Critical Consciousness-Based HIV Prevention Interventions for Black Gay and Bisexual Male Youth

Harper, Gary W.; Jadwin-Cakmak, Laura; Cherenak, Emily; Wilson, Patrick A.

doi:10.1080/15546128.2018.1479668

Cited by 20 publications

(23 citation statements)

References 96 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, researchers increasingly call for health interventions for emerging adults of color to include approaches that raise critical consciousness (e.g., Grier‐Reed & Ajayi, 2019). Critical consciousness has been theorized to move marginalized youth from a feeling of powerlessness to one of empowerment that increases the locus of control and uptake of health behaviors (Harper et al., 2018). Therefore, we posit that inclusive media and technology may be a protective factor in the association between online exposure to race/ethnicity‐related traumatic events and PTSD symptoms, as they engage emerging adults of color in critical reflection.…”

Section: Discussionmentioning

confidence: 99%

Liberatory Media Literacy as Protective Against Posttraumatic Stress for Emerging Adults of Color

Volpe

Willis

Joseph

et al. 2020

Journal of Traumatic Stress

View full text Add to dashboard Cite

Emerging adults (i.e., age 18–25 years) of color in the United States are exposed to race/ethnicity‐related traumatic events in online settings. Although an emerging literature documents the mental health consequences of such online exposures among adolescents, the association between these exposures and symptoms of posttraumatic stress disorder (PTSD) remains understudied in emerging adults. Furthermore, little is known about strengths‐based factors that may be protective for emerging adults of color faced with such exposures. The current study aimed to fill these gaps by examining the potential of liberatory media literacy (i.e., the ability to critically read, evaluate, support, and create media and technology that represents people of color in their full humanity) to ameliorate the association between exposure to traumatic events online and PTSD symptoms. Emerging adults of color (N = 325, Mage = 22.24, 56.0% male) were recruited to complete a self‐report online survey that assessed exposure to race/ethnicity‐related traumatic events in online settings, liberatory media literacy, and PTSD symptoms. The results of moderation analysis indicated that increased exposure to traumatic events online was associated with higher PTSD symptoms, β = .22, and that the inclusive media and technology component of liberatory media literacy was protective in this association, β = .19. However, these effects were small, f2 = .22–.23. The potential of liberatory media literacy as a strengths‐based asset for emerging adults of color are discussed. Increasing inclusive media and technology skills may be an important target for intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Liberatory Media Literacy as Protective Against Posttraumatic Stress for Emerging Adults of Color

Volpe

Willis

Joseph

et al. 2020

Journal of Traumatic Stress

View full text Add to dashboard Cite

show abstract

“…CCR is a concept derived from popular education, also known as Freirean education, and may be used to promote SA adolescents' awareness of the social and environmental factors in their lives that impact their risk in developing T2DM. Through a process of critical consciousness raising, SA individuals and groups are able to redefine themselves and their diabetes risk in a more positive, health-promoting and affirming manner based on their own perspectives and social realities as opposed to those assigned to them by others (Harper et al, 2019). This process of gaining critical consciousness and an understanding of one's social environment, coupled with active engagement in one's community and a heightened sense of competence, was a critical aspect of the diabetes education programme evaluated here.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Impact of the South Asian Adolescent Diabetes Awareness Program (SAADAP) on diabetes knowledge, risk perception and health behaviour

