A Community-Developed, Web-Based Mobile App Intervention Addressing Social Work and Legal Needs of Black Sexual Minority Men Living With HIV: Protocol for a Randomized Comparison Trial

Miyashita, Ayako; Paneda, Christian Corpuz; Wu, Elizabeth; Maxwell, Katherine Elizabeth; Garth, Gerald; Smith, Terry L.; Holloway, Ian W.

doi:10.2196/19770

Cited by 7 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The latter point is especially important given the emphasis in recent articles on community-engagement as one of the most promising and essential routes to EHE for people of color in the US [66,73 && ]. Notable examples of effective community-based collaborations include the integration of services provided by community-based pharmacists with those of medical providers to improve retention in care, rates of viral suppression, and adherence to antiretroviral medications among persons with HIV (PWHIV) [68][69][70]; community-engaged development of mobile HIV prevention apps for Black women [e.g., [71]] and Black sexual minority men; clinic-based strategies to improve care outcomes among PLWH experiencing homelessness and unstable housing [72], and concept mapping of multilevel resilience resources among adult Black PLWH in the Southern US [73 && ]. Recognizing the invaluable role of communitybased stakeholders in implementing EHE [66,74] and the need for 'multifactorial approach[es] accounting for the social, cultural, economic, and environmental factors that drive transmission of HIV' [74],…”

Section: National Responses To the Hiv Epidemicmentioning

confidence: 99%

Ending the HIV epidemic for all, not just some: structural racism as a fundamental but overlooked social-structural determinant of the US HIV epidemic

Bowleg

Malekzadeh

Mbaba

et al. 2022

Current Opinion in HIV and AIDS

View full text Add to dashboard Cite

Purpose of reviewWe review the recent theoretical and empirical literature on structural racism, social determinants of health frameworks within the context of HIV prevention and treatment, and criticism of the national responses to the US epidemic. Recent findingsIn line with growing mainstream attention to the role of structural racism and health inequities, recent editorials and studies cite ending structural racism as an essential step to ending the US HIV epidemic. Recent studies demonstrate that barriers rooted in structural racism such as incarceration, housing instability, police discrimination, neighborhood disadvantage, health service utilization and community violence, and poor or no access to social services, transportation, and childcare, are barriers to HIV prevention. Recent articles also criticize national responses to HIV such as the ending the HIV epidemic (EHE) and National HIV/AIDS Strategy plans for failing to address structural racism and prioritize community engagement in EHE efforts. SummaryCollectively, the articles in this review highlight a growing consensus that the US has no real chance of EHE for all, absent a meaningful and measurable commitment to addressing structural racism and intersectional discrimination as core determinants of HIV, and without more equitable engagement with community-based organizations and communities disproportionately affected by HIV.

show abstract

Section: National Responses To the Hiv Epidemicmentioning

confidence: 99%

Ending the HIV epidemic for all, not just some: structural racism as a fundamental but overlooked social-structural determinant of the US HIV epidemic

Bowleg

Malekzadeh

Mbaba

et al. 2022

Current Opinion in HIV and AIDS

View full text Add to dashboard Cite

show abstract

“…Data for these analyses were derived from a community-developed, web-based mobile application designed to address the social work and legal needs of Black sexual minority men living with HIV in Los Angeles County, described in detail elsewhere (Ochoa et al, 2021). Briefly, Black sexual minority men living with HIV aged 18 years old and above who self-identified as Black/African American and living with HIV and who did not identify as heterosexual were recruited into a randomized comparison trial of an mHealth intervention.…”

Section: Methodsmentioning

confidence: 99%

Internalized homophobia and social well-being among Black sexual minority men living with HIV: The mediating role of LGBT community connectedness and racial, gender, and sexual identity integration.

