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Published in: AIDS and Behavior 8/2016

01-08-2016 | Original Paper

Developing Measures of Pathways that May Link Macro Social/Structural Changes with HIV Epidemiology

Authors: Enrique R. Pouget, Milagros Sandoval, Georgios K. Nikolopoulos, Pedro Mateu-Gelabert, Diana Rossi, Pavlo Smyrnov, Yolanda Jones, Samuel R. Friedman

Published in: AIDS and Behavior | Issue 8/2016

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Abstract

Macro-social/structural events (“big events”) such as wars, disasters, and large-scale changes in policies can affect HIV transmission by making risk behaviors more or less likely or by changing risk contexts. The purpose of this study was to develop new measures to investigate hypothesized pathways between macro-social changes and HIV transmission. We developed novel scales and indexes focused on topics including norms about sex and drug injecting under different conditions, involvement with social groups, helping others, and experiencing denial of dignity. We collected data from 300 people who inject drugs in New York City during 2012–2013. Most investigational measures showed evidence of validity (Pearson correlations with criterion variables range = 0.12–0.71) and reliability (Cronbach’s alpha range = 0.62–0.91). Research is needed in different contexts to evaluate whether these measures can be used to better understand HIV outbreaks and help improve social/structural HIV prevention intervention programs.
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Literature
1.
go back to reference Parkhurst JO. Structural approaches for prevention of sexually transmitted HIV in general populations: definitions and an operational approach. J Int AIDS Soc. 2014;17:19052.CrossRefPubMedPubMedCentral Parkhurst JO. Structural approaches for prevention of sexually transmitted HIV in general populations: definitions and an operational approach. J Int AIDS Soc. 2014;17:19052.CrossRefPubMedPubMedCentral
2.
go back to reference Abdul-Quader AS, Collins C. Identification of structural interventions for HIV/AIDS prevention: the concept mapping exercise. Public Health Rep. 2011;126(6):777–88.PubMedPubMedCentral Abdul-Quader AS, Collins C. Identification of structural interventions for HIV/AIDS prevention: the concept mapping exercise. Public Health Rep. 2011;126(6):777–88.PubMedPubMedCentral
3.
go back to reference Rotheram-Borus MJ, Swendeman D, Chovnick G. The past, present, and future of HIV prevention: integrating behavioral, biomedical, and structural intervention strategies for the next generation of HIV prevention. Annu Rev Clin Psychol. 2009;5:143–67.CrossRefPubMedPubMedCentral Rotheram-Borus MJ, Swendeman D, Chovnick G. The past, present, and future of HIV prevention: integrating behavioral, biomedical, and structural intervention strategies for the next generation of HIV prevention. Annu Rev Clin Psychol. 2009;5:143–67.CrossRefPubMedPubMedCentral
4.
go back to reference Dickson-Gomez J, et al. Resources and obstacles to developing and implementing a structural intervention to prevent HIV in San Salvador, El Salvador. Soc Sci Med. 2010;70(3):351–9.CrossRefPubMed Dickson-Gomez J, et al. Resources and obstacles to developing and implementing a structural intervention to prevent HIV in San Salvador, El Salvador. Soc Sci Med. 2010;70(3):351–9.CrossRefPubMed
5.
go back to reference Buffardi AL, et al. Moving upstream: ecosocial and psychosocial correlates of sexually transmitted infections among young adults in the United States. Am J Public Health. 2008;98(6):1128–36.CrossRefPubMedPubMedCentral Buffardi AL, et al. Moving upstream: ecosocial and psychosocial correlates of sexually transmitted infections among young adults in the United States. Am J Public Health. 2008;98(6):1128–36.CrossRefPubMedPubMedCentral
6.
go back to reference Friedman SR, et al. Social intervention against AIDS among injecting drug users. Br J Addict. 1992;87(3):393–404.CrossRefPubMed Friedman SR, et al. Social intervention against AIDS among injecting drug users. Br J Addict. 1992;87(3):393–404.CrossRefPubMed
7.
go back to reference Institute of Medicine Committee on the Social Behavioral Science Base for HIV/AIDS Prevention Intervention, Assessing the Social and Behavioral Science Base for HIV/AIDS Prevention and Intervention: Workshop Summary. Washington (DC): National Academies Press (US); 1995. Institute of Medicine Committee on the Social Behavioral Science Base for HIV/AIDS Prevention Intervention, Assessing the Social and Behavioral Science Base for HIV/AIDS Prevention and Intervention: Workshop Summary. Washington (DC): National Academies Press (US); 1995.
