Improving the HIV Prevention Landscape to Reduce Disparities for Black MSM in the South

Carter, Jarvis W.; Flores, Stephen A.

doi:10.1007/s10461-019-02671-w

Cited by 19 publications

(14 citation statements)

References 40 publications

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“…Because these factors affect access to health care, they, in turn, help explain why African American (vs. white) MSM living with HIV have lower odds of attending medical care visits, adhering to ART, being virally suppressed and, ultimately, increased odds of transmitting HIV to other African American MSM [50]. Clearly, racism and concomitant socioeconomic deprivation undergird this disparity [51].…”

Section: How Do Social Determinants Of Health Affect Hiv Risk In the mentioning

confidence: 99%

From Epidemiology to Action: The Case for Addressing Social Determinants of Health to End HIV in the Southern United States

Jeffries

Henny

2019

AIDS Behav

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In response to cholera outbreaks in London during 1853-1854, John Snow conducted an historic investigation that launched the field of modern epidemiology [1]. Snow hypothesized that unsanitary conditions caused by sewage dumped into city cesspools contaminated local drinking water, resulting in the rapid spread of Cholera. To test his hypothesis, he collected data from Londoners who acquired and did not acquire cholera, paying close attention to where individuals who contracted cholera lived and acquired their water. Almost all individuals who acquired cholera drank from wells that were near cesspools in or near the Soho district of London. One well in particular, "the Broad Street pump," was a primary water source for hundreds of cholera victims in Soho. To intervene, Snow persuaded London city officials to remove the handle from the Broad Street pump to prevent townspeople from consuming the contaminated water. After doing so, the cholera epidemic ceased. Snow's investigation provides a good starting point for understanding the epidemiology of HIV in the southern United States ("the South"). Epidemiology is the study of the distribution and determinants of disease, and it is the "core science of public health." [2] Like Snow did with cholera in the 1850s, the HIV prevention workforce uses epidemiology to identify persons who are at greatest risk for acquiring and transmitting HIV (distribution) and the reasons why (determinants). Epidemiologic data tell us, for example, that persons most at risk for HIV infection are gay, bisexual, and other men who have sex with men (MSM); African Americans; Latinos; transgender women; and, as evidenced by the articles in this special issue, persons in the South [3]. To inform intervention approaches, our workforce uses epidemiology in attempts to prevent behaviors that most commonly result in HIV infection: condomless sex, injection drug use, and nonadherence to HIV antiretroviral therapy (ART) or pre-exposure prophylaxis (PrEP) [4].

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Section: How Do Social Determinants Of Health Affect Hiv Risk In the mentioning

confidence: 99%

From Epidemiology to Action: The Case for Addressing Social Determinants of Health to End HIV in the Southern United States

Jeffries

Henny

2019

AIDS Behav

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“…HIV infection is particularly common in the southern U.S., commonly referred to as the South. The South includes Alabama, Arkansas, Delaware, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, and Washington, District of Columbia (D.C.) [10][11][12][13][14][15][16][17][18]. In 2017, the South was home to only 38% of the U.S. population [10,16] but had in excess of 50% of the new HIV diagnoses in the country [14,15].…”

Section: Hiv Incidence and Prevalence Rates Among Black Msm In The Southmentioning

confidence: 99%

“…The South includes Alabama, Arkansas, Delaware, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, and Washington, District of Columbia (D.C.) [10][11][12][13][14][15][16][17][18]. In 2017, the South was home to only 38% of the U.S. population [10,16] but had in excess of 50% of the new HIV diagnoses in the country [14,15]. The nine states commonly and collectively known as the Deep South (Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, and Texas) were disproportionately impacted by HIV disease [14,17].…”

Section: Hiv Incidence and Prevalence Rates Among Black Msm In The Southmentioning

confidence: 99%

“…Such knowledge identifies essential prevention intervention targets [58]. As mentioned, Black MSM in the South continue to have the least favorable HIV care continuum (HCC) outcomes including ART initiation, retention in care, and achieving viral suppression [15,59] but none of CDC's four tailored interventions specifically includes an alcohol component [42][43][44][45]. Determining the degree and contexts in which alcohol is influential at each phase of the HIV care continuum [56] among Black MSM in the South is important.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

“…To date, Black MSM in the South continue to have the least favorable HIV care continuum (HCC) outcomes including delayed ART initiation, short retention in care, and long time to achieving viral suppression [ 15 ]. The HIV care continuum outlines the steps that persons living with HIV (PLWH) take from diagnosis to achieving and maintaining viral suppression [ 18 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

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The Relationship of Alcohol to ART Adherence Among Black MSM in the U.S.: Is it Any Different Among Black MSM in the South?

et al. 2021

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Alcohol-using Black MSM (Men who have sex with men) are disproportionately impacted by HIV in the U.S.—particularly in the southern U.S.—despite the availability of antiretroviral therapy (ART). The purpose of this study was to summarize the current evidence on alcohol use and ART adherence among Black MSM in the U.S. and in the South and to identify future research needs. A systematic review was conducted using eight databases to identify relevant peer-reviewed articles published between January 2010 and April 2021. The authors also snowballed remaining studies and hand-searched for additional studies. Including both quantitative and qualitative studies, five published studies examined alcohol and ART adherence among Black MSM in the U.S. The search identified 240 articles, the study team reviewed 114 in full-text and determined that only five met the inclusion criteria. Three of the five included studies identified alcohol use as a barrier to ART adherence. In conclusions, the general lack of literature on HIV disparities among alcohol-using Black MSM in the U.S. (specifically in the South) indicates a critical need for research on this population’s unique risks and needs to inform the development of tailored interventions.

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Differential Associations of Depressive Symptomology to HIV Care Engagement Among Young Black Sexual Minority Men with HIV (YBSMM+) in the US South: A Multi-Group Analysis of Mood, Intimate Partner Violence, and Alcohol Use

Ramos,

Vincent,

Siconolfi

et al. 2023

AIDS Behav

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Improving the HIV Prevention Landscape to Reduce Disparities for Black MSM in the South

Cited by 19 publications

References 40 publications

From Epidemiology to Action: The Case for Addressing Social Determinants of Health to End HIV in the Southern United States

From Epidemiology to Action: The Case for Addressing Social Determinants of Health to End HIV in the Southern United States

The Relationship of Alcohol to ART Adherence Among Black MSM in the U.S.: Is it Any Different Among Black MSM in the South?

Differential Associations of Depressive Symptomology to HIV Care Engagement Among Young Black Sexual Minority Men with HIV (YBSMM+) in the US South: A Multi-Group Analysis of Mood, Intimate Partner Violence, and Alcohol Use

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