attendees reported significant increases in knowledge for five HIV and three HCV components and confidence for two HIV and three HCV tasks (<i>p</i> < .05), respectively. The preceptorship significantly and positively impacted short-term and long-term knowledge and confidence around HCV and HIV clinical skills. The implementation of HIV and HCV preceptorship programs may increase HIV and HCV treatment and prevention service efficacy within key population areas.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1521/aeap.2023.35.3.247
Kevin L Ard, Jack Bruno, Ugochuckwu Uzoeghelu, Cei Lambert, Taimur Khan, John A Davis, Kenneth H Mayer, Alex S Keuroghlian
HIV pre-exposure prophylaxis (PrEP) is highly effective, but PrEP use has been suboptimal. We describe a telementoring program for clinics in high-HIV burden areas, focusing on systems-level practice transformation and care for populations disproportionately affected by HIV. We developed and delivered a telementoring program for U.S. health centers. We analyzed participants' baseline and post-session surveys to ascertain experiences providing PrEP and caring for people disproportionately affected by HIV, comparing responses between medical and behavioral health clinicians. Forty-eight people from 16 health centers participated. Medical clinicians were more likely than behavioral health clinicians to care for people taking PrEP, but the groups did not differ in self-rated capacity to counsel about PrEP or care for populations disproportionately affected by HIV. Virtual training on practice transformation for PrEP, involving medical and behavioral health clinicians, is feasible and acceptable. PrEP training and delivery efforts should include behavioral health clinicians.
{"title":"PrEP Echo: A National Interdisciplinary Telementoring Program for HIV Prevention Through Practice Transformation.","authors":"Kevin L Ard, Jack Bruno, Ugochuckwu Uzoeghelu, Cei Lambert, Taimur Khan, John A Davis, Kenneth H Mayer, Alex S Keuroghlian","doi":"10.1521/aeap.2023.35.3.247","DOIUrl":"10.1521/aeap.2023.35.3.247","url":null,"abstract":"<p><p>HIV pre-exposure prophylaxis (PrEP) is highly effective, but PrEP use has been suboptimal. We describe a telementoring program for clinics in high-HIV burden areas, focusing on systems-level practice transformation and care for populations disproportionately affected by HIV. We developed and delivered a telementoring program for U.S. health centers. We analyzed participants' baseline and post-session surveys to ascertain experiences providing PrEP and caring for people disproportionately affected by HIV, comparing responses between medical and behavioral health clinicians. Forty-eight people from 16 health centers participated. Medical clinicians were more likely than behavioral health clinicians to care for people taking PrEP, but the groups did not differ in self-rated capacity to counsel about PrEP or care for populations disproportionately affected by HIV. Virtual training on practice transformation for PrEP, involving medical and behavioral health clinicians, is feasible and acceptable. PrEP training and delivery efforts should include behavioral health clinicians.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}