Meet Me Where I Am: An Evaluation of an HIV Patient Navigation Intervention to Increase Uptake of PrEP Among Black Men Who Have Sex with Men in the Deep South

Author(s):  
Paul A. Burns ◽  
Angela A. Omondi ◽  
Mauda Monger ◽  
Lori Ward ◽  
Rodney Washington ◽  
...  
2020 ◽  
Vol 49 (1) ◽  
pp. 185-193 ◽  
Author(s):  
Dustin T. Duncan ◽  
Madeline Y. Sutton ◽  
Su Hyun Park ◽  
Denton Callander ◽  
Byoungjun Kim ◽  
...  

2018 ◽  
Vol 22 (9) ◽  
pp. 3057-3070 ◽  
Author(s):  
Dustin T. Duncan ◽  
Basile Chaix ◽  
Seann D. Regan ◽  
Su Hyun Park ◽  
Cordarian Draper ◽  
...  

2019 ◽  
Author(s):  
Denton Callander ◽  
Dustin Duncan ◽  
Su Hyun Park ◽  
Lisa Bowleg ◽  
Lauren Brinkley-Rubinstein ◽  
...  

2021 ◽  
Vol 33 (5) ◽  
pp. 395-410
Author(s):  
Paul A. Burns ◽  
Casey D. Xavier Hall ◽  
Tonia Poteat ◽  
Leandro A. Mena ◽  
Frank Y. Wong

Utilizing the Andersen Healthcare Utilization Model, we examined the role of neighborhood context on pre-exposure prophylaxis (PrEP) utilization among a sample of Black men who have sex with men (MSM) residing in a medium-sized city in the Deep South. Data were derived from a sample of 142 Black MSM aged 18–64 years who were eligible for PrEP from a community-based study known as “ACCELERATE!” We used multilevel structural equation modeling to assess PrEP use. Social support, sexual risk, and health care access were predictive of PrEP use. Notably, residing in a neighborhood with concentrated poverty was associated with decreased PrEP use. Our findings reveal neighborhood structural disadvantage is associated with decreased PrEP use among Black MSM, after adjusting of individual-level sociodemographic characteristics. There is an urgent need to develop HIV prevention interventions and programs that explicitly address structural-level factors to eliminate racial/ethnic differences in HIV.


PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0209666 ◽  
Author(s):  
Ellen F. Eaton ◽  
Erika L. Austin ◽  
Catherine K. Dodson ◽  
Jose P. Heudebert ◽  
D’Netria Jackson ◽  
...  

2019 ◽  
pp. 1-20
Author(s):  
Damian J. Denson ◽  
Deborah Gelaude ◽  
Heather Saul ◽  
Alisú Schoua-Glusberg ◽  
Laura A. Randall ◽  
...  

2020 ◽  
Author(s):  
Jacob D Gordon ◽  
Andre L Brown ◽  
Darren L Whitfield

BACKGROUND Black men who have sex with men (BMSM) continue to experience disproportionate rates of HIV/STI infection despite advances in effective prevention tools. Over the last decade the method of finding sexual partners has evolved, with BMSM increasingly using geospatial dating applications to find sexual partners. Sexual health communication between partners has been associated with safer sex practices by previous scholars, but it is unclear how sexual health communication of BMSM differs for sex partners found on or offline. OBJECTIVE The current study explored sexual health communication in relationship to how one found their last sexual partner and factors associated with poorer sexual health communication. METHODS This study used secondary data in the form of a self-administered national survey. BMSM were recruited online and in-person and answered questions about their sexual health behaviors regarding their last sexual partner. RESULTS In total, 403 individuals were included in the analysis. The majority of respondents 55.8% (225/403) were more likely to have found their last sexual partner through geospatial dating applications and online websites than offline venues 44.3% (178/225). There was not a significant difference in scores of sexual health communication between those who found their last sexual partner on or offline (P=.49). Additionally, sexual health communication was also not significantly associated (P = .25) based on the venue of their last sexual partner after controlling for covariates. Significant predictors of lower sexual health communication of BMSM were found: positive HIV status (P = .003), a casual partner type (P < .001), and endorsement of traditional masculinity ideologies (P = .01). CONCLUSIONS Findings from this study confirm high rates of sexual partner seeking via online venues among BMSM. The significant predictors of lower sexual health communication, endorsement of traditional masculinity ideologies and positive HIV status, suggest that stigma is a barrier to effective sexual health communication of BMSM.


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