scholarly journals Oregon Reminders: Reducing HIV Transmission by Personalized Medication Reminders through a Statewide eHealth Program (Preprint)

2016 ◽  
Author(s):  
Bhupendra Sheoran ◽  
Cara Silva ◽  
James Lykens ◽  
Londiwe Gamedze

BACKGROUND Oregon Reminders is a SMS-based program that offers custom text, email, and voice reminders to take medications daily, refill prescriptions monthly, and get tested for HIV and other STDs every three to six months. A survey was done with current users in order to assess the effectiveness of Oregon Reminders. OBJECTIVE The primary goals were to evaluate the extent to which Oregon Reminders influenced users’ HIV testing behaviors and medication adherence. The evaluation was also designed to help us understand users’ demographics, sexual and drug use risk behaviors, methods of learning about the service, and willingness to discuss HIV with others. METHODS We conducted a survey with Oregon Reminders users to assess the service’s efficacy and user satisfaction. Oregon Reminders users were emailed requests to participate in an anonymous and voluntary online survey administered through Survey Monkey. RESULTS Oregon Reminders proved to be an effective way to assist in HIV/STDs treatment and testing. The majority of participants indicated that Oregon Reminders helped them remember to test for HIV/STDs, and more than a quarter reported testing for HIV more frequently since signing up for Oregon Reminders. CONCLUSIONS The survey data suggests that Oregon Reminders and similar programs can help users maintain or improve healthy behaviors, which ultimately serves to better control the HIV epidemic. Our results support the existing literature showing that text- and email-based reminder systems for HIV testing and medication adherence can be effective.

2019 ◽  
Author(s):  
Alexander Lankowski ◽  
Hugo Sánchez ◽  
José Hidalgo ◽  
Robinson Cabello ◽  
Ann Duerr

Abstract Background: In Perú, HIV disproportionately affects men who have sex with men (MSM). Despite widespread access to treatment, the rate of new HIV infections has not slowed over the last decade. Low knowledge of HIV status is a key factor underlying the high HIV incidence observed in this setting – creating conditions for efficient onward transmission in the population. Improving access to HIV testing and prevention services for those at highest risk is an important public health priority. Sex-on-premise venues (SOPVs) – saunas, sex clubs, pornographic movie theaters, hourly hotels, and bars/discos with areas where sex is permitted – may be opportune sites for outreach; however, further research on SOPVs and the populations who frequent them is needed to inform such efforts. Methods: We conducted a cross-sectional online survey of adult MSM in Lima, Perú to evaluate patterns of SOPV attendance, associated sexual risk behaviors, and attitudes toward SOPV-based interventions. Participants were recruited through outreach to social media networks affiliated with local LGBTQ-aligned community groups. Our primary analytic objective was to estimate the association of HIV-related sexual risk behaviors and SOPV attendance. Additionally, we performed exploratory analyses to describe risk behavior stratified by SOPV category and to examine the relationship between SOPV attendance and the use of online platforms to meet sex partners.Results: Overall, 389 MSM completed the survey from November 2018 through May 2019, of whom 68% reported attending an SOPV in the last three months. SOPV attendance was associated with multiple sexual risk behaviors, including transactional sex, group sex, sex while intoxicated, and higher number of total partners. Over two thirds of SOPV attendees indicated they would accept HIV testing if offered at SOPVs. Conclusions: SOPV attendance was common among MSM in Lima who participated in our survey, and SOPV attendees reported significantly greater engagement in sexual risk behaviors related to HIV transmission. Attitudes toward hypothetical SOPV-based interventions were generally favorable. These findings suggest that outreach at SOPVs may be an effective mechanism for reaching a particularly high-risk sub-population of MSM in Perú to deliver targeted HIV testing and prevention interventions.


