Perceptions, experiences, and preferences for partner services among Black and Latino men who have sex with men and transwomen in North Carolina

Rodríguez, Humberto González; Barrington, Clare; McCallister, Katherine Nicole; Guy, Jalila; Hightow-Weidman, Lisa; Hurt, Christopher B.; McNeil, Candice J; Seña, Arlene C.

doi:10.1080/13557858.2021.1899137

Cited by 4 publications

(6 citation statements)

References 39 publications

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“…It may also be true that after multiple STI interviews, MSM feel comfortable notifying partners themselves and do not feel that they need the help of the health department. Previous work from the University of North Carolina among Black and Latinx MSM 13 supports the potential for qualitative research with MSM STI case patients to provide a more in-depth understanding of facilitators and barriers to MSM PS engagement and the benefits that they associate with PS. These investigators found that participants preferred self-notifying sex partners (as opposed to DIS notification) and that they sometimes felt harassed by intensive PS follow-up.…”

Section: Discussionmentioning

confidence: 90%

“…Prior work suggests that MSM with repeat STI diagnoses often do not want to disclose their diagnoses to a sexual partner 12 and perceive PS as judgmental or bothersome. 13 Other work from health departments across the United States has found declining PS success among repeat or first-time syphilis patients. [14][15][16] Of note, PS has never been evaluated in a randomized controlled trial as an intervention to prevent STI transmission.…”

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confidence: 99%

“…Traditional PS, however, may not be an effective intervention for MSM with repeated bacterial STI diagnoses and thereby repeated PS interactions. Prior work suggests that MSM with repeat STI diagnoses often do not want to disclose their diagnoses to a sexual partner 12 and perceive PS as judgmental or bothersome 13 . Other work from health departments across the United States has found declining PS success among repeat or first-time syphilis patients 14–16 .…”

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confidence: 99%

See 2 more Smart Citations

Previous Sexually Transmitted Infections and Partner Services Interviews as Predictors of Subsequent Interview Completion Among Cisgender MSM: Partner Services Fatigue?

et al. 2023

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Background Anecdotal reports suggest that partner services (PS) are less successful among people with repeat sexually transmitted infection (STI) diagnoses and/or previous PS interactions. We examine whether having repeated STI diagnoses and/or PS interactions is associated with PS outcomes among men who have sex with men (MSM). Methods With STI surveillance and PS data for MSM diagnosed with gonorrhea, chlamydia, and/or syphilis from 2007 to 2018, in King County, WA, we used Poisson regression models to examine the relationships between PS outcomes (e.g., completing a PS interview and providing identifying information for a contact) with (1) number of previous STI case episodes and (2) number of previous PS interviews completed. Results Of the 18,501 MSM STI case patients initiated for interview in the analytic period (2011–2018), 13,232 (72%) completed a PS interview, and 8,030 (43%) had at least 1 prior PS interview. The proportion of initiated cases successfully interviewed declined from 71% among those with no previous PS interview to 66% among those with ≥3 prior interviews. Similarly, the proportion of interviews with ≥1 partner identified declined with greater numbers of previous PS interviews (from 46% [0 interviews] to 35% [≥3 interviews]). In multivariate models, having ≥1 prior PS interview was negatively associated with completing a subsequent interview and providing partner locating information. Conclusions Having a history of STI PS interviews is associated with less PS engagement among MSM. New approaches to PS should be explored to address the growing epidemic of STIs among MSM.

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Section: Discussionmentioning

confidence: 90%

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confidence: 99%

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confidence: 99%

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Previous Sexually Transmitted Infections and Partner Services Interviews as Predictors of Subsequent Interview Completion Among Cisgender MSM: Partner Services Fatigue?

et al. 2023

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“…Working poor people in the United States tend to access health care only on an emergent or as-needed basis, 14 and our findings suggest this may be amplified for sexual minorities of color in NC. For MSM and TGW of color, DIS with the ability to refer to social services might play 2 equally important roles: helping individuals protect their health and countering negative perceptions about the state’s interest in the well-being of stigmatized groups (through health promotion rather than solely disease intervention) 15 …”

