Latino Sexual and Gender Identity Minorities Promoting Sexual Health Within Their Social Networks

Sun, Christina J.; García, Manuel Francisco Martínez; Mann, Lilli; Alonzo, Jorge; Eng, Eugenia; Rhodes, Scott D.

doi:10.1177/1524839914559777

Cited by 36 publications

(33 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, programs might utilize community strengths and promote coping skills to address multiple syndemic factors including alcohol use, clinically significant depression, and experiences of violence and discrimination (Rhodes et al, 2015; Sun et al, 2015). Herrick and colleagues (2011) pointed out that the vast majority of high-risk MSM are HIV negative, and that community resilience can be an asset in prevention.…”

Section: Discussionmentioning

confidence: 99%

Syndemic factors associated with adult sexual HIV risk behaviors in a sample of Latino men who have sex with men in New York City

Martínez

Arreola²,

et al. 2016

Drug and Alcohol Dependence

Self Cite

View full text Add to dashboard Cite

Objective Syndemic theory has been proposed as a framework for understanding the role of multiple risk factors driving the HIV epidemic among sexual and gender minority individuals. As yet, the framework has been relatively absent in research on Latinos/as. Methods We used logistic regression to assess relationships among cumulative syndemic conditions – including clinically significant depression, high-risk alcohol consumption, discrimination, and childhood sexual abuse – engagement with multiple partners and condomless anal intercourse (CAI) in a sample of 176 Latino men who have sex with men (MSM) in New York City. Results In bivariate analyses, an increase in the number of syndemic factors experienced was associated with an increased likelihood of reporting multiple partners and CAI. In multivariable analyses, participants with 2, 3, and 4 factors were significantly more likely to report multiple partners than those with 0 (aOR=4.66, 95% CI [1.29, 16.85); aOR=7.28, 95% CI [1.94, 27.28] and aOR=8.25, 95% CI [1.74, 39.24] respectively; p<.05). Regarding CAI, only participants with 3 and 4 factors differed from those with 0 (aOR=7.35, 95% CI [1.64, 32.83] and OR=8.06, 95% CI [1.39, 46.73] respectively. Conclusions Comprehensive approaches that address syndemic factors, and capitalize on resiliency, are needed to address the sexual health needs of Latino MSM.

show abstract

Section: Discussionmentioning

confidence: 99%

Syndemic factors associated with adult sexual HIV risk behaviors in a sample of Latino men who have sex with men in New York City

Martínez

Arreola²,

et al. 2016

Drug and Alcohol Dependence

Self Cite

View full text Add to dashboard Cite

show abstract

“…In education, titles include peer educators (Conner, Gum, Johnson, Cadet, & Brown, ; Nettles & Belton, ), lay educators (Jo et al., ; Mandalia, Stone, Davies, Khunti, & Carey, ) and co‐educators (Coelho, Pooler, & Lloyd, ; Purcell & Wooten, ). In social care, common titles include community health workers, lay health advisors and promotores (Balcazar et al., ; Olsson, Lau, Lifvergren, & Chakhunashvili, ; Perez et al., ; Sun et al., ; Villa‐Torres, Fleming, & Barrington, ).…”

Section: Introductionmentioning

confidence: 99%

Partnering with insiders: A review of peer models across community-engaged research, education and social care

