COVID-19 stressors and symptoms of depression and anxiety among Black cisgender sexual minority men and Black transgender women during the initial peak of the COVID-19 pandemic

Timmins, Liadh; Schneider, John A.; Chen, Yen-Tyng; Pagkas-Bather, Jade; Kim, Byoungjun; Moody, Raymond L.; Al-Ajlouni, Yazan A.; Lee, Francis; Koli, Kangkana; Durrell, Mainza; Eavou, Rebecca; Hanson, Hillary; Park, Sang Hyoung; Duncan, Dustin T.

doi:10.1007/s00127-022-02282-2

Cited by 7 publications

(5 citation statements)

References 56 publications

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“…Our findings align with other studies in this area suggesting that this population faces social determinants of health that pre-dated and continued alongside COVID-19, such as difficulty accessing stable health care, educational, employment, and housing resources. [33][34][35] The current findings also align with existing research suggesting Black transgender women who are affected by HIV have unique experiences managing COVID risk, 36,37 potentially resulting in negative mental health outcomes 17 that may be exacerbated by negative coping skills. 38 A widespread theme in the focus groups was that COVID-related stress manifested as heighted fear and anxiety related to getting sick or transmitting the virus to a loved one.…”

Section: Discussionsupporting

confidence: 78%

"We Already Knew What Time It Was:" HIV, COVID19, and Black Transgender Women in the South

Johnson¹,

Bullock²,

Hill³

2023

hpu

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Black transgender women in the Southeast are at the center of the modern-day HIV crisis in the U.S. This focus group study was aimed at understanding the impacts of the COVID-19 pandemic on the health and well-being of Black transgender women in the U.S. Southeast who are affected by HIV. From April–June 2022, we completed seven focus group interviews with 56 participants. Themes identified across the focus groups show: 1) the challenges that pre-dated COVID-19; 2) the challenges of managing COVID-19 risk; 3) negative consequences for mental health, physical health, and overall well-being; 4) negative trends in coping with pandemic stress; 5) the importance of self-care and social support for managing pandemic stress; and 6) the need for more community-based resources. Findings demonstrate that understanding these social determinants of health is vital to developing support resources in this ongoing health crisis and crises yet to come.

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Section: Discussionsupporting

confidence: 78%

"We Already Knew What Time It Was:" HIV, COVID19, and Black Transgender Women in the South

Johnson¹,

Bullock²,

Hill³

2023

hpu

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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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“…Participants in our work across the United States specifically request CashApp as an option for participant payment and have declined to participate if CashApp was not an option. Institutions like the University of Chicago and East Tennessee State University use this payment platform for studies focusing on systemically oppressed groups (see Brooks et al, 2022; Timmins et al, 2022).…”

Section: Equitable Methods Of Participant Paymentsmentioning

confidence: 99%

Participant compensation in health equity research: How equitable is it?

Brooks¹,

Smith²

2022

Families, Systems, & Health

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COVID-19 stressors and symptoms of depression and anxiety among Black cisgender sexual minority men and Black transgender women during the initial peak of the COVID-19 pandemic

Cited by 7 publications

References 56 publications

"We Already Knew What Time It Was:" HIV, COVID19, and Black Transgender Women in the South

"We Already Knew What Time It Was:" HIV, COVID19, and Black Transgender Women in the South

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

Participant compensation in health equity research: How equitable is it?

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