Service Engagement with High-Risk Men Who Have Sex with Men: Challenges and Implications for Social Work Practice

Natale, Anthony P.; Moxley, David P.

doi:10.1080/00981380802440536

Cited by 14 publications

(9 citation statements)

References 57 publications

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“…For many HIV-infected MSM, psychosocial concerns can include negotiating safer sex, substance use (e.g., Natale & Moxley, 2009), HIV status disclosure, distress associated with stigma and disclosure (e.g., Courtenay-Quirk, Wolitski, Parsons, & Gomez, 2006; Dowshen, Binns, & Garofalo, 2009; Klitzman, 1999), anxiety about living with a chronic illness (e.g., Berg, Mimiaga, & Safren, 2004), and negotiating consistent adherence to treatment (e.g., Halkitis, Kutnick, & Slater, 2005; Halkitis, Palamar, & Mukherjee, 2008). Because standard HIV primary care involves provider visits quarterly, we used this as an opportune time to provide an intervention (Mayer, Safren, & Gordon, 2004).…”

Section: Methodsmentioning

confidence: 99%

Project enhance: A randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting.

Safren¹,

O’Cleirigh²,

Skeer³

et al. 2013

Health Psychology

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Objective Men who have sex with men (MSM) are the largest group of individuals in the U.S. living with HIV and have the greatest number of new infections. This study was designed to test a brief, culturally relevant prevention intervention for HIV-infected MSM, which could be integrated into HIV care. Method HIV-infected MSM who received HIV care in a community health center (N = 201), and who reported HIV sexual transmission-risk behavior (TRB) in the prior 6 months, were randomized to receive the intervention or treatment as usual. The intervention, provided by a medical social worker, included proactive case management for psychosocial problems, counseling about living with HIV, and HIV TRB risk reduction. Participants were followed every 3 months for one year. Results Participants, regardless of study condition, reported reductions in HIV TRB, with no significant differential effect by condition in primary intent-to-treat analyses. When examining moderators, the intervention was differentially effective in reducing HIV TRB for those who screened in for baseline depression, but this was not the case for those who did not screen in for depression. Conclusions The similar level of reduction in HIV TRB in the intervention and control groups, consistent with other recent secondary prevention interventions, speaks to the need for new, creative designs, or more potent interventions in secondary HIV prevention trials, as the control group seemed to benefit from risk assessment, study contact, and referrals provided by study staff. The differential finding for those with depression may suggest that those without depression could reap benefits from limited interventions, but those with a comorbid psychiatric diagnosis may require additional interventions to modify their sexual risk behaviors.

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Section: Methodsmentioning

confidence: 99%

Project enhance: A randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting.

Safren¹,

O’Cleirigh²,

Skeer³

et al. 2013

Health Psychology

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“…Implications for HIV and substance use interventions, clinical practice and ongoing research are explored to address gaps in knowledge related to appropriate and effective interventions (Natale & Moxley, 2009) and theoretical approaches for understanding risk behavior (Hamilton & Mahalik, 2009; Halkitis, Palamar & Mukherjee, 2007). …”

Section: Introductionmentioning

confidence: 99%

Minority Stress Theory: An Examination of Factors Surrounding Sexual Risk Behavior Among Gay and Bisexual Men Who Use Club Drugs

Dentato

Halkitis

Orwat

2013

Journal of Gay & Lesbian Social Services

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Background Few studies have examined the impact of minority stress theory upon sexual risk behavior among gay and bisexual men using club drugs. Similar studies have focused on ethnic minorities and women, however gay and bisexual men demonstrate greater likelihood for risk behaviors leading to HIV/AIDS. Objective This study examined sexual risk behavior from the perspective of minority stress theory upon substance using gay and bisexual men and their partners. Methods Multivariable logistic regression analysis examined minority stress associations with participant sexual risk behaviors, drug use and partner type, controlling for demographics. Results 396 gay and 54 bisexual respondents, ages 18-67 reported at least one time drug use while engaging in sexual risk behavior. In the adjusted model, expectations of rejection associated with lower odds of sexual risk behavior, while older age approached significance. Conclusions Theoretical origins for examining risk behavior among gay and bisexual men may underscore risk and protective factors, while ultimately holding implications for prevention and treatment interventions.

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“…Two reviews provided intervention data: one found that only three interventions for Black MSM addressed social determinants of health such as racism and religious oppression (Nelson et al, 2014); the other recommended multilevel interventions for reducing stigma for Black MSM (Wilson et al, 2016). Two reviews were correlational: one reported that HIV-positive MSM may not engage in HIV services because of factors such as stigma, health literacy, poverty, and insurance gaps (Natale & Moxley, 2009); the other suggested that the disproportionate incidence of HIV among Black MSM may be partially rooted in social inequalities and insufficient funding .…”

Section: Social Determinants Of Healthmentioning

confidence: 99%

“…Transnational migration may be an HIV risk factor for foreign-born MSM who report high levels of substance use and condomless anal sex (Lewis & Wilson, 2017). For HIV-positive MSM, social stigma, poverty, and insurance gaps may hinder access to HIV care (Natale & Moxley, 2009). Structural interventions focused on how a person's external environment affects risk or behavioral choices (Sipe et al, 2017) may be a necessary component in beginning to address social determinants of health.…”

Section: Research Gapsmentioning

confidence: 99%

HIV Prevention Research on Men Who Have Sex With Men: A Scoping Review of Systematic Reviews, 1988–2017

Higa

Crepaz

McDonald

et al. 2020

AIDS Education and Prevention

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In the United States, men who have sex with men (MSM) are disproportionately affected by HIV. To identify research gaps and inform HIV prevention for MSM, we conducted a scoping review of systematic reviews using CDC's Prevention Research Synthesis database. Eligibility criteria comprised English-language systematic reviews focused on HIV prevention for MSM, published during 1988-2017, and included at least one U.S. primary study. We coded data type, subpopulations, topics, and key findings. To assess study quality, we used the Assessment of Multiple Systematic Reviews (AMSTAR). Among 129 relevant systematic reviews, study quality was high or moderate for 63%. Most common topics were sexual behavior and disease vulnerability. The most frequently mentioned MSM subgroups were HIV-positive, Black or African American, and young. Research gaps include Hispanic/Latino MSM, pre-exposure prophylaxis (PrEP), treatment as prevention, social determinants of health, health disparities, syndemics, and protective factors for sexual health.

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Service Engagement with High-Risk Men Who Have Sex with Men: Challenges and Implications for Social Work Practice

Cited by 14 publications

References 57 publications

Project enhance: A randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting.

Project enhance: A randomized controlled trial of an individualized HIV prevention intervention for HIV-infected men who have sex with men conducted in a primary care setting.

Minority Stress Theory: An Examination of Factors Surrounding Sexual Risk Behavior Among Gay and Bisexual Men Who Use Club Drugs

HIV Prevention Research on Men Who Have Sex With Men: A Scoping Review of Systematic Reviews, 1988–2017

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