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For: Wang Y, Mitchell JW, Zhang C, Liu Y. Evidence and implication of interventions across various socioecological levels to address pre-exposure prophylaxis uptake and adherence among men who have sex with men in the United States: a systematic review. AIDS Res Ther 2022;19:28. [PMID: 35754038 PMCID: PMC9233830 DOI: 10.1186/s12981-022-00456-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 06/16/2022] [Indexed: 02/01/2023] Open

For:	Wang Y, Mitchell JW, Zhang C, Liu Y. Evidence and implication of interventions across various socioecological levels to address pre-exposure prophylaxis uptake and adherence among men who have sex with men in the United States: a systematic review. AIDS Res Ther 2022;19:28. [PMID: 35754038 PMCID: PMC9233830 DOI: 10.1186/s12981-022-00456-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 06/16/2022] [Indexed: 02/01/2023] Open

Number

Cited by Other Article(s)

Harris LM, Skidmore BD, Nzama N, Al Araydeh M, Kerr JC, Hall MT, Reyes-Vega A, Samanapally H, Bkhet A, Ghare S, Barve S. "Taking Charge and Being Responsible": A Qualitative Study of Meaning Making and Motivations for Preexposure Prophylaxis Adherence Among Gay, Bisexual, and Other Sexual Minoritized Men Engaged in Alcohol Misuse in Kentucky. J Assoc Nurses AIDS Care 2025;36:298-314. [PMID: 40197987 DOI: 10.1097/jnc.0000000000000541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/10/2025]

Affiliation(s)

Lesley M Harris Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Blake D Skidmore Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Nqobile Nzama Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Mifleh Al Araydeh Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Jelani C Kerr Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Martin T Hall Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Andrea Reyes-Vega Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Harideep Samanapally Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Asmaa Bkhet Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Smita Ghare Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA
Shirish Barve Lesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Blake D. Skidmore, DSW, LCSW, is a Research Director, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Nqobile Nzama, MPH, is a Graduate Student Research Assistant and PhD Student, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Mifleh Al Araydeh, MPH, RN, is a Graduate Student Research Assistant and PhD Student, School of Nursing, University of Louisville, Louisville, Kentucky, USA Jelani C. Kerr, PhD, MPH, is an Associate Professor, Department of Health Promotion and Behavioral Sciences, University of Louisville, Louisville, Kentucky, USA Martin T. Hall, PhD, MSSW, is a Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA Andrea Reyes-Vega, MD, is an Instructor, School of Medicine, University of Louisville, Louisville, Kentucky, USA Harideep Samanapally, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Asmaa Bkhet, MD, is a Clinical Research Coordinator, University of Louisville, Louisville, Kentucky, USA Smita Ghare, PhD, is an Assistant Professor, University of Louisville, Louisville, Kentucky, USA Shirish Barve, PhD, is a Professor, University of Louisville, Louisville, Kentucky, USA

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McCoy K, Mantell JE, Deiss R, Liu A, Bauman LJ, Bonner CP, Vinson J, Buchbinder S. Pre-Exposure Prophylaxis Awareness and Demand Creation: Overlooked Populations and Opportunities to Move Forward. J Acquir Immune Defic Syndr 2025;98:e170-e180. [PMID: 40163069 DOI: 10.1097/qai.0000000000003626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2025]

DiFranceisco W, Quinn K, Walsh JL, Kelly JA, Amirkhanian YA, McAuliffe TL, Pearson B, Brown KD. Differences Among Current Pre-exposure Prophylaxis (PrEP) Users, Former Users, and Nonusers in a Community Sample in Two Midwestern U.S. Cities: Implications for Interventions to Promote PrEP Uptake and Adherence. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2025;37:160-172. [PMID: 40323671 DOI: 10.1521/aeap.2025.37.2.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2025]

Biello KB, Mayer KH, Scott H, Valente PK, Hill-Rorie J, Buchbinder S, Ackah-Toffey L, Sullivan PS, Hightow-Weidman L, Liu AY. The Effects of MyChoices and LYNX Mobile Apps on HIV Testing and Pre-Exposure Prophylaxis Use by Young US Sexual Minority Men: Results From a National Randomized Controlled Trial. JMIR Public Health Surveill 2025;11:e63428. [PMID: 39908084 PMCID: PMC11840373 DOI: 10.2196/63428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Revised: 11/19/2024] [Accepted: 11/29/2024] [Indexed: 02/06/2025] Open

Abstract

BACKGROUND

Young sexual minority men have among the highest rates of HIV in the United States; yet, the use of evidence-based prevention strategies, including routine HIV testing and pre-exposure prophylaxis (PrEP), remains low. Mobile apps have enormous potential to increase HIV testing and PrEP use among young sexual minority men.

