scholarly journals Perceptions of Needs, Assets, and Priorities Among Black Men Who Have Sex With Men With HIV: Community-Driven Actions and Impacts of a Participatory Photovoice Process

2018 ◽  
Vol 13 (1) ◽  
pp. 155798831880490 ◽  
Author(s):  
Christina J. Sun ◽  
Jennifer L. Nall ◽  
Scott D. Rhodes
Keyword(s):  
Black Men ◽  
Structural Changes ◽  
Group Discussion ◽  
Black Msm ◽  
Documentary Photography ◽  
Medical Systems ◽  
The Public ◽  
Future Aspirations ◽  
Community Forum ◽  
Sex With Men

Black men who have sex with men (MSM) with HIV experience significant health inequities and poorer health outcomes compared with other persons with HIV. The primary aims of this study were to describe the needs, assets, and priorities of Black MSM with HIV who live in the Southern United States and identify actions to improve their health using photovoice. Photovoice, a participatory, collaborative research methodology that combines documentary photography with group discussion, was conducted with six Black MSM with HIV. From the photographs and discussions, primary themes of discrimination and rejection, lack of mental health services, coping strategies to reduce stress, sources of acceptance and support, and future aspirations emerged. After the photographs were taken and discussed, the participants hosted a photo exhibition and community forum for the public. Here, 37 community attendees and influential advocates collaborated with the participants to identify 12 actions to address the men’s identified needs, assets, and priorities. These included making structural changes in the legal and medical systems, encouraging dialogue to eliminate multiple forms of stigma and racism, and advocating for comprehensive care for persons with HIV. As a secondary aim, the impacts of photovoice were assessed. Participants reported enjoying photovoice and found it meaningful. Results suggest that in addition to cultivating rich community-based knowledge, photovoice may result in positive changes for Black MSM with HIV.

scholarly journals Ideologies of Black churches in New York City and the public health crisis of HIV among Black men who have sex with men

2011 ◽  
Vol 6 (sup2) ◽  
pp. S227-S242 ◽  
Author(s):  
Patrick A. Wilson ◽  
Natalie M. Wittlin ◽  
Miguel Muñoz-Laboy ◽  
Richard Parker
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Black Men ◽  
York City ◽  
Black Churches ◽  
Health Crisis ◽  
The Public ◽  
Public Health Crisis ◽  
Sex With Men

Characteristics and Correlates of Lifetime Suicidal Thoughts and Attempts Among Young Black Men Who Have Sex With Men (MSM) and Transgender Women

2018 ◽  
Vol 44 (3) ◽  
pp. 273-290 ◽  
Author(s):  
Leo Wilton ◽  
Mary Ann Chiasson ◽  
Vijay Nandi ◽  
Corina Lelutiu-Weinberger ◽  
Victoria Frye ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Black Men ◽  
Suicide Attempts ◽  
Multivariable Analysis ◽  
Transgender Women ◽  
Black Msm ◽  
Suicidal Thoughts ◽  
History Of ◽  
Sex With Men ◽  
Young Black Msm

This study examined characteristics and correlates of lifetime suicidal thoughts and suicide attempts among HIV-negative young Black men who have sex with men (MSM) and transgender women (transwomen) between 16 and 29 years of age ( N = 161). In our sample, 36.6% of young Black MSM and transwomen reported a history of lifetime suicidal thoughts, while 16.1% reported prior suicide attempts. Using multivariable analysis, a history of intimate partner violence, greater psychological distress, and higher perceived sexuality discrimination were significantly associated with lifetime suicidal thoughts. Childhood sexual abuse history, greater psychological distress, lower score for outness, and higher perceived sexuality discrimination were significantly related to suicide attempts among young Black MSM and transwomen. Efforts to identify and understand factors associated with lifetime suicidal thoughts and attempts are urgently needed to inform the development and implementation of culturally relevant mental health prevention strategies for young Black MSM and transwomen.

scholarly journals Development of a Black Caucus within the HIV Prevention Trials Network (HPTN): Representing the Perspectives of Black Men Who Have Sex with Men (MSM)