Vaughn

Whetstone

Boards

et al. 2018

Health Soc Care Community

103

View full text Add to dashboard Cite

Within community-engaged research, education and social care, peer models that partner with local "insiders" are increasingly common. Peer models are composed of insider "lay" community members who often share similarities or background with a project's target population. Peers are not academically trained, but work alongside researchers and professionals to carry out specific tasks within a project, or in the truest sense of partnership, peers collaborate throughout the project from start to finish as an equal member of the team. Although peer models are used widely, the literature lacks consistency and clarity. This systematic review of literature used a qualitative thematic synthesis to examine and report how, where and why peer models have been used in research, education and social care. We examined the language and titles used to describe the peers, details of their involvement in community-engaged projects, the setting, content/topic of study, level of engagement and related benefits/outcomes of such models. Focusing on the last 10 years, we conducted a comprehensive literature search twice between September 2016 and June 2017. The search resulted in 814 articles which were assessed for eligibility. Overall, 251 articles met our inclusion criteria and were categorised into three categories: empirical (n = 115); process/descriptive (n = 93); and "about" peers (n = 43). Findings suggest that there is a wide variety of peers, titles and terminology associated with peer models. There is inconsistency in how these models are used and implemented in research studies and projects. The majority of articles used an employment peer model, while only a handful involved peers in all phases of the project. The results of this literature review contribute to understanding the use, development and evolution of peer models. We highlight potential benefits of peer models for peers, their communities and community-engaged work, and we offer recommendations for future implementation of peer models.

show abstract

“…Participants’ intentions to share sexual health information with peers are similar to intervention strategies that our CBPR partnership has used successfully to increase condom use and HIV testing in other studies with Hispanic/Latino men and with Hispanic/Latina transgender women in which participants have been trained as lay health advisors to engage their social networks and promote positive sexual health behaviors [44, 57–61]. Finally, participants’ interest in sharing risk-reduction information with their peers suggests that the intervention was particularly meaningful for them.…”

Section: Discussionmentioning

confidence: 87%

Reducing HIV Risk among Hispanic/Latino Men Who Have Sex with Men: Qualitative Analysis of Behavior Change Intentions by Participants in a Small-group Intervention

et al. 2016

Self Cite

View full text Add to dashboard Cite

Objective The southeastern United States has the fastest-growing Hispanic/Latino population in the country and carries a disproportionate HIV burden. Among Hispanics/Latinos, men, and men who have sex with men (MSM) in particular, are at elevated risk of HIV infection; however, very few efficacious behavioral HIV prevention interventions are available for use with this vulnerable population. To address this shortage of prevention resources, our community-based participatory research (CBPR) partnership developed and is currently evaluating the efficacy of the HOLA en Grupos intervention to increase condom use and HIV testing among Hispanic/Latino MSM. Methods We recruited 304 Hispanic/Latino MSM who were randomized to receive the small group HOLA en Grupos intervention that was implemented during four 4-hour long sessions over four consecutive Sundays, or a 4-session small group general health education comparison intervention. At the end of the fourth session of the HOLA en Grupos intervention, the intervention facilitators asked participants to write down the sexual health-related behaviors they intended to change as a result of their participation. Results Qualitative analysis of the participants’ responses identified six types of intended behavior changes: increasing and maintaining condom use; identifying strategies to support correct and consistent condom use; increasing communication and negotiation with sexual partners about condom use; getting tested for HIV and other sexually transmitted infections; applying other sexual health promotion strategies; and sharing newly learned sexual health information with their peers. Conclusion Most risk-reduction intentions aligned with the intervention’s key messages of using condoms consistently and getting tested for HIV. However, participants’ stated intentions may have also depended on which behavior changes they perceived as most salient after participating in the intervention. Participants’ intentions to share information with their peers may result in elements of the intervention content reaching others within their social networks, and potentially contributing to a broader community-level impact.

show abstract

Latino Sexual and Gender Identity Minorities Promoting Sexual Health Within Their Social Networks

Cited by 36 publications

References 17 publications

Syndemic factors associated with adult sexual HIV risk behaviors in a sample of Latino men who have sex with men in New York City

Syndemic factors associated with adult sexual HIV risk behaviors in a sample of Latino men who have sex with men in New York City

Partnering with insiders: A review of peer models across community-engaged research, education and social care

Reducing HIV Risk among Hispanic/Latino Men Who Have Sex with Men: Qualitative Analysis of Behavior Change Intentions by Participants in a Small-group Intervention

Contact Info

Product

Resources

About