Technology Use and Preferences for Mobile Phone–Based HIV Prevention and Treatment Among Black Young Men Who Have Sex With Men: Exploratory Research

Background Medical mistrust is a barrier to engaging in HIV prevention and treatment, including testing and adherence to antiretroviral therapy. Research often focuses on how race and experiences of discrimination relate to medical mistrust, overlooking the role that other characteristics may play (e.g., history of physical abuse, diagnosis of mental illness). Furthermore, studies are often restricted to samples of men who have sex with men and findings may not generalize to other at-risk groups. Aims The current study explores a range of demographic, cognitive, behavioral, and social network correlates of medical mistrust. Method This study employed an egocentric network design among a racially diverse sample of at-risk women and women in their social networks ( n = 165). Results Results from multivariable linear regressions stratified by race (Black vs. others) indicate that medical mistrust is associated with both individual-level and network-level characteristics. Across both groups, age and experiences of racial discrimination were associated with higher medical mistrust. Having a regular sex partner and having a higher proportion of network members who are family was significantly associated with medical mistrust among non-Black women. Discussion Individual-level and network-level variables were significantly associated with medical mistrust. Therefore, interventions that attempt to mitigate medical mistrust as a barrier to HIV prevention and treatment should consider how mistrust may be related to characteristics of individuals and broader contexts. Conclusion Health interventions may benefit from conceiving of medical mistrust as a complex, rational response to cumulative discriminatory life experiences and a reflection of the networks within which individuals are embedded.

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Internet-Based HIV Prevention With At-Home Sexually Transmitted Infection Testing for Young Men Having Sex With Men: Study Protocol of a Randomized Controlled Trial of Keep It Up! 2.0

JMIR Research Protocols ◽

10.2196/resprot.5740 ◽

2017 ◽

Vol 6 (1) ◽

pp. e1 ◽

Cited By ~ 24

Author(s):

Brian Mustanski ◽

Krystal Madkins ◽

George J Greene ◽

Jeffrey T Parsons ◽

Brent A Johnson ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Hiv Prevention ◽

Study Protocol ◽

Sexually Transmitted Infection ◽

Controlled Trial ◽

Young Men ◽

Transmitted Infection ◽

Sexually Transmitted ◽

Randomized Controlled ◽

Sex With Men

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High levels of mild to moderate depression among men who have sex with men and transgender women in Lima, Peru: implications for integrated depression and HIV care

10.1101/2020.01.07.20016808 ◽

2020 ◽

Author(s):

Jerome T. Galea ◽

Stephanie Marhefka ◽

Segundo R. León ◽

Guitele Rahill ◽

Elena Cyrus ◽

...

Keyword(s):

Hiv Prevention ◽

Transgender Women ◽

Hiv Care ◽

Depression Care ◽

Care Services ◽

Treatment Services ◽

Moderate Depression ◽

Prevention And Treatment ◽

Patient Health ◽

Sex With Men

ABSTRACTDepression disproportionally affects people at risk of acquiring or living with HIV and is associated with worse health outcomes; however, depression care is not routinely integrated with HIV prevention and treatment services. Selection of the best depression intervention(s) for integration depends both on the prevalence and severity of depression among potential users. To inform depression care integration in a community-based setting in Lima, Peru, we retrospectively analyzed routinely collected depression screening data from men who have sex with men and transgender women seeking HIV prevention and care services (N=185). Depression was screened for using the Patient Health Questionnaire-9. Prevalence of any depression (PHQ-9 ≥5) was 42% and was significantly associated with the last sexual partner being “casual” (p=0.01). Most (81%) depressive symptoms were mild to moderate (≥5 PHQ-9 ≤14). Integrating depression care with HIV prevention and treatment services in Peru should begin by implementing interventions targeting mild to moderate depression.