2020 ◽  
Vol 17 (3) ◽  
pp. 871 ◽  
Author(s):  
Christopher Watson ◽  
Leo Wilton ◽  
Jonathan Lucas ◽  
Lawrence Bryant ◽  
Gregory Victorianne ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Hiv Prevention ◽  
Black Men ◽  
The United States ◽  
Black Msm ◽  
Black Caucus ◽  
Prevention Trials ◽  
Hiv Clinical Trials ◽  
Sex With Men

Black men who have sex with men (MSM) have disproportionate HIV disease burden in the United States. Black MSM have been underrepresented in biomedical research, including HIV clinical trials, due to a myriad of socio-structural, socio-cultural, and psychosocial factors. The HIV Prevention Trials Network (HPTN) 061, a feasibility study of a multi-component HIV prevention intervention for Black MSM in six US cities, incorporated the development and implementation of a Black Caucus as a culturally grounded model for the integration of Black MSM in clinical trials and research in HPTN. Based on a qualitative methodological approach, we describe the formation and implementation of the Black Caucus from the perspective of Black MSM key community stakeholders. Three major themes emerged from the qualitative narratives: (1) the role of the Black Caucus in shaping the HPTN, (2) how the Black Caucus addresses the needs of Black MSM communities pertaining to the influence of race and sexual identity, and (3) socio-cultural needs of Black MSM. These findings have implications for the provision of culturally congruent expertise, community engagement, cultural mistrust, recruitment and retention of Black MSM in HIV clinical trials, culturally-relevant study design and implementation, and the role of developing Black MSM prevention researchers.

scholarly journals HIV/AIDS conspiracy beliefs and intention to adopt preexposure prophylaxis among black men who have sex with men in Los Angeles

2017 ◽  
Vol 29 (4) ◽  
pp. 375-381 ◽  
Author(s):  
Ronald A Brooks ◽  
Vincent C Allen ◽  
Rotrease Regan ◽  
Matt G Mutchler ◽  
Ramon Cervantes-Tadeo ◽  
...  
Keyword(s):  
Los Angeles ◽  
Black Men ◽  
Hiv Infections ◽  
The United States ◽  
Black Msm ◽  
Intention To Adopt ◽  
Preexposure Prophylaxis ◽  
Conspiracy Beliefs ◽  
Sex With Men ◽  
Hiv Aids

In the United States, black men who have sex with men (MSM) are the group most affected by the HIV/AIDS epidemic. Pre-exposure prophylaxis (PrEP) is an important new HIV prevention strategy that may help reduce new HIV infections among black MSM. This analysis examined the association between HIV/AIDS conspiracy beliefs and intentions to adopt PrEP among 224 black MSM. The likelihood of adopting PrEP was assessed and more than half (60%) of the study population indicated a high intention to adopt PrEP. HIV/AIDS genocidal and treatment-related conspiracies were assessed using scales previously validated with black MSM. Almost two-thirds (63%) endorsed at least one of eight HIV/AIDS conspiracy beliefs presented. In multivariable analyses, black MSM who agreed with the genocidal or treatment-related conspiracy beliefs scales had a lower intention to adopt PrEP (Adjusted Odds Ratio [AOR] = 0.73, 95% CI = 0.54, 0.99 and AOR = 0.36, 95% CI = 0.23, 0.55, respectively). Our findings indicate that preexisting HIV/AIDS conspiracy beliefs may deter some black MSM from adopting PrEP. We suggest strategies PrEP implementers may want to employ to address the influence that HIV/AIDS conspiracy beliefs may have on the adoption of PrEP among black MSM, a population disproportionately affected by HIV/AIDS.

scholarly journals Partnerships between a University-Affiliated Clinic and Community Based Organizations to Reach Black Men who have Sex with Men for PrEP Care

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S438-S438
Author(s):  
Meredith Clement ◽  
Nwora Lance Okeke ◽  
Terry Munn ◽  
Miguel Hunter ◽  
Kareem Alexis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Black Men ◽  
Hiv Transmission ◽  
Underserved Populations ◽  
Medical Center ◽  
Black Msm ◽  
Common Source ◽  
Community Based ◽  
Transmitted Infection ◽  
Sex With Men

