Evidence map›Paper›PMID 42467127›Full record

ArticleAIDS and behavior2026

A Socioecological Perspective on Sexual Health Promotion Choices Among Youth At-Risk for and Living with HIV in Los Angeles and New Orleans.

Curtis Wong, Katherine A Lewis, Alice M Ma, Hailey Valles, Dianna Polanco, Yara Tapia, Manuel A Ocasio, Rhitishah Yuva Raju, Elizabeth M Arnold, Dallas Swendeman and 1 more

Abstract read
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Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Curtis WongCenter for Community Health, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 760 Westwood Plaza, Suite 37-360A, Los Angeles, CA, 90024, USA.ORCID http://orcid.org/0009-0007-9305-4751
Katherine A LewisDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, 1845 N Soto St, Los Angeles, CA, 90032, USA.
Alice M MaGraduate Program in Biological and Biomedical Sciences, Harvard Medical School, 260 Longwood Ave, Boston, MA, 02115, USA.
Hailey VallesDepartment of Social and Behavioral Science, Yale School of Public Health, 60 College St, New Haven, CT, 06511, USA.
Dianna PolancoMedical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI, 53226, USA.
Yara TapiaDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, 1845 N Soto St, Los Angeles, CA, 90032, USA.
Manuel A OcasioDepartment of Pediatrics, Tulane University School of Medicine, New Orleans, LA, USA.
Rhitishah Yuva RajuDepartment of Epidemiology and Population Health, Stanford Medicine, Stanford University, Alway Building 300 Pasteur Drive, Stanford, CA, 94305, USA.
Elizabeth M ArnoldDepartment of Psychiatry, The University of Kentucky College of Medicine, Lexington, KY, USA.
Dallas SwendemanCenter for Community Health, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, 760 Westwood Plaza, Suite 37-360A, Los Angeles, CA, 90024, USA. DSwendeman@mednet.ucla.edu.ORCID http://orcid.org/0000-0002-4570-6352
A. T. N. CARES Study Team

Funding

Optimizing the HIV Treatment Continuum with a Stepped Care Model for Youth Living with HIVU19HD089886 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FERNANDEZ, MARIA ISABEL, ROTHERAM-BORUS, MARY JANE · 2016 to 2022
$23.4M
Center for AIDS Research, University of California Los Angeles P30AI028697Center for HIV Identification, Prevention, and Treatment Services, University of California, Los Angeles P30MH058107Clinical and Translational Science Institute, University of California, Los Angeles UL1TR001881Eunice Kennedy Shriver National Institute of Child Health and Human Development U19HD089886NCATS NIH HHS UL1TR00188NICHD NIH HHS U19 HD089886NIDA NIH HHS U19HD089886NIMHD NIH HHS U19HD089886NIMH NIH HHS U19HD089886
6 · The paper itself

Abstract

Youth in the US remain at high relative risk for HIV and sexually transmitted infections compared to other age groups despite increasing diversity in the available tools to reduce HIV risk through behavioral strategies, biomedical methods, and treatment as prevention. Previous research has shown that acceptability and appeal of prevention methods vary across youth, and over-emphasis on any one strategy may overlook youth's autonomy to make their own informed decisions about their sexual health. We use a socioecological framework to understand factors influencing sexual health promotion choices among youth at-risk for or living with HIV. Youth ages 16-24 years old in Los Angeles and New Orleans participated in a strengths-based coaching intervention in Adolescent HIV Medicine Trials Network (ATN) studies. A total of 257 youth completed a baseline strengths assessment with a coach. We analyzed qualitative strengths assessment coach case notes to understand youth's sexual health promotion preferences and influencing factors across socioecological levels. Participants described 7 types of sexual health promotion strategies: Relationship dynamics; Not sexually active; STI testing; Condom use; PrEP use; PEP use; and HIV Viral suppression. Participants also described factors at intrapersonal, interpersonal, and community levels that impacted their preferred sexual health promotion strategies. Youth at-risk for or living with HIV make informed decisions around their sexual health based on a variety of intersecting factors across socioecological levels. These complex decisions demonstrate youth's autonomy and emphasize the importance of better incorporating patient-centered care within youth's sexual health.

Indexed as

HIVSexual healthSocioecologicalStrengthsYouth

Identifiers

PMID42467127

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.