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  • 1
    Online Resource
    Online Resource
    Perspectives from the Field : HIV Testing and Linkage to Care in North Carolina
    SAGE Publications ; 2016
    In:  Journal of the International Association of Providers of AIDS Care (JIAPAC) Vol. 15, No. 6 ( 2016-11), p. 477-485
    Details
    In: Journal of the International Association of Providers of AIDS Care (JIAPAC), SAGE Publications, Vol. 15, No. 6 ( 2016-11), p. 477-485
    Abstract: HIV testing and linkage to care are critical first steps along the care continuum. Targeted efforts are needed in the South to achieve the goals of the National HIV/AIDS Strategy, and qualitative examination of testing and linkage to care from the perspective of professionals in the field can provide nuanced insight into the strengths and limitations of a care system to inform improvement efforts. These issues are explored in North Carolina (NC), with potential applicability to other Southern states. Methods: Twenty-one interviews were conducted with professionals in the HIV prevention and care systems in NC. Interviews were analyzed for emergent themes. Results: Individuals’ access barriers, aspects of clinics and clinical care, challenges for community-based organizations, stigma, and the role of the NC Department of Health and Human Services were identified as themes affecting testing and linkage. Discussion: These findings can inform efforts to address HIV testing and linkage to care in NC. This approach may provide beneficial insight for other systems of care.
    Type of Medium: Online Resource
    ISSN: 2325-9582 , 2325-9582
    URL: Article
    DOI: 10.1177/2325957415617830
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2709037-1
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  • 2
    Online Resource
    Online Resource
    Outcomes From a Randomized Trial of a Bilingual mHealth Social Media Intervention to Increase Care Engagement Among Young Gay, Bisexual, and Other Men Who Have Sex With Men and Transgender Women With HIV
    SAGE Publications ; 2022
    In:  Health Education & Behavior Vol. 49, No. 6 ( 2022-12), p. 975-984
    Details
    In: Health Education & Behavior, SAGE Publications, Vol. 49, No. 6 ( 2022-12), p. 975-984
    Abstract: The North Carolina Community Research Partnership developed, implemented, and tested weCare, a 12-month bilingual mHealth social media intervention designed to reduce missed HIV care appointments and increase viral suppression among racially/ethnically diverse gay, bisexual, and other men who have sex with men (GBMSM) and transgender women living with HIV by harnessing established social media platforms (i.e., Facebook, texting, and dating apps). Methods We randomized 198 GBMSM and transgender women (mean age = 26) living with HIV to the weCare intervention ( n = 100) or usual-care ( n = 98) group. Inclusion criteria included being newly diagnosed or not in care. Participants completed structured assessments at baseline and 6-month postintervention follow-up (18 months after baseline data collection). HIV care appointment and viral load data were abstracted from each participant’s electronic health record at baseline and follow-up. Follow-up retention was 85.5%. Results Among participants, 94% self-identified as cisgender men, 6% as transgender, 64% as African American/Black, and 13% as Latine. Participants in both groups significantly reduced missed HIV care appointments and increased viral suppression at follow-up compared with baseline. However, there were no significant differences between weCare and usual-care participants for either outcome at follow-up. Conclusions An intervention effect was not identified for our two primary outcomes. Several factors may have influenced the lack of significant differences between weCare and usual-care participants at follow-up, including intervention implementation (e.g., staffing changes and lack of fidelity to the intervention as originally designed by the partnership), data collection (e.g., data collection time points and retention strategies), and clinical (e.g., contamination) factors.
    Type of Medium: Online Resource
    ISSN: 1090-1981 , 1552-6127
    URL: Article
    DOI: 10.1177/10901981221125400
    RVK:
    XA 10000
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2082564-X
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  • 3
    Online Resource
    Online Resource
    Sociocultural Determinants of HIV/AIDS Risk and Service Use Among Immigrant Latinos in North Carolina
    SAGE Publications ; 2006
    In:  Hispanic Journal of Behavioral Sciences Vol. 28, No. 4 ( 2006-11), p. 546-562
    Details
    In: Hispanic Journal of Behavioral Sciences, SAGE Publications, Vol. 28, No. 4 ( 2006-11), p. 546-562
    Abstract: Latinos in the United States have been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases. Using a community-based participatory research approach to problem identification, the objective of this study is to explore sociocultural determinants of HIV/AIDS risk and service use among immigrant Latino men living with HIV/AIDS in North Carolina. In-depth key-informant interviews with stake-holders ( n = 8) and Latino men living with HIV/AIDS ( n = 10) were conducted. Major themes identified among Latino men living with HIV/AIDS are misconceptions about HIV/AIDS prevention and treatment, intracommunity discrimination against individuals living with HIV, and feared discovery of their undocumented status. Further research is needed to reduce HIV risk and improve access to medical services among Latino men living with HIV/AIDS.