OBJECTIVE

This study aims to assess the efficacy of 2 theory- and community-informed mobile apps-LYNX (APT Mobility) and MyChoices (Keymind)-to improve HIV testing and PrEP initiation among young sexual minority men.

METHODS

Between October 2019 and May 2022, we implemented a 3-arm, parallel randomized controlled trial in 9 US cities to test the efficacy of the LYNX and MyChoices apps against standard of care (SOC) among young sexual minority men (aged 15-29 years) reporting anal sex with cisgender male or transgender female in the last 12 months. Randomization was 1:1:1 and was stratified by site and participant age; there was no masking. The co-primary outcomes were self-reported HIV testing and PrEP initiation over 6 months of follow-up.

RESULTS

A total of 381 young sexual minority men were randomized. The mean age was 22 (SD 3.2) years. Nearly one-fifth were Black, non-Hispanic (n=67, 18%), Hispanic or Latino men (n=67, 18%), and 60% identified as gay (n=228). In total, 200 (53%) participants resided in the Southern United States. At baseline, participants self-reported the following: 29% (n=110) had never had an HIV test and 85% (n=324) had never used PrEP. Sociodemographic and behavioral characteristics did not differ by study arm. Compared to SOC (n=72, 59%), participants randomized to MyChoices (n=87, 74%; P=.01) were more likely to have received at least 1 HIV test over 6 months of follow-up; those randomized to LYNX also had a higher proportion of testing (n=80, 70%) but it did not reach the a priori threshold for statistical significance (P=.08). Participants in both MyChoices (n=23, 21%) and LYNX (n=21, 20%) arms had higher rates of starting PrEP compared to SOC (n=19, 16%), yet these differences were not statistically significant (P=.52).

CONCLUSIONS

In addition to facilitating earlier treatment among those who become aware of their HIV status, given the ubiquity of mobile apps and modest resources required to scale this intervention, a 25% relative increase in HIV testing among young sexual minority men, as seen in this study, could meaningfully reduce HIV incidence in the United States.

TRIAL REGISTRATION

ClinicalTrials.gov NCT03965221; https://clinicaltrials.gov/study/NCT03965221.

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Badru O, Hlongwa M, Adeagbo OA. Knowledge and Awareness of Pre-Exposure Prophylaxis Among Men in Sub-Saharan Africa: A Scoping Review Protocol. Health Sci Rep 2025;8:e70377. [PMID: 39877871 PMCID: PMC11772214 DOI: 10.1002/hsr2.70377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 10/09/2024] [Accepted: 01/06/2025] [Indexed: 01/31/2025] Open

Harsono D, Atre S, Peterson H, Nyhan K, Garmroudi D, Davis JL, Ho W, Khoshnood K. A Scoping Review of Factors Associated with HIV Acquisition in the Context of Humanitarian Crises. AIDS Behav 2024;28:4224-4273. [PMID: 39292318 DOI: 10.1007/s10461-024-04504-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2024] [Indexed: 09/19/2024]

