scholarly journals Once a Navegante, Always a Navegante: Latino Men Sustain Their Roles as Lay Health Advisors to Promote General and Sexual Health to Their Social Network

2015 ◽  
Vol 27 (5) ◽  
pp. 465-473 ◽  
Author(s):  
Christina J. Sun ◽  
Lilli Mann ◽  
Eugenia Eng ◽  
Mario Downs ◽  
Scott D. Rhodes
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Chiara Broccatelli ◽  
Peng Wang ◽  
Lisa McDaid ◽  
Mark McCann ◽  
Sharon Anne Simpson ◽  
...  

AbstractThere is growing interest in social network-based programmes to improve health, but rigorous methods using Social Network research to evaluate the process of these interventions is less well developed. Using data from the “STis And Sexual Health” (STASH) feasibility trial of a school-based, peer-led intervention on sexual health prevention, we illustrate how network data analysis results can address key components of process evaluations for complex interventions—implementation, mechanisms of impacts, and context. STASH trained students as Peer Supporters (PS) to diffuse sexual health messages though face-to-face interactions and online Facebook (FB) groups. We applied a Multilevel Exponential Random Graph modelling approach to analyse the interdependence between offline friendship relationships and online FB ties and how these different relationships align. Our results suggest that the creation of online FB communities mirrored offline adolescent groups, demonstrating fidelity of intervention delivery. Data on informal friendship networks related to student’s individual characteristics (i.e., demographics, sexual health knowledge and adherence to norms, which were included for STASH), contributed to an understanding of the social relational ‘building’ mechanisms that sustain tie-formation. This knowledge could assist the selection of opinion leaders, improving identification of influential peers situated in optimal network positions. This work provides a novel contribution to understanding how to integrate network research with the process evaluation of a network intervention.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amrita Ayer ◽  
Eddy R. Segura ◽  
Amaya Perez-Brumer ◽  
Susan Chavez-Gomez ◽  
Rosario Fernandez ◽  
...  

Abstract Background Social networks, norms, and discussions about sexual health may inform sexual practices, influencing risk of human immunodeficiency virus (HIV) or sexually transmitted infection (STI) acquisition. To better understand social networks of Peruvian men who have sex with men (MSM) and transgender women (trans women), we examined key social network members (SNMs), participant perceptions of these network members’ opinions toward sexual health behaviors, and associations between network member characteristics and condomless anal intercourse (CAI). Methods In a 2017 cross-sectional study, a convenience sample of 565 MSM and trans women with HIV-negative or unknown serostatus was asked to identify three close SNMs; describe discussions about HIV and STI prevention with each; and report perceived opinions of condom use, HIV/STI testing, and partner notification of STIs. Generalized estimating equations evaluated relationships between SNM characteristics, opinions, and discussions and participant-reported CAI. Results Among participants who identified as MSM, 42.3% of key SNMs were perceived to identify as gay. MSM “never” discussed HIV and STI prevention concerns with 42.4% of heterosexual SNMs, but discussed them “at least once weekly” with 16.9 and 16.6% of gay- and bisexual- identifying SNMs, respectively. Among participants who identified as trans women, 28.2% of key SNMs were perceived as heterosexual; 25.9%, as bisexual; 24.7%, as transgender; and 21.2%, as gay. Trans women discussed HIV/STI prevention least with cis-gender heterosexual network members (40.2% “never”) and most with transgender network members (27.1% “at least once weekly”). Participants perceived most of their close social network to be completely in favor of condom use (71.2% MSM SNMs, 61.5% trans women SNMs) and HIV/STI testing (73.1% MSM SNMs, 75.6% trans women SNMs), but described less support for partner STI notification (33.4% MSM SNMs, 37.4% trans women SNMs). Most participants reported CAI with at least one of their past three sexual partners (77.5% MSM, 62.8% trans women). SNM characteristics were not significantly associated with participant-reported frequency of CAI. Conclusions Findings compare social support, perceived social norms, and discussion patterns of Peruvian MSM and trans women, offering insight into social contexts and sexual behaviors. Trial registration The parent study from which this analysis was derived was registered at ClinicalTrials.gov (Identifier: NCT03010020) on January 4, 2017.


2011 ◽  
Vol 21 (8) ◽  
pp. 1062-1079 ◽  
Author(s):  
Roger Drew ◽  
Peter Aggleton ◽  
Paul Boyce ◽  
Helen Chalmers ◽  
Clare Maxwell ◽  
...  

2020 ◽  
Author(s):  
Nancy Yang ◽  
Yi Zhou ◽  
Shanzi Huang ◽  
Xi He ◽  
Joseph Tucker ◽  
...  

BACKGROUND Social network-based strategies can expand HIV/syphilis self-tests among men who have sex with men (MSM). Sexual health influencers (SHIs) are individuals especially capable of spreading HIV and STI information within their social networks. However, it remains unknown whether a SHI can encourage their peers to self-test for HIV/syphilis. OBJECTIVE This study aims to examine MSM SHIs' impact on improving HIV/syphilis self-test uptake within their social networks compared to non-sexual health influencers. METHODS In Zhuhai, China, men 16 years or older, born biologically male, ever had sex with a man, and applying for HIV/syphilis self-tests were enrolled online as indexes and encouraged to distribute self-tests to individuals (alters) in their social network. Indexes scoring >3 on a sexual health influencer scale were considered SHIs (Cronbach alpha 0.87). The primary outcome was mean number of alters encouraged to test per SHI index compared to non-influencers. RESULTS Participants include 371 indexes and 278 alters. Among indexes, 77 (20.8%) were SHIs and 294 (79.2%) were non-influencers. On average, each SHI successfully encouraged 1.66 alters to self-test, compared to 0.51 alters encouraged by each non-influencer (aRR 2.07, 95% CI 1.59-2.69). More SHIs disclosed their sexual orientation (80.5% vs. 67.3%, P=.02) and were volunteers (18.2% vs. 2.7%, P<.001) than non-influencers. More alters of SHIs than non-influencers came from a rural area (45.5% vs. 23.8%, P<.001), had below-college education (57.7% vs. 37.1%, P<.001) and had multiple casual male sexual partners in the past 6 months (25.2% vs. 11.9%, P<.001). CONCLUSIONS Being a SHI was associated with encouraging more peers with less testing access to self-test for HIV/syphilis. SHI can be engaged as seeds to expand HIV/syphilis testing coverage. CLINICALTRIAL NA


2013 ◽  
Vol 25 (2) ◽  
pp. 163-168 ◽  
Author(s):  
Miguel Muñoz-Laboy ◽  
Jonathan Garcia ◽  
Ashley Perry ◽  
Vincent Guilamo-Ramos ◽  
Jane Lee ◽  
...  

2012 ◽  
Vol 12 (2) ◽  
pp. 283-310 ◽  
Author(s):  
Omar Martinez ◽  
Brian Dodge ◽  
Gabriel Goncalves ◽  
Phillip W. Schnarrs ◽  
Miguel Muñoz-Laboy ◽  
...  

2019 ◽  
Vol 24 (1) ◽  
pp. 222-232
Author(s):  
Jaih B. Craddock ◽  
Anamika Barman-Adhikari ◽  
Katie Massey Combs ◽  
Anthony Fulginiti ◽  
Eric Rice

2014 ◽  
Vol 36 (1) ◽  
pp. 51-64 ◽  
Author(s):  
Alexandra M. Minnis ◽  
Evan vanDommelen-Gonzalez ◽  
Ellen Luecke ◽  
Helen Cheng ◽  
William Dow ◽  
...  

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