Engaging a Predominantly Latino Community in HIV Prevention: Laying the Groundwork for Pre-exposure Prophylaxis and HIV Sexual Health Programs

Carnevale, Caroline; Zucker, Jason; Borsa, Alexander; Northland, Bianka; Castro, Jonathan Mendes de; Molina, Emma; Richards, Paul; Domínguez, José Rodríguez; George, W; Cohall, Alwyn; Olender, Susan; Gordon, Peter; Sobieszczyk, Magdalena E.

doi:10.1097/jnc.0000000000000121

Cited by 11 publications

(10 citation statements)

References 12 publications

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“…LSMM felt that it was important for clinics to provide clear information and guidance on accessing HIV and behavioral health services during COVID-19 because of disruptions to services. This type of communication and guidance from health care organizations can help to ensure that those who may be least likely to access needed HIV and behavioral health services are effectively guided through this difficult process (Carnevale et al, 2020; Marcus et al, 2016; Pinto et al, 2018). Adopting such measures would be consistent with previous recommendations of enhancing communication and patient navigation to engage LSMM in HIV and behavioral health services during and after the immediate impacts of COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Latinx Sexual Minority Men's Access to HIV and Behavioral Health Services in South Florida During COVID-19: A Qualitative Study of Barriers, Facilitators, and Innovations

Harkness

Weinstein²,

Atuluru³

et al. 2021

J Assoc Nurses AIDS Care

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Despite the availability of HIV prevention and treatment tools, HIV disparities continue to affect Latinx sexual minority men (LSMM). Behavioral health concerns further exacerbate HIV disparities among LSMM. This study used rapid qualitative analysis to understand factors influencing LSMM's access to HIV and behavioral health services during coronavirus disease 2019 (COVID-19). Participants included LSMM with (n 5 10) and without HIV (n 5 10). The analysis identified 15 themes. Themes revealed that LSMM's access was disrupted by new and worsening barriers resulting from COVID-19, such as anxiety about COVID-19 exposure, confusion and disruptions to services, and new structural challenges. Other themes highlight positive changes, such as telehealth and relaxed clinic protocols, which enhanced LSMM's access to services during COVID-19. The findings suggest the need for HIV and behavioral health clinics to innovate and ensure LSMM's continued access to services during and beyond COVID-19.

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Section: Discussionmentioning

confidence: 99%

Latinx Sexual Minority Men's Access to HIV and Behavioral Health Services in South Florida During COVID-19: A Qualitative Study of Barriers, Facilitators, and Innovations

Harkness

Weinstein²,

Atuluru³

et al. 2021

J Assoc Nurses AIDS Care

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“…Although we attempted to capture the opinions of diverse individuals, all participants were living in the Atlanta area, which is a newer immigrant destination than California, New York, Texas, and some other areas of the United States [ 53 ]. Consequently, the PrEP uptake needs and mobile app preferences identified in this study may not be generalizable to parts of the country where social support and PrEP access for Latino communities are more widely available [ 54 ]. In addition, most participants were foreign-born, limiting the applicability of these results to US-born Latino SMM.…”

Section: Discussionmentioning

confidence: 99%

Development of a Mobile App to Increase the Uptake of HIV Pre-exposure Prophylaxis Among Latino Sexual Minority Men: Qualitative Needs Assessment

Cantos¹,

Hagen²,

Duarte³

et al. 2023

JMIR Form Res

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Background HIV disproportionally impacts Latino sexual minority men (SMM). Uptake of pre-exposure prophylaxis (PrEP), an effective biomedical intervention to prevent HIV, is low in this group compared with White SMM. Mobile health technology represents an innovative strategy to increase PrEP uptake among Latino SMM. Objective We aimed to describe the qualitative process leading to the development of SaludFindr, a comprehensive HIV prevention mobile app aiming to increase PrEP uptake, HIV testing, and condom use by Latino SMM. Methods We conducted 13 in-depth interviews with Latino SMM living in the Atlanta area to explore their main barriers and facilitators to PrEP uptake and to analyze their opinions of potential SaludFindr app functionalities. To explore potential app functions, we used HealthMindr, an existing HIV prevention app, as a template and added new proposed features intended to address the specific community needs. Results We identified general PrEP uptake barriers that, although common among non-Latino groups, had added complexities such as the influence of religion and family on stigma. Low perceived PrEP eligibility, intersectional stigma, lack of insurance, cost concerns, and misconceptions about PrEP side effects were described as general barriers. We also identified Latino-specific barriers that predominantly hinder access to existing services, including a scarcity of PrEP clinics that are prepared to provide culturally concordant services, limited availability of Spanish language information related to PrEP access, distrust of peers as credible sources of information, perceived ineligibility for low-cost services owing to undocumented status, fear of immigration authorities, and competing work obligations that prevent PrEP clinic attendance. Health care providers represented a trusted source of information, and 3 provider characteristics were identified as PrEP facilitators: familiarity with prescribing PrEP; being Latino; and being part of lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) group or ally. The proposed app was very well accepted, with a particularly high interest in features that facilitate PrEP access, including a tailored list of clinics that meet the community needs and a private platform to seek PrEP information. Spanish language availability and free or low-cost PrEP care represented the 2 main clinic criteria that would facilitate PrEP uptake. Latino representation in clinic staff and providers; clinic perception as a safe space for undocumented patients; and LGBTQIA+ representation was listed as additional criteria. Only 8 of 47 clinics listed on the Centers for Diseases Control and Prevention PrEP locator website for the Atlanta area fulfilled at least 2 main criteria. Conclusions This study provides further evidence of the substantial PrEP uptake barriers that Latino SMM face; exposes the urgent need to increase the number of accessible PrEP-providing clinics for Latino SMM; and proposes an innovative, community-driven, and mobile technology–based tool as a future intervention to overcome some of these barriers.

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“…This study was performed at a sexual health clinic within a large urban academic medical center in northern Manhattan. Adult HIV-negative MSM were recruited from a prospective PrEP adherence study (Stick2PrEP) from 7 February 2019 until 12 March 2020, and the enrolled population reflects the overall clinic population [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Gastrointestinal Pathogens Detected by Multiplex Polymerase Chain Reaction in a Prospective Cohort of Men Who Have Sex With Men Taking Human Immunodeficiency Virus Preexposure Prophylaxis—New York City, 2019–2020

Purpura

Zucker

LaSota

et al. 2021

Open Forum Infectious Diseases

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Engaging a Predominantly Latino Community in HIV Prevention: Laying the Groundwork for Pre-exposure Prophylaxis and HIV Sexual Health Programs

Cited by 11 publications

References 12 publications

Latinx Sexual Minority Men's Access to HIV and Behavioral Health Services in South Florida During COVID-19: A Qualitative Study of Barriers, Facilitators, and Innovations

Latinx Sexual Minority Men's Access to HIV and Behavioral Health Services in South Florida During COVID-19: A Qualitative Study of Barriers, Facilitators, and Innovations

Development of a Mobile App to Increase the Uptake of HIV Pre-exposure Prophylaxis Among Latino Sexual Minority Men: Qualitative Needs Assessment

Prevalence of Gastrointestinal Pathogens Detected by Multiplex Polymerase Chain Reaction in a Prospective Cohort of Men Who Have Sex With Men Taking Human Immunodeficiency Virus Preexposure Prophylaxis—New York City, 2019–2020

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