{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:03:37Z","timestamp":1777554217038,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"2_suppl","license":[{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>Bacterial sexually transmitted infection (STI) incidences of gonorrhea, chlamydia, and syphilis are increasing in Washington, DC. Moreover, the availability of HIV pre-exposure prophylaxis for people at risk of HIV and condomless sex has increased, and bacterial STI rates have risen. This indicates the necessity of evidence-based strategies to ensure access to STI care and improve health outcomes for people with HIV in Washington, DC. Three clinics in Washington, DC, implemented three evidence-based interventions, including the use of a standardized audio computer-assisted self-interview to obtain an interval sexual history at each clinic visit, patient self-collection of chlamydia\/gonorrhea nucleic acid amplification test specimens, and sexual minority welcoming clinical space indicators to normalize STI screening and testing. Three sites in Washington, DC, used a multi-level socioecological model to identify successes, challenges, and lessons learned from program implementation at the following three levels: (1) individual, (2) interpersonal, and (3) public policy. We conclude with a series of instructional strategies that may be useful for the implementation of similar interventions that may assist district-wide responses to decrease health disparities and increase STI prevention.<\/jats:p>","DOI":"10.1089\/apc.2022.0112","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T10:34:19Z","timestamp":1664534059000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Facilitators and Barriers to the Implementation of Interventions in Washington, DC, to Improve Sexually Transmitted Infection Screening, Testing, and Treatment Among People with or at Risk of HIV"],"prefix":"10.1177","volume":"36","author":[{"given":"Megan","family":"Pressley","sequence":"first","affiliation":[{"name":"Infectious Diseases Division, Department of Medicine, Howard University Hospital, Center for Infectious Diseases Management &amp; Research (CIDMAR), Howard University College of Medicine, Washington, District of Columbia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siham","family":"Mahgoub","sequence":"additional","affiliation":[{"name":"Infectious Diseases Division, Department of Medicine, Howard University Hospital, Center for Infectious Diseases Management &amp; Research (CIDMAR), Howard University College of Medicine, Washington, District of Columbia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirna","family":"Halawani","sequence":"additional","affiliation":[{"name":"School of Nursing, Rutgers University, Newark, New Jersey, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,9,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0261824"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13990"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25355"},{"key":"e_1_3_3_5_2","unstructured":"Ghanem K Tuddenham S. Screening for sexually transmitted infections. UpToDate. Available from: https:\/\/www.uptodate.com\/contents\/screening-for-sexually-transmitted-infections [Last accessed: April 26 2022]."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0170"},{"key":"e_1_3_3_7_2","unstructured":"US Department of Health and Human Services. 2020. Sexually Transmitted Infections National Strategic Plan for the United States: 2021\u20132025. Washington DC. Available from: https:\/\/www.hhs.gov\/sites\/default\/files\/STI-National-Strategic-Plan-2021-2025.pdf [Last accessed: April 29 2022]."},{"key":"e_1_3_3_8_2","unstructured":"2017\u20132021 District of Columbia Eligible Metropolitan Area Integrated HIV\/AIDS Prevention and Care Plan. Available from: https:\/\/doh.dc.gov\/sites\/default\/files\/dc\/sites\/doh\/service_content\/attachments\/DC%20DOH%20INTEGRATED%20PLAN_FINAL.pdf.pdf [Last accessed: April 29 2022]."},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Vermund SH Geller A Crowley JS. Sexually Transmitted Infections: Adopting a Sexual Health Paradigm. The National Academies Press: Washington DC; 2021.","DOI":"10.17226\/25955"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7004a1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2017.1307375"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000769"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa123"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2016.303180"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/15248399211049824"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/1059924x.2017.1356780"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2017.07.009"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2031-7"},{"key":"e_1_3_3_19_2","unstructured":"National Academies of Sciences Engineering and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on Community-Based Solutions to Promote Health Equity in the United States. Communities in Action: Pathways to Health Equity. In: Disparities and Their Roots. (Baciu A Negussie Y Geller A Weinstein JN. eds.) National Academies Press (US): Washington DC; 2017. pp. 11\u201314."}],"container-title":["AIDS Patient Care and STDs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/apc.2022.0112","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/apc.2022.0112","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/apc.2022.0112","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:04:26Z","timestamp":1777399466000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/apc.2022.0112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,29]]},"references-count":18,"journal-issue":{"issue":"2_suppl","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1089\/apc.2022.0112"],"URL":"https:\/\/doi.org\/10.1089\/apc.2022.0112","relation":{},"ISSN":["1087-2914","1557-7449"],"issn-type":[{"value":"1087-2914","type":"print"},{"value":"1557-7449","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,29]]}}}