id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ajhp-5715	Hasan, Md Rakibul; W. Parker, Frank; Harrison, Andrew; Rahman, Saifur	Alcohol-Induced Microbial Dysbiosis and Psychosocial Stressors Undermining PrEP Adherence: A Mixed Methods Analysis in HIV-Negative African American Adults	2025	23	.pdf	application/pdf	17008	917	41	This study investigates how hazardous alcohol use, psychological distress, and gut microbial dysbiosis affect PrEP adherence and evaluates a trauma-informed SBIRT intervention to improve outcomes. Interviews were thematically coded in Dedoose and integrated with quantitative analyses (chi-square, ANOVA, Pearson correlations, logistic regression) to examine clinical outcomes and lived experiences influencing PrEP adherence.	cache/ajhp-5715.pdf	txt/ajhp-5715.txt