8.
go back to reference Friedman SR, Des Jarlais DC, Ward TP. Social models for changing health-relevant behavior. In: Peterson RDAJ, editor. Preventing AIDS: theories & methods of behavioral interventions. New York: Plenum Press; 1994. p. 95–116.CrossRef Friedman SR, Des Jarlais DC, Ward TP. Social models for changing health-relevant behavior. In: Peterson RDAJ, editor. Preventing AIDS: theories & methods of behavioral interventions. New York: Plenum Press; 1994. p. 95–116.CrossRef
10.
go back to reference Des Jarlais DC, Arasteh K, Friedman SR. HIV among drug users at Beth Israel Medical Center, New York City, the first 25 years. Subst Use Misuse. 2011;46(2–3):131–9.CrossRefPubMed Des Jarlais DC, Arasteh K, Friedman SR. HIV among drug users at Beth Israel Medical Center, New York City, the first 25 years. Subst Use Misuse. 2011;46(2–3):131–9.CrossRefPubMed
11.
go back to reference Pouget ER, et al. Receptive syringe sharing among injection drug users in Harlem and the Bronx during the New York State expanded syringe access demonstration program. J Acquir Immune Defic Syndr. 2005;39(4):471–7.CrossRefPubMed Pouget ER, et al. Receptive syringe sharing among injection drug users in Harlem and the Bronx during the New York State expanded syringe access demonstration program. J Acquir Immune Defic Syndr. 2005;39(4):471–7.CrossRefPubMed
12.
go back to reference Jolley E, et al. HIV among people who inject drugs in Central and Eastern Europe and Central Asia: a systematic review with implications for policy. BMJ Open. 2012;2(5):e001465.CrossRefPubMedPubMedCentral Jolley E, et al. HIV among people who inject drugs in Central and Eastern Europe and Central Asia: a systematic review with implications for policy. BMJ Open. 2012;2(5):e001465.CrossRefPubMedPubMedCentral
13.
go back to reference McCree DH, et al. African Americans and HIV/AIDS: understanding and addressing the epidemic. New York: Springer; 2010.CrossRef McCree DH, et al. African Americans and HIV/AIDS: understanding and addressing the epidemic. New York: Springer; 2010.CrossRef
14.
go back to reference Rossi D. This special issue of substance use & misuse explores”big events,” substance use, and its interventions. Introduction. Subst Use Misuse. 2015;50(7):823–4.CrossRefPubMed Rossi D. This special issue of substance use & misuse explores”big events,” substance use, and its interventions. Introduction. Subst Use Misuse. 2015;50(7):823–4.CrossRefPubMed
15.
go back to reference Friedman S, Rossi D, Flom PL. “Big events” and networks. Connect (Tor). 2006;27(1):9–14. Friedman S, Rossi D, Flom PL. “Big events” and networks. Connect (Tor). 2006;27(1):9–14.
16.
go back to reference Friedman SR, Rossi D, Braine N. Theorizing “big events” as a potential risk environment for drug use, drug-related harm and HIV epidemic outbreaks. Int J Drug Policy. 2009;20(3):283–91.CrossRefPubMed Friedman SR, Rossi D, Braine N. Theorizing “big events” as a potential risk environment for drug use, drug-related harm and HIV epidemic outbreaks. Int J Drug Policy. 2009;20(3):283–91.CrossRefPubMed
17.
go back to reference Nikolopoulos GK, et al. Big events in Greece and HIV infection among people who inject drugs. Subst Use Misuse. 2015;50:1–14.CrossRef Nikolopoulos GK, et al. Big events in Greece and HIV infection among people who inject drugs. Subst Use Misuse. 2015;50:1–14.CrossRef
19.
go back to reference Paraskevis D, et al. HIV-1 outbreak among injecting drug users in Greece, 2011: a preliminary report. Eur Surveill. 2011;16(36):19962. Paraskevis D, et al. HIV-1 outbreak among injecting drug users in Greece, 2011: a preliminary report. Eur Surveill. 2011;16(36):19962.
