PIVOT: A New Approach to HIV Capacity-Building Assistance.

In 2004, a national nonprofit established a capacity-building assistance (CBA) program aimed at bolstering the capabilities of health departments and community-based organizations in implementing and evaluating HIV prevention interventions for racial and minority populations. Recognizing the need for a specialized CBA model to support HIV prevention programs, the program developed the Customized Holistic Analytical Networking Grassroots Evaluatory (CHANGE) approach. This article introduces the Prioritizing Intersectional Values for Organizational Technical Assistance (PIVOT) approach as a progressive evolution of CBA strategies tailored to the contemporary HIV landscape. PIVOT, founded on seven core values and focused on four key areas, is structured across three stages of CBA delivery. Effective capacity building mandates the CBA partners to be well versed in HIV organizational culture and capable of delivering strategies ensuring long-term sustainability. This article offers invaluable insights and lessons that inform the development and implementation of the PIVOT approach, drawing from two decades of service delivery.

An Unusual Granular Ulcer Secondary Oral Tuberculosis of Vestibule Mandibular Mucosa.

Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis. In the oral cavity, clinical manifestations are considered atypical lesions. The aim of this study was to report an unusual granular ulcer secondary oral TB that does not heal, chronic, had irregular appearance with deep depression of 2 cm in diameter, and was located in buccal mucosa of the premolar area-the left mandibular arch, of a 42-year-old woman. The patient was subjected to surgical excision of ulcer in its entirety and accordingly a periodontal plastic surgery in the area of the lesion was performed positioning an autograft subepithelial connective tissue. We obtained optimal results in improving oral health, function, and patient's comfort, in postoperative controls at 15, 30, and 60 days, respectively.

HIV Testing and Mistaken Beliefs about Immigration Laws.

Evidence suggests that migrants may underutilize USA health care because of misconceptions about immigration-related consequences of health care use. This study aimed to explore whether common misconceptions about the immigration consequences of seeking health care, receiving an HIV test, and being diagnosed with HIV were associated with participant self-report of never having received an HIV test. The study sample comprised 297 adult, sexually active, documented and undocumented Spanish-speaking Latino migrants. Participants completed a cross-sectional survey via ACASI. In multiple logistic regression analyses controlling for sociodemographic variables and HIV stigma, misconceptions about laws emerged as a strong predictor of never having received an HIV test (p < .001). Associations between participants' endorsement of misconceptions and their HIV testing history suggest that incorrect perceptions of laws do deter some subgroups of USA Latino migrants from HIV testing. Identifying misconceptions about negative immigration consequences of engaging in important health behaviors should be a community health research priority.

The Development and Psychometric Properties of the Immigration Law Concerns Scale (ILCS) for HIV Testing.

To develop, pilot test, and conduct psychometric analyses of an innovative scale measuring the influence of perceived immigration laws on Latino migrants' HIV-testing behavior. The Immigration Law Concerns Scale (ILCS) was developed in three phases: Phase 1 involved a review of law and literature, generation of scale items, consultation with project advisors, and subsequent revision of the scale. Phase 2 involved systematic translation- back translation and consensus-based editorial processes conducted by members of a bilingual and multi-national study team. In Phase 3, 339 sexually active, HIV-negative Spanish-speaking, non-citizen Latino migrant adults (both documented and undocumented) completed the scale via audio computer-assisted self-interview. The psychometric properties of the scale were tested with exploratory factor analysis and estimates of reliability coefficients were generated. Bivariate correlations were conducted to test the discriminant and predictive validity of identified factors. Exploratory factor analysis revealed a three-factor, 17-item scale. subscale reliability ranged from 0.72 to 0.79. There were significant associations between the ILCS and the HIV-testing behaviors of participants. Results of the pilot test and psychometric analysis of the ILCS are promising. The scale is reliable and significantly associated with the HIV-testing behaviors of participants. Subscales related to unwanted government attention and concerns about meeting moral character requirements should be refined.