2025
Adolescent Perceptions of HIV Testing Access and Utilization Across Two States with Varying Laws Regulating Minors’ Access to Confidential Sexual Health Services: A Qualitative Study in Connecticut and New Jersey
Aivadyan C, Takenaka B, Rutledge J, Kershaw T. Adolescent Perceptions of HIV Testing Access and Utilization Across Two States with Varying Laws Regulating Minors’ Access to Confidential Sexual Health Services: A Qualitative Study in Connecticut and New Jersey. AIDS And Behavior 2025, 1-15. PMID: 40272738, DOI: 10.1007/s10461-025-04738-3.Peer-Reviewed Original ResearchSexual health servicesHealth servicesHealth informationAndersen's Behavioral Model of Health Services UseBehavioral Model of Health Services UseSexually active adolescentsModel of Health Services UseQualitative studyConfidentiality concernsDiscussion of sexual health issuesHIV testing uptakeHealth service useHealth service utilizationPrivacy of health informationAndersen's Behavioral ModelActive adolescentsSexual health issuesSexual health informationSemi-structured interviewsTesting uptakeDedoose softwareService useService utilizationHealthcare providersConfidential care
2024
Associations of Minority Stressors, Alcohol Use Disorder, Resilience, and HIV Testing Self-Efficacy Among Community-Based Black Men Who Have Sex with Men in a Southern U.S. City: A Causal Mediation and Moderation Analysis
Liu Y, Mitchell J, Brown L, Chandler C, Zhang C. Associations of Minority Stressors, Alcohol Use Disorder, Resilience, and HIV Testing Self-Efficacy Among Community-Based Black Men Who Have Sex with Men in a Southern U.S. City: A Causal Mediation and Moderation Analysis. Substance Use & Misuse 2024, 60: 120-129. PMID: 39358912, DOI: 10.1080/10826084.2024.2409770.Peer-Reviewed Original ResearchTesting self-efficacyPerceived HIV StigmaAlcohol use disorder riskMinority stressorsHIV stigmaAlcohol use disorderInternalized homonegativitySelf-EfficacyEffects of minority stressHIV testing uptakeHIV testing outcomesSouthern U.S. citySouthern US cityUse disorderMinority stressModeration analysisTesting uptakeCross-sectional dataHIV testingU.S. citiesBlack menHomonegativityHomophobiaUS citiesBMSMIncreased Stigma, and Physical and Sexual Violence Against Men Who Have Sex with Men and Transgender Women in Sub-Saharan Africa: A Qualitative Evidence Synthesis Analyzing Social and Structural Barriers to HIV Testing and Coping Behaviors
Thapa S, Ogunleye T, Shrestha R, Joshi R, Hannes K. Increased Stigma, and Physical and Sexual Violence Against Men Who Have Sex with Men and Transgender Women in Sub-Saharan Africa: A Qualitative Evidence Synthesis Analyzing Social and Structural Barriers to HIV Testing and Coping Behaviors. Journal Of Homosexuality 2024, 72: 245-271. PMID: 38456684, DOI: 10.1080/00918369.2024.2320237.Peer-Reviewed Original ResearchTransgender womenHIV testing servicesStructural barriersSub-Saharan AfricaSub-SaharanSub-Saharan African countriesSame-sex relationshipsHIV testingTesting servicesFear of discriminationAnalyzing socializationPhysical violenceSex relationshipsHIV testing uptakeLack of trustAfrican countriesQualitative evidence synthesisPoor accessIncreased stigmaRisky behaviorsCriminalsQualitative studyMSMTesting uptakeNon-disclosure
2023
Correlates of never testing for HIV among men who have sex with men in Malaysia: A cross-sectional study