Abstract

Humanitarian crises-natural or human-made events that can threaten communities' health, safety, security, and well-being-may affect the HIV epidemic dynamics. Common aspects of humanitarian crises such as poverty, powerlessness, disruptions to the health systems, and social instability can contribute to a person's vulnerability to HIV infection through increased risk behaviors and limited access to health services. Guided by the Joanna Briggs Institute methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) reporting guidelines, we conducted a scoping review of literature published in English between January 1990 and March 2022 to characterize the global evidence of modifiable and non-modifiable factors for HIV acquisition in the context of humanitarian crises. We systematically searched, screened, and synthesized literature from MEDLINE, Embase, Global Health (all accessed via Ovid), and Scopus, and also grey literature through websites of humanitarian agencies and relevant non-government organizations, the International AIDS Society's abstract databases, and Google Scholar. We considered studies presenting empirical data on HIV prevalence, incidence, or risk factors in humanitarian crises-affected populations, including refugees, asylum seekers, and internally displaced persons. Forty-nine studies met the inclusion criteria. The majority of studies were quantitative (n = 43, 87.8%) and cross-sectional (n = 37, 75.5%) in design. Most were single-country studies (n = 43, 87.8%) and conducted in Sub-Saharan Africa (n = 31, 63.3%). We identified 5 non-modifiable factors for HIV acquisition (i.e., age, gender, location, place of birth or origin, and ethnicity) and 60 modifiable factors that we further classified into five categories, namely 18 policy and structural, 9 sociocultural, 11 health and mental health, 16 sexual practice, and 6 humanitarian crisis-related traumatic event factors. Within the modifiable categories, factors that were most often investigated were education level, marital status, sexually transmitted infection diagnosis, condom use, and experience of rape or sexual trauma, respectively. Informed by the findings, we applied the social-ecological model to map the identified multidimensional factors associated with HIV acquisition at the levels of individual, social and sexual networks, community, public policy, and the context of humanitarian crises. The current review provides a comprehensive, global analysis of the available evidence on HIV prevalence, incidence, and risk factors in humanitarian crises and implications for potential programs and research. Future research is warranted to further understand the directionality of the non-modifiable and modifiable factors affecting HIV acquisition, and the multilevel barriers and facilitators to the uptake of HIV prevention strategies in the context of humanitarian crises. Such research can generate actionable evidence to inform the development of ethical, trauma-informed, and culturally appropriate HIV prevention interventions in humanitarian settings.

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D'Angelo AB, Dearolf MH, MacMartin J, Elder M, Nash D, Golub SA, Grov C. Gay and Bisexual Men's Perceptions about a Potential HIV Vaccine within a Post-COVID-19 Era: A Qualitative Study. AIDS Behav 2024;28:3787-3800. [PMID: 39122906 DOI: 10.1007/s10461-024-04450-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2024] [Indexed: 08/12/2024]

Kelly JA, Walsh JL, DiFranceisco WJ, Amirkhanian YA, Quinn K, Brown KD, Pearson B, Foster J, Rosado AN, McAuliffe TL. Factors associated with PrEP use in a community sample of African American men who have sex with men (MSM) and transgender women (TGW) in the United States Midwest. AIDS Care 2024;36:101-108. [PMID: 38311890 PMCID: PMC11283983 DOI: 10.1080/09540121.2024.2308743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 01/10/2024] [Indexed: 02/06/2024]

Enns B, Sui Y, Guerra‐Alejos BC, Humphrey L, Piske M, Zang X, Doblecki‐Lewis S, Feaster DJ, Frye VA, Geng EH, Liu AY, Marshall BDL, Rhodes SD, Sullivan PS, Nosyk B. Estimating the potential value of MSM-focused evidence-based implementation interventions in three Ending the HIV Epidemic jurisdictions in the United States: a model-based analysis. J Int AIDS Soc 2024;27 Suppl 1:e26265. [PMID: 38965982 PMCID: PMC11224592 DOI: 10.1002/jia2.26265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 04/23/2024] [Indexed: 07/06/2024] Open

Abstract

INTRODUCTION

Improving the delivery of existing evidence-based interventions to prevent and diagnose HIV is key to Ending the HIV Epidemic in the United States. Structural barriers in the access and delivery of related health services require municipal or state-level policy changes; however, suboptimal implementation can be addressed directly through interventions designed to improve the reach, effectiveness, adoption or maintenance of available interventions. Our objective was to estimate the cost-effectiveness and potential epidemiological impact of six real-world implementation interventions designed to address these barriers and increase the scale of delivery of interventions for HIV testing and pre-exposure prophylaxis (PrEP) in three US metropolitan areas.

