PrEP Use and PrEP Use Disclosure are Associated with Condom Use During Sex: A Multilevel Analysis of Latino MSM Egocentric Sexual Networks

Shrader, Cho Hee; Arroyo-Flores, Juan; Skvoretz, John; Fallon, Stephen J; González, Víctor; Safren, Steven A.; Algarin, Angel B.; Johnson, Ariana; Doblecki-Lewis, Susanne; Kanamori, Mariano

doi:10.1007/s10461-020-03080-0

Cited by 13 publications

(7 citation statements)

References 42 publications

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“…The program reached critical populations for HIV testing and PrEP information dissemination; 16.2% reported no previous HIV test, and 38.5% reported never having heard about PrEP for HIV prevention before receiving the Test-to-PrEP kit. This work expands upon past studies that found social networks to be successful modes for information distribution [24][25][26] by demonstrating that social networks facilitate Test-To-PrEP kit distribution and successfully reach and educate individuals who previously lacked PrEP knowledge. To our knowledge, this is the first study to use a social network-based strategy for the distribution of HIVST kits by current PrEP users.…”

Section: Discussionsupporting

confidence: 67%

“Test-To-PrEP”: Assessing Reach and Adoption of a New Approach to Increase HIV Testing and PrEP Knowledge Using HIV Self-Test Kit Distribution Through PrEP Clients' Social Networks

Johnson,

Butts,

Rodriguez

et al. 2023

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: HIV self-testing (HIVST) can increase the reach of HIV testing. Preexposure prophylaxis (PrEP) clients may be ideal distributors of HIVST kits and PrEP information within their social networks. This study uses the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to evaluate the distribution of HIVST bundled with PrEP information (“Test-to-PrEP” kits) among egocentric friendship networks of PrEP users. Methods: The study was conducted in Miami from November 2021 to March 2022. Enrolled PrEP clients (egos; n = 100) were offered Test-to-PrEP kits for distribution. Egos and Test-to-PrEP kit users completed brief online surveys. Descriptive statistics are reported for participants, their reported network members, and users of the Test-to-PrEP kits. Logistic and Poisson regression assessed the relationship between characteristics of egos, alters, and the distribution of Test-to-PrEP kits. Results: The 100 enrolled egos reported a total of 414 alters. Participants received 293 Test-to-PrEP kits for distribution with 47 of the 100 participants distributing at least 1 kit. Of those who scanned the quick-response code and responded to the survey, 16.2% reported no previous HIV test and 38.5% reported no prior knowledge of PrEP; 32.5% reported interest in distributing Test-to-PrEP kits, 3 successfully distributed kits, and 2 initiated PrEP. Conclusions: An approach using PrEP clients' social networks can disseminate HIVST bundled with PrEP information to critical populations including individuals lacking knowledge of PrEP or who have never been tested for HIV. Future studies will assess whether this use of network effects can increase reach and efficiency of HIV testing and PrEP information distribution.

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Section: Discussionsupporting

confidence: 67%

“Test-To-PrEP”: Assessing Reach and Adoption of a New Approach to Increase HIV Testing and PrEP Knowledge Using HIV Self-Test Kit Distribution Through PrEP Clients' Social Networks

Johnson,

Butts,

Rodriguez

et al. 2023

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Disclosing one's PrEP use with sexual partners has been shown to be positively associated with condom use, suggesting that PrEP conversations among LMSM may have an additive impact on HIV prevention. 18 Migration has previously been identified to drive the HIV epidemic. 19 Latino immigrants tend to settle in communities where they have social ties with high levels of homophily, such as LMSM in MDC.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Association Between Social and Spatial Closeness With PrEP Conversations Among Latino Men Who Have Sex With Men

Shrader

Arroyo-Flores

Stoler

et al. 2021

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: US Latino men who have sex with men (LMSM) are a group at highest risk for HIV. One driver of HIV among LMSM is inadequate access to pre-exposure prophylaxis (PrEP) information. The social network theory of homophily suggests that sharing similar sociodemographic factors could influence PrEP conversations within networks. This study aimed to determine how the effects of homophily across sociodemographic, immigration, cultural, and PrEP-related factors are associated with PrEP-related communication.Setting: This study was conducted in Miami-Dade County, FL.Methods: Data collected between August 2018 and October 2019 included 10 sociocentric friendship groups of 13 LMSM (N = 130). Participants were recruited using respondent-driven sampling by a community-based organization in Miami. We used the multiple regression quadratic assignment procedure to identify the effects of homophily and relationship characteristics on PrEP-related conversations using R software.Results: More frequent PrEP-related conversations were associated with dyadic friendships characterized by homophily on knowledge of PrEP effectiveness, heterophily on depressive symptom severity, home addresses proximity, friend closeness, and interaction frequency. Past PrEP-related conversation frequency also increased based on heterophily on the Latino cultural value of familism (ie, emotional support to family). Racial homophily, heterophily on severity of depressive symptoms, home addresses proximity, friendship closeness, and frequency of interactions increased likelihood to encourage a friend to use PrEP.Discussion: Social and spatial closeness and homophily play a role in PrEP-related conversations. Information from social networks contextualized in geographic settings can be elucidated to contribute toward the design of novel opportunities to end HIV.

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“…Social network mapping can also identify social network members who should be contacted to disseminate SARS-CoV-2 information [ 25 ]. These methods have been successfully employed in previous projects that sought to increase HIV prevention activities, such as condom use and HIV prevention knowledge [ 26 ].…”

Section: Social Network Approach As a Strategy To Overcome Challenges Of Pandemic Tracking Treatment And Acceptance Of Sars-cov-2 Testingmentioning

confidence: 99%

Why Re-Invent the Wheel? Social Network Approaches Can Be Used to Mitigate SARS-CoV-2 Related Disparities in Latinx Seasonal Farmworkers

Kanamori

Castañeda

Self

et al. 2021

IJERPH

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Latinx seasonal farmworkers are essential workers and are at elevated risk for SARS-CoV-2 in the United States. Risk factors for SARS-CoV-2 are unique to this population and include crowded living conditions, isolated social networks, and exploitative working environments. The circumstances and cultural values of Latinx seasonal farmworkers pose a unique challenge to public health authorities working to contain the spread of SARS-CoV-2. This community is in dire need of urgent public health research to identify opportunities to prevent SARS-CoV-2 transmission: social network methods could be the solution. Using previously collected and new information provided by a team of experts, this commentary provides a brief description of Latinx seasonal farmworker disparities that affect tracking and treating SARS-CoV-2 in this important group, the challenges introduced by SARS-CoV-2, and how social network approaches learned from other infectious disease prevention strategies can address these disparities.

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PrEP Use and PrEP Use Disclosure are Associated with Condom Use During Sex: A Multilevel Analysis of Latino MSM Egocentric Sexual Networks

Cited by 13 publications

References 42 publications

“Test-To-PrEP”: Assessing Reach and Adoption of a New Approach to Increase HIV Testing and PrEP Knowledge Using HIV Self-Test Kit Distribution Through PrEP Clients' Social Networks

“Test-To-PrEP”: Assessing Reach and Adoption of a New Approach to Increase HIV Testing and PrEP Knowledge Using HIV Self-Test Kit Distribution Through PrEP Clients' Social Networks

The Association Between Social and Spatial Closeness With PrEP Conversations Among Latino Men Who Have Sex With Men

Why Re-Invent the Wheel? Social Network Approaches Can Be Used to Mitigate SARS-CoV-2 Related Disparities in Latinx Seasonal Farmworkers

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