Sexual health knowledge and stigma in a community sample of HIV-positive gay, bisexual, and other men who have sex with men in Puerto Rico

Ortiz-Sánchez, Edgardo J.; Rodríguez-Díaz, Carlos E.; Jovet‐Toledo, Gerardo G.; Santiago-Rodríguez, Edda; Vargas‐Molina, Ricardo L.; Rhodes, Scott D.

doi:10.1080/15381501.2016.1169467

Cited by 10 publications

(9 citation statements)

References 19 publications

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“…The goal of this intervention was to improve health outcomes (i.e., HIV status or sexual orientation/gender identity disclosure, engagement in healthcare) by addressing the negative impact of social stigma among HIV-positive Spanish-speaking GBMSM. Contacto was developed after formative research with the community [ 26 ] and is the first HIV intervention sponsored by CDC completely developed in Spanish for Spanish-speaking populations by bilingual (Spanish and English) and native Spanish-speaking scientists. A total of 109 men participated in the feasibility, acceptability, and preliminary efficacy assessment of Contacto.…”

Section: Interventions Developed By Mari Investigatorsmentioning

confidence: 99%

Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists

Sutton

Martínez

Brawner

et al. 2020

J. Racial and Ethnic Health Disparities

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Background HIV prevention interventions which support engagement in care and increased awareness of biomedical options, including pre-exposure prophylaxis (PrEP), are highly desired for disproportionately affected Black/African American, Hispanic/Latinx and gay, bisexual, and other men who have sex with men (GBMSM) populations in the United States (US). However, in almost 40 years of HIV research, few interventions have been developed directly by and for these priority populations in domestic counties most at risk. We submit that interventions developed by early-career scientists who identify with and work directly with affected subgroups, and which include social and structural determinants of health, are vital as culturally tailored HIV prevention and care tools. Methods We reviewed and summarized interventions developed from 2007 to 2020 by historically underrepresented early-career HIV prevention scientists in a federally funded research mentoring program. We mapped these interventions to determine which were in jurisdictions deemed as high priority (based on HIV burden) by national prevention strategies. Results We summarized 11 HIV interventions; 10 (91%) of the 11 interventions are in geographic areas where HIV disparities are most concentrated and where new HIV prevention and care activities are focused. Each intervention addresses critical social and structural determinants of health disparities, and successfully reaches priority populations. Conclusion Focused funding that supports historically underrepresented scientists and their HIV prevention and care intervention research can help facilitate reaching national goals to reduce HIV-related disparities and end the HIV epidemic. Maintaining these funding streams should remain a priority as one of the tools for national HIV prevention.

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Section: Interventions Developed By Mari Investigatorsmentioning

confidence: 99%

Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists

Sutton

Martínez

Brawner

et al. 2020

J. Racial and Ethnic Health Disparities

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“…[38] Similarly, Contacto is a health education intervention aimed at improving health outcomes (i.e. HIV status or sexual orientation/gender identity disclosure, engagement in healthcare) by addressing the negative impact of social stigma among HIV-positive Spanish-speaking gay, bisexual, and other men who have sex with men [39].…”

Section: Biobehavioral Approaches Have Proven To Be Effective In Improving Hiv Prevention and Treatment Outcomes Among Sgmlmentioning

confidence: 99%

A review of current strategies to improve HIV prevention and treatment in sexual and gender minority Latinx (SGML) communities

Martínez

2020

Expert Review of Anti-infective Therapy

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Introduction:The HIV epidemic continues to disproportionately impact sexual and gender minority Latinxs (SGML). Several syndemic conditions have been linked with HIV acquisition and transmission among SGML including immigration, discrimination, environmental racism, substance use, and mental health. Areas covered: We provide a summary of biomedical, behavioral, and social/structural interventions to reduce risks for acquiring HIV and improve outcomes along the HIV care continuum among SGML. We also discuss intervention approaches and opportunities that respond at the intersection of HIV and COVID-19 prevention and treatment. Expert opinion: There is a dire need for the combination of biomedical, behavioral, and social/ structural interventions to reduce risks for acquiring HIV and improve outcomes along the HIV care continuum. Interventions and combination approaches should be driven by community-based participatory action research. The inclusion of community members in all stages of the research process can assure successful implementation of program activities and deliverables, including the provision of culturally and linguistically appropriate services. Given the current COVID-19 pandemic, which is disproportionately impacting individuals living with HIV and other comorbidities, the elderly, and under-resourced communities with a ferocity not seen in other communities, intervention approaches that respond at the intersection of HIV and COVID-19 prevention and treatment are also urgently needed.

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“…Notwithstanding, these recommendations should be considered in context. In Puerto Rico, high levels of sexuality-related stigma, 12,13,14 poor quality sex education, 15 limited access to contraception, 16,17 and limited participation in the allocation of resources for prevention 18 make prevention of new Zika infections in accordance with these recommendations challenging, if not downright onerous. For example, researchers in Puerto Rico have evidenced that there is poor quality sex education available, 15,19 limited access to contraception, 16,17 low levels of reproductive planning, 20 high levels of gender-based violence, 21 and low rates of condom use among women.…”

Section: Manuscriptmentioning

confidence: 99%

Zika virus epidemic in Puerto Rico: Health justice too long delayed

Rodríguez-Díaz

Garriga-López

Malavé-Rivera

et al. 2017

International Journal of Infectious Diseases

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Summary In 16 months over 35,400 cases of Zika virus infection have been confirmed in Puerto Rico. This represents 85% of all cases reported on the United States of America and its territories. Zika epidemic is exposing the profound failure of socioeconomic policies, as well as of the protection of sexual and reproductive health rights in Puerto Rico. Considering high poverty rates, high levels of sexuality-related stigma, poor quality sex education, limited access to contraception, and limited participation in the allocation of resources for prevention; it is unreasonable to focus public health efforts to prevent Zika virus infection to vector control. The allocation and equitable management of resources for research and intervention are required in order to understand and address barriers and facilitators for prevention at the individual, social, and structural levels. Further, the impact of efforts to tackle the social determinants of Zika virus epidemic in the island should be assessed.

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Sexual health knowledge and stigma in a community sample of HIV-positive gay, bisexual, and other men who have sex with men in Puerto Rico

Cited by 10 publications

References 19 publications

Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists

Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists

A review of current strategies to improve HIV prevention and treatment in sexual and gender minority Latinx (SGML) communities

Zika virus epidemic in Puerto Rico: Health justice too long delayed

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