JadKarim L, Wickersham J, Gautam K, Azwa I, Saifi R, Khati A, Paudel K, Ha T, Shrestha R. Correlates of never testing for HIV among men who have sex with men in Malaysia: A cross-sectional study. PLOS ONE 2023, 18: e0294937. PMID: 38032958, PMCID: PMC10688714, DOI: 10.1371/journal.pone.0294937.Peer-Reviewed Original ResearchConceptsMalaysian MSMLogistic regressionCharacteristics of HIVFuture public health interventionsPre-exposure prophylaxisHIV testing uptakeHIV testing servicesMultivariable logistic regressionHIV prevention servicesCross-sectional studyDisproportionate HIV burdenLow testing ratesPublic health interventionsCross-sectional online surveySTI testing practicesHIV burdenPrior diagnosisSocio-demographic characteristicsTesting uptakeHigher oddsMSM communityLower oddsHIVPrevention servicesTesting ratesInvestigating the impact of stigma, accessibility and confidentiality on STI/STD/HIV self-testing among college students in the USA: protocol for a scoping review
Reeves J, Zigah E, Shamrock O, Aidoo-Frimpong G, Dada D, Batten J, Abu-Ba’are G, Nelson L, Djiadeu P. Investigating the impact of stigma, accessibility and confidentiality on STI/STD/HIV self-testing among college students in the USA: protocol for a scoping review. BMJ Open 2023, 13: e069574. PMID: 36792328, PMCID: PMC9933744, DOI: 10.1136/bmjopen-2022-069574.Peer-Reviewed Original ResearchConceptsHIV self-test kitsHIV testing uptakeCases of chlamydiaSTD/HIVSelf-test kitsPreferred Reporting ItemsFull-text articlesMeta-Analyses extensionWeb of ScienceImpact of stigmaOvid EmbaseCochrane LibraryTesting uptakeEligible studiesOvid MEDLINEGonorrhea casesInclusion criteriaReporting ItemsElectronic databasesPeer-reviewed manuscriptsSystematic reviewEthics approvalDisease controlYoung adult college studentsGoogle Scholar
2022
A Cluster-Randomized Trial of Traditional Healer-Delivered Counseling and Rapid HIV Testing in Tanzania
Matungwa D, Kidola J, Pungu D, Ponticiello M, Latulipe R, Lee M, Peck R, Sundararajan R. A Cluster-Randomized Trial of Traditional Healer-Delivered Counseling and Rapid HIV Testing in Tanzania. AIDS And Behavior 2022, 26: 3700-3712. PMID: 35553286, DOI: 10.1007/s10461-022-03700-x.Peer-Reviewed Original ResearchConceptsImprove HIV testing uptakeHIV testing uptakeHIV testingCluster randomized trialTesting uptakeTraditional healersEffectiveness of traditional healersClinic-based HIV testingIntervention arm participantsEngaging traditional healersRapid HIV testingClinic-based testingArm participantsHIV diagnosisDays of enrollmentAdult clientsControl armHIV serostatusSecondary outcomesPrimary outcomeControl participantsHealersCounselingInterventionHIVInterventions to Increase HIV Testing Uptake in Global Settings
Sundararajan R, Ponticiello M, Nansera D, Jeremiah K, Muyindike W. Interventions to Increase HIV Testing Uptake in Global Settings. Current HIV/AIDS Reports 2022, 19: 184-193. PMID: 35441985, PMCID: PMC9110462, DOI: 10.1007/s11904-022-00602-4.Peer-Reviewed Original ResearchConceptsHIV testing interventionsHIV testing uptakeTesting uptakeTest interventionsIncrease HIV testing uptakeImprove HIV testing uptakeImprove HIV testingCommunity-based interventionsTrusted community leadersLow-resource settingsCommunity-based approachHIV testingPriority populationsBiomedical carePartner notificationDiagnosed PLWHMobile outreachIncreased testingSub-Saharan AfricaCommunity leadersPLWHInterventionSub-SaharanSelf-testingHIV
2021
Traditional healer-delivered point-of-care HIV testing versus referral to clinical facilities for adults of unknown serostatus in rural Uganda: a mixed-methods, cluster-randomised trial
Sundararajan R, Ponticiello M, Lee M, Strathdee S, Muyindike W, Nansera D, King R, Fitzgerald D, Mwanga-Amumpaire J. Traditional healer-delivered point-of-care HIV testing versus referral to clinical facilities for adults of unknown serostatus in rural Uganda: a mixed-methods, cluster-randomised trial. The Lancet Global Health 2021, 9: e1579-e1588. PMID: 34678199, PMCID: PMC8562591, DOI: 10.1016/s2214-109x(21)00366-1.Peer-Reviewed Original ResearchConceptsPoint-of-care HIV testingUptake of HIV testingCluster randomised trialHIV testingTraditional healersTesting uptakeIncrease rates of HIV testingRural UgandaEffectiveness of traditional healersCommunity-based HIV testingLinkage to HIV careRates of HIV testingQualitative interviewsHIV testing uptakeRural southwestern UgandaSub-Saharan AfricaUS National Institute of Mental HealthNational Institute of Mental HealthInstitute of Mental HealthHealth-care resourcesClients per weekDays of study enrollmentMixed-methods studyPoint of careControl groupFactors associated with HIV testing among traditional healers and their clients in rural Uganda: Results from a cross-sectional study
Nabukalu D, Ponticiello M, Bennett T, Clark S, King R, Mwanga-Amumpaire J, Sundararajan R. Factors associated with HIV testing among traditional healers and their clients in rural Uganda: Results from a cross-sectional study. International Journal Of STD & AIDS 2021, 32: 1043-1051. PMID: 33978547, PMCID: PMC8542622, DOI: 10.1177/09564624211015028.Peer-Reviewed Original ResearchConceptsHIV testingCross-sectional studyTraditional healersFactors associated with HIV testingRural UgandaUptake of HIV testingIncrease HIV testing uptakeHIV testing uptakeIncrease HIV testingLifetime HIV testingHard-to-reach populationsTesting uptakeMultivariate regression modelMbarara districtAdult clientsPrimary outcomeRural communitiesHealersSexual partnersMale clientsRegression modelsHIVIncreasing ageUNAIDSUganda
2020
Using individual stated-preferences to optimize HIV self-testing service delivery among men who have sex with men (MSM) in Malaysia: results from a conjoint-based analysis
Shrestha R, Alias H, Wong LP, Altice FL, Lim SH. Using individual stated-preferences to optimize HIV self-testing service delivery among men who have sex with men (MSM) in Malaysia: results from a conjoint-based analysis. BMC Public Health 2020, 20: 1777. PMID: 33238941, PMCID: PMC7687720, DOI: 10.1186/s12889-020-09832-w.Peer-Reviewed Original ResearchConceptsClinic-based HIV testingHIV testing uptakeMethodsA cross-sectional online surveyCross-sectional online surveyNational AIDS ProgramAcceptability of HIVSTMalaysian MSMHIV testingTesting uptakeService delivery programsKey populationsHIVSTService delivery modelsAIDS ProgramMSMKit deliveryTelephone hotlineService delivery approachHigh acceptabilityDelivery programsMultiple barriersSafe useMean acceptabilityDelivery approachDelivery model
2018
Crowdsourcing to expand HIV testing among men who have sex with men in China: A closed cohort stepped wedge cluster randomized controlled trial
Tang W, Wei C, Cao B, Wu D, Li K, Lu H, Ma W, Kang D, Li H, Liao M, Mollan K, Hudgens M, Liu C, Huang W, Liu A, Zhang Y, Smith M, Mitchell K, Ong J, Fu H, Vickerman P, Yang L, Wang C, Zheng H, Yang B, Tucker J. Crowdsourcing to expand HIV testing among men who have sex with men in China: A closed cohort stepped wedge cluster randomized controlled trial. PLOS Medicine 2018, 15: e1002645. PMID: 30153265, PMCID: PMC6112627, DOI: 10.1371/journal.pmed.1002645.Peer-Reviewed Original ResearchConceptsHIV testing servicesFacility-based HIV testingHIV testingHIV testSecondary outcomesSyphilis testingIntervention periodClosed cohortWedge clusterCommunity-based HIV testing servicesCondom useSelf-reported HIV testingTesting servicesControl periodHIV testing campaignsHIV testing dataHIV testing ratesHIV testing strategiesHIV testing uptakeSubset of menHIV testing interventionsMiddle-income countriesPrimary outcomeTreat analysisCluster RCT
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