Strategies for Improving Mobile Technology–Based HIV Prevention Interventions With Latino Men Who Have Sex With Men and Latina Transgender Women

2019 ◽  
Vol 31 (5) ◽  
pp. 407-420 ◽  
Author(s):  
Sarah MacCarthy ◽  
Joanna L. Barreras ◽  
Alexandra Mendoza-Graf ◽  
Frank Galvan ◽  
Sebastian Linnemayr

Mobile technology–based interventions show promise for conveying HIV prevention information to Latino men who have sex with men (LMSM) and Latina transgender women (LTGW); however, implementing such interventions can pose serious challenges. To understand how to adapt existing interventions for these populations, we conducted nine focus groups (N = 91 participants, 52 LMSM, 39 LTGW) in Los Angeles, California. We used a rapid assessment process to create narrative reports that we examined using thematic analysis to explore differences across sites and between LMSM and LTGW. Lessons learned: requiring smartphone use could diminish participation of poor participants; sending personalized messages on the same days and times can help participants anticipate receiving study information; working with community partners is essential for building trust; recognizing different language literacies and diverse countries of origin can improve the cultural competency of intervention materials. Addressing these challenges may enhance efforts to address the HIV prevention needs of these communities.

2008 ◽  
Vol 12 (6) ◽  
pp. 978-988 ◽  
Author(s):  
Ellen F. Iverson ◽  
Darshi Balasuriya ◽  
Gary P. García ◽  
Minya Sheng ◽  
Jean L. Richardson ◽  
...  

2020 ◽  
Author(s):  
Jerome T. Galea ◽  
Stephanie Marhefka ◽  
Segundo R. León ◽  
Guitele Rahill ◽  
Elena Cyrus ◽  
...  

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.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248705
Author(s):  
Archana Krishnan ◽  
Damian Weikum ◽  
Claire Cravero ◽  
Adeeba Kamarulzaman ◽  
Frederick L. Altice

Background Mobile health (mHealth) can be beneficial in monitoring the complex healthcare regimen for people with HIV that includes adhering to medication and refraining from risky practices such as unsafe sex and injection drug use. Not only is mHealth often implemented without appropriate feasibility and acceptability research, but there is limited mHealth research among key HIV-positive populations such as men who have sex with men (MSM) and transgender women (TGW). Methods This study assessed access to and use of mobile technology and acceptability of mHealth among 150 HIV-positive MSM and TGW who were prescribed antiretroviral therapy (ART) in Malaysia–an emerging economy with rapid telecommunications growth and societal stigma against these groups. Results Findings among the 114 MSM and 36 TGW reveal high levels of depression (42%), stigma (2.53/4.00) and risky sexual behavior (30%), and suboptimal ART adherence (22%). On the other hand, the sample had excellent access to smartphones (75.3%) and the internet (78%), and had high acceptance of mHealth especially for those with suboptimal ART adherence. Conclusion In settings like Malaysia where homosexuality and cross-dressing are socially and legally stigmatized, HIV prevention and treatment strategies delivered using an mHealth platform have the potential to overcome in-person barriers.


AIDS Care ◽  
2012 ◽  
Vol 25 (2) ◽  
pp. 133-150 ◽  
Author(s):  
Karen Lorimer ◽  
Lisa Kidd ◽  
Maggie Lawrence ◽  
Kerri McPherson ◽  
Sandi Cayless ◽  
...  

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