20.
go back to reference Strathdee SA, et al. Complex emergencies, HIV, and substance use: no “big easy” solution. Subst Use Misuse. 2006;41(10–12):1637–51.CrossRefPubMed Strathdee SA, et al. Complex emergencies, HIV, and substance use: no “big easy” solution. Subst Use Misuse. 2006;41(10–12):1637–51.CrossRefPubMed
21.
go back to reference Vygotsky L. In: John-Steiner V, Cole M, Scribner S, Souberman E, editors. Mind in society: the development of higher psychological processes. Harvard, MA: Harvard University Press; 1978. Vygotsky L. In: John-Steiner V, Cole M, Scribner S, Souberman E, editors. Mind in society: the development of higher psychological processes. Harvard, MA: Harvard University Press; 1978.
22.
go back to reference Leonteiev A. Activity, conciousness and personality. Englewood Cliffs, NJ: Prentice Hall; 1981. Leonteiev A. Activity, conciousness and personality. Englewood Cliffs, NJ: Prentice Hall; 1981.
23.
go back to reference Rossi D, et al. Changes in time-use and drug use by young adults in poor neighbourhoods of Greater Buenos Aires, Argentina, after the political transitions of 2001–2002: results of a survey. Harm Reduct J. 2011;8:2.CrossRefPubMedPubMedCentral Rossi D, et al. Changes in time-use and drug use by young adults in poor neighbourhoods of Greater Buenos Aires, Argentina, after the political transitions of 2001–2002: results of a survey. Harm Reduct J. 2011;8:2.CrossRefPubMedPubMedCentral
24.
go back to reference Friedman SR, Pouget ER, Sandoval M, Jones Y, Mateu-Gelabert P. Formal and informal organizational activities of people who inject drugs in New York City: description and correlates. J Addict Dis. 2015;34(1):55–62.CrossRefPubMedPubMedCentral Friedman SR, Pouget ER, Sandoval M, Jones Y, Mateu-Gelabert P. Formal and informal organizational activities of people who inject drugs in New York City: description and correlates. J Addict Dis. 2015;34(1):55–62.CrossRefPubMedPubMedCentral
25.
go back to reference Nikolopoulos G, et al. Normative pressure for safe injecting: a comparison between New York City and Athens, Greece. In: 20th International AIDS Conference. 2014. Melbourne, Australia. Nikolopoulos G, et al. Normative pressure for safe injecting: a comparison between New York City and Athens, Greece. In: 20th International AIDS Conference. 2014. Melbourne, Australia.
26.
27.
go back to reference Wolff-Michael R, Lee Y-J. Vygotsky’s neglected legacy. Rev Educ Res. 2007;77:186–232.CrossRef Wolff-Michael R, Lee Y-J. Vygotsky’s neglected legacy. Rev Educ Res. 2007;77:186–232.CrossRef
28.
go back to reference Edwards A. Working collaboratively to build resilience: a CHAT approach. Soc Policy Soc. 2007;6:255–65.CrossRef Edwards A. Working collaboratively to build resilience: a CHAT approach. Soc Policy Soc. 2007;6:255–65.CrossRef
29.
go back to reference Cianelli R, et al. Predictors of HIV enacted stigma among Chilean women. J Clin Nurs. 2015;24(17–18):2392–401.CrossRefPubMed Cianelli R, et al. Predictors of HIV enacted stigma among Chilean women. J Clin Nurs. 2015;24(17–18):2392–401.CrossRefPubMed
30.