METHODS

We used a dynamic HIV transmission model calibrated to replicate HIV microepidemics in Atlanta, Los Angeles (LA) and Miami. We identified six implementation interventions designed to improve HIV testing uptake ("Academic detailing for HIV testing," "CyBER/testing," "All About Me") and PrEP uptake/persistence ("Project SLIP," "PrEPmate," "PrEP patient navigation"). Our comparator scenario reflected a scale-up of interventions with no additional efforts to mitigate implementation and structural barriers. We accounted for potential heterogeneity in population-level effectiveness across jurisdictions. We sustained implementation interventions over a 10-year period and evaluated HIV acquisitions averted, costs, quality-adjusted life years and incremental cost-effectiveness ratios over a 20-year time horizon (2023-2042).

RESULTS

Across jurisdictions, implementation interventions to improve the scale of HIV testing were most cost-effective in Atlanta and LA (CyBER/testing cost-saving and All About Me cost-effective), while interventions for PrEP were most cost-effective in Miami (two of three were cost-saving). We estimated that the most impactful HIV testing intervention, CyBER/testing, was projected to avert 111 (95% credible interval: 110-111), 230 (228-233) and 101 (101-103) acquisitions over 20 years in Atlanta, LA and Miami, respectively. The most impactful implementation intervention to improve PrEP engagement, PrEPmate, averted an estimated 936 (929-943), 860 (853-867) and 2152 (2127-2178) acquisitions over 20 years, in Atlanta, LA and Miami, respectively.

CONCLUSIONS

Our results highlight the potential impact of interventions to enhance the implementation of existing evidence-based interventions for the prevention and diagnosis of HIV.

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Walcott MM, Tieu HV, Tipre M, Nandi V, Davis A, Wu E, Wheatle M, Frye V, Figueroa JP. Factors associated with discussing HIV pre-exposure prophylaxis (PrEP) among Jamaican medical providers. Int J STD AIDS 2024;35:188-196. [PMID: 37966358 DOI: 10.1177/09564624231201187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]

Custer B, Whitaker B, Pollack L, Buccheri R, Bruhn R, Crowder L, Stramer SL, Reik R, Pandey S, Stone M, Di Germanio C, Buchacz K, Eder A, Lu Y, Forshee R, Anderson S, Marks P. HIV risk behavior profiles among men who have sex with men interested in donating blood: Findings from the Assessing Donor Variability and New Concepts in Eligibility study. Transfusion 2023;63:1872-1884. [PMID: 37642154 PMCID: PMC11284767 DOI: 10.1111/trf.17515] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 07/27/2023] [Accepted: 07/27/2023] [Indexed: 08/31/2023]

Hardin-Fanning FD, Hartson K, Lynette G, Gesler R, Kern N. Socioecological Analysis of a Nursing Advocacy Skills-Building Activity. J Nurs Educ 2023;62:509-515. [PMID: 37672499 DOI: 10.3928/01484834-20230712-07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/08/2023]

Arnold T, Gaudiano BA, Barnett AP, Elwy AR, Whiteley L, Giorlando KK, Rogers BG, Ward LM, Leigland A, Brown LK. Development of An Acceptance Based PrEP Intervention (ACTPrEP) to Engage Young Black MSM in the South Utilizing the Adaptome Model of Intervention Adaptation. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2023;28:60-70. [PMID: 37008800 PMCID: PMC10062414 DOI: 10.1016/j.jcbs.2023.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023]

Abstract

Objectives

HIV disproportionately affects young Black men who have sex with men (YBMSM) in the Southern United States. Pre-exposure prophylaxis (PrEP) is an efficacious, biomedical approach to prevent HIV. While Mississippi (MS) has among the highest rates of new HIV infections, it also ranks among the top three states for unmet PrEP need. Thus, increasing engagement in PrEP care for YBMSM in MS is imperative. A potential method to improve psychological flexibility and promote PrEP uptake, explored by this study, is the incorporation of Acceptance and Commitment Therapy (ACT) into PrEP interventions. ACT is an evidence-based intervention used to treat a wide range of mental and physical illnesses.

