Detectable viral load associated with unmet mental health and substance use needs among trans women living with HIV in San Francisco, California
BMC Women s Health,
Год журнала:
2024,
Номер
24(1)
Опубликована: Янв. 22, 2024
Abstract
Background
Substance
use
and
mental
distress
are
known
barriers
to
HIV
care
engagement
among
trans
women.
Less
is
about
access
utilization
of
health
substance
women
the
relationship
between
unmet
behavioral
needs
viral
suppression.
We
examined
on
load
living
with
HIV.
also
services
having
a
detectable
by
comparing
in
cascades.
Methods
Data
from
2022
baseline
assessment
for
an
intervention
(
n
=
42)
San
Francisco.
Chi-Squared
or
Fisher’s
exact
tests
were
conducted
determine
associations
load,
health,
use.
examine
characteristics
associated
each
step
HIV,
Results
Most
participants
color
(85.7%),
40
years
age
older
(80.9%),
low
income
(88.1%),
almost
half
unstably
housed
(47.6%).
Of
32
who
screened
positive
depression,
anxiety
and/or
psychological
distress,
56.3%
referred
past
12
months.
those
referred,
44.4%
received
services.
26
disorder,
34.6%
33.3%
3
Latina
had
referral
rate
meet
their
(50%)
only
16.7%
African
American/Black
disorder
services,
while
other
race/ethnicities
high
utilization.
No
significant
results
found
screening
disorder.
Methamphetamine
was
statistically
p
0.049).
Conclusions
identified
noted
racial/ethnic
disparities
context
that
methamphetamine
barrier
undetectable
To
finally
end
epidemic,
integration
screening,
linkage,
support
needed
populations
most
impacted
especially
Trial
registration
NCT,
NCT
21–34,978.
Registered
January
19,
2022.
Язык: Английский
Exploring Associations Between Social Factors and Current Substance Use Among Older African Americans with HIV
Substance Use & Misuse,
Год журнала:
2025,
Номер
unknown, С. 1 - 5
Опубликована: Март 15, 2025
Background:
Substance
use
is
highly
prevalent
among
older
people
with
HIV
and
continues
to
have
a
negative
impact
on
engagement
along
the
care
continuum,
particularly
African
Americans
(AA).
Social
factors
like
resource
insecurity,
stigma,
discrimination
may
play
role
in
substance
behaviors.
However,
there
limited
research
how
these
social
HIV.
Язык: Английский
A qualitative study of reasons to use substances and substance use treatment experiences among transgender and gender diverse adults in Rhode Island
SSM - Qualitative Research in Health,
Год журнала:
2024,
Номер
5, С. 100399 - 100399
Опубликована: Фев. 2, 2024
•
Motivation
for
substance
use
and
interest
in
treatment
varied.
Substances
were
used
to
self-treat
mental
health
concerns.
Multi-level
barriers
experienced
across
types.
More
TGD
professionals
of
color
are
needed
settings.
Providers
need
training
care
patients
referral
processes.
Язык: Английский
Multiple substance use and associated factors in transgender women and travestis: findings from the TransOdara Study, Brazil
Revista Brasileira de Epidemiologia,
Год журнала:
2024,
Номер
27(suppl 1)
Опубликована: Янв. 1, 2024
ABSTRACT
Objective
To
estimate
the
prevalence
of
concomitant
substance
consumption
and
analyze
associated
risk
factors
in
a
non-probabilistic
sample
Brazilian
population
transgender
women
travestis.
Methods
A
cross-sectional
study
was
conducted
with
recruitment
via
respondent-driven
sampling.
The
included
travestis
residing
São
Paulo,
Porto
Alegre,
Salvador,
Manaus,
Campo
Grande,
aged
18
years
or
older,
between
2019
2021.
outcome
use
licit
illicit
substances.
association
sociodemographic/behavioral
analyzed
through
Poisson
regression
mixed
effects.
Adjusted
ratios
(confidence
interval
95%
—
95%CI)
were
estimated.
Results
last
12
months
multiple
49.3%,
which
65.5%
alcohol,
52.9%
tobacco,
40.1%
marijuana.
Transgender
who
substances
face
more
violence
(1.71;
95%CI
1.14–2.55),
unemployment
(1.58;
1.05–2.37)
pervasive
unstable
work
status
(1.52;
1.08–2.14),
transactional
sex
(1.51;
1.21–1.88)
can
be
their
sole
option
to
make
living,
are
24
(1.37;
1.14–1.65).
