%0 Journal Article %J AIDS Behav %D 2014 %T Prospective predictors of unprotected anal intercourse among HIV-seropositive men who have sex with men initiating antiretroviral therapy. %A Pantalone, David W %A Huh, David %A Nelson, Kimberly M %A Pearson, Cynthia R %A Simoni, Jane M %K Adult %K Anti-HIV Agents %K Drug Administration Schedule %K Health Knowledge, Attitudes, Practice %K HIV Infections %K HIV Seropositivity %K Homosexuality, Male %K Humans %K Interviews as Topic %K Latin America %K Logistic Models %K Longitudinal Studies %K Male %K Middle Aged %K Prospective Studies %K Sexual Behavior %K Socioeconomic Factors %K Stress, Psychological %K Substance-Related Disorders %K Surveys and Questionnaires %K Unsafe Sex %K Vulnerable Populations %K Washington %K Young Adult %X

Contemporary HIV prevention efforts are increasingly focused on those already living with HIV/AIDS (i.e., "prevention with positives"). Key to these initiatives is research identifying the most risky behavioral targets. Using a longitudinal design, we examined socio-demographic and psychosocial factors that prospectively predicted unprotected anal intercourse (UAI) in a sample of 134 HIV-seropositive men who have sex with men (MSM) initiating, changing, or re-starting an antiretroviral therapy regimen as part of a behavioral intervention study. Computer-based questionnaires were given at baseline and 6 months. In a sequential logistic regression, baseline measures of UAI (step 1), socio-demographic factors such as Latino ethnicity (step 2), and psychosocial factors such as crystal methamphetamine use, greater life stress, and lower trait anxiety (step 3) were predictors of UAI at 6 months. Problem drinking was not a significant predictor. Prevention efforts among MSM living with HIV/AIDS might focus on multiple psychosocial targets, like decreasing their crystal methamphetamine use and teaching coping skills to deal with life stress.

%B AIDS Behav %V 18 %P 78-87 %8 2014 Jan %G eng %N 1 %R 10.1007/s10461-013-0477-1 %0 Journal Article %J AIDS Behav %D 2012 %T Investigating partner abuse among HIV-positive men who have sex with men. %A Pantalone, David W %A Schneider, Karen L %A Valentine, Sarah E %A Simoni, Jane M %K Adult %K Cross-Sectional Studies %K Depression %K HIV Seropositivity %K Homosexuality, Male %K Humans %K Male %K Middle Aged %K Prevalence %K Quality of Life %K Risk-Taking %K Sexual Behavior %K Spouse Abuse %X

High rates of partner abuse (PA) of all types-physical, sexual, and psychological-have been identified in studies of HIV-positive individuals. We examined both the prevalence and correlates of same-sex PA in HIV-positive men who have sex with men (MSM). Participants recruited from public outpatient HIV clinics (N = 168) completed CASI surveys about PA and current physical and mental health. Electronic medical record data were obtained for HIV biomarkers. Results indicate high rates of past year PA (physical, 19%; sexual, 17%; psychological, 51%; any, 54%), with rates comparable to, or higher than, those reported in recent studies of HIV-positive women and older studies of HIV-positive MSM. Overall, participants endorsing past year PA reported poorer mental but not physical health. Participants who endorsed past year physical PA, specifically, reported the largest number of mental health problems. HIV care providers should routinely assess PA, especially physical PA, in all MSM patients.

%B AIDS Behav %V 16 %P 1031-43 %8 2012 May %G eng %N 4 %R 10.1007/s10461-011-0011-2 %0 Journal Article %J J Consult Clin Psychol %D 2012 %T Social capital, acculturation, mental health, and perceived access to services among Mexican American women. %A Valencia-Garcia, Dellanira %A Simoni, Jane M %A Alegría, Margarita %A Takeuchi, David T %K Acculturation %K Adolescent %K Adult %K Anxiety %K Cross-Sectional Studies %K Depression %K Female %K Health Services Accessibility %K Humans %K Mental Health %K Mexican Americans %K Middle Aged %K Social Class %K Stress, Psychological %K Women %X

OBJECTIVE: We examined whether individual-level social capital-the intangible resources in a community available through membership in social networks or other social structures and perceived trust in the community-was associated with acculturation, depression and anxiety symptoms, and perceived access to services among women of Mexican ancestry.

METHOD: Recruited through venue-based targeted sampling in King County, Washington, 205 women of Mexican descent ages 18 to 64 years who differed in socioeconomic status and nativity completed a cross-sectional survey. Half completed the survey in Spanish and half in English. Structural equation modeling was used for model testing.

RESULTS: Social capital increased with level of acculturation and was negatively related to depression and anxiety; it had no direct association with perceived access to services. Social capital mediated the relation between acculturation and both depression and anxiety symptoms. Acculturation had no direct association with psychological distress but was directly associated with perceived access to services. This community sample of women reported high levels of psychological distress, with 20% to 26% of women meeting diagnostic criteria for depression or anxiety.

CONCLUSIONS: Social capital can be assessed at the individual level, increases with acculturation, and may be a potential target for interventions to improve mental health among Mexican American women residing in the United States.

%B J Consult Clin Psychol %V 80 %P 177-85 %8 2012 Apr %G eng %N 2 %R 10.1037/a0027207 %0 Journal Article %J AIDS Behav %D 2011 %T A preliminary randomized controlled trial of a nurse-delivered medication adherence intervention among HIV-positive outpatients initiating antiretroviral therapy in Beijing, China. %A Simoni, Jane M %A Chen, Wei-Ti %A Huh, David %A Fredriksen-Goldsen, Karen I %A Pearson, Cynthia %A Zhao, Hongxin %A Shiu, Cheng-Shi %A Wang, Xin %A Zhang, Fujie %K Adult %K Anti-HIV Agents %K CD4 Lymphocyte Count %K China %K Counseling %K Cross-Sectional Studies %K Drug Monitoring %K Electronics, Medical %K Female %K HIV Infections %K HIV-1 %K Humans %K Male %K Medication Adherence %K Middle Aged %K Nurses %K Outpatients %K RNA, Viral %K Treatment Outcome %K Viral Load %K Young Adult %X

We evaluated a nurse-delivered adherence intervention in a preliminary randomized controlled trial among 70 HIV-positive outpatients initiating antiretroviral therapy (ART) in Beijing, China. In both arms, participants received a 30-min educational session, a pillbox, and a referral to a peer support group. In the enhanced arm, participants could choose an electronic reminder device, three sessions of counseling either alone or with a treatment adherence partner, or both reminder and counseling. Survey assessments and blood draws occurred at baseline, post-intervention (13 weeks), and follow-up (25 weeks). Primary outcomes were 7-day and 30-day adherence assessed by self-report and electronic drug monitoring (EDM), and secondary outcomes were HIV-1 RNA viral load and CD4 count. The intervention was feasible and well received. It led to some improvement in self-reported and EDM-assessed adherence but not the biological outcomes. Providing counseling and facilitating the use of electronic reminders to patients initiating ART merits further investigation as a culturally viable means of promoting adherence in China.

%B AIDS Behav %V 15 %P 919-29 %8 2011 Jul %G eng %N 5 %R 10.1007/s10461-010-9828-3