    Type of Medium: Online Resource
    ISSN: 0739-9863 , 1552-6364
    URL: Article
    DOI: 10.1177/0739986306292295
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2006
    detail.hit.zdb_id: 2067258-5
    SSG: 5,2
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  • 4
    Online Resource
    Online Resource
    Visions and Voices: Indigent Persons Living With HIV in the Southern United States Use Photovoice to Create Knowledge, Develop Partnerships, and Take Action
    SAGE Publications ; 2008
    In:  Health Promotion Practice Vol. 9, No. 2 ( 2008-04), p. 159-169
    Details
    In: Health Promotion Practice, SAGE Publications, Vol. 9, No. 2 ( 2008-04), p. 159-169
    Abstract: Little is known about the experiences of persons living with HIV/AIDS (PLWHA) in some regions of the United States that are disproportionately affected by HIV/AIDS. “Visions and Voices: HIV in the 21st Century” was an exploratory study to gain insight into the life experiences of 15 indigent PLWHA. The study used photovoice to uncover the realities of living with HIV/AIDS though photographic documentation and Freirean-based critical dialogue and facilitate a process for PLWHA to reach local community members and leaders, policy makers, and advocates to develop plans of action and effect change. From the participants' photographs and words, seven themes emerged and were presented during a community forum. Three main outcomes occurred, including a participant-developed and locally funded gallery exhibition to address HIV/AIDS misinformation and stigma; a new partnership with the public health department to use PLWHA in their prevention programming; and increased community efforts to address substance use.
    Type of Medium: Online Resource
    ISSN: 1524-8399 , 1552-6372
    URL: Article
    DOI: 10.1177/1524839906293829
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2008
    detail.hit.zdb_id: 2036801-X
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  • 5
    Online Resource
    Online Resource
    A CBPR Partnership Increases HIV Testing Among Men Who Have Sex With Men (MSM): Outcome Findings From a Pilot Test of the CyBER/testing Internet Intervention
    SAGE Publications ; 2011
    In:  Health Education & Behavior Vol. 38, No. 3 ( 2011-06), p. 311-320
    Details
    In: Health Education & Behavior, SAGE Publications, Vol. 38, No. 3 ( 2011-06), p. 311-320
    Abstract: The Internet has emerged as an important tool for the delivery of health promotion and disease prevention interventions. Our community-based participatory research (CBPR) partnership developed and piloted CyBER/testing, a culturally congruent intervention designed to promote HIV testing among men who have sex with men (MSM) within existing Internet chat rooms. Using a quasi-experimental, single-group study design, cross-sectional data were collected from chat room participants, known as “chatters,” at pretest ( n = 346) and posttest ( n = 315). Extant profile data also were collected to describe the demographics of the online population. The intervention significantly increased self-reported HIV testing among chatters overall, increasing rates from 44.5% at pretest to nearly 60% at posttest ( p 〈 .001). Furthermore, chatters who reported having both male and female sexual partners had nearly 6 times the odds of reporting HIV testing at posttest. Findings suggest that chat room—based HIV testing intervention may increase testing among MSM who may be difficult to reach in traditional physical spaces.