Conclusion
may
an
attempt
cope
distress
marginalization.
Substance
has
been
harms
medical
conditions.
Comprehensive
management
care
should
provided,
as
defined
by
key
principles
Unified
Health
System.
integrated
into
structural
interventions.
Язык: Английский
Adaptation of a Theory-Based Mobile App to Improve Access to HIV Prevention Services for Transgender Women in Malaysia: Focus Group Study
JMIR Formative Research,
Год журнала:
2024,
Номер
8, С. e56250 - e56250
Опубликована: Авг. 13, 2024
Background
Globally,
transgender
women
have
been
disproportionately
affected
by
the
HIV
epidemic,
including
in
Malaysia,
where
an
estimated
11%
of
are
living
with
HIV.
Available
interventions
designed
specifically
to
meet
women’s
needs
for
prevention
limited.
Mobile
health,
particularly
smartphone
mobile
apps,
is
innovative
and
cost-effective
strategy
reaching
delivering
reduce
vulnerability.
Objective
This
study
aims
adapt
a
theory-based
health
app,
HealthMindr,
unique
Malaysia.
We
conducted
theater
testing
HealthMindr
app
key
stakeholders
explored
barriers
uptake
pre-exposure
prophylaxis
(PrEP).
Methods
From
February
April
2022,
total
6
focus
group
(FG)
sessions
were
29
participants:
4
FG
(n=18,
62%)
2
(n=11,
38%)
providing
services
Barriers
PrEP
gender-affirming
care
among
Malaysia
explored.
Participants
then
introduced
provided
comprehensive
tour
app’s
features
functions.
feedback
on
how
existing
should
be
adapted
women,
as
well
any
that
removed
or
added.
Each
was
digitally
recorded
transcribed.
Transcripts
coded
inductively
using
Dedoose
software
(version
9.0.54;
SocioCultural
Research
Consultants,
LLC)
analyzed
identify
interpret
emerging
themes.
Results
Six
subthemes
related
found:
stigma
discrimination,
limited
knowledge,
high
cost,
accessibility
concerns,
alternative
methods,
perceived
adverse
effects.
suggested
several
recommendations
regarding
attributes
would
most
useful
Adaptation
refinement
(user
interface,
security,
customizable
colors,
themes,
avatars),
feedback,
requests
additional
functional
(appointment
booking,
e-consultation,
e-pharmacy,
medicine
tracker,
mood
resources,
service
site
locator)
communication
(peer
support
group,
live
chat,
discussion
forum)
features.
Conclusions
The
results
reveal
multifaceted
hinder
use
findings
also
provide
detailed
successfully
adapting
context
Malaysian
potential
solution
tailored
prevention,
PrEP,
increasing
services.
Язык: Английский
Adaptation of a Theory-Based Mobile App to Improve Access to HIV Prevention Services for Transgender Women in Malaysia: Focus Group Study (Preprint)
Опубликована: Янв. 10, 2024
BACKGROUND
Globally,
transgender
women
have
been
disproportionately
affected
by
the
HIV
epidemic,
including
in
Malaysia,
where
an
estimated
11%
of
are
living
with
HIV.
Available
interventions
designed
specifically
to
meet
women’s
needs
for
prevention
limited.
Mobile
health,
particularly
smartphone
mobile
apps,
is
innovative
and
cost-effective
strategy
reaching
delivering
reduce
vulnerability.
OBJECTIVE
This
study
aims
adapt
a
theory-based
health
app,
HealthMindr,
unique
Malaysia.
We
conducted
theater
testing
HealthMindr
app
key
stakeholders
explored
barriers
uptake
pre-exposure
prophylaxis
(PrEP).
METHODS
From
February
April
2022,
total
6
focus
group
(FG)
sessions
were
29
participants:
4
FG
(n=18,
62%)
2
(n=11,
38%)
providing
services
Barriers
PrEP
gender-affirming
care
among
Malaysia
explored.
Participants
then
introduced
provided
comprehensive
tour
app’s
features
functions.
feedback
on
how
existing
should
be
adapted
women,
as
well
any
that
removed
or
added.
Each
was
digitally
recorded
transcribed.
Transcripts
coded
inductively
using
Dedoose
software
(version
9.0.54;
SocioCultural
Research
Consultants,
LLC)
analyzed
identify
interpret
emerging
themes.
