Sexual Networks of Racially Diverse Young MSM Differ in Racial Homophily But Not Concurrency

Janulis, Patrick; Phillips, Gregory; Birkett, Michelle; Mustanski, Brian

doi:10.1097/qai.0000000000001620

Cited by 42 publications

(33 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In particular, we explored inequity in the predicted effects on the African American and Latino MSM populations, and we analyzed the input parameter space to determine which combinations of EBIs were most effective in reducing HIV incidence in these populations. 34,35 As the ABM is a mechanistic model, we were consequently able to identify the implementation drivers that should be leveraged to most effectively achieve this predicted impact in practice.…”

Section: Paradigm 1: Using Existing Datamentioning

confidence: 99%

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

et al. 2019

Self Cite

View full text Add to dashboard Cite

Implementation science has great potential to improve the health of communities and individuals who are not achieving health equity. However, implementation science can exacerbate health disparities if its use is biased toward entities that already have the highest capacities for delivering evidence-based interventions. In this article, we examine several methodologic approaches for conducting implementation research to advance equity both in our understanding of what historically disadvantaged populations would need—what we call scientific equity—and how this knowledge can be applied to produce health equity. We focus on rapid ways to gain knowledge on how to engage, design research, act, share, and sustain successes in partnership with communities. We begin by describing a principle-driven partnership process between community members and implementation researchers to overcome disparities. We then review three innovative implementation method paradigms to improve scientific and health equity and provide examples of each. The first paradigm involves making efficient use of existing data by applying epidemiologic and simulation modeling to understand what drives disparities and how they can be overcome. The second paradigm involves designing new research studies that include, but do not focus exclusively on, populations experiencing disparities in health domains such as cardiovascular disease and co-occurring mental health conditions. The third paradigm involves implementation research that focuses exclusively on populations who have experienced high levels of disparities. To date, our scientific enterprise has invested disproportionately in research that fails to eliminate health disparities. The implementation research methods discussed here hold promise for overcoming barriers and achieving health equity.Ethn Dis. 2019;29(Suppl 1):83-92; doi:10.18865/ed.29.S1.83.

show abstract

Section: Paradigm 1: Using Existing Datamentioning

confidence: 99%

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Estimating the network over time allows for the incorporation of parameters like partnership duration, which are not accounted for in a cross-sectional network. 13,16 The insights gained from examining the network over time are vital to accurately assessing epidemic potential, as exemplified by our results for the FRP by age.…”

Section: Discussionmentioning

confidence: 86%

The HIV/STI Epidemic Potential of Dynamic Sexual Networks of Men Who Have Sex With Men in Atlanta and San Francisco

Anderson

Weiss

Morris

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The potential speed through which a pathogen may circulate in a network is a function of network connectivity. Network features like degree (number of ongoing partnerships) determine the cross-sectional network connectivity. The overall transmission potential of a pathogen involves connectivity over time, which can be measured using the forward reachable path (FRP). We modeled dynamic sexual networks of MSM in San Francisco and Atlanta to estimate the FRP as a predictor of HIV/STI epidemic potential. Methods: We used exponential random graph models to obtain parameter estimates for each city's sexual network and then simulated the complete networks over time. The FRP was estimated in each city overall and stratified by demographics. Results: The overall mean and median FRPs were higher in San Francisco than in Atlanta, suggesting a greater epidemic potential for HIV and STIs in San Francisco. At one year, in both cities, the average FRP among casual partnerships was highest in the youngest age group and lowest in the oldest age group, contrasting with the cross-sectional network parameters we estimated, where the youngest age category had the lowest mean degree and the oldest age category had the highest mean degree. Conclusions: The FRP results correspond to the observed STI epidemics but not HIV epidemics between the cities. In San Francisco, rates of HIV have been declining over the last few years, whereas they have been steady in Atlanta. The FRP by age group resulted in fundamentally different conclusions about connectivity in the network compared with the cross-sectional network measures.

show abstract

“…YBMSM are at increased susceptibility to HIV partly due to exposure to sexual networks with undiagnosed/unsuppressed HIV and untreated STIs that facilitate HIV transmission [106][107][108][109][110][111][112][113]. Interrupting this cycle requires public health diagnosis, prevention, and treatment strategies that prioritize (1) identifying HIV transmission networks; (2) accessing and identifying individuals within these networks; and (3) linking these individuals to effective HIV prevention or treatment options.…”

Section: Prioritize Public Health Strategies To Reduce Undiagnosed/unmentioning

confidence: 99%

Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

2020

View full text Add to dashboard Cite

Purpose of Review Young Black men who have sex with men (YBMSM) suffer profound health inequities in new HIV diagnoses and clinical outcomes. While the evolution of HIV prevention options has become increasingly biomedical, inequities in access and uptake of these modalities persist. Recent Findings Studies suggest that while YBMSM display interest and acceptability of varied HIV prevention options, uptake lags due to the lingering effects of intersectional oppression from racism and sexual prejudice, HIV stigma, institutional and provider bias, and unresolved health policy barriers. Promising avenues to address these barriers have yet to be fully explored. Summary We have the tools to effectively prevent HIV transmission and acquisition among YBMSM, but we have not yet effectively implemented these tools for this priority population. To end the epidemic, we must tailor and adapt HIV prevention strategies to meet the unique intersecting needs, identities, and social contexts of YBMSM. Keywords Young Black MSM. Sexual minority youth. HIV prevention. Adolescent and young adult. Sexual minority men. LGBTQ health This article is part of the Topical Collection on The Science of Prevention

show abstract

Sexual Networks of Racially Diverse Young MSM Differ in Racial Homophily But Not Concurrency

Abstract: These findings suggest that high racial homophily combined with existing disparities in HIV help perpetuate the spread of HIV among black YMSM. Nonetheless, additional work is required to understand these disparities given that homophily alone cannot sustain them indefinitely.

Cited by 42 publications

References 43 publications

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

Implementation Research Methodologies for Achieving Scientific Equity and Health Equity

The HIV/STI Epidemic Potential of Dynamic Sexual Networks of Men Who Have Sex With Men in Atlanta and San Francisco

Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

Contact Info

Product

Resources

About