Context specific HIV risk: evidence from screening into the southern pre-exposure prophylaxis study (SPECS).

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Title: Context specific HIV risk: evidence from screening into the southern pre-exposure prophylaxis study (SPECS).
Authors: LeMasters, Katherine, Krajewski, Taylor, Nowotny, Kathryn, Oser, Carrie, Mollan, Katie, Brinkley-Rubinstein, Lauren
Source: AIDS Care. Apr2023, Vol. 35 Issue 4, p474-479. 6p. 3 Charts.
Subjects: HIV infection risk factors, Research methodology, Medical screening, Communities, Pre-exposure prophylaxis, Research funding, Probation, COVID-19 pandemic
Abstract: While Pre-exposure prophylaxis (PrEP) is efficacious in preventing HIV, little is known about PrEP use among those on community supervision. The Southern Pre-Exposure Prophylaxis Study (SPECS) investigates barriers and facilitators for PrEP initiation and use among adults on community supervision (e.g., probation, parole). Challenges to PrEP use in this setting are abundant. SPECS uses a mixed-methods sequential design, including a multi-site, prospective cohort study in three southern states – North Carolina, Florida, and Kentucky. This analysis describes individual demographic, criminal legal, and HIV risk factor characteristics, by site and enrollment status. Pooled association analyses accounted for site via stratified statistical tests. Between June 2019-March 2020, SPECS screened 702 individuals and enrolled 276 participants (39%). Of those who were eligible, 98% agreed to enroll. Age, gender, and sexual orientation varied by enrollment and by site, while race/ethnicity varied by site but not enrollment status. Criminal legal histories varied by enrollment and HIV risk factors varied by site. SPECS provides a granular and detailed assessment of HIV risk in three diverse southern settings. It highlights how the level and type of HIV risk varies by location and by nature of criminal legal involvement and calls for the need for context-specific interventions for HIV prevention. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Context specific HIV risk: evidence from screening into the southern pre-exposure prophylaxis study (SPECS).
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  Data: <searchLink fieldCode="AR" term="%22LeMasters%2C+Katherine%22">LeMasters, Katherine</searchLink><br /><searchLink fieldCode="AR" term="%22Krajewski%2C+Taylor%22">Krajewski, Taylor</searchLink><br /><searchLink fieldCode="AR" term="%22Nowotny%2C+Kathryn%22">Nowotny, Kathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Oser%2C+Carrie%22">Oser, Carrie</searchLink><br /><searchLink fieldCode="AR" term="%22Mollan%2C+Katie%22">Mollan, Katie</searchLink><br /><searchLink fieldCode="AR" term="%22Brinkley-Rubinstein%2C+Lauren%22">Brinkley-Rubinstein, Lauren</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Apr2023, Vol. 35 Issue 4, p474-479. 6p. 3 Charts.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22HIV+infection+risk+factors%22">HIV infection risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Communities%22">Communities</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-exposure+prophylaxis%22">Pre-exposure prophylaxis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Probation%22">Probation</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink>
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  Label: Abstract
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  Data: While Pre-exposure prophylaxis (PrEP) is efficacious in preventing HIV, little is known about PrEP use among those on community supervision. The Southern Pre-Exposure Prophylaxis Study (SPECS) investigates barriers and facilitators for PrEP initiation and use among adults on community supervision (e.g., probation, parole). Challenges to PrEP use in this setting are abundant. SPECS uses a mixed-methods sequential design, including a multi-site, prospective cohort study in three southern states – North Carolina, Florida, and Kentucky. This analysis describes individual demographic, criminal legal, and HIV risk factor characteristics, by site and enrollment status. Pooled association analyses accounted for site via stratified statistical tests. Between June 2019-March 2020, SPECS screened 702 individuals and enrolled 276 participants (39%). Of those who were eligible, 98% agreed to enroll. Age, gender, and sexual orientation varied by enrollment and by site, while race/ethnicity varied by site but not enrollment status. Criminal legal histories varied by enrollment and HIV risk factors varied by site. SPECS provides a granular and detailed assessment of HIV risk in three diverse southern settings. It highlights how the level and type of HIV risk varies by location and by nature of criminal legal involvement and calls for the need for context-specific interventions for HIV prevention. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2022.2059054
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 474
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      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Medical screening
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      – SubjectFull: Communities
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      – SubjectFull: Pre-exposure prophylaxis
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      – SubjectFull: Research funding
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      – SubjectFull: Probation
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      – SubjectFull: COVID-19 pandemic
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      – TitleFull: Context specific HIV risk: evidence from screening into the southern pre-exposure prophylaxis study (SPECS).
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              Text: Apr2023
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              Y: 2023
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