RESULTS
Six
subthemes
related
found:
stigma
discrimination,
limited
knowledge,
high
cost,
accessibility
concerns,
alternative
methods,
perceived
adverse
effects.
suggested
several
recommendations
regarding
attributes
would
most
useful
Adaptation
refinement
(user
interface,
security,
customizable
colors,
themes,
avatars),
feedback,
requests
additional
functional
(appointment
booking,
e-consultation,
e-pharmacy,
medicine
tracker,
mood
resources,
service
site
locator)
communication
(peer
support
group,
live
chat,
discussion
forum)
features.
CONCLUSIONS
The
results
reveal
multifaceted
hinder
use
findings
also
provide
detailed
successfully
adapting
context
Malaysian
potential
solution
tailored
prevention,
PrEP,
increasing
services.
Язык: Английский
Uso de múltiplas substâncias e fatores associados em mulheres trans e travestis: resultados do estudo TransOdara, Brasil
Revista Brasileira de Epidemiologia,
Год журнала:
2024,
Номер
27(suppl 1)
Опубликована: Янв. 1, 2024
RESUMO
Objetivo
Estimar
a
prevalência
do
consumo
concomitante
de
substâncias
e
analisar
fatores
risco
associados
em
uma
amostra
não
probabilística
da
população
brasileira
mulheres
trans
travestis.
Métodos
Estudo
transversal,
com
recrutamento
por
meio
metodologia
respondent-driven
sampling.
A
incluiu
travestis
residentes
São
Paulo,
Porto
Alegre,
Salvador,
Manaus
Campo
Grande,
maiores
18
anos,
entre
2019
2021.
O
desfecho
foi
o
uso
lícitas
ilícitas.
associação
sociodemográficos/comportamentais
analisada
regressão
Poisson
efeitos
mistos,
estimando-se
razões
ajustadas
(intervalo
confiança
95%
–
IC95%).
Resultados
nos
últimos
12
meses
múltiplas
49,3%,
sendo
65,5%
álcool,
52,9%
tabaco
40,1%
maconha.
Mulheres
que
usam
enfrentam
mais
violência
(1,71;
IC95%
1,14–2,55),
desemprego
(1,58;
1,05–2,37)
trabalho
instável
(1,52;
1,08–2,14),
sexo
transacional
(1,51;
1,21–1,88),
pode
ser
única
opção
sustento,
têm
24
anos
(1,37;
1,14–1,65).
Conclusão
tentativa
lidar
sofrimento
marginalização.
tem
sido
associado
múltiplos
danos
condições
médicas.
Uma
gestão
integral
cuidados
abrangentes
devem
providenciados,
conforme
definido
pelos
princípios-chave
Sistema
Único
Saúde
Brasil.
Os
saúde
integrados
intervenções
estruturais.
A Predictive Model of HIV Infection Among men who have sex with men (MSM): A Cross-Sectional Study in 6 Cities of China
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 26, 2024
Abstract
Background
Compared
to
the
overall
decrease
in
infection
rates,
prevalence
of
HIV
among
key
populations
like
men
who
have
sex
with
(MSM)
remains
high.
Understanding
factors
influencing
these
is
crucial.
However,
currently
there
are
few
large-scale
studies
that
can
comprehensively
incorporate
multiple
potential
factors.
Therefore,
it
significant
build
a
predictive
model
for
MSM
based
on
demographic,
behavioral,
social
and
psychological
characteristics.
Methods
A
cross-sectional
study
was
conducted
six
major
regions
China.
Data
were
collected
through
face-to-face
interviews.
We
screen
variables
univariate
multivariate
analyses,
construct
stepwise
regression.
evaluated
nomograms,
ROC(Receiver
Operating
Characteristic)
curves
decision
curve
analysis
(DCA).
Results
Among
2,403
MSM,
199
positive,
resulting
rate
8.3%.
aged
35–44,
lower
education
level,
higher
smoking
frequency,
having
STDs,
assuming
receptive
role
same-sex
intercourse,
using
drugs
before
experiencing
depression
more
likely
be
infected
HIV.
The
Hosmer-Lemeshow
test
showed
p-value
0.3834
model.
AUC
nomogram
0.783
(95%
CI:
0.749–0.816).
Conclusions
population
arises
from
combination
development
aids
formulating
targeted
comprehensive
intervention
strategies.
need
strengthen
our
focus
take
measures
results
curb
spread
Язык: Английский