The Influence of Religion and Spirituality on HIV Prevention Among Black and Latino Men Who Have Sex with Men, New York City

Drumhiller, Kathryn; Nanín, José; Gaul, Zaneta; Sutton, Madeline Y.

doi:10.1007/s10943-018-0626-y

Cited by 16 publications

(11 citation statements)

References 43 publications

(47 reference statements)

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“…Prior research has documented that Latinx sexual minority men who are religiously affiliated may experience greater internalized homophobia, which can have detrimental effects on HIV prevention and overall health [ 14 ]. While additional studies are needed to better understand the role of religion on HIV prevention in Latinx sexual minority men [ 15 ], culturally tailored HIV prevention content delivered via social media applications may provide a potential way to engage religious Latinx communities who may be deterred to access such information due to perceptions of internalized or societal stigma.…”

Section: Discussionmentioning

confidence: 99%

Culturally Tailored Social Media Content to Reach Latinx Immigrant Sexual Minority Men for HIV Prevention: Web-Based Feasibility Study

Lee¹,

Aguirre²,

Cardona³

et al. 2022

JMIR Form Res

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Background Latinx gay, bisexual, and other sexual minority men are disproportionately affected by HIV in the United States. As Latinx sexual minority men, particularly those who are foreign-born, experience inequitable access to health services, tailored strategies to engage them for HIV prevention are urgently needed. Objective Our study seeks to address the need for enhanced access to HIV prevention among Latinx immigrant sexual minority men. We developed and piloted a culturally sensitive technology-based campaign focused on HIV testing and pre-exposure prophylaxis (PrEP) uptake. Methods We used a two-phase approach to assess the feasibility of community-informed social media content in engaging Latinx immigrant sexual minority men for HIV testing and PrEP use. First, we conducted three iterative focus groups with 15 Latinx immigrant sexual minority men to refine the HIV prevention content to be piloted on social media platforms. The finalized content was placed on Instagram and Facebook for 9 days in July and September 2021 to individuals who were in Washington State. Individuals who clicked on the content were directed to a website with additional HIV prevention information. Second, we conducted online surveys (n=60) with website visitors that assessed sociodemographic characteristics, barriers to HIV prevention, and HIV-related transmission risk and prevention behaviors. We conducted descriptive analyses to examine the overall profile of survey respondents and determine the feasibility of culturally informed social media content in reaching Latinx immigrant sexual minority men. Results Overall, 739 unique users visited the website during the 9-day period when the social media content was posted on Instagram and Facebook. Our sample included 60 Latinx immigrant sexual minority men who completed the online survey. Participants’ mean age was 30.8 years and more than half (n=34, 57%) completed the survey in Spanish. A quarter of participants indicated that they were unauthorized immigrants and 57% (n=34) reported not having medical insurance. Participants reported, on average, having 6 different sexual partners in the last 6 months. Nearly a third of respondents had not tested for HIV in the last 6 months. Only about half (n=32, 53%) of respondents had used PrEP in the last 12 months. Conclusions Community-driven social media and web-based strategies are feasible ways to engage Latinx immigrant sexual minority men who may traditionally lack access to HIV prevention information and services due to structural and social barriers. The results highlight that culturally relevant social media and web-based outreach strategies that are informed and developed by the community can reach Latinx immigrant sexual minority men for HIV prevention. Findings underscore the need to examine the effectiveness of social media content in promoting HIV testing and PrEP uptake in marginalized Latinx populations.

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Section: Discussionmentioning

confidence: 99%

Culturally Tailored Social Media Content to Reach Latinx Immigrant Sexual Minority Men for HIV Prevention: Web-Based Feasibility Study

Lee¹,

Aguirre²,

Cardona³

et al. 2022

JMIR Form Res

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“…Although research has demonstrated that spirituality and religion positively influences health, Black SMM might not be able to fully experience the social, spiritual, and health benefits associated with religious involvement due to the negative attitudes of many Black churches towards homosexuality and feelings of conflict or rejection by organized religious communities [18,[39][40][41][42]. It is possible that spiritual and/or religious supports in non-church-based settings and the use of peer support and/or peer navigators may ameliorate the negative effects of their engagement in non-affirming churches and serve as an alternative means of achieving similar benefits that others may receive through church membership.…”

Section: Discussionmentioning

confidence: 99%

Increasing Opportunities for Spiritual and Religious Supports to Improve HIV-Related Outcomes for Black Sexual Minority Men

Grieb¹,

Donovan²,

White

et al. 2020

J Urban Health

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Given the importance of spirituality and religion in the lives of many Black gay, bisexual, and other Black sexual minority men (SMM) and the need for additional resources to improve HIV outcomes within this population, research on how spiritual and religious support can promote HIV prevention and treatment among Black SMM is greatly needed. We conducted nine focus groups with 52 spiritual and religious Black SMM in Baltimore, Maryland, to explore opportunities for HIV-related programming that incorporates spiritual and/or religious supports. Thematic analysis of the focus group transcripts was conducted using an iterative constant comparison coding process. Participants expressed a desire for more spiritual/ religious support in non-church-based settings and identified the use of peer supports, inclusion of prayer and gospel music, and messaging related to the ideas that God is love,

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“…Studies in Black Americans have also shown positive religious coping significantly predicted medication adherence [69]. Studies have also shown mixed results with Black MSM regarding the role of religion and spirituality in HIV prevention and outcomes, with both positive and negative effects [70,71]. Further research is needed to elucidate what aspects of religion and spirituality are effective in improving HIV prevention and outcomes.…”

Section: Religion and Spiritualitymentioning

confidence: 99%

HIV in Specific Populations

et al. 2021

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The Influence of Religion and Spirituality on HIV Prevention Among Black and Latino Men Who Have Sex with Men, New York City

Cited by 16 publications

References 43 publications

Culturally Tailored Social Media Content to Reach Latinx Immigrant Sexual Minority Men for HIV Prevention: Web-Based Feasibility Study

Culturally Tailored Social Media Content to Reach Latinx Immigrant Sexual Minority Men for HIV Prevention: Web-Based Feasibility Study

Increasing Opportunities for Spiritual and Religious Supports to Improve HIV-Related Outcomes for Black Sexual Minority Men

HIV in Specific Populations

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