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

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.

scholarly journals Challenges and Approaches to Mobilizing Communities for HIV Prevention Among Young Men Who Have Sex With Men of Color

2012 ◽  
Vol 40 (2) ◽  
pp. 149-164
Author(s):  
Alison J. Lin ◽  
Julia C. Dudek ◽  
Vincent T. Francisco ◽  
Marné Castillo ◽  
Peter Freeman ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Young Men ◽  
Men Of Color ◽  
Sex With Men

scholarly journals HIV Prevention Services Received at Health Care and HIV Test Providers by Young Men who Have Sex with Men: An Examination of Racial Disparities

2008 ◽  
Vol 85 (5) ◽  
pp. 727-743 ◽  
Author(s):  
Stephanie K. Behel ◽  
Duncan A. MacKellar ◽  
Linda A. Valleroy ◽  
Gina M. Secura ◽  
Trista Bingham ◽  
...  
Keyword(s):  
Health Care ◽  
Hiv Prevention ◽  
Racial Disparities ◽  
Young Men ◽  
Prevention Services ◽  
Hiv Test ◽  
Sex With Men

scholarly journals Structural Barriers to Pre-exposure Prophylaxis Use Among Young Sexual Minority Men: The P18 Cohort Study

2018 ◽  
Vol 16 (3) ◽  
pp. 237-249 ◽  
Author(s):  
Jessica Jaiswal ◽  
Marybec Griffin ◽  
Stuart N. Singer ◽  
Richard E. Greene ◽  
Ingrid Lizette Zambrano Acosta ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Hiv Prevention ◽  
Sexual Behaviors ◽  
Sexual Minority ◽  
Structural Level ◽  
Sexual Minority Men ◽  
Hiv Prevention Strategies ◽  
Minority Men ◽  
Exposure Prophylaxis

Background: Despite decreasing rates of HIV among many populations, HIV-related health disparities among gay, bisexual and other men who have sex with men persist, with disproportional percentages of new HIV diagnoses among racial and ethnic minority men. Despite increasing awareness of HIV pre-exposure prophylaxis (PrEP), PrEP use remains low. In addition to exploring individual-level factors for this slow uptake, structural drivers of PrEP use must also be identified in order to maximize the effectiveness of biomedical HIV prevention strategies. Method: Using cross-sectional data from an ongoing cohort study of young sexual minority men (N=492), we examine the extent to which structural-level barriers, including access to health care, medication logistics, counseling support, and stigma are related to PrEP use. Results: While almost all participants indicated awareness of PrEP, only 14% had ever used PrEP. PrEP use was associated with lower concerns about health care access, particularly paying for PrEP. Those with greater concerns talking with their provider about their sexual behaviors were less likely to use PrEP. Conclusion: Paying for PrEP and talking to one’s provider about sexual behaviors are concerns for young sexual minority men. In particular, stigma from healthcare providers poses a significant barrier to PrEP use in this population. Providers need not only to increase their own awareness of and advocacy for PrEP as an effective risk-management strategy for HIV prevention, but also must work to create open and non-judgmental spaces in which patients can discuss sexual behaviors without the fear of stigma.

scholarly journals 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

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.

Transmitted HIV-1 Drug Resistance Among Young Men of Color Who Have Sex With Men: A Multicenter Cohort Analysis

2011 ◽  
Vol 48 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Lisa B. Hightow-Weidman ◽  
Christopher B. Hurt ◽  
Gregory Phillips ◽  
Karen Jones ◽  
Manya Magnus ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Cohort Analysis ◽  
Young Men ◽  
Men Of Color ◽  
Multicenter Cohort ◽  
Sex With Men ◽  
Hiv 1
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