Mental Health Service Utilization Among Young Black Gay, Bisexual, and Other Men Who Have Sex with Men in HIV Care: A Retrospective Cohort Study

Hussen, Sophia A.; Camp, Daniel M.; Wondmeneh, Sarah B.; Doraivelu, Kamini; Holbrook, Nancy M.; Moore, Shamia; Colasanti, Jonathan; Ali, Mohammed K.; Farber, Eugene W.

doi:10.1089/apc.2020.0202

Cited by 13 publications

(4 citation statements)

References 32 publications

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“… 21–26 In addition, young BMSM experience gaps in the HIV care continuum as a result of mental health issues, including depression, anxiety, substance use, and trauma-related disorders. 27 , 28 These mental health issues, such as depression and post-traumatic stress disorder (PTSD), are more prevalent among people living with HIV and those with a greater risk of contracting HIV, compared with the general population. 29 , 30 …”

Section: Introductionmentioning

confidence: 99%

“…Lower rates of mental health service utilization combined with elevated stress, hopelessness, and low self-esteem exacerbated by these behavioral health conditions lead to negative outcomes along the HIV care continuum. 28 , 29 , 31–33 Specifically, depressive symptoms are associated with decreased HIV symptom management, medication adherence, and viral suppression. 28 , 31 , 34 , 35 PTSD also increases the likelihood of nonadherence and overall worse HIV health outcomes.…”

Section: Introductionmentioning

confidence: 99%

“… 28 , 29 , 31–33 Specifically, depressive symptoms are associated with decreased HIV symptom management, medication adherence, and viral suppression. 28 , 31 , 34 , 35 PTSD also increases the likelihood of nonadherence and overall worse HIV health outcomes. 32 , 36 By integrating behavioral health and HIV care services, providers may help to address treatment barriers and improve care continuum outcomes among BMSM living with HIV.…”

Section: Introductionmentioning

confidence: 99%

“… 32 , 36 By integrating behavioral health and HIV care services, providers may help to address treatment barriers and improve care continuum outcomes among BMSM living with HIV. 28 , 35 …”

Section: Introductionmentioning

confidence: 99%

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Integrating HIV and Mental Health Services for Black Gay, Bisexual, and Other Men Who Have Sex with Men Living with HIV: Findings from the STYLE 2.0 Intervention

LeGrand

Davis

Parnell

et al. 2022

AIDS Patient Care and STDs

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Black gay, bisexual, and other men who have sex with men (BMSM) in the US South are disproportionately impacted by HIV. We adapted Project Strength Through Youth Livin’ Empowered (STYLE) to create STYLE 2.0 to assist young BMSM link and remain engaged in HIV care. The multi-component intervention included (1) health care navigators to facilitate linkage and engagement activities, (2) motivational interviewing by a behavioral health provider, and (3) a mobile app to reduce stigma and social isolation. We enrolled 66 BMSM from North and South Carolina in the 12-month intervention and analyzed longitudinal data to assess service utilization, dose, and delivery characteristics while also examining changes in HIV care continuum outcomes. We examined associations between intervention characteristics and HIV care continuum outcomes using logistic regression. We found that all HIV outcomes improved from baseline to 12-month follow-up, including receipt of HIV care (78.8–84.9%), retention in HIV care (75.9–87.7%), being prescribed antiretroviral therapy (ART) (96.8–98.5%), and achieving viral suppression (82.3–90.8%), although none were statistically significant. In multi-variable analyses, participants with more encounters categorized as food bank were more likely to report being prescribed ART [odds ratio (OR): 41.65; 95% confidence interval (CI): 2.72–637.74]. Clients with more referral to care encounters were less likely to have been prescribed ART (OR: 0.02; 95% CI: <0.001–0.42) and be virally suppressed (OR: 0.39; 95% CI: 0.18–0.84). Findings suggest that an integrated approach to HIV and behavioral health services may help BMSM living with HIV overcome structural and social barriers to HIV care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“… 32 , 36 By integrating behavioral health and HIV care services, providers may help to address treatment barriers and improve care continuum outcomes among BMSM living with HIV. 28 , 35 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations