“Let’s Be a Person to Person and Have a Genuine Conversation”: Comparing Perspectives on PrEP and Sexual Health Communication Between Black Sexual Minority Men and Healthcare Providers

Calabrese, Sarah K.; Rao, Sharanya; Eldahan, Adam I.; Tekeste, Mehrit; Modrakovic, Djordje; Dangaran, D; Boone, Cheriko A; Underhill, Kristen; Krakower, Douglas S.; Mayer, Kenneth H.; Hansen, Nathan B.; Kershaw, Trace; Magnus, Manya; Betancourt, Joseph R.; Dovidio, John F.

doi:10.1007/s10508-021-02213-3

Cited by 6 publications

(2 citation statements)

References 57 publications

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“… 42 , 43 On the other hand, patient-centered experiences or encounters in which the patient and provider have a similar approach to care may lead to positive experiences for patients. 44 Our findings shed light on the potential of implementing nurturing conditions for positive healthcare encounters to reduce disparities in access to and retention in care.…”

Section: Discussionmentioning

confidence: 79%

Experiences of Latinx sexual and gender minorities with access to healthcare during COVID-19 stay-at-home orders

Rodriguez-Diaz,

Seager,

Navalta

et al. 2023

American Journal of Health-System Pharmacy

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Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose The coronavirus disease 2019 (COVID-19) pandemic affected all social systems, but healthcare services were particularly disrupted. The pandemic also had a disproportionate impact on populations made socially vulnerable. In this study, we documented the experiences of Latinx sexual and gender minority (SGM) individuals with access to care during COVID-19 stay-at-home orders. Methods Semistructured qualitative interviews assessing experiences during the stay-at-home orders in response to the COVID-19 pandemic and patients’ experiences accessing healthcare during this period were conducted with 21 Latinx SGM individuals from the Washington, DC, area. Data were analyzed using rapid qualitative analysis (RQA), and salient themes were identified. Results The RQA revealed 3 themes reflecting participants’ experiences with pharmaceutical care during COVID-19 stay-at-home orders: (1) challenges in accessing HIV services; (2) community engagement; and (3) providers supporting access to care. Participants experienced problems with adherence to medication, transportation, and technology, as well as delays in care and miscommunication with providers. Latinx SGM individuals demonstrated engagement in response to this emergency as a community and valued their providers and their efforts to facilitate access to care. Conclusion The COVID-19 pandemic strained healthcare services. Findings from this study show that the impact of the pandemic on the provision of care increased the vulnerability of Latinx SGM people. Future research should explore the impact of public health emergencies on the health of populations historically made socially vulnerable, and innovative solutions should be identified to eliminate these barriers to health equity.

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Section: Discussionmentioning

confidence: 79%

Experiences of Latinx sexual and gender minorities with access to healthcare during COVID-19 stay-at-home orders

Rodriguez-Diaz,

Seager,

Navalta

et al. 2023

American Journal of Health-System Pharmacy

View full text Add to dashboard Cite

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“…7 Another study 8 found that lack of provider comfort in sexual health promotion resulted in low PrEP uptake among men who have sex with men (MSM). Yet another study 9 further demonstrated that providers in training held racist beliefs that resulted in presumptive withholding of PrEP from Black MSM. These findings demonstrate the role of provider comfort, perspectives, biases, and practice on the potential and actual uptake of HIV and related biomedical interventions.…”

Section: Introductionmentioning

confidence: 99%

Couple-Centered HIV Prevention and Care: Endorsement, Practice and Uncertainty among US Healthcare Providers in Western-Central Upstate New York

Leblanc,

Muheriwa-Matemba,

Vil

et al. 2024

Preprint

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Given the influence of provider perspective and practice in the uptake of HIV/STI prevention and care strategies, this qualitative description design study sought to illuminate perspectives of couples HIV testing and counseling (CHTC), and describe couple/partner-based practices among health providers in New York State. We utilized a purposive sampling strategy to recruit health providers (N = 27). Semi-structured in-depth interviews were conducted from Sept. 2019 to Feb. 2021. Four themes emerged: perspectives on engaging partners and couples-centered sexual health promotion; providers' experiences with patients and partners in HIV prevention and care; provider endorsement of CHTC; and perceived CHTC implementation determinants. CHTC endorsement was prominently due to the perception of CHTC as a facilitator to enhance patient-provider engagement in HIV/STI treatment and care, especially in the communication and dissemination of information among partners. Providers reported that health literacy needs regarding HIV/STI testing and diagnosis, but primarily STIs treatment regimens warranted a joint approach. CHTC endorsement entailed the strategy’s perceived ability to enhance sexual health literacy among patients and patient’s partners. Lastly, CHTC endorsements entailed provider beliefs that it ensured knowledge equity and joint literacy in the communication of health information among health consumers. Determinants of CHTC implementation were factors that providers perceived to have a bearing on the facilitation or posed as barriers to jointly engaging partners in HIV/STI prevention and care, and was subsequently a source of provider uncertainty. These determinants ranged from provider-level factors to organizational capacity issues that could impact CHTC implementation. Recommendations for CHTC are discussed.

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Acceptability and Effectiveness of a One-Hour Healthcare Provider Intervention Integrating HIV Pre-Exposure Prophylaxis and Cultural Competence Training

et al. 2023

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“Let’s Be a Person to Person and Have a Genuine Conversation”: Comparing Perspectives on PrEP and Sexual Health Communication Between Black Sexual Minority Men and Healthcare Providers

Cited by 6 publications

References 57 publications

Experiences of Latinx sexual and gender minorities with access to healthcare during COVID-19 stay-at-home orders

Experiences of Latinx sexual and gender minorities with access to healthcare during COVID-19 stay-at-home orders

Couple-Centered HIV Prevention and Care: Endorsement, Practice and Uncertainty among US Healthcare Providers in Western-Central Upstate New York

Acceptability and Effectiveness of a One-Hour Healthcare Provider Intervention Integrating HIV Pre-Exposure Prophylaxis and Cultural Competence Training

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