COVID-19 Conspiracy Beliefs are not Barriers to HIV Status Neutral Care Among Black Cisgender Sexual Minority Men and Black Transgender Women at the Initial Peak of the COVID-19 Pandemic in Chicago, USA

Chen, Yen-Tyng; Duncan, Dustin T.; Vecchio, Natascha Del; Timmins, Liadh; Pagkas-Bather, Jade; Knox, Justin; Lacap, Shaina; Hanson, Hillary; Schneider, John A.

doi:10.1007/s10461-022-03720-7

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…These findings contribute to a better understanding of how multilevel (eg, individual, network, and neighborhood) factors are associated with HIV prevention and care outcomes among Black SMM and TW [139,182,183]. Relatedly, the N2 COVID-19 study contributed additional findings related to factors associated with PrEP and ART use, among other health outcomes and health behaviors, at the initial peak of the COVID-19 pandemic [50,[184][185][186].…”

Section: Expected Findingsmentioning

confidence: 78%

HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status–Neutral Cohort Study Using an Observational-Implementation Hybrid Approach

Knox,

Dolotina,

Moline

et al. 2023

JMIR Res Protoc

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Background Black cisgender gay, bisexual, and other sexual minority men (SMM) and transgender women (TW) continue to be heavily affected by HIV. Further research is needed to better understand HIV prevention and care outcomes in this population. In particular, there is a need for research examining the impact of substance use and sleep health on HIV prevention and treatment outcomes among Black SMM and TW. Objective This paper outlines the study methods being used in the recently launched follow-up study to the Neighborhoods and Networks (N2) study, which we refer to as N2 Part 2 (N2P2). N2P2 aims to address this gap in the literature, build off the findings of the original N2 study, and identify socioenvironmental determinants of health, including whether neighborhood and network factors mediate and moderate these relationships. Methods Building on the N2 cohort study in Chicago from 2018 to 2022, N2P2 used a prospective longitudinal cohort design and an observational-implementation hybrid approach. With sustained high levels of community engagement, we aim to recruit a new sample of 600 Black SMM and TW participants residing in the Chicago metropolitan statistical area. Participants are asked to participate in 3 study visits across an 18-month study period (1 visit every 9 months). Four different forms of data are collected per wave: (1) an in-person survey, (2) biological specimen collection, (3) a daily remote ecological momentary assessment for 14 days after each study visit, and (4) data from electronic health records. These forms of data collection continue to assess neighborhood and network factors and specifically explore substance use, sleep, immune function, obesity, and the implementation of potential interventions that address relevant constructs (eg, alcohol use and pre-exposure prophylaxis adherence). Results The N2P2 study was funded in August 2021 by the National Institute of Drug Abuse (R01DA054553 and R21DA053156) and National Heart, Lung, and Blood Institute (R01HL160325). This study was launched in November 2022. Recruitment and enrollment for the first wave of data collection are currently ongoing. Conclusions The N2P2 study is applying innovative methods to comprehensively explore the impacts of substance use and sleep health on HIV-related outcomes among an HIV status–neutral cohort of Black SMM and TW in Chicago. This study is applying an observational-implementation hybrid design to help us achieve findings that support rapid translation, a critical priority among populations such as Black SMM and TW that experience long-standing inequities with regard to HIV and other health-related outcomes. N2P2 will directly build off the findings that have resulted from the original N2 study among Black SMM and TW in Chicago. These findings provide a better understanding of multilevel (eg, individual, network, and neighborhood) factors that contribute to HIV-related outcomes and viral suppression among Black SMM and TW. International Registered Report Identifier (IRRID) DERR1-10.2196/48548

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Section: Expected Findingsmentioning

confidence: 78%

HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status–Neutral Cohort Study Using an Observational-Implementation Hybrid Approach

Knox,

Dolotina,

Moline

et al. 2023

JMIR Res Protoc

Self Cite

View full text Add to dashboard Cite

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Black Women’s Sexual Well-being in the Age of Pre-Exposure Prophylaxis (PrEP): a Systematic Review of the Literature

