Get Real: Evaluation of a Community-Level HIV Prevention Intervention for Young MSM Who Engage in Episodic Substance Use

Lauby, Jennifer; Zhu, Lin; Milnamow, Mary; Batson, Heather; Bond, Lisa; Curran-Groome, William; Carson, Lee

doi:10.1521/aeap.2017.29.3.191

Cited by 20 publications

(20 citation statements)

References 20 publications

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“…These could include the STI/HIV community based services, which may attract MSM who do not perceive drug use as their particular problem. Community-based approaches including outreach may also be of value, changing individual behaviour through targeting social and community norms (Lauby et al, 2017). Our main findings confirm that local social norms within MSM communities may be important contextual drivers of drug use among MSM.…”

Section: Discussionsupporting

confidence: 72%

Prevalence of drug use during sex amongst MSM in Europe: Results from a multi-site bio-behavioural survey

Rosińska

Gios

Nöstlinger

et al. 2018

International Journal of Drug Policy

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Section: Discussionsupporting

confidence: 72%

Prevalence of drug use during sex amongst MSM in Europe: Results from a multi-site bio-behavioural survey

Rosińska

Gios

Nöstlinger

et al. 2018

International Journal of Drug Policy

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“…These findings suggest the need for interventions to reduce HIV risk behaviors among youth MSM and to improve application of their existing knowledge to reduce risk behaviors. Potential effective interventions may include culturally-relevant role model stories, peer outreach, and highly-interactive group-level behavioral interventions tailored to youth MSM [16–18].…”

Section: Discussionmentioning

confidence: 99%

HIV risk, risk perception and uptake of HIV testing and counseling among youth men who have sex with men attending a gay sauna

et al. 2019

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Background Men who have sex with men (MSM) are amongst populations at-risk for HIV acquisition in Thailand. In youth MSM (aged 15–24 years), the incidence of HIV infection has substantially increased. However, data on HIV risk, risk perception and HIV testing and counseling (HTC) uptake among youth MSM in hotspots are limited. Methods A subanalysis of a prospective study among Thai MSM attending a gay sauna was conducted. HIV risk and risk perception were assessed by an anonymous survey. The MSM were categorized as having actual “low-risk”, “moderate-risk” and “high-risk” for HIV acquisition based on the validated study risk categorization tool. HTC was provided on-site with result notification within 1 h. HIV care establishment appointment was arranged by the counselors for HIV-infected participants. Care engagement within 1 year of diagnosis was subsequently assessed. Results There were 358 MSM participants; 87 (24%) were youth MSM. Comparing to other MSM, youth MSM had significantly higher median number of lifetime sexual partners [2 (IQR 1–9) vs. 1 (IQR 0–1); P < 0.001), were more-likely to ever exchange sex for money (44% vs. 9%; P < 0.001) and have sexual partner who exchanged sex for money (8% vs. 1%; P < 0.001). Rates of consistent condom use in the past 3 months for anal, oral and vaginal sexes were low and not significantly different between youth and other MSM (51% vs. 61%, 26% vs. 35% and 72% vs. 61%, respectively). By using the study risk categorization tool, there were 68 youth MSM with moderate or high-risk for HIV acquisition, of which 43 (63%) had false perception of low HIV risk. Youth MSM were more likely than other MSM to accept HTC [68% vs. 33%, P < 0.001)] and to be first-time testers (42% vs. 28%, P = 0.07). By HTC, the rates of HIV infection tended to be higher among youth MSM comparing to other MSM [14/59 (24%) vs. 11/89 (12%); P = 0.07]. Among the 14 youth MSM newly-diagnosed with HIV infection, only 6 (43%) showed-up for continuity care after 1-year follow-up. Conclusions Youth MSM had substantial high HIV risk, false perception of low HIV risk and low rate of care engagement but demonstrated considerable rate of HTC uptake. Strategies to improve access to HTC, risk perception and linkage to care are needed for HIV prevention and management among the youth MSM.

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“…In addition, many SBDH are strongly associated with the acquisition of sexually transmitted infections (STIs). [2][3][4] While knowledge of SBDH is clinically meaningful information and can lead to tailored care plans, evidence suggests that providers often struggle to retrieve information related to SBDH from electronic health records (EHRs), and that when SBDH are neglected the overall quality of care may suffer. 5,6 Recent research in the informatics community has focused on integrating SBDH into the EHR.…”

Section: Background and Significancementioning

confidence: 99%

Detecting Social and Behavioral Determinants of Health with Structured and Free-Text Clinical Data

et al. 2020

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Background Social and behavioral determinants of health (SBDH) are environmental and behavioral factors that often impede disease management and result in sexually transmitted infections. Despite their importance, SBDH are inconsistently documented in electronic health records (EHRs) and typically collected only in an unstructured format. Evidence suggests that structured data elements present in EHRs can contribute further to identify SBDH in the patient record. Objective Explore the automated inference of both the presence of SBDH documentation and individual SBDH risk factors in patient records. Compare the relative ability of clinical notes and structured EHR data, such as laboratory measurements and diagnoses, to support inference. Methods We attempt to infer the presence of SBDH documentation in patient records, as well as patient status of 11 SBDH, including alcohol abuse, homelessness, and sexual orientation. We compare classification performance when considering clinical notes only, structured data only, and notes and structured data together. We perform an error analysis across several SBDH risk factors. Results Classification models inferring the presence of SBDH documentation achieved good performance (F1 score: 92.7–78.7; F1 considered as the primary evaluation metric). Performance was variable for models inferring patient SBDH risk status; results ranged from F1 = 82.7 for LGBT (lesbian, gay, bisexual, and transgender) status to F1 = 28.5 for intravenous drug use. Error analysis demonstrated that lexical diversity and documentation of historical SBDH status challenge inference of patient SBDH status. Three of five classifiers inferring topic-specific SBDH documentation and 10 of 11 patient SBDH status classifiers achieved highest performance when trained using both clinical notes and structured data. Conclusion Our findings suggest that combining clinical free-text notes and structured data provide the best approach in classifying patient SBDH status. Inferring patient SBDH status is most challenging among SBDH with low prevalence and high lexical diversity.

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Get Real: Evaluation of a Community-Level HIV Prevention Intervention for Young MSM Who Engage in Episodic Substance Use

Cited by 20 publications

References 20 publications

Prevalence of drug use during sex amongst MSM in Europe: Results from a multi-site bio-behavioural survey

Prevalence of drug use during sex amongst MSM in Europe: Results from a multi-site bio-behavioural survey

HIV risk, risk perception and uptake of HIV testing and counseling among youth men who have sex with men attending a gay sauna

Detecting Social and Behavioral Determinants of Health with Structured and Free-Text Clinical Data

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