2020 ◽  
Author(s):  
Alexander Lankowski ◽  
Hugo Sánchez ◽  
José Hidalgo ◽  
Robinson Cabello ◽  
Ann Duerr

Abstract Background. In Perú, HIV disproportionately affects men who have sex with men (MSM). Despite widespread access to treatment, the high rate of new HIV infections has remained unchanged over the last decade. Low knowledge of HIV status associated with late diagnosis is a key factor underlying the high HIV incidence observed in this setting, creating conditions for efficient onward transmission. Improving access to HIV testing and prevention services for those at highest risk is an important public health priority. Sex-on-premise venues (SOPVs) – saunas, sex clubs, pornographic movie theaters, hourly hotels, and bars/discos with areas where sex is permitted – may be opportune sites for outreach; however, further research on SOPVs and the populations who frequent them is needed to inform such efforts. Methods . We conducted a cross-sectional online survey of adult MSM in Lima, Perú to evaluate patterns of SOPV attendance, associated sexual risk behaviors, and attitudes toward SOPV-based interventions. Participants were recruited through outreach to social media networks affiliated with local LGBTQ-aligned community groups. Our primary analytic objective was to estimate the association of HIV-related sexual risk behaviors and SOPV attendance. Additionally, we performed exploratory analyses to describe risk behavior stratified by SOPV category and to examine the relationship between SOPV attendance and the use of online platforms to meet sex partners. Results. Overall, 389 MSM completed the survey from November 2018 through May 2019, of whom 68% reported attending an SOPV in the last three months. SOPV attendance was associated with multiple sexual risk behaviors, including transactional sex, group sex, substance use around the time of sex, and higher number of partners. Over two thirds of SOPV attendees indicated they would accept HIV testing if offered at SOPVs. Conclusions. SOPV attendance was common among MSM in Lima who participated in our survey, and SOPV attendees reported significantly greater engagement in sexual risk behaviors related to HIV transmission. Attitudes toward hypothetical SOPV-based interventions were generally favorable. These findings suggest that outreach at SOPVs may be an effective mechanism for reaching a particularly high-risk sub-population of MSM in Perú to deliver targeted HIV testing and prevention interventions.


2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S511-S512
Author(s):  
Sugi Min ◽  
Jimin Shin ◽  
Brendan Jacka ◽  
Lauri Bazerman ◽  
Ank E Nijhawan ◽  
...  

Abstract Background The goal of the U.S. “Ending the HIV Epidemic” (EHE) initiative is to reduce new HIV infections by 90% within 10 years by focusing resources on high-risk geographic “hotspots.” (Figure 1). The criminal justice system bears a disproportionate burden of HIV, yet EHE lacks specific mention of correctional settings for intervention. We conducted a survey study of current HIV and HCV care practices in prisons and jails serving EHE hotspots. Figure 1 Priority jurisdictions for the “Ending the HIV Epidemic” Initiative which include counties, rural states, and territories with the highest HIV burden, together accounting for more than 50 percent of new HIV diagnoses in recent years. Source: Division of HIV/AIDS Prevention, Centers for Diseases Control and Prevention, https://www.cdc.gov/endhiv/jurisdictions.html Methods An online survey on HIV/HCV testing, prevention, treatment, and surveillance was sent to Medical Directors or designees at 26 state prison systems and 37 county or city jails serving EHE hotspots in Spring 2021. Results Twenty-five responses were received (10/26 prisons, 15/37 jails) for an overall response rate of 40%. Routine HIV testing, defined as testing offered to all persons without known infection, was conducted in 76% of facilities (9/10 prisons, 10/15 jails), with policies of “opt-out” in 44% (5/10 prisons, 6/15 jails), “opt-in” in 20% (2/10 prisons, 3/15 jails), and “mandatory” in 12% of facilities (2/10 prisons, 1/15 jails). Most facilities (80%) provided HIV testing upon inmate request. For HIV prevention, education programs and/or treatment for opioid-use disorder was available in 76% of facilities, but PrEP and condoms were only available in 24% and 16%, respectively. All facilities reported providing antiretroviral therapy and 88% provided a short (3- to 30-day) supply upon discharge. Routine testing for HCV was conducted in 52% of facilities (7/10 prisons, 6/15 jails), with policies of “opt-out” in 36% (5/10 prisons, 4/15 jails), “opt-in” in 12% (1/10 prisons, 2/15 jails), and “mandatory” in one prison. Most facilities (80%) provided HCV testing upon inmate request. In 8/10 prisons and 6/15 jails, HCV treatment with direct-acting antivirals was continued if initiated prior to incarceration. Treatment for new diagnoses of HCV was less common (16-44%) and depended on expected length of incarceration. Conclusion In prisons and jails serving HIV “hotspot” regions, critical opportunities for improved HIV and HCV testing, treatment, prevention, and linkage-to-care services remain. Given these findings, we support the broader inclusion of the justice system as an integral component of the EHE initiative. Disclosures All Authors: No reported disclosures


