Structural Inequities, Syndemics, and Resilience: The Critical Role of Social Support in Overcoming Barriers and Empowering Engagement in HIV Care for Young Black Sexual-Minority Men in the US South

Storholm, Erik D.; Siconolfi, Daniel E.; Campbell, Chadwick K.; Pollack, Lance M.; Kegeles, Susan M.; Rebchook, Greg M.; Tebbetts, Scott; Vincent, Wilson

doi:10.1007/s40615-023-01869-y

Cited by 1 publication

(1 citation statement)

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“…Participants were recruited from a community-based, longitudinal cohort originally recruited between September 2015 and November 2016, primarily using long-chain peer referral [27]. Details of the longitudinal cohort study procedures have been previously reported [28,29]. At the time of recruitment, eligible participants were 18-29 years old; identified as Black/African American; reported sex with a man in the last year; and were living with HIV.…”

Section: Methodsmentioning

confidence: 99%

LAI-ART Awareness, Willingness, Barriers and Facilitators among Black Sexual Minority Men Living with HIV in the US South

Campbell,

Kielhold,

Reynolds

et al. 2024

IJERPH

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Black sexual minority men (BSMM) continue to bear a disproportionate burden of HIV in the United States, with the highest incidence and prevalence in the southern region of the country. In Texas, BSMM living with HIV (BSMM+) have the lowest rates of viral suppression of all SMM and have lower antiretroviral treatment (ART) adherence than white and Hispanic SMM. Long-acting injectable ART (LAI-ART) can potentially overcome several barriers to daily oral ART adherence (e.g., stigma, forgetfulness, pill fatigue). However, little is known about the knowledge, willingness, barriers, and facilitators regarding LAI-ART among BSMM+. From July 2022 to September 2023, we conducted in-depth, semi-structured interviews with 27 BSMM+ from the Houston and Dallas Metropolitan Areas, Texas. Data were analyzed using a thematic analysis approach. Most men knew about LAI-ART, but their understanding varied based on their existing sources of information. Some men were enthusiastic, some were cautious, and some reported no interest in LAI-ART. Barriers to LAI-ART included a lack of public insurance coverage of LAI-ART; fear of needles and side effects; the frequency of injection visits; the requirement of viral suppression before switching from oral ART to LAI-ART; and satisfaction with oral daily ART. Motivators of LAI-ART uptake included the eliminated burden of daily pills and reduced anxiety about possibly missing doses. BSMM+ may be among those who could most benefit from LAI-ART, though more research is needed to understand which factors influence their willingness and how the barriers to LAI-ART might be addressed, particularly among diverse communities of SMM of color.

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Section: Methodsmentioning

confidence: 99%