scholarly journals LinkPositively: A Trauma-Informed Peer Navigation and Social Networking WebApp to Improve HIV Care among Black Women Affected by Interpersonal Violence

2021 ◽  
Vol 32 (2S) ◽  
pp. 166-188
Author(s):  
Jamila K. Stockman ◽  
Katherine M. Anderson ◽  
Kiyomi Tsuyuki ◽  
Keith J. Horvath
Keyword(s):  
Black Women ◽  
Social Networking ◽  
Interpersonal Violence ◽  
Hiv Care ◽  
Trauma Informed ◽  
Peer Navigation

scholarly journals Salud y Orgullo Mexicano: Development of a Culturally Specific Transnational Linkage and Retention in Care Intervention for Mexican Men Who Have Sex with Men Living with HIV in Chicago

2021 ◽  
Author(s):  
Amy K. Johnson ◽  
Román Buenrostro ◽  
Gilberto Soberanis ◽  
Banita McCarn ◽  
Bridget Magner ◽  
...  
Keyword(s):  
Intervention Mapping ◽  
Retention In Care ◽  
Hiv Care ◽  
Individual Level ◽  
Expert Advisory ◽  
Mapping Process ◽  
Sex With Men ◽  
Peer Navigation ◽  
Living With Hiv ◽  
Mexican Men

AbstractThis manuscript documents the development of an innovative individual-level peer navigation intervention “Salud y Orgullo Mexicano” (SOM) designed to increase linkage and retention to HIV care for Mexican men who have sex with men (MSM) in Chicago, Illinois. The intervention was developed via a modified intervention mapping process. Elements of two existing interventions were combined and refined with input from the Mexican MSM community, including informant interviews, an expert advisory board, and a design team. A manualized transnational intervention was developed via intervention mapping. A peer health navigation intervention “SOM” was created using intervention mapping and input from the focus community. Next steps include implementing and evaluating the intervention to determine acceptability and efficacy.

scholarly journals 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis

2019 ◽  
Vol 3 (s1) ◽  
pp. 74-74
Author(s):  
Crystal Chapman Lambert ◽  
Chastity McDavid ◽  
Tammi F. Thomas ◽  
Kiko King ◽  
Andres Azuero ◽  
...  
Keyword(s):  
Social Support ◽  
Black Women ◽  
Physical Abuse ◽  
Traumatic Events ◽  
The United States ◽  
Stressful Events ◽  
Hiv Care ◽  
Care Clinic ◽  
Women Living With Hiv ◽  
Living With Hiv

OBJECTIVES/SPECIFIC AIMS: Our primary objective was to understand the relationship between incident or recent stressful events and adherence to HIV care in the context of other person, environment, and HIV-specific stressors in a sample of Black women living with HIV (WLWH). METHODS/STUDY POPULATION: Thirty in-depth interviews were conducted with Black women living with HIV who receive care at an academic HIV primary care clinic in the Southern region of the United States to elicit stressful events influencing adherence to HIV care. Semi-structured interview guides were used to facilitate discussion regarding stressful events and adherence to HIV care. Interviews were audiotaped and transcribed verbatim. Transcripts were independently coded using a theme-based approach by two experienced coders, findings were compared, and discrepancies were resolved by discussion. RESULTS/ANTICIPATED RESULTS: Participants described frequently experiencing incident stressful events including death or serious illness of a close friend or family member, and relationship, financial, and employment difficulties. Furthermore, participants reported experiencing traumatic events such as sexual and physical abuse during childhood and adolescents. While experiencing traumatic events such as sexual and physical abuse during childhood and adolescence may be distressing, these events did not influence adherence to HIV care. However, incident stressful events as defined above did influence adherence to HIV care for some participants, but not for others. For participants who reported that stressful events did not influence adherence to HIV care, factors such as personal motivation, access to social support, and adaptive coping strategies facilitated their engagement in care. DISCUSSION/SIGNIFICANCE OF IMPACT: Experiencing stressful events, incident or traumatic, is common among Black WLWH and have the potential to negatively influence adherence to HIV care. Thus, Interventions aimed at identifying and addressing stress, social support, and coping are essential to improve adherence to HIV care behaviors.

scholarly journals Exploring peer navigation and support in the quality of HIV care experiences of female sex workers in the Dominican Republic

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Tahilin Sanchez Karver ◽  
Clare Barrington ◽  
Yeycy Donastorg ◽  
Martha Perez ◽  
Hoisex Gomez ◽  
...  
Keyword(s):  
Dominican Republic ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Care Providers ◽  
Female Sex ◽  
Care Services ◽  
Peer Navigation

Abstract Background Despite evidence on peer navigation’s association with positive HIV outcomes, such as engagement in HIV care and antiretroviral therapy (ART) initiation, the mechanisms through which peer navigation may influence these outcomes have been less explored. The purpose of this study is to describe the role of peer navigation and support on enhancing the quality of HIV treatment and care services experienced by female sex workers (FSWs). Methods Survey data was derived from a quantitative cohort (n = 211) of FSWs living with HIV in the Dominican Republic and complemented with data from two rounds of in-depth interviews (IDIs) from a qualitative subsample (n = 20 per round). Descriptive statistics and multivariable logistic regressions were used to explore the association between peer navigation and relational aspects of care and overall satisfaction of the quality of HIV treatment and care. Thematic analysis was employed to code and synthesize textual data from IDIs. Results 41.2% of the participants reported having had contact with a peer navigator in the last 6 months. Qualitative data revealed that peer navigation and support was instrumental in assisting FSWs linkage to HIV care after diagnosis, elevating FSWs’ ability to access more comprehensive clinical care facilities, and promoting agency by improving FSWs’ skills to more strategically and effectively engage with the clinic environment and health care providers. Peer navigation was positively associated with experiencing more respectful treatment by clinic staff (AOR: 6.65, 95% CI: 2.32–19.02), and greater satisfaction with overall HIV care services (AOR: 2.57, 95% CI: 1.77–3.74). Conclusion Promoting the full integration of peer navigation into healthcare structures is a strategic approach to enhance the quality of HIV care experienced by FSWs and improve their HIV-related outcomes.