32.
go back to reference Biradavolu MR, et al. Structural stigma, sex work and HIV: contradictions and lessons learnt from a community-led structural intervention in southern India. J Epidemiol Community Health. 2012;66(Suppl 2):ii95–9.CrossRefPubMed Biradavolu MR, et al. Structural stigma, sex work and HIV: contradictions and lessons learnt from a community-led structural intervention in southern India. J Epidemiol Community Health. 2012;66(Suppl 2):ii95–9.CrossRefPubMed
33.
go back to reference Jeffries WLT, et al. Unhealthy environments, unhealthy consequences: experienced homonegativity and HIV infection risk among young men who have sex with men. Glob Public Health. 2015;7:1–14.CrossRef Jeffries WLT, et al. Unhealthy environments, unhealthy consequences: experienced homonegativity and HIV infection risk among young men who have sex with men. Glob Public Health. 2015;7:1–14.CrossRef
34.
go back to reference Latkin CA, et al. Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users. Soc Sci Med. 2003;56(3):465–76.CrossRefPubMed Latkin CA, et al. Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users. Soc Sci Med. 2003;56(3):465–76.CrossRefPubMed
35.
go back to reference Blankenship KM, et al. Structural interventions for HIV prevention among women who use drugs: a global perspective. J Acquir Immune Defic Syndr. 2015;69(Suppl 2):S140–5.CrossRefPubMed Blankenship KM, et al. Structural interventions for HIV prevention among women who use drugs: a global perspective. J Acquir Immune Defic Syndr. 2015;69(Suppl 2):S140–5.CrossRefPubMed
36.
go back to reference Latkin C, et al. Relationships between social norms, social network characteristics, and HIV risk behaviors in Thailand and the United States. Health Psychol. 2009;28(3):323–9.CrossRefPubMedPubMedCentral Latkin C, et al. Relationships between social norms, social network characteristics, and HIV risk behaviors in Thailand and the United States. Health Psychol. 2009;28(3):323–9.CrossRefPubMedPubMedCentral
37.
go back to reference Latkin C, et al. The dynamic relationship between social norms and behaviors: the results of an HIV prevention network intervention for injection drug users. Addiction. 2013;108(5):934–43.CrossRefPubMedPubMedCentral Latkin C, et al. The dynamic relationship between social norms and behaviors: the results of an HIV prevention network intervention for injection drug users. Addiction. 2013;108(5):934–43.CrossRefPubMedPubMedCentral
38.
go back to reference Latkin CA. The phenomenological, social network, social norms, and economic context of substance use and HIV prevention and treatment: a poverty of meanings. Subst Use Misuse. 2015;50(8/9):1165–8.CrossRefPubMedPubMedCentral Latkin CA. The phenomenological, social network, social norms, and economic context of substance use and HIV prevention and treatment: a poverty of meanings. Subst Use Misuse. 2015;50(8/9):1165–8.CrossRefPubMedPubMedCentral
39.
go back to reference Pawlowicz MP, et al. Drug use and peer norms among youth in a high-risk drug use neighbourhood in Buenos Aires. Drugs. 2010;17(5):544–59. Pawlowicz MP, et al. Drug use and peer norms among youth in a high-risk drug use neighbourhood in Buenos Aires. Drugs. 2010;17(5):544–59.
40.
go back to reference Wagner KD, et al. The perceived consequences of safer injection: an exploration of qualitative findings and gender differences. Psychol Health Med. 2010;15(5):560–73.CrossRefPubMedPubMedCentral Wagner KD, et al. The perceived consequences of safer injection: an exploration of qualitative findings and gender differences. Psychol Health Med. 2010;15(5):560–73.CrossRefPubMedPubMedCentral
41.
go back to reference Nunnally JC, Bernstein IH. Psychometric theory, vol. xxiv. 3rd ed., McGraw-Hill series in psychologyNew York: McGraw-Hill; 1994. p. 752. Nunnally JC, Bernstein IH. Psychometric theory, vol. xxiv. 3rd ed., McGraw-Hill series in psychologyNew York: McGraw-Hill; 1994. p. 752.
42.
go back to reference DeVellis RF. Scale development: theory and applications, vol. ix. 3rd ed., Applied social research methods seriesThousand Oaks: SAGE; 2012. p. 205. DeVellis RF. Scale development: theory and applications, vol. ix. 3rd ed., Applied social research methods seriesThousand Oaks: SAGE; 2012. p. 205.
43.
go back to reference Allen MJ, Yen WM. Introduction to measurement theory, vol. x. Monterey: Brooks/Cole Pub. Co.; 1979. p. 310. Allen MJ, Yen WM. Introduction to measurement theory, vol. x. Monterey: Brooks/Cole Pub. Co.; 1979. p. 310.