Hong,

Flinn,

Ochoa

et al. 2023

Psychology of Sexual Orientation and Gender Diversity

Self Cite

View full text Add to dashboard Cite

Social well-being is one of three components of the World Health Organization’s definition of health. Yet, little is known about social well-being among people living with HIV (human immunodeficiency virus), particularly Black sexual minority men living with HIV. Extant research suggests both intrapsychic (e.g., identity integration, internalized stigma) and interpersonal (e.g., community connectedness) factors may influence social well-being. In this study, we utilize data gathered from Black sexual minority men living with HIV residing in Los Angeles County (N = 102) to identify factors associated with social well-being in this population. We also tested two mediation models wherein the significant relationship between internalized homophobia and social well-being detected in our sample is mediated by LGBT (lesbian, gay, bisexual, and transgender) community connectedness and racial, gender, and sexual identity integration. Greater social well-being was associated with lower internalized homophobia, higher LGBT community connectedness, and a greater sense of racial, gender, and sexual identity integration (p < .01 for all). Mediation analyses revealed that LGBT community connectedness and identity integration fully mediated the effect of internalized homophobia on social well-being (p < .01 for both), adjusting for sociodemographic characteristics. Our results suggest (a) efforts to reduce internalized homophobia may increase social well-being among Black sexual minority men living with HIV and (b) promoting identity integration and interpersonal connection may be useful approaches to foster social well-being among members of this population who experience internalized homophobia. Future research could attempt to replicate these results from our cross-sectional study using a longitudinal study design and with data gathered from participants in other (e.g., rural) contexts.

show abstract

“…Data for this study come from self-reported responses to a cross-sectional baseline interview from LINX LA, a prospective, randomized comparison trial of a web-based mobile application, which is described in detail elsewhere. 38 Participants (N = 124) were recruited using a variety of in-person and virtual strategies, including flyers at HIV and Lesbian, Gay, Bisexual, and Transgender-friendly clinics and postings on social media platforms. To be eligible for the study, participants had to meet the following criteria: (1) be at least 18 years or older; (2) identify as male individual; (3) identify as Black or African American; (4) identify as gay, bisexual, or another sexual minority; (5) own a smartphone; (6) be living with HIV; (7) reside in Los Angeles County; and (8) be able to provide informed consent.…”

Section: Methodsmentioning

confidence: 99%

Structural Syndemics and Antiretroviral Medication Adherence Among Black Sexual Minority Men Living With HIV

Holloway

Beltran

Shah

et al. 2021

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

View full text Add to dashboard Cite

Background:Although HIV antiretroviral treatment (ART) access and uptake have increased among racial/ethnic minority individuals, lower rates of ART adherence and viral suppression persist, especially among Black men who have sex with men (BMSM) compared with their White counterparts.Setting:Black men who have sex with men living with HIV (BMSM+) residing in Los Angeles County (N = 124) were recruited in-person (eg, clinic) and online (eg, social networking apps).Methods:Participants completed a cross-sectional survey measuring demographic characteristics, structural syndemics (poverty, criminal justice involvement, and housing instability), and psychosocial syndemics (mental health and substance use). A text message survey assessed missed doses of ART over the past week. Zero-inflated Poisson regression models were used to evaluate variables associated with the number of missed doses of ART.Results:On average, participants missed 1.30 doses of ART (SD = 2.09) and reported structural syndemics: poverty (56.1%), criminal justice involvement (36.6%), housing instability (26.3%), and psychosocial syndemics: childhood sexual abuse (51.8%), intimate partner violence (16.9%), depression (39%), and problem alcohol use (15.5%). After controlling for employment, age, education, and psychosocial syndemics, participants with a one-point increase in structural syndemic indicators were found to be 1.63 times more likely to have missed a dose of ART.Conclusions:Structural syndemic were associated with ART nonadherence among BMSM+ after adjusting for demographic and psychosocial factors. HIV treatment interventions that incorporate financial incentives, legal support, and housing may help improve ART adherence among BMSM+. Findings suggest that key priorities to ending the HIV epidemic must include structural interventions that alleviate poverty, eliminate disproportionate policing and criminalization, and end homelessness.

show abstract

A Community-Developed, Web-Based Mobile App Intervention Addressing Social Work and Legal Needs of Black Sexual Minority Men Living With HIV: Protocol for a Randomized Comparison Trial

Cited by 7 publications

References 16 publications

Ending the HIV epidemic for all, not just some: structural racism as a fundamental but overlooked social-structural determinant of the US HIV epidemic

Ending the HIV epidemic for all, not just some: structural racism as a fundamental but overlooked social-structural determinant of the US HIV epidemic

Internalized homophobia and social well-being among Black sexual minority men living with HIV: The mediating role of LGBT community connectedness and racial, gender, and sexual identity integration.

Structural Syndemics and Antiretroviral Medication Adherence Among Black Sexual Minority Men Living With HIV

Contact Info

Product

Resources

About