Characteristics Associated With Retention Among African American and Latino Adolescent HIV-Positive Men: Results From the Outreach, Care, and Prevention to Engage HIV-Seropositive Young MSM of Color Special Project of National Significance Initiative

Magnus, Manya; Jones, Karen C.; Phillips, Gregory; Binson, Diane; Hightow-Weidman, Lisa; Richards-Clarke, Candia; Wohl, Amy Rock; Outlaw, Angulique Y.; Giordano, Thomas P.; Quamina, Alvan; Cobbs, Will; Fields, Sheldon D.; Tinsley, Melinda; Cajina, Adan; Hidalgo, Julia

doi:10.1097/qai.0b013e3181b56404

Cited by 97 publications

(93 citation statements)

References 27 publications

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“…Though retention and suppression are often treated separately in the literature, 11,[16][17][18][19][20]35,36 this study examined both measures by focusing on an impoverished, vulnerable prospective cohort of WOC. For these women, our findings suggest that retention and viral suppression were influenced by different factors, and that interventions seeking to improve retention may require program components and strategies that differ from interventions aiming to improve viral suppression.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

Blank

Fletcher

Verdecias

et al. 2015

AIDS Patient Care and STDs

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Access to sustained HIV medical care is critical to achieving viral suppression. However, a variety of factors may impede or facilitate retention in care or becoming virally suppressed. Though retention and suppression are often treated separately, this study examined both in a cohort of 921 HIV + women of color who participated in eight demonstration programs across the US. For women who met the inclusion criteria, 83% (n = 587) were retained and 73% (n = 357) were virally suppressed. Average age of women retained was 40.9, and 41.9 for those virally suppressed. The majority were African American/Black or Hispanic/Latina, single, and had no children less than 18 years of age, had health insurance, a high school degree or higher, were stably housed, and unemployed. Some factors associated with retention in care were indecision about seeking HIV medical care (AOR = 0.42) and having children under the age of 18 (AOR = 0.59). Some factors associated with being virally suppressed were living with others (AOR = 0.58), current substance abuse (AOR = 0.38), and fair/poor health (AOR = 0.40). The findings suggest different processes and social mechanisms may influence retention and viral suppression. Interventions seeking to improve retention in care may require tailored program components and strategies that focus on improving viral suppression.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

Blank

Fletcher

Verdecias

et al. 2015

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…Many researchers reported that high rates of depressive symptomology was common among this population Magnus, Jones, et al, 2010;. Although a modest number of articles addressed depressive symptomology, only four articles addressed the issue of suicide, and two articles addressed the issues of bullying/harassment and abuse.…”

Section: Discussionmentioning

confidence: 99%

“…In one study, researchers reported that Black YGBMSM were more likely to receive prevention and counseling services from their providers as well as report greater use of and satisfaction with their health care providers (Behel et al, 2008). Other studies, however, reported that some Black YGBMSM experience difficulties in trusting providers and perceive a lack of respect on the part of providers (Magnus, Jones, et al, 2010;Mashburn et al, 2004). Given the recent changes surrounding accessibility to health insurance through the Affordable Care Act, and the subsequent opportunities to enhance public health prevention efforts, these factors may be of growing significance to both researchers and practitioners (Koh & Sebelius, 2010).…”

Section: Discussionmentioning

confidence: 99%

Young Black Gay/Bisexual and Other Men Who Have Sex With Men: A Review and Content Analysis of Health-Focused Research Between 1988 and 2013

Wade

Harper

2015

Am J Mens Health

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Black young gay, bisexual, and other men who have sex with men (YGBMSM) are at high risk for negative health outcomes, though this population is underrepresented in the health literature. An extensive literature review and content analysis of health-related peer-reviewed articles was conducted that targeted Black YGBMSM, examining five content areas: sexual health, health care, substance use, psychosocial functioning, and sociostructural factors. A coding sheet was created to collect information on all content areas and related subtopics and computed descriptive statistics. Out of 54 articles, most were published after 2004 (N = 49; 90.7%) and addressed some aspect of sexual health (N = 50; 92.6%). Few articles included content on psychosocial functioning, including bullying/harassment, suicide, and racial/ethnic identity. Data on health care delivery/receipt and health insurance were underrepresented; tobacco use and substance abuse were seldom addressed. Important sociostructural factors, including sexual networks and race-based discrimination, were poorly represented. Last, there was a noteworthy deficit of qualitative studies and research exploring intersectional identity and health. This review concludes that studies on Black YGBMSM health places sex at the forefront to the neglect of other critical health domains. More research is needed on the diverse health issues of a vulnerable and underexamined population.

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“…23 Each of the eight sites operated independently, using different strategies to conduct outreach, HIV testing and linkage to care for HIV-positive YMSM of color. The eight sites used a common data collection tool and common eligibility requirements to allow for cross-site comparisons.…”

Section: Data Collectionmentioning

confidence: 99%

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Hightow-Weidman

Smith

Valera

et al. 2011

AIDS Patient Care and STDs

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Young men who have sex with men (YMSM) of color are at particularly increased risk for HIV infection compared to white MSM. National data highlight the need to link YMSM of color to care to improve their overall health and stem further infections, yet, there is limited data on interventions and clinical outcomes focused on engaging and retaining youth, specifically HIV-infected YMSM of color in care. To address the medical care needs of this underserved population, in 2005, the Health Research and Services Administration (HRSA) created the YMSM of Color Initiative. Utilizing a social marketing campaign targeting youth and members of their sexual and social networks, testing and outreach on college campuses and within the broader community, and a tightly linked medical-social support network, we created STYLE (Strength Through Youth Livin' Empowered), a novel intervention that sought to diagnose, engage, and retain HIV-positive black and Latino YMSM in HIV primary care services. Over a 3-year period, 81 men were either newly diagnosed or reengaged in care. Overall, 63% of the cohort was retained in clinical care; defined as attending at least one medical visit every 4 months. Compared to the 3 years prior to STYLE, the odds ratio for whether or not someone attended a clinic visit was 2.58 (95% confidence interval [CI] 1.34-4.98) if enrolled in STYLE. We conclude that compared to a pre-STYLE cohort, STYLE was an effective intervention that increased HIV diagnoses, provided efficient and timely engagement in care for both those newly diagnosed and those who had fallen out of care and improved overall retention.

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Characteristics Associated With Retention Among African American and Latino Adolescent HIV-Positive Men: Results From the Outreach, Care, and Prevention to Engage HIV-Seropositive Young MSM of Color Special Project of National Significance Initiative

Cited by 97 publications

References 27 publications

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

Factors Associated with Retention and Viral Suppression Among a Cohort of HIV+ Women of Color

Young Black Gay/Bisexual and Other Men Who Have Sex With Men: A Review and Content Analysis of Health-Focused Research Between 1988 and 2013

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

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