44.
go back to reference Furr RM, Bacharach VR. Psychometrics: an introduction, vol. xxiii. 2nd ed. Los Angeles: SAGE; 2014. p. 442. Furr RM, Bacharach VR. Psychometrics: an introduction, vol. xxiii. 2nd ed. Los Angeles: SAGE; 2014. p. 442.
46.
go back to reference Friedman SR, Mateu-Gelabert P, Sandoval M. Group sex events amongst non-gay drug users: an understudied risk environment. Int J Drug Policy. 2011;22(1):1–8.CrossRefPubMed Friedman SR, Mateu-Gelabert P, Sandoval M. Group sex events amongst non-gay drug users: an understudied risk environment. Int J Drug Policy. 2011;22(1):1–8.CrossRefPubMed
47.
go back to reference Friedman S, Rossi D, Ralón G. Dignity denial and social conflicts. Rethinking Marxism. 2015;27(1):65–84.CrossRef Friedman S, Rossi D, Ralón G. Dignity denial and social conflicts. Rethinking Marxism. 2015;27(1):65–84.CrossRef
50.
go back to reference Jacobson N. Dignity and health. Nashville: Vanderbilt University Press; 2012. Jacobson N. Dignity and health. Nashville: Vanderbilt University Press; 2012.
51.
52.
go back to reference Simic M, Rhodes T. Violence, dignity and HIV vulnerability: street sex work in Serbia. Sociol Health Illn. 2009;31(1):1–16.CrossRefPubMed Simic M, Rhodes T. Violence, dignity and HIV vulnerability: street sex work in Serbia. Sociol Health Illn. 2009;31(1):1–16.CrossRefPubMed
53.
go back to reference Mills TC, et al. Distress and depression in men who have sex with men: the Urban Men’s Health Study. Am J Psychiatry. 2004;161(2):278–85.CrossRefPubMed Mills TC, et al. Distress and depression in men who have sex with men: the Urban Men’s Health Study. Am J Psychiatry. 2004;161(2):278–85.CrossRefPubMed
54.
go back to reference Lightfoot MA, Milburn NG. HIV prevention and African American youth: examination of individual-level behaviour is not the only answer. Cult Health Sex. 2009;11(7):731–42.CrossRefPubMed Lightfoot MA, Milburn NG. HIV prevention and African American youth: examination of individual-level behaviour is not the only answer. Cult Health Sex. 2009;11(7):731–42.CrossRefPubMed
55.
56.
go back to reference Tait V. Poor workers’ unions: rebuilding labor from below, vol. xi. 1st ed. Cambridge: South end Press; 2005 258 p. Tait V. Poor workers’ unions: rebuilding labor from below, vol. xi. 1st ed. Cambridge: South end Press; 2005 258 p.
57.
go back to reference Friedman SR, et al. Measuring altruistic & solidaristic orientations towards others among people who inject drugs. J Addict Dis. 2015;34(2–3):248–54.CrossRefPubMedPubMedCentral Friedman SR, et al. Measuring altruistic & solidaristic orientations towards others among people who inject drugs. J Addict Dis. 2015;34(2–3):248–54.CrossRefPubMedPubMedCentral
58.
go back to reference Wyatt GE, Williams JK, Myers HF. African–American sexuality and HIV/AIDS: recommendations for future research. J Natl Med Assoc. 2008;100(1):44–8 50-1.CrossRefPubMed Wyatt GE, Williams JK, Myers HF. African–American sexuality and HIV/AIDS: recommendations for future research. J Natl Med Assoc. 2008;100(1):44–8 50-1.CrossRefPubMed
59.
go back to reference Miller RL Jr. African American churches at the crossroads of AIDS. Focus. 2001;16(10):1–4.PubMed Miller RL Jr. African American churches at the crossroads of AIDS. Focus. 2001;16(10):1–4.PubMed
60.
go back to reference Anderson E. Code of the street: decency, violence, and the moral life of the inner city. 1st ed. New York: W.W Norton; 1999. p. 352. Anderson E. Code of the street: decency, violence, and the moral life of the inner city. 1st ed. New York: W.W Norton; 1999. p. 352.