Abstract Background While pre-exposure prophylaxis (PrEP) is a promising strategy for reducing HIV transmission, persons at highest risk for infection are not being adequately reached, particularly Black Men who have Sex with Men (MSM). Methods In December 2015, a dedicated PrEP clinic was established at Duke University Medical Center in Durham, North Carolina (NC). We performed a retrospective review of patients evaluated at the PrEP clinic, abstracting the following routinely collected variables: age, race, ethnicity, sex at birth, self-identified gender, HIV risk factors and source of referral. Descriptive statistics are presented as medians and frequencies. Results Over 18 months, 91 patients were evaluated. Most were male (90%, n = 82), approximately half were non-Hispanic Black (46%, n = 42), and median age was 31 years (range 19–66). Most patients identified as MSM (78%, n = 71) and 3 (3%) were transgender women who have sex with men (TGW). Specifically, 30% (n = 27) were Black MSM or TGW. Risk factors for all patients included multiple sexual partners (65%), known HIV+ partner (19%), or a recent sexually transmitted infection (16%). One-quarter of patients (n = 23) were uninsured. Among all Black patients, the most common source of referral was a community-based organization (CBO) (40%, n = 17), and specifically, Black MSM and TGW were most commonly referred by a CBO (44%, n = 12). Among White patients, most were self-referrals (47%, n = 18). Demographic characteristics of our patient population relative to those newly diagnosed with HIV in NC in 2015 are shown in Table 1. Conclusion Although further efforts are needed to improve PrEP uptake in underserved populations in NC, the racial breakdown of our PrEP clinic is more representative of the national HIV epidemic as compared with all PrEP users in the US. Our study demonstrates that community partnerships can be a valuable avenue for patient recruitment and achieve success in reaching Black MSM with messages about PrEP. Disclosures All authors: No reported disclosures.

scholarly journals Implementation of Client-Centered Care Coordination for HIV Prevention with Black Men Who Have Sex with Men: Activities, Personnel Costs, and Outcomes—HPTN 073

2022 ◽  
Author(s):  
Darren L. Whitfield ◽  
LaRon E. Nelson ◽  
Arnošt Komárek ◽  
DeAnne Turner ◽  
Zhao Ni ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Black Men ◽  
Care Coordination ◽  
Cost Of Care ◽  
Black Msm ◽  
People Living With Hiv ◽  
Prevention Services ◽  
Centered Care ◽  
The Usa ◽  
Sex With Men

Abstract Background Black men who have sex with men (MSM) experience disproportionate rates of HIV infection in the USA, despite being no more likely to engage in sexual risk behaviors than other MSM racial/ethnic groups. HIV pre-exposure prophylaxis (PrEP) has been shown to reduce risk of HIV acquisition; however, rates of PrEP use among Black MSM remain low. Clinical, psychosocial, and structural factors have been shown to impact PrEP use and adherence among Black MSM. Care coordination of HIV prevention services has the potential to improve PrEP use and adherence for Black MSM, as it has been shown to improve HIV-related care outcomes among people living with HIV. Methods Client-centered care coordination (C4) is a multi-level intervention designed to address clinical, psychosocial, and structural barriers to HIV prevention services for Black MSM within HPTN 073, a PrEP demonstration project among Black MSM in three cities in the USA. The current study examined the implementation process of C4, specifically investigating the activities, cost, time, and outcomes associated with the C4 intervention. Results On average, participants engaged in five care coordination encounters. The vast majority of care coordination activities were conducted by counselors, averaging 30 min per encounter. The cost of care coordination was relatively low with a mean cost of $8.70 per client encounter. Conclusion Although client-centered care coordination was initially implemented in well-resourced communities with robust HIV research and service infrastructure, our findings suggest that C4 can be successfully implemented in resource constrained communities.

scholarly journals Exploring the Validity and Statistical Utility of a Racism Scale Among Black Men Who Have Sex With Men

2012 ◽  
Vol 7 (5) ◽  
pp. 362-373
Author(s):  
William Pastor Smith
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Black Men ◽  
Black Msm ◽  
Fit Indices ◽  
Analysis Model ◽  
Factor Analysis Model ◽  
Confirmatory Factor ◽  
Two Factors ◽  
Sex With Men