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Where are the Young Men in HIV Prevention Efforts? Comments on HIV Prevention Programs and Research from Young Men Who Sex with Men in Los Angeles County

The Journal of Primary Prevention ◽

10.1007/s10935-012-0282-z ◽

2012 ◽

Vol 33 (5-6) ◽

pp. 271-278 ◽

Cited By ~ 18

Author(s):

Ian W. Holloway ◽

Julie A. Cederbaum ◽

Antonette Ajayi ◽

Steven Shoptaw

Keyword(s):

Los Angeles ◽

Hiv Prevention ◽

Los Angeles County ◽

Young Men ◽

Prevention Programs ◽

Sex With Men

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Engaging Young Men in the HIV Prevention and Care Continua: Experiences From Young Men of Color Who Have Sex With Men

AIDS Education and Prevention ◽

10.1521/aeap.2019.31.4.325 ◽

2019 ◽

Vol 31 (4) ◽

pp. 325-343

Author(s):

Katrina Kubicek ◽

William J. Beyer ◽

Carolyn F. Wong ◽

Michele D. Kipke

Keyword(s):

Health Care ◽

Hiv Prevention ◽

Sexual Minority ◽

Young Men ◽

Health Care Research ◽

Hiv Care ◽

Health Concerns ◽

Men Of Color ◽

Sex With Men ◽

The Continuum

Sexual minority individuals experience barriers to receiving equitable health care. Research also indicates that young men who have sex with men (YMSM), particularly young men of color, have limited engagement in the HIV care continuum and there are significant disparities across the continuum. This study aims to uncover how providers can engage YMSM of color in all forms of care, including primary care and HIV prevention through an HIV prevention continuum. This qualitative study reports data from the Healthy Young Men's Cohort Study; a total of 49 YMSM participated in the eight focus groups. This study provides a description of YMSM's overall health concerns, experiences with health care, and under what circumstances YMSM seek care. We then present a model describing the salient characteristics of a HIV prevention continuum for YMSM of color and provide clear areas for education, intervention, and policy change to support better overall health for YMSM of color.

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A systematic review of mHealth interventions for HIV prevention and treatment among gay, bisexual, and other men who have sex with men

Translational Behavioral Medicine ◽

10.1093/tbm/ibaa007 ◽

2020 ◽

Vol 10 (5) ◽

pp. 1211-1220

Author(s):

Kimberly M Nelson ◽

Nicholas S Perry ◽

Keith J Horvath ◽

Laramie R Smith

Keyword(s):

Systematic Review ◽

Hiv Prevention ◽

Text Messaging ◽

Controlled Trial ◽

The United States ◽

Current Evidence ◽

Future Research ◽

Targeted Prevention ◽

Prevention And Treatment ◽

Sex With Men

Abstract The use of mobile health (mHealth) technologies addressing HIV disparities among gay, bisexual, and other men who have sex with men (GBMSM) has increased. A systematic review of mHealth interventions for HIV prevention and treatment among GBMSM was conducted to summarize the current evidence and provide recommendations for future research. PRISMA guidelines were followed (PROSPERO ID: 148452). Studies identified via PubMed, PsychInfo, or Embase were included that (i) were in English, (ii) were published in a peer-reviewed journal prior to July 1, 2019, (iii) presented primary results, (iv) included only GBMSM, and (v) reported the results of an mHealth intervention (e.g., text message, phone/mobile application [app]) to improve HIV prevention or treatment outcomes. Of 1,636 identified abstracts, 16 published studies met inclusion criteria. Eleven studies were conducted in the United States. One study was a fully powered randomized controlled trial (RCT), seven were single-arm pilots with pre–post assessments, four were pilot RCTs, and four tested public health campaigns with post-assessments. Seven developed study-specific apps, five used text messaging, and four used existing social networking apps. Most (81%) targeted prevention outcomes. Nine cited a specific behavioral theory. All studies found that a mHealth approach was feasible and acceptable. All interventions provided evidence of preliminary efficacy or promising trends on primary outcomes. Although mHealth interventions for HIV prevention and treatment appear feasible and acceptable, most published studies are small pilot trials. Additional research assessing the efficacy and mechanisms of mHealth interventions is needed.

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