    Type of Medium: Online Resource
    ISSN: 1090-1981 , 1552-6127
    URL: Article
    DOI: 10.1177/1090198110379572
    RVK:
    XA 10000
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
    detail.hit.zdb_id: 2082564-X
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  • 6
    Online Resource
    Online Resource
    Antiretroviral Activity and Safety of Once-Daily Etravirine in Treatment-Naive HIV-Infected Adults: 48-Week Results
    SAGE Publications ; 2016
    In:  Antiviral Therapy Vol. 21, No. 1 ( 2016-01), p. 55-64
    Details
    In: Antiviral Therapy, SAGE Publications, Vol. 21, No. 1 ( 2016-01), p. 55-64
    Abstract: Etravirine (ETR), a non-nucleoside reverse transcriptase inhibitor approved for 200 mg twice-daily dosing in conjunction with other antiretrovirals (ARVs), has pharmacokinetic properties which support once-daily dosing. Methods In this single-arm, open-label study, 79 treatment-naive HIV-infected adults were assigned to receive ETR 400 mg plus tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) 300/200 mg once daily to assess antiviral activity, safety and tolerability. ARV activity at 48 weeks was determined by proportion of subjects with HIV-1 RNA 〈 50 copies/ml (intention-to-treat, missing = failure). Results Of 79 eligible subjects, 90% were men, 62% African-American and 29% Caucasian. At baseline, median (Q1, Q3) age was 29 years (23, 44) and HIV-1 RNA 4.52 log 10 copies/ml (4.07, 5.04). A total of 69 (87%) completed a week 48 visit and 61 (77%, 95% CI 66%, 86%) achieved HIV-1 RNA 〈 50 copies/ml at week 48. At time of virological failure, genotypic resistance-associated mutations were detected in three participants, two with E138K (one alone and one with additional mutations). Median (95% CI) CD4 + cell count increase was 163 (136, 203) cells/μl. Fifteen (19.0%) participants reported a new sign/symptom or lab abnormality ≥ Grade 3 and three participants (3.8%) permanently discontinued ETR due to toxicity. Two participants had psychiatric symptoms of any grade. There were no deaths. Conclusions In this study of ARV-naive HIV-positive adults, once-daily ETR with TDF/FTC had acceptable antiviral activity and was well-tolerated. Once-daily ETR may be a plausible option as part of a combination ARV regimen for treatment-naive individuals. ClinicalTrials.gov NCT00959894.
    Type of Medium: Online Resource
    ISSN: 1359-6535 , 2040-2058
    URL: Article
    DOI: 10.3851/IMP2982
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2118396-X
    SSG: 15,3
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  • 7
    Online Resource
    Online Resource
    A Pilot Intervention Utilizing Internet Chat Rooms to Prevent HIV Risk Behaviors among Men Who Have Sex with Men
    SAGE Publications ; 2010
    In:  Public Health Reports Vol. 125, No. 1_suppl ( 2010-01), p. 29-37
    Details
    In: Public Health Reports, SAGE Publications, Vol. 125, No. 1_suppl ( 2010-01), p. 29-37
    Abstract: Chat room-based prevention interventions for human immunodeficiency virus (HIV) are being implemented to reduce the risk of HIV exposure, infection, and re-infection among men who have sex with men (MSM). Methods. Our community-based participatory research partnership implemented a chat room-based intervention known as Cyber-Based Education and Referral/Men for Men (CyBER/M4M). We collected both quantitative and qualitative data to describe the characteristics of chat-room participants (“chatters”) and their HIV risks and prevention needs, and to document intervention delivery. Results. Of the 1,851 chatters who participated in the 18-month intervention, 210 completed the online assessment. The mean age was 30 years. Although the majority self-identified as gay, 25.8% self-identified as bisexual. More than half self-identified as white and one-third as black or African American. A total of 8.6% reported being HIV-positive and 14.8% reported never having been tested for HIV. Grounded theory analysis of transcripts from chat-room instant-message discussions identified 13 thematic categories related to chatter characteristics, prevention needs, and intervention delivery. Chatters were looking for sexual partners, were not open about their orientation, lacked basic information about HIV, had questions about how to be tested, and perceived a lack of general community resources to meet their needs. Furthermore, CyBER educators had to understand and respect the online culture, build trust, and deliver well-crafted and focused messages. Conclusions. Chat room-based interventions hold promise to systematically reach Internet communities of MSM, a group that is particularly at risk for infection with HIV and other sexually transmitted diseases.
    Type of Medium: Online Resource
    ISSN: 0033-3549 , 1468-2877
    URL: Article
    DOI: 10.1177/00333549101250S105
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2010
    detail.hit.zdb_id: 2017700-8
    SSG: 20,1
    SSG: 27
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