“All We Had Were the Streets”: Lessons Learned From a Recreation-Based Community Health Space for Young Black MSM and Trans Women Across the HIV Prevention and Care Continuum

2018 ◽  
Vol 30 (4) ◽  
pp. 309-321 ◽  
Author(s):  
Brian Adams ◽  
Sarah Krier ◽  
Jess Netto ◽  
Nayck Feliz ◽  
M. Reuel Friedman
Keyword(s):  
Community Engagement ◽  
Community Health ◽  
Service Provision ◽  
Qualitative Data ◽  
Lessons Learned ◽  
Black Msm ◽  
Transgender People ◽  
Implementation Period ◽  
Sex With Men ◽  
Young Black Msm

Young Black men who have sex with men (MSM) and transgender people experience disparities in HIV incidence and HIV outcomes. To effectively engage these communities in HIV-related programming, we developed a recreation-based community health space. We sought to examine the challenges and successes in implementing this program. Qualitative data were collected from federal progress reports and by a process evaluator who recorded interviews with staff, stakeholders, and participants. These data were coded for themes related to barriers and successes. We consolidated themes into four key domains: community engagement, service provision, stigma, and violence. Each of these domains was determined to significantly affect programmatic success during the implementation period. Young Black MSM and transgender people experience stigmas that pose challenges to effective engagement in HIV-related programming. These lessons learned offer strategies for community engagement and for addressing violence and stigma to maximize programmatic effectiveness.

scholarly journals Estimated Impact of Targeted Pre-Exposure Prophylaxis: Strategies for Men Who Have Sex with Men in the United States

2019 ◽  
Vol 16 (9) ◽  
pp. 1592 ◽  
Author(s):  
Richard A. Elion ◽  
Mina Kabiri ◽  
Kenneth H. Mayer ◽  
David A. Wohl ◽  
Joshua Cohen ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Black Msm ◽  
Number Needed To Treat ◽  
Latino Msm ◽  
Sex With Men ◽  
Young Black Msm ◽  
Exposure Prophylaxis ◽  
The Impact ◽  
Black And Latino

Pre-exposure prophylaxis (PrEP) effectively reduces human immunodeficiency virus (HIV) transmission. We aimed to estimate the impact of different PrEP prioritization strategies among Black and Latino men who have sex with men (MSM) in the United States, populations most disproportionately affected by HIV. We developed an agent-based simulation to model the HIV epidemic among MSM. Individuals were assigned an HIV incidence risk index (HIRI-MSM) based on their sexual behavior. Prioritization strategies included PrEP use for individuals with HIRI-MSM ≥10 among all MSM, all Black MSM, young (≤25 years) Black MSM, Latino MSM, and young Latino MSM. We estimated the number needed to treat (NNT) to prevent one HIV infection, reductions in prevalence and incidence, and subsequent infections in non-PrEP users avoided under these strategies over 5 years (2016–2020). Young Black MSM eligible for PrEP had the lowest NNT (NNT = 10) followed by all Black MSM (NNT = 33) and young Latino MSM (NNT = 35). All Latino MSM and all MSM had NNT values of 63 and 70, respectively. Secondary infection reduction with PrEP was the highest among young Latino MSM (53.2%) followed by young Black MSM (37.8%). Targeting all MSM had the greatest reduction in prevalence (14.7% versus 2.9%–3.9% in other strategies) and incidence (49.4% versus 9.4%–13.9% in other groups). Using data representative of the United States MSM population, we found that a strategy of universal PrEP use by MSM was most effective in reducing HIV prevalence and incidence of MSM. Targeted use of PrEP by Black and Latino MSM, however, especially those ≤25 years, had the greatest impact on HIV prevention.

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 Community-Based Participatory Research Strategies to Collect, Analyze, and Disseminate Qualitative Data

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 565-565
Author(s):  
Roma Hanks ◽  
Hosik Min ◽  
Shoon Lio ◽  
Brandon Moss ◽  
Sarah Wraight ◽  
...  
Keyword(s):  
Community Engagement ◽  
Community Health ◽  
Disaster Preparedness ◽  
Qualitative Data ◽  
Community Based Participatory Research ◽  
Community Empowerment ◽  
Research Strategies ◽  
Emergency Plans ◽  
Effective Strategies ◽  
Response And Recovery

Abstract Project 1: Community Health Advocates participated in a photovoice project that evolved into an invited installation at the Alabama Contemporary Art Center, giving statewide exposure to health issues in communities in South Alabama that had been identified as those with the highest health disparities. The context of the project was a multi-generational approach to community health advocacy. Project 2: This project focused on employing CBPR methods in Cambodian and Laotian immigrant communities in South Alabama to discover barriers to disaster preparedness, response, and recovery and to better understand the intersections of culture, spirituality, and social justice along the path to community empowerment and resiliency. Community engagement in the development of emergency plans is typically at the organization-to-organization level. This paper analyzes multi-generational, multi-disciplinary, multi-method approaches using qualitative data to build effective strategies for advocacy through community engagement in research.

scholarly journals A Young Black MSM on PrEP Is Lost to Follow-Up and Acquires HIV Infection: A Case to Call for Improved Strategies to Support Youth Adherence and Engagement in HIV Prevention

2019 ◽  
Vol 18 ◽  
pp. 232595821985383 ◽  
Author(s):  
Ketzela Jacobowitz Marsh ◽  
Meghan Rothenberger
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Sexual Behaviors ◽  
The United States ◽  
Black Msm ◽  
Sex With Men ◽  
Young Black Msm ◽  
Exposure Prophylaxis ◽  
Lost To Follow Up

Young men who have sex with men (YMSM) are disproportionately affected by HIV in the United States. High-risk sexual behaviors are difficult to modify; thus, HIV pre-exposure prophylaxis (PrEP) with a daily pill is a promising prevention tool for this vulnerable population. We present a case of a young black MSM who was able to successfully access PrEP with the help of a community program but was not able to adhere to the regimen or engage in care. He ultimately acquired HIV infection. We review the existing literature and advocate for increased services and research to support youth’s adherence to PrEP and engagement in HIV prevention programs, with a focus on YMSM of color.

“The Criminal Actors Have a Social Base in Their Communities”: Gangs and Service Provision in Medellín, Colombia

2020 ◽  
pp. 1-21
Author(s):  
Caroline Doyle
Keyword(s):  
Social Control ◽  
Latin American ◽  
Service Provision ◽  
Qualitative Data ◽  
The State ◽  
Citizen Engagement ◽  
Design And Implementation

ABSTRACT In the last ten years, Medellín, Colombia has undergone significant socioeconomic improvements and a reduction in homicides. By drawing from qualitative data collected in Medellín, this article shows how, despite these improvements, residents in the marginalized neighborhoods maintain a perception that the state is unable or unwilling to provide them with services, such as employment and order or social control. Criminal gangs in these neighborhoods appear to rely on, and even exploit, the weakness of the state, as they are able to get citizens to perceive them as more reliable and legitimate than the state. This article argues that it is important for Latin American policymakers to promote citizen engagement in the design and implementation of policies to reduce current levels of violence.

A Qualitative Study: The Journey to Self-Acceptance of Sexual Identity among Young, Black MSM in the South

2021 ◽  
pp. 1-29
Author(s):  
Latesha Elopre ◽  
Sophia A. Hussen ◽  
Corilyn Ott ◽  
Michael J. Mugavero ◽  
Janet M. Turan
Keyword(s):  
Qualitative Study ◽  
Sexual Identity ◽  
Black Msm ◽  
The South ◽  
Self Acceptance ◽  
Young Black Msm

scholarly journals Bringing Older Adults to the Table: Opportunities for Consumer Engagement in Planning and Policy Making

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 102-102
Author(s):  
Alice Prendergast ◽  
Kristi Fuller
Keyword(s):  
Data Collection ◽  
Community Engagement ◽  
Community Involvement ◽  
Social Connectedness ◽  
Planning Process ◽  
The United States ◽  
Lessons Learned ◽  
Service Planning ◽  
Community Members ◽  
Design Data

Abstract Efforts to include community voice in health policy and service planning are gaining recognition and support in the United States. Findings suggest community involvement can contribute to a better understanding of systems and factors that impact health, and, subsequently, more effective and sustainable policy and program design. Additionally, engagement can increase community buy-in, and community members can gain a greater awareness of services; increased confidence navigating systems; feelings of social connectedness; and capacity to advocate around issues through participation. Despite these findings, the extent to which community members are engaged in planning and decision-making varies considerably. Researchers from Georgia State University conducted a review of state plans on aging using the Person-Centered Outcomes Research Initiative (PCORI) Engagement Principles and the Health Research & Educational Trust’s Community and Patient Engagement Spectrum as frameworks to assess evidence of community engagement. The frameworks recognize engagement throughout the planning process, including design, data collection and interpretation, and dissemination. The review revealed that few planning processes described significant engagement, but rather met the minimal requirements established by federal policy. Federal guidance on community-informed planning practices is sparse, as are resources to support states in adopting these processes. To address this gap, the research team drew on the frameworks and other promising practices to design two community engagement projects, both in partnership with Georgia’s Division of Aging Services. Methods for participant engagement, data collection, interpretation and application of results, and lessons learned through both projects will be discussed, as well as potential implications.

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