Methods

Twenty PrEP-eligible YBMSM and ten clinic staff working with YBMSM in MS were surveyed and interviewed between October 2021 and April 2022. The brief survey covered PrEP structural barriers, PrEP stigma, and psychological flexibility. Interview topics included internal experiences related to PrEP, existing health behaviors, PrEP related personal values, and relevant constructs from the Adaptome Model of Intervention Adaptation (service setting, target audience, mode of delivery, and cultural adaptations). Qualitative data were coded based on ACT and the Adaptome model, organized using NVivo, then thematically analyzed.

Results

Patients identified side effects, costs, and taking a daily prescription as top barriers to taking PrEP. Staff reported the top barrier to PrEP for clients was concern others would believe they were living with HIV. Levels of psychological flexibility and inflexibility varied widely among participants. The resulting thematic categories derived from the interviews included 1) thoughts, emotions, associations, memories, and sensations (TEAMS) related to PrEP and HIV, 2) general health behaviors (existing coping techniques, views on medication, HIV/PrEP approach and avoidance), 3) values related to PrEP use (relationship values, health values, intimacy values, longevity values), and 4) Adaptome Model adaptations. These results informed the development of a new intervention, ACTPrEP.

Conclusions

Interview data organized by the Adaptome Model of Intervention Adaptation determined appropriate ACT-informed intervention components, content, intervention adaptations, and implementation strategies. Interventions informed by ACT that help YBMSM endure short-term discomfort related to PrEP by relating it to their values and long-term health goals are promising for increasing individuals' willingness to initiate and maintain PrEP care.

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Affiliation(s)

Trisha Arnold Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, USA 02903 Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02906
Brandon A. Gaudiano Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02906
Andrew P. Barnett Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, USA 02903 Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02906
A. Rani Elwy Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02906 Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, 01730, USA
Laura Whiteley Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02906
Kayla K. Giorlando Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, USA 02903
Brooke G. Rogers Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02906 Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02903
Lori M. Ward Departments of Nursing, Medicine, and Population Health Sciences, University of Mississippi Medical Center, Jackson, Mississippi USA 39217
Avery Leigland Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, USA 02903
Larry K. Brown Department of Psychiatry, Rhode Island Hospital, Providence, Rhode Island, USA 02903 Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island USA 02906

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Magnus M, Yellin H, Langlands K, Balachandran M, Turner M, Jordan J, Ramin D, Kuo I, Siegel M. Overcoming structural barriers to diffusion of HIV pre-exposure prophylaxis. THE JOURNAL OF MEDICINE ACCESS 2023;7:27550834231214958. [PMID: 38075520 PMCID: PMC10702399 DOI: 10.1177/27550834231214958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 11/02/2023] [Indexed: 09/17/2024]

de Sousa ÁFL, Nunes Ribeiro CJ, Santos GRDS, de Oliveira LB, Camargo ELS, Lima SVMA, de Oliveira Sena IV, Bezerra-Santos M, Batista OMA, Reis de Sousa A, Mendes IAC. Intention to use PrEP among men who have sex with men and engage in chemsex: an international descriptive study. Ther Adv Infect Dis 2023;10:20499361231206918. [PMID: 37900982 PMCID: PMC10612445 DOI: 10.1177/20499361231206918] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2023] Open

Abstract

Background

Pre-exposure prophylaxis (PrEP) is a valuable tool in the response to the HIV epidemic, recommended for groups with a higher risk of HIV infection, such as men who have sex with men (MSM), particularly in the context of high-risk sexual behavior such as chemsex.

Purpose

This study aimed to analyze the prevalence and factors associated with the intention to use PrEP among MSM who engage in chemsex in Brazil and Portugal.

Methods

This was a cross-sectional study of a secondary dataset from a larger study conducted between January 2020 and May 2021 throughout Brazil and Portugal involving 1852 MSM who engage in chemsex. An initial descriptive analysis was performed to calculate the absolute and relative frequencies of independent variables related to the intention to use PrEP among MSM. A multivariate regression model was developed to identify factors independently associated with the intention to use PrEP.