Banerjee

Mahajan

Mathur-Balendra

et al. 2021

Health Education Journal

View full text Add to dashboard Cite

Objective: Evidence suggests the increased prevalence of diabetes among South Asian (SA) adolescents is due to their genetic risk profile. The South Asian Adolescent Diabetes Awareness Program (SAADAP) is a pilot intervention for SA youth in Canada with a family history of type 2 diabetes mellitus (T2DM). We sought to investigate changes in (1) diabetes knowledge and associated risk factors, (2) risk perception and (3) health behaviours among adolescents participating in SAADAP. Design: One-group pre-test, post-test design informed by a commitment to community-based participatory research (CBPR). Setting: Sixty-eight adolescents aged 13–17 years with a family history of T2DM participated in SAADAP in a clinical-community setting in Canada. Method: Pre–post questionnaires were administered to evaluate diabetes knowledge and associated risk factors, risk perceptions and health behaviours. Analyses were restricted to 49 participants who attended at least four diabetes education sessions. Results: The mean age of adolescents was 14.5 years, and 57.1% self-identified as girls. The difference in knowledge about the definition, symptoms and complications of T2DM from baseline to post-intervention was 3.32 out of 21 ( p < .001) among SA youth. There was significant increase in learning about diabetes risk factors ( p < .001) from baseline to post-intervention. Almost 60% of participants exhibited no change in their risk perception after intervention. Approximately two-thirds of the participants self-reported positive changes in health behaviours after completing the programme. Conclusion: SAADAP showed promising outcomes in raising knowledge and improving health behaviours in SA adolescents with a family history of diabetes. Larger controlled trials with longer follow-up are recommended to support and expand on the current findings.

show abstract

“…Structural racism is related to the decreased likelihood of reporting antiretroviral therapy (ART) use among young BSMM+ [10]. The impact of racism on BSMM+ must be understood in the context of homophobia and HIV-related stigma.…”

Section: Introductionmentioning

confidence: 99%

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

Miyashita¹,

Paneda²,

Wu³

et al. 2021

JMIR Res Protoc

View full text Add to dashboard Cite

Background Black sexual minority men (BSMM) are disproportionately affected by HIV. Los Angeles County (LAC) carries a substantial burden of the HIV epidemic in California. Negative effects of both psychosocial and structural barriers highlight the timely need to increase HIV treatment among BSMM. Successful HIV interventions based on social media and mobile phone technology have been demonstrated. This protocol describes LINX LA, a study that tests LINX, a web-based mobile app that provides tailored social services, legal resources, and peer support for BSMM living with HIV (BSMM+) in LAC using a randomized comparison trial. Objective During phase 1, the LINX LA study aims to engage in an iterative design process to develop the LINX App using qualitative data to inform and tailor the mobile app technology and its functionality. In phase 2 of LINX LA, we will test the efficacy of the LINX App compared with the LINX App Plus to improve HIV treatment outcomes (ie, antiretroviral therapy adherence, viral suppression) among BSMM+ in LAC by addressing social work and legal needs and developing a forum for peer support. Methods In this study funded by the California HIV/AIDS Research Program, we will recruit and enroll BSMM+ participants (aged ≥18 years) in LAC (N=400) to participate in a 12-month study that includes access to the LINX App, which provides a forum for peer support and tailored content aimed at improving the use of social and legal resources. All participants will also receive survey-based interviews at 3 time points (at baseline and 6- and 12-month intervals) and weekly text message surveys that assess medication and treatment adherence. Treatment adherence and viral suppression will be extracted from medical record data. Half of the participants will also be randomly assigned to receive 3 individualized coaching sessions (at 1-, 3-, and 6-month intervals) and the ability to directly message their coach via the LINX App. Over the course of the study, LINX App participants will receive a minimum of US $130 in cash and LINX App Plus participants will receive a minimum of US $190. We hypothesize that participants enrolled in LINX App Plus will demonstrate greater improvement in HIV outcomes compared with LINX App participants. Results The LINX study will test the efficacy of a web-based mobile app intervention for BSMM+ in LAC (N=400). The LINX App seeks to increase participants’ knowledge of HIV; to facilitate access to necessary social and legal services, including information and referrals; and to increase social support across participants by providing a mediated forum for engagement. Conclusions The implementation of LINX LA aims to develop and test a culturally tailored approach to improve the HIV treatment outcomes of BSMM+. International Registered Report Identifier (IRRID) PRR1-10.2196/19770

show abstract

Critical Consciousness-Based HIV Prevention Interventions for Black Gay and Bisexual Male Youth

Cited by 20 publications

References 96 publications

Liberatory Media Literacy as Protective Against Posttraumatic Stress for Emerging Adults of Color

Liberatory Media Literacy as Protective Against Posttraumatic Stress for Emerging Adults of Color

Impact of the South Asian Adolescent Diabetes Awareness Program (SAADAP) on diabetes knowledge, risk perception and health behaviour

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

Contact Info

Product

Resources

About