scholarly journals Application of the Consolidated Framework for Implementation Research to Facilitate Delivery of Trauma-Informed HIV Care

2021 ◽  
Vol 31 (1) ◽  
pp. 109-118
Author(s):  
Kaitlin N. Piper ◽  
Lauren L. Brown ◽  
Ilyssa Tamler ◽  
Ameeta S. Kalokhe ◽  
Jessica M. Sales
Keyword(s):  
Primary Care ◽  
Care Center ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Patient Needs ◽  
Care Clinic ◽  
Outer Setting ◽  
Hiv Primary Care ◽  
Trauma Informed ◽  
Available Resources

Background: The high prevalence of trau­ma and its negative impact on health among people living with HIV underscore the need for adopting trauma-informed care (TIC), an evidence-based approach to address trauma and its physical and mental sequelae. However, virtually nothing is known about factors internal and external to the clinical environment that might influence adoption of TIC in HIV primary care clinics.Methods: We conducted a pre-implemen­tation assessment consisting of in-depth interviews with 23 providers, staff, and ad­ministrators at a large urban HIV care center serving an un-/under-insured population in the southern United States. We used the Consolidated Framework for Implementa­tion Research (CFIR) to guide qualitative coding to ascertain factors related to TIC adoption.Results: Inner setting factors perceived as impacting TIC adoption within HIV primary care included relative priority, compatibility, available resources, access to knowledge and information (ie, training), and networks and communications. Relevant outer setting factors included patient needs/resources and cosmopolitanism (ie, connections to external organizations). Overall, the HIV care center exhibited high priority and compatibility for TIC adoption but displayed a need for system strengthening with regard to available resources, training, communica­tions, cosmopolitanism, and patient needs/ resources.Conclusions: Through identification of CFIR inner and outer setting factors that might influence adoption of TIC within an HIV primary care clinic, our findings begin to fill key knowledge gaps in understand­ing barriers and facilitators for adopting TIC in HIV primary care settings and highlight implementation strategies that could be employed to support successful TIC imple­mentation. Ethn Dis. 2021;31(1):109-118; doi:10.18865/ed.31.1.109

scholarly journals The State of Adherence to HIV Care in Black Women

2018 ◽  
Vol 29 (4) ◽  
pp. 487-503 ◽  
Author(s):  
Crystal Chapman Lambert ◽  
Michael J. Mugavero ◽  
Yaseen S. Najjar ◽  
Comfort Enah ◽  
Barbara J. Guthrie
Keyword(s):  
Black Women ◽  
The State ◽  
Hiv Care

Pregnancy-Associated Deaths in Virginia Due to Homicides, Suicides, and Accidental Overdoses Compared With Natural Causes

2016 ◽  
Vol 23 (13) ◽  
pp. 1620-1637 ◽  
Author(s):  
Jennifer Bronson ◽  
Rebecca Reviere
Keyword(s):  
Black Women ◽  
Violence Against Women ◽  
Cause Of Death ◽  
Maternal Death ◽  
Interpersonal Violence ◽  
Manner Of Death ◽  
Accidental Overdose ◽  
Natural Cause Of Death

This research is a case study of 309 pregnancy-associated deaths that occurred in Virginia from 1999-2005. Pregnancy-associated deaths due to homicide, suicide, or accidental overdose were compared with natural deaths. Violent deaths accounted for almost 30% of the cases. Homicides accounted for 13% of all the deaths in the sample, larger than any single natural cause of death. Homicide was the leading manner of death for Black women and was 4.5 times the rate of White decedents. Recommendations include expanding maternal death surveillance, committing to ending violence against women, and promoting universal screenings for domestic or interpersonal violence.

scholarly journals Use of a Health Advocacy Model for Survivors of Interpersonal Violence

2020 ◽  
Vol 17 (23) ◽  
pp. 8966
Author(s):  
Jessica Grace ◽  
Scott T. Walters ◽  
Irene Gallegos ◽  
Erika L. Thompson ◽  
Emily E. Spence
Keyword(s):  
Interpersonal Violence ◽  
Goal Attainment ◽  
Health And Safety ◽  
Self Care ◽  
Health Advocacy ◽  
Trauma Informed Care ◽  
Service Delivery Systems ◽  
Trauma Informed ◽  
Solution Focused ◽  
Solution Focused Therapy

This article examines the implementation of a health advocacy model designed for survivors of interpersonal violence (IPV) in a metropolitan area of North Texas. Using a framework influenced by motivational interviewing, solution-focused therapy, and trauma-informed care, this program engaged IPV survivors in creating health and safety goals. Goal attainment scaling was used to track progress after each health advocacy encounter. Clients could set their own goals for healthcare, self-care, and safety. The program served 419 clients and 648 goals were set by clients at the first visit. Among all goals, 89% selected goals focused on healthcare, with 47% of those selecting obtaining health insurance or coverage as a need. These results demonstrate the need for an enhanced healthcare response for this population. The remaining goals selected were self-care (7%) and safety (3%). The design of the health advocacy intervention shows promise towards filling the gaps between IPV and healthcare service delivery systems.

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