The primary purpose of this two-phased study was to examine the structural validity and statistical utility of a racism scale specific to Black men who have sex with men (MSM) who resided in the Washington, DC, metropolitan area and Baltimore, Maryland. Phase I involved pretesting a 10-item racism measure with 20 Black MSM. Based on pretest findings, the scale was adapted into a 21-item racism scale for use in collecting data on 166 respondents in Phase II. Exploratory factor analysis of the 21-item racism scale resulted in a 19-item, two-factor solution. The two factors or subscales were the following: General Racism and Relationships and Racism. Confirmatory factor analysis was used in testing construct validity of the factored racism scale. Specifically, the two racism factors were combined with three homophobia factors into a confirmatory factor analysis model. Based on a summary of the fit indices, both comparative and incremental were equal to .90, suggesting an adequate convergence of the racism and homophobia dimensions into a single social oppression construct. Statistical utility of the two racism subscales was demonstrated when regression analysis revealed that the gay-identified men versus bisexual-identified men in the sample were more likely to experience increased racism within the context of intimate relationships and less likely to be exposed to repeated experiences of general racism. Overall, the findings in this study highlight the importance of continuing to explore the psychometric properties of a racism scale that accounts for the unique psychosocial concerns experienced by Black MSM.

Living While Black, Gay, and Poor: The Association of Race, Neighborhood Structural Disadvantage, and PrEP Utilization Among a Sample of Black Men Who Have Sex With Men in the Deep South

2021 ◽  
Vol 33 (5) ◽  
pp. 395-410
Author(s):  
Paul A. Burns ◽  
Casey D. Xavier Hall ◽  
Tonia Poteat ◽  
Leandro A. Mena ◽  
Frank Y. Wong
Keyword(s):  
Black Men ◽  
Structural Equation ◽  
Neighborhood Context ◽  
Multilevel Structural Equation Modeling ◽  
Equation Modeling ◽  
Black Msm ◽  
Deep South ◽  
Structural Level ◽  
Structural Disadvantage ◽  
Sex With Men

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.

scholarly journals Mobile Technology for Healthy Aging Among Older HIV-Positive Black Men Who Have Sex with Men: Qualitative Study (Preprint)

2018 ◽  
Author(s):  
Judy You Rong Tan ◽  
Tung T Nguyen ◽  
Alyssa Tabrisky ◽  
Robert Siedle-Khan ◽  
Anna Maria Napoles
Keyword(s):  
Black Men ◽  
Mobile Technology ◽  
Technology Use ◽  
Hiv Care ◽  
Black Msm ◽  
Care And Treatment ◽  
Barriers And Challenges ◽  
Sex With Men ◽  
Engagement In Hiv Care ◽  
Living With Hiv

BACKGROUND People living with HIV are living longer in the United States as a result of antiretroviral therapy. Black men who have sex with men (MSM) are disproportionally affected by HIV and have low rates of engagement in HIV care and treatment. Mobile technology holds promise as an intervention platform; however, little is known regarding its use among older black MSM living with HIV. OBJECTIVE The goal of this study was to explore mobile technology use and narratives of aging with HIV among older black MSM to inform mobile health intervention development. METHODS A total of 12 black MSM living with HIV, aged 50 years or older, completed in-person, semistructured interviews exploring the issues of aging, HIV care engagement, and mobile technology use. The interviews were audiotaped, transcribed, and analyzed using qualitative research methods. RESULTS Men appreciated having survived the AIDS epidemic, but some expressed discomfort and ambivalence toward aging. Men described various levels of engagement in HIV care and treatment; challenges included social isolation and need for support that was not focused on HIV. Almost all described using mobile technology to engage in health care, whereas some referenced important barriers and challenges to technology use. CONCLUSIONS Findings highlighted a high level of interest toward a mobile technology–based intervention targeting older black men but also identified barriers and challenges to using mobile technology for health care engagement. Mobile technology is well incorporated into older black MSM’s lives and shows potential as an intervention platform for addressing aging issues to enhance engagement in HIV care and treatment.

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