Section: Discussionmentioning

confidence: 99%

Beyond Disease Intervention: Exploring an Expanded Role for Partner Services in the MATRix-NC Demonstration Project

et al. 2021

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Background: Disease intervention specialists (DIS) provide partner services for sexually transmitted infections (STIs). We assessed an expansion of DIS services for clients with HIV and/or syphilis, and contacts within their social and sexual networks.Methods: Black and Latinx cisgender men and transgender women who have sex with men diagnosed with HIV and/or syphilis in 4 urban North Carolina counties were referred to designated DIS, who were trained to recruit clients as "seeds" for chain-referral sampling of sociosexual network "peers." All received HIV/STI testing and care; referrals for preexposure prophylaxis (PrEP) and social, behavioral, and non-STI medical services were offered. Participants completed baseline, 1-month, and 3-month computerized surveys.Results: Of 213 cases referred to DIS from May 2018 to February 2020, 42 seeds (25 with syphilis, 17 with HIV) and 50 peers participated. Median age was 27 years; 93% were Black and 86% were cisgender men. Most peers came from seeds' social networks: 66% were friends, 20% were relatives, and 38% were cisgender women. Incomes were low, 41% were uninsured, and 10% experienced recent homelessness. More seeds than peers had baseline PrEP awareness; attitudes were favorable, but utilization was poor. Thirty-seven participants were referred for PrEP 50 times; 17 (46%) accessed PrEP by month 3. Thirty-nine participants received 129 non-PrEP referrals, most commonly for housing assistance, primary care, Medicaid navigation, and food insecurity.Conclusions: Chain-referral sampling from partner services clients allowed DIS to access persons with significant medical and social service needs, demonstrating that DIS can support marginalized communities beyond STI intervention.

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“…In addition, Latino SMM in general have also reported mistrust of the health care system and government agencies as health promoting organizations, specifically due to the history of unethical medical experiments with communities of color (Galvan et al, 2017; Kimball et al, 2020). Some evidence, however, suggests that immigrant Latinos may have more favorable views of the U.S. health care system relative to the health care system in their country of origin, while highlighting that stigma enacted by community members may be more concerning than that of the United States health care system itself (Gonzalez Rodriguez et al, 2022). Given that PrEP uptake among Latino SMM is crucial to reduce new HIV infections, examining the role of PrEP-related stigma among this subpopulation is important to reduce barriers for uptake.…”

mentioning

confidence: 99%

The use of a Spanish-translated PrEP Stigma Scale among the Latino sample of the UNITE cohort study.

Robles¹,

López-Matos²,

Cienfuegos-Szalay³

et al. 2024

Stigma and Health

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Preexposure prophylaxis (PrEP)-related stigma is linked to inadequate PrEP uptake, yet there are no validated scales to test this association among Spanish-speaking Latino sexual minority men (SMM). The present study examined if the Spanish-translated PrEP Stigma Scale (PSS) was psychometrically appropriate for implementing in Spanish language-dominant Latino SMM. Recruitment was conducted using geosocial networking applications, social media sites, and email blasts (N = 3,049). First, we utilized item response theory (IRT) modeling to evaluate the reliability of the PSS items and the latent construct across both language groups (n English = 2,844 and n Spanish = 205). Subsequently, we applied the PSS scale in a theoretical application by examining its association with key steps in the PrEP uptake cascade (i.e., perceived PrEP candidacy, PrEP willingness, PrEP intentions, and having spoken to provider about PrEP) stratified by language. Results of the IRT analyses provided evidence that the translated version of the PSS was appropriate for use among this sample. Further, among English respondents, PrEP stigma was negatively associated with perceived PrEP candidacy (B = −0.30, p ≤ .001), PrEP willingness (B = −0.46, p ≤ .001), and PrEP intentions (B = −0.23, p = .003). PrEP stigma, among Spanish respondents, was not significantly associated with any of the PrEP cascade steps. This study demonstrated that the PSS scale performs adequately for both English-and Spanish-speaking Latino SMM. However, researchers and health professionals alike should pay close attention to the nuanced effects in U.S.-based English-and Spanishlanguage samples as PrEP stigma may impact the PrEP cascade for one language sample and not the other.

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Perceptions, experiences, and preferences for partner services among Black and Latino men who have sex with men and transwomen in North Carolina

Cited by 4 publications

References 39 publications

Previous Sexually Transmitted Infections and Partner Services Interviews as Predictors of Subsequent Interview Completion Among Cisgender MSM: Partner Services Fatigue?

Previous Sexually Transmitted Infections and Partner Services Interviews as Predictors of Subsequent Interview Completion Among Cisgender MSM: Partner Services Fatigue?

Beyond Disease Intervention: Exploring an Expanded Role for Partner Services in the MATRix-NC Demonstration Project

The use of a Spanish-translated PrEP Stigma Scale among the Latino sample of the UNITE cohort study.

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