61.
go back to reference Friedman SR, et al. Formal and informal organizational activities of people who inject drugs in New York City: description and correlates. J Addict Dis. 2015;34(1):55–62.CrossRefPubMedPubMedCentral Friedman SR, et al. Formal and informal organizational activities of people who inject drugs in New York City: description and correlates. J Addict Dis. 2015;34(1):55–62.CrossRefPubMedPubMedCentral
62.
go back to reference Mateu-Gelabert P, et al. The staying safe intervention: training people who inject drugs in strategies to avoid injection-related HCV and HIV infection. AIDS Educ Prev. 2014;26(2):144–57.CrossRefPubMedPubMedCentral Mateu-Gelabert P, et al. The staying safe intervention: training people who inject drugs in strategies to avoid injection-related HCV and HIV infection. AIDS Educ Prev. 2014;26(2):144–57.CrossRefPubMedPubMedCentral
63.
go back to reference Vazan P, et al. Correlates of staying safe behaviors among long-term injection drug users: psychometric evaluation of the staying safe questionnaire. AIDS Behav. 2012;16(6):1472–81.CrossRefPubMedPubMedCentral Vazan P, et al. Correlates of staying safe behaviors among long-term injection drug users: psychometric evaluation of the staying safe questionnaire. AIDS Behav. 2012;16(6):1472–81.CrossRefPubMedPubMedCentral
64.
go back to reference Harris M, Treloar C, Maher L. Staying safe from hepatitis C: engaging with multiple priorities. Qual Health Res. 2012;22(1):31–42.CrossRefPubMed Harris M, Treloar C, Maher L. Staying safe from hepatitis C: engaging with multiple priorities. Qual Health Res. 2012;22(1):31–42.CrossRefPubMed
65.
go back to reference Roth A. A seperatist militia in Ukraine with Russian fighters holds a key. New York: New York Times; 2014. Roth A. A seperatist militia in Ukraine with Russian fighters holds a key. New York: New York Times; 2014.
66.
go back to reference Powell A (2014) Ukraine volunteer militia deploys to east during cease-fire. Voice of America. Powell A (2014) Ukraine volunteer militia deploys to east during cease-fire. Voice of America.
67.
go back to reference Johnston LD. Toward a theory of drug epidemics. In: Donohew HESL, Bukoski WJ, editors. Persuasive communication and drug abuse prevention. Hillsdale, NJ: Lawrence Erlbaum Associates; 1991. Johnston LD. Toward a theory of drug epidemics. In: Donohew HESL, Bukoski WJ, editors. Persuasive communication and drug abuse prevention. Hillsdale, NJ: Lawrence Erlbaum Associates; 1991.
69.
go back to reference Saewyc E, et al. Enacted stigma and HIV risk behaviours among sexual minority indigenous youth in Canada, New Zealand, and the United States. Pimatisiwin. 2013;11(3):411–20. Saewyc E, et al. Enacted stigma and HIV risk behaviours among sexual minority indigenous youth in Canada, New Zealand, and the United States. Pimatisiwin. 2013;11(3):411–20.
70.
go back to reference Weiss L, et al. A vulnerable population in a time of crisis: drug users and the attacks on the World Trade Center. J Urban Health. 2002;79(3):392–403.CrossRefPubMedPubMedCentral Weiss L, et al. A vulnerable population in a time of crisis: drug users and the attacks on the World Trade Center. J Urban Health. 2002;79(3):392–403.CrossRefPubMedPubMedCentral
71.
go back to reference Freudenberg N, et al. The impact of New York City’s 1975 fiscal crisis on the tuberculosis, HIV, and homicide syndemic. Am J Public Health. 2006;96(3):424–34.CrossRefPubMedPubMedCentral Freudenberg N, et al. The impact of New York City’s 1975 fiscal crisis on the tuberculosis, HIV, and homicide syndemic. Am J Public Health. 2006;96(3):424–34.CrossRefPubMedPubMedCentral
Metadata
Title
Developing Measures of Pathways that May Link Macro Social/Structural Changes with HIV Epidemiology
Authors
Enrique R. Pouget
Milagros Sandoval
Georgios K. Nikolopoulos
Pedro Mateu-Gelabert
Diana Rossi
Pavlo Smyrnov
Yolanda Jones
Samuel R. Friedman
Publication date
01-08-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1291-3

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