Results

Although a high level of PrEP knowledge (85.75%) was observed among MSM who engage in chemsex, the prevalence of intention to use PrEP was only 59.07%. Five variables were associated with a higher prevalence of intention to use PrEP [engaging in double penetration - adjusted prevalence ratio (aPR): 1.56, 95% CI: 1.44-1.69; being assigned female sex at birth - aPR: 1.34, 95% CI: 1.12-1.61; cruising - aPR: 1.21, 95% CI: 1.06-1.38; not using condoms - aPR: 1.20, 95% CI: 1.05-1.36; and being an immigrant - aPR: 1.16; 95% CI: 1.07-1.25], while having knowledge of postexposure prophylaxis (aPR: 0.91; 95% CI: 0.84-0.98), having a casual sexual partner (aPR: 0.86 and 0.85; 95% CI: 0.74-0.99 and 0.74-0.98), and engaging in group sex (aPR: 0.81; 95% CI: 0.73-0.90) were associated with a lower intention to use PrEP.

Conclusion

The intention to use PrEP among MSM who engage in chemsex was high, and several factors were associated with this intention. Understanding the factors associated with the intention to use PrEP among MSM practicing chemsex is crucial for developing targeted interventions to increase PrEP uptake in this population. The results of this study suggest that tailored approaches are necessary to promote PrEP use in this population.

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Torres TS, Nascimento AR, Coelho LE, Konda KA, Vega-Ramirez EH, Elorreaga OA, Diaz-Sosa D, Hoagland B, Guanira JV, Pimenta C, Benedetti M, Caceres CF, Veloso VG, Grinsztejn B. Preferences for PrEP modalities among gay, bisexual, and other men who have sex with men from Brazil, Mexico, and Peru: a cross-sectional study. Ther Adv Infect Dis 2023;10:20499361231153548. [PMID: 36814515 PMCID: PMC9940158 DOI: 10.1177/20499361231153548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 01/11/2023] [Indexed: 02/20/2023] Open

Abstract

Background

Pre-exposure prophylaxis (PrEP) scale-up is urgent to reduce new HIV cases among gay, bisexual, and other men who have sex with men (MSM) in Latin America. Different PrEP modalities may increase PrEP uptake and adherence, especially among young MSM.

Objectives

To assess preferences for PrEP modalities among MSM from Brazil, Mexico, and Peru.

Design

Cross-sectional web-based study (March-May 2018) targeting MSM through advertisements on Grindr, Hornet, and Facebook. We included MSM aged ⩾ 18 years and who reported HIV-negative status.

Methods

We assessed preferences for PrEP modalities with the following question: 'Considering that all following PrEP modalities were available, which one would you prefer considering a scale from 1 to 3 (1 = most preferred): daily oral PrEP, event-driven PrEP (ED-PrEP), and long-acting injectable PrEP'. We assessed factors associated with each most preferred PrEP modality per country using multivariable logistic regression models.

Results

A total of 19,457 MSM completed the questionnaire (Brazil: 58%; Mexico: 31%; Peru: 11%); median age was 28 years [interquartile range (IQR): 24-34]. Overall, injectable PrEP was the most preferred modality [42%; 95% confidence interval (CI): 41-43], followed by daily PrEP (35%; 95% CI: 34-35), and ED-PrEP (23%; 95% CI: 23-24). In multivariable models, preferring injectable PrEP was associated with PrEP awareness in all three countries, while PrEP eligibility only in Brazil. Preferring daily PrEP was associated with younger age and lower income in Brazil and Mexico, and lower education only in Brazil. The odds of preferring ED-PrEP were lower among MSM aware and eligible for PrEP in Brazil and Mexico.

Conclusions

Long-acting injectable PrEP was the preferred PrEP modality among MSM in Brazil, Mexico, and Peru, especially those aware and eligible for PrEP. Public health interventions to increase PrEP modalities literacy and availability in Latin America are urgent especially among MSM of young age, lower income, and lower education.

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Wang Y, Mitchell J, Zhang C, Brown L, Przybyla S, Liu Y. Suboptimal Follow-Up on HIV Test Results among Young Men Who Have Sex with Men: A Community-Based Study in Two U.S. Cities. Trop Med Infect Dis 2022;7:tropicalmed7070139. [PMID: 35878150 PMCID: PMC9322097 DOI: 10.3390/tropicalmed7070139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 07/15/2022] [Accepted: 07/17/2022] [Indexed: 11/25/2022] Open