Willie,

Dale

2024

Curr Sex Health Rep

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Purpose of Review Black women’s sexual well-being is predicated upon having the autonomy, resources, and access to define, explore, and safely enjoy their sexuality and intimacy. Black cisgender and transgender women have been placed at disproportional risk for HIV due to structural and health specific inequities. Pre-exposure prophylaxis (PrEP), an effective biomedical intervention, reduces HIV transmission from sex or injection drug use by 99%, however the uptake of PrEP remains low among Black cisgender and transgender women. Using the PRISMA technique, we conducted a review of literature on Black women, cisgender and transgender, and PrEP. We used Google Scholar and PubMed to conduct the search. Recent Findings Our initial search garnered 2,221 sources across the two databases. However, n = 197 articles were included in this review based on the screening process and our inclusion criteria. Socio-cultural factors, provider factors, low HIV risk awareness, limited PrEP awareness and knowledge, communication, motivation, concerns about PrEP, barriers, and sexual agency, power, and pleasure may impact utilization of PrEP among Black transgender and cisgender women. However, facilitators were highlighted as well as interventions, though limited. Summary To adequately meet the needs of Black women and increase PrEP uptake, there is a need to address these factors that may impact utilization and develop effective interventions for Black women surrounding PrEP.

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HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status–Neutral Cohort Study Using an Observational-Implementation Hybrid Approach (Preprint)

Knox¹,

Dolotina²,

Moline³

et al. 2023

Preprint

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BACKGROUND Black cisgender gay, bisexual and other sexual minority men (SMM) and transgender women (TW) continue to be heavily impacted by HIV. Further research is needed to better understand HIV prevention and care outcomes among Black SMM and TW, including the impact of substance use and sleep health, as well as whether neighborhood and network factors mediate and moderate these relationships. OBJECTIVE The current paper outlines the study methods being utilized in the recently launched follow-up study to the Neighborhoods and Networks (N2) study, which we refer to as N2 Part 2 (N2P2). METHODS Building on the N2 Cohort Study in Chicago from 2018 to 2022, N2P2 employs a prospective longitudinal cohort design and observational-implementation hybrid approach. With sustained high levels of community engagement, we aim to recruit a new sample of 600 Black SMM and TW participants residing in the Chicago metropolitan statistical area (MSA). Participants are asked to partake in three study visits across an 18-month study-period (one visit every 9 months). Four different forms of data are collected per wave: (1) an in-person survey, (2) biological specimen collection, (3) a daily remote ecological momentary assessment (EMA) for 14 days after each study visit, and (4) data from electronic health records (EHR). These forms of data collection continue to assess neighborhood and network factors and specifically explore substance use, sleep, immune function, obesity, and implementation of potential interventions that address relevant constructs (e.g., alcohol use, PrEP adherence). RESULTS The N2P2 study was funded in August 2021 by the National Institute of Drug Abuse (R01DA054553 and R21DA053156) and National Heart, Lung, and Brain Institute (R01HL160325). The study was launched in November 2022. Recruitment and enrollment for the first wave of data collection is still ongoing. CONCLUSIONS The N2P2 study is applying innovative methods to comprehensively explore the impacts of substance use and sleep health on HIV-related outcomes among an HIV status neutral cohort of Black SMM and TW in Chicago. The study is applying an observational-implementation hybrid design in order to help us achieve findings that support rapid translation, a critical priority among populations such as Black SMM and TW that experience long-standing inequities with regards to HIV and other health-related outcomes. N2P2 will directly build off of the findings that have resulted from the original N2 study among Black SMM and TW in Chicago. These findings include a better understanding of multi-level (e.g., individual, network, neighborhood) factors that contribute to HIV-related outcomes and viral suppression among Black SMM and TW.

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COVID-19 Conspiracy Beliefs are not Barriers to HIV Status Neutral Care Among Black Cisgender Sexual Minority Men and Black Transgender Women at the Initial Peak of the COVID-19 Pandemic in Chicago, USA

Cited by 4 publications

References 29 publications

HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status–Neutral Cohort Study Using an Observational-Implementation Hybrid Approach

HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status–Neutral Cohort Study Using an Observational-Implementation Hybrid Approach

Black Women’s Sexual Well-being in the Age of Pre-Exposure Prophylaxis (PrEP): a Systematic Review of the Literature

HIV Prevention and Care Among Black Cisgender Sexual Minority Men and Transgender Women: Protocol for an HIV Status–Neutral Cohort Study Using an Observational-Implementation Hybrid Approach (Preprint)

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