Intersecting Communities and PrEP Uptake among US-based Latinx Sexual Minority Men

Robles, Gabriel; Hong, Chenglin; Yu, Melanie; Starks, Tyrel J.

doi:10.1007/s40615-021-01154-w

Cited by 12 publications

(3 citation statements)

References 27 publications

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“…Oral tenofovir disoproxil fumarate/emtricitabine (Truvada ®) and tenofovir alafenamide/emtricitabine (Descovy ®) PrEP prevent 97% of HIV infections [8][9][10] when taken daily and are comparably effective with event-driven or intermittent dosing (sometimes referred to as 2-1-1) [11]. PrEP is recommended by CDC for high risk groups, including SMM in non-monogamous or sero-discordant relationships [12], yet uptake and adherence remain a challenge [13][14][15][16]. For SMM in relationships, PrEP uptake and adherence are often associated with sexual agreements concerning casual partners [6], HIV risk perceptions, partner's drug use [17], and partner's approval for PrEP use [16].…”

Section: Partnered Smm and Prepmentioning

confidence: 99%

“…PrEP is recommended by CDC for high risk groups, including SMM in non-monogamous or sero-discordant relationships [12], yet uptake and adherence remain a challenge [13][14][15][16]. For SMM in relationships, PrEP uptake and adherence are often associated with sexual agreements concerning casual partners [6], HIV risk perceptions, partner's drug use [17], and partner's approval for PrEP use [16].…”

Section: Partnered Smm and Prepmentioning

confidence: 99%

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Client Responses to Video-Based Communication Skills Training Involving PrEP for HIV: Tailoring an Individual Sexual Health Intervention for Sexual Minority Men in Relationships

2023

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For many partnered sexual minority men (SMM), PrEP decisions are shaped by their relationships. Recent innovations in HIV risk reduction interventions tailored for partnered SMM include the integration of video-based communication skill building. The purpose of the current study was to examine the responses of 37 SMM in relationships with cismale partners to understand how actual or anticipated conversations between partners may influence PrEP decision making. Results suggested an individual intervention has the ability to elicit detailed content about interactions between partners. When SMM anticipated being in agreement with their partner about PrEP, they described few challenges to discussing HIV prevention. In contrast, when SMM anticipated relationship-related concerns about PrEP, they also anticipated conversations with their partner would be challenging and likely to involve conflict. This often-diminished SMM's motivation to engage partners and develop shared HIV-prevention goals. These SMM may benefit from integrated communications skills building to overcome challenges and work collaboratively with partners around PrEP use.

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Section: Partnered Smm and Prepmentioning

confidence: 99%

Section: Partnered Smm and Prepmentioning

confidence: 99%

Client Responses to Video-Based Communication Skills Training Involving PrEP for HIV: Tailoring an Individual Sexual Health Intervention for Sexual Minority Men in Relationships

2023

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“…Empirical evidence indicated LGBT community connectedness indeed promotes resilience, which in turn could buffer the negative effect of minority stressors and facilitate access to social support (Detrie & Lease, 2007). Greater connectedness to the LGBT community was also found to be positively associated with HIV prevention service use and psychological well-being among LGBTQ individuals (Roberts & Christens, 2021;Robles et al, 2022). Researchers have identified the positive relationship between LGBT community connectedness and social well-being among LGB individuals (Frost et al, 2022) and bisexual men (Cooke & Melchert, 2019).…”

mentioning

confidence: 99%

Internalized homophobia and social well-being among Black sexual minority men living with HIV: The mediating role of LGBT community connectedness and racial, gender, and sexual identity integration.

Hong,

Flinn,

Ochoa

et al. 2023

Psychology of Sexual Orientation and Gender Diversity

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Social well-being is one of three components of the World Health Organization’s definition of health. Yet, little is known about social well-being among people living with HIV (human immunodeficiency virus), particularly Black sexual minority men living with HIV. Extant research suggests both intrapsychic (e.g., identity integration, internalized stigma) and interpersonal (e.g., community connectedness) factors may influence social well-being. In this study, we utilize data gathered from Black sexual minority men living with HIV residing in Los Angeles County (N = 102) to identify factors associated with social well-being in this population. We also tested two mediation models wherein the significant relationship between internalized homophobia and social well-being detected in our sample is mediated by LGBT (lesbian, gay, bisexual, and transgender) community connectedness and racial, gender, and sexual identity integration. Greater social well-being was associated with lower internalized homophobia, higher LGBT community connectedness, and a greater sense of racial, gender, and sexual identity integration (p < .01 for all). Mediation analyses revealed that LGBT community connectedness and identity integration fully mediated the effect of internalized homophobia on social well-being (p < .01 for both), adjusting for sociodemographic characteristics. Our results suggest (a) efforts to reduce internalized homophobia may increase social well-being among Black sexual minority men living with HIV and (b) promoting identity integration and interpersonal connection may be useful approaches to foster social well-being among members of this population who experience internalized homophobia. Future research could attempt to replicate these results from our cross-sectional study using a longitudinal study design and with data gathered from participants in other (e.g., rural) contexts.

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Impact of the COVID-19 Pandemic on the PrEP Cascade at Two Veterans Affairs Healthcare Systems

Harfouch,

Comstock,

Kaplan

et al. 2023

AIDS Behav

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Intersecting Communities and PrEP Uptake among US-based Latinx Sexual Minority Men

Cited by 12 publications

References 27 publications

Client Responses to Video-Based Communication Skills Training Involving PrEP for HIV: Tailoring an Individual Sexual Health Intervention for Sexual Minority Men in Relationships

Client Responses to Video-Based Communication Skills Training Involving PrEP for HIV: Tailoring an Individual Sexual Health Intervention for Sexual Minority Men in Relationships

Internalized homophobia and social well-being among Black sexual minority men living with HIV: The mediating role of LGBT community connectedness and racial, gender, and sexual identity integration.

Impact of the COVID-19 Pandemic on the PrEP Cascade at Two Veterans Affairs Healthcare Systems

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