Increasing STI and HIV Preventive Behaviors and Addressing Community-Prioritized Social Determinants of Health Among Young GBQMSM and Transgender Women of Color: Piloting a Bilingual Multilevel Intervention.

Details

• Alternative Title:
  Sexually Transmitted Diseases, 2025, v. 52, no. 4: Increasing STI and HIV Preventive Behaviors and Addressing Community-Prioritized Social Determinants of Health Among Young GBQMSM and Transgender Women of Color: Piloting a Bilingual Multilevel Intervention.
• Journal Article:
  Sexually Transmitted Diseases
• Personal Author:
  Rhodes, Scott D. ; Mann-Jackson, Lilli ; Alonzo, Jorge ; Song, Eunyoung Y. ; Garcia, Manuel ; Arvizu, José A. Robles ; Bell, Jonathan ; Trent, Scott ; Aguilar-Palma, Sandy ; Aviles, Lucero Refugio ; Smart, Benjamin D.
• Description:
  Sexually transmitted infections (STIs) and HIV disproportionately affect young people; gay, bisexual, queer, and other men who have sex with men (GBQMSