Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4... more Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided that the original author(s) and the publication source are credited. Nomenclatura: aproximaciones a los estudios hispánicos 6 (2018) Issue on Divergences and Convergences of the Fantastic / Divergencias y Convergencias de lo Fantástico Eds. Patricia María Gamboa, M.A. and Kiersty Lemon-Rogers, M.A.
Youth and young adults living with HIV (YYALH) are less likely to be engaged in HIV care, adhere ... more Youth and young adults living with HIV (YYALH) are less likely to be engaged in HIV care, adhere to their medications, and achieve viral suppression compared to older adult populations. In the United States, the majority of YYALH belong to racial/ethnic, sexual, and gender minority groups. HIV care interventions are needed that specifically target YYALH and that exploit the use of social media and mobile technology (SMMT) platforms, where youth and young adults have a ubiquitous presence. We conducted a qualitative evaluation of SMMT interventions included in a Health Resources and Services Administration Special Projects of National Significance initiative designed to improve medical care engagement, retention, and medication adherence to achieve viral suppression among YYALH. However, in this study, only young adults living with HIV (YALH) ages 18 to 34 years participated. A total of 48 YALH were interviewed. The data were analyzed using thematic analysis and revealed three main t...
Purpose Disparities persist in HIV infection among Black and Latino men who have sex with men (BL... more Purpose Disparities persist in HIV infection among Black and Latino men who have sex with men (BLMSM) and Black and Latina transgender women (BLTW). Increasing uptake and subsequent consistent use of pre-exposure prophylaxis (PrEP), an effective biomedical strategy for preventing HIV acquisition, can dramatically reduce HIV incidence in these populations. The purpose of this study was to explore reasons for PrEP discontinuation among BLMSM and BLTW living in Los Angeles County to inform the development of support services for these populations to remain persistent with their PrEP regimen. Methods In-depth, semi-structured interviews were conducted with 15 BLMSM and 7 BLTW who reported either temporary or indefinite PrEP discontinuation. A thematic analysis approach was used to analyze qualitative data. Results Four themes emerged related to reasons for PrEP discontinuation, including: (1) lower perceived HIV risk related to changes in sexual behavior; (2) structural or logistical ba...
Abstract Health care providers have an important role to play in expanding PrEP uptake to populat... more Abstract Health care providers have an important role to play in expanding PrEP uptake to populations disproportionately burdened by HIV. In this study, in-depth, semi-structured qualitative interviews were conducted with 20 PrEP providers in Los Angeles, California to explore their experiences and perspectives prescribing PrEP. Overall, the findings indicate that providers generally adhered to US CDC clinical guidelines in determining PrEP eligibility. However, they also identified special considerations with respect to adults with “low” or “no” HIV risk. Three themes were developed from the data related to the delivery of PrEP to such individuals: 1) patients may not disclose sexual behaviours; 2) patient autonomy and agency; and 3) the importance of PrEP in gay male monogamous relationships. Two additional themes were identified related to prescribing PrEP to young people under the age of consent: 4) the need for more PrEP and sexual health education with youth and 5) challenges in providing PrEP to youth without parental consent. Findings highlight the importance of providing PrEP to patients who could potentially benefit from adoption, whether or not they present with clear behavioural indicators for PrEP. Providers should also consider the potential barriers to delivering PrEP to youth to ensure successful adoption among members of this population.
BACKGROUND Consistent with their penchant for digital communication, young adults living with HIV... more BACKGROUND Consistent with their penchant for digital communication, young adults living with HIV (YALH) use digital communication media to seek out health information. Understanding the types of health information sought online and the characteristics of these information-seeking YALH is vital when designing digital health interventions for YALH. OBJECTIVE This study describes characteristics of YALH who seek health information through the Internet. Results are relevant to digital health interventions, patient education, and efforts to improve retention in care. METHODS YALH (ages 18-34) self-reported Internet use during an evaluation of digital HIV care interventions across ten demonstration projects in the United States (N=716). Lasso models were used to select characteristics that predicted whether YALH reported seeking general health (GH) and sexual and reproductive health (SRH) information on the Internet during the past six months. RESULTS Almost a third (29.5%) and a fifth (...
En este texto, el ganador del Premio Anual de Critica Literaria y Ensayo Politico "Guillermo... more En este texto, el ganador del Premio Anual de Critica Literaria y Ensayo Politico "Guillermo Rousset Banda” comparte algunas nociones sobre lo fantastico, contenidas en su libro Teoria general de lo fantastico. Del fantastico clasico al posmoderno. Nieto propone que este genero puede aplicarse a otras areas, como el cine, la pintura, el teatro, e incluso al habla cotidiana. Con el objeto de generar un argumento actual, su trabajo agrega un nuevo punto de vista a esta discusion: ir mas alla de los modelos popularizados por los grandes estudiosos del siglo XX.
Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4... more Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided that the original author(s) and the publication source are credited. Nomenclatura: aproximaciones a los estudios hispánicos 6 (2018) Issue on Divergences and Convergences of the Fantastic / Divergencias y Convergencias de lo Fantástico Eds. Patricia María Gamboa, M.A. and Kiersty Lemon-Rogers, M.A.
Youth and young adults living with HIV (YYALH) are less likely to be engaged in HIV care, adhere ... more Youth and young adults living with HIV (YYALH) are less likely to be engaged in HIV care, adhere to their medications, and achieve viral suppression compared to older adult populations. In the United States, the majority of YYALH belong to racial/ethnic, sexual, and gender minority groups. HIV care interventions are needed that specifically target YYALH and that exploit the use of social media and mobile technology (SMMT) platforms, where youth and young adults have a ubiquitous presence. We conducted a qualitative evaluation of SMMT interventions included in a Health Resources and Services Administration Special Projects of National Significance initiative designed to improve medical care engagement, retention, and medication adherence to achieve viral suppression among YYALH. However, in this study, only young adults living with HIV (YALH) ages 18 to 34 years participated. A total of 48 YALH were interviewed. The data were analyzed using thematic analysis and revealed three main t...
Purpose Disparities persist in HIV infection among Black and Latino men who have sex with men (BL... more Purpose Disparities persist in HIV infection among Black and Latino men who have sex with men (BLMSM) and Black and Latina transgender women (BLTW). Increasing uptake and subsequent consistent use of pre-exposure prophylaxis (PrEP), an effective biomedical strategy for preventing HIV acquisition, can dramatically reduce HIV incidence in these populations. The purpose of this study was to explore reasons for PrEP discontinuation among BLMSM and BLTW living in Los Angeles County to inform the development of support services for these populations to remain persistent with their PrEP regimen. Methods In-depth, semi-structured interviews were conducted with 15 BLMSM and 7 BLTW who reported either temporary or indefinite PrEP discontinuation. A thematic analysis approach was used to analyze qualitative data. Results Four themes emerged related to reasons for PrEP discontinuation, including: (1) lower perceived HIV risk related to changes in sexual behavior; (2) structural or logistical ba...
Abstract Health care providers have an important role to play in expanding PrEP uptake to populat... more Abstract Health care providers have an important role to play in expanding PrEP uptake to populations disproportionately burdened by HIV. In this study, in-depth, semi-structured qualitative interviews were conducted with 20 PrEP providers in Los Angeles, California to explore their experiences and perspectives prescribing PrEP. Overall, the findings indicate that providers generally adhered to US CDC clinical guidelines in determining PrEP eligibility. However, they also identified special considerations with respect to adults with “low” or “no” HIV risk. Three themes were developed from the data related to the delivery of PrEP to such individuals: 1) patients may not disclose sexual behaviours; 2) patient autonomy and agency; and 3) the importance of PrEP in gay male monogamous relationships. Two additional themes were identified related to prescribing PrEP to young people under the age of consent: 4) the need for more PrEP and sexual health education with youth and 5) challenges in providing PrEP to youth without parental consent. Findings highlight the importance of providing PrEP to patients who could potentially benefit from adoption, whether or not they present with clear behavioural indicators for PrEP. Providers should also consider the potential barriers to delivering PrEP to youth to ensure successful adoption among members of this population.
BACKGROUND Consistent with their penchant for digital communication, young adults living with HIV... more BACKGROUND Consistent with their penchant for digital communication, young adults living with HIV (YALH) use digital communication media to seek out health information. Understanding the types of health information sought online and the characteristics of these information-seeking YALH is vital when designing digital health interventions for YALH. OBJECTIVE This study describes characteristics of YALH who seek health information through the Internet. Results are relevant to digital health interventions, patient education, and efforts to improve retention in care. METHODS YALH (ages 18-34) self-reported Internet use during an evaluation of digital HIV care interventions across ten demonstration projects in the United States (N=716). Lasso models were used to select characteristics that predicted whether YALH reported seeking general health (GH) and sexual and reproductive health (SRH) information on the Internet during the past six months. RESULTS Almost a third (29.5%) and a fifth (...
En este texto, el ganador del Premio Anual de Critica Literaria y Ensayo Politico "Guillermo... more En este texto, el ganador del Premio Anual de Critica Literaria y Ensayo Politico "Guillermo Rousset Banda” comparte algunas nociones sobre lo fantastico, contenidas en su libro Teoria general de lo fantastico. Del fantastico clasico al posmoderno. Nieto propone que este genero puede aplicarse a otras areas, como el cine, la pintura, el teatro, e incluso al habla cotidiana. Con el objeto de generar un argumento actual, su trabajo agrega un nuevo punto de vista a esta discusion: ir mas alla de los modelos popularizados por los grandes estudiosos del siglo XX.
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