2020 ◽  
Vol 12 (s1) ◽  
Author(s):  
Rami Kantor ◽  
John P. Fulton ◽  
Jon Steingrimsson ◽  
Vladimir Novitsky ◽  
Mark Howison ◽  
...  

AbstractGreat efforts are devoted to end the HIV epidemic as it continues to have profound public health consequences in the United States and throughout the world, and new interventions and strategies are continuously needed. The use of HIV sequence data to infer transmission networks holds much promise to direct public heath interventions where they are most needed. As these new methods are being implemented, evaluating their benefits is essential. In this paper, we recognize challenges associated with such evaluation, and make the case that overcoming these challenges is key to the use of HIV sequence data in routine public health actions to disrupt HIV transmission networks.


2020 ◽  
Vol 21 (7) ◽  
pp. 898-907
Author(s):  
Gregory Phillips ◽  
David J. McCuskey ◽  
Dylan Felt ◽  
Caleb W. Curry ◽  
Megan M. Ruprecht ◽  
...  

2018 ◽  
Vol 20 (6) ◽  
pp. 922-931 ◽  
Author(s):  
Monisha Arya ◽  
Haley G. Marek ◽  
Rachel E. Marren ◽  
Vagish Hemmige ◽  
Richard L. Street ◽  
...  

Introduction. Despite national recommendations, routine opt-out HIV testing has not been widely adopted by physicians. Guided by previous research on physician barriers to HIV testing, we developed a physician-targeted video to promote routine opt-out HIV screening. The objective of this study was to evaluate this video intervention. Methods. From June to July 2016, physicians in two primary care clinics completed an online survey prior to and after watching the video. Survey items assessed acceptability of the video and HIV testing knowledge, attitudes, and intention to screen. Descriptive statistics were generated to analyze data. Results. Of the 53 participants, 90% liked or strongly liked the video. Pre- to postvideo, significant improvements were seen in the knowledge of national HIV screening recommendations (45.3% to 67.9%; p = .010) and of the proportion of unaware Houstonians living with HIV (22.6% to 75.5%; p < .001). Participant beliefs about the likelihood of patients accepting HIV testing increased from 47.2% to 84.9% pre- to postvideo ( p < .001). Intention to screen did not change; participants had high intentions pre- and postvideo. Conclusions. Our study found that a video is an acceptable HIV testing promotion medium for physicians. Our video improved physician HIV testing knowledge and attitudes, overcoming key barriers to HIV testing.


2006 ◽  
Vol 62 (7) ◽  
pp. 1641-1649 ◽  
Author(s):  
Seth C. Kalichman ◽  
Leickness C. Simbayi ◽  
Ashraf Kagee ◽  
Yoesrie Toefy ◽  
Sean Jooste ◽  
...  

Sexual Health ◽  
2016 ◽  
Vol 13 (3) ◽  
pp. 292
Author(s):  
Anthony J. Santella ◽  
Timothy E. Schlub ◽  
Damien Fagan ◽  
Richard J. Hillman ◽  
Ines Krass

Community pharmacists are expanding their roles in health care, especially as they are distributed over wide geographical areas and are often open long hours. New rapid HIV testing technologies may offer further opportunities to expand their roles. A cross-sectional, online survey of Australian community pharmacists found most prepared to provide treatment to HIV patients, with the majority willing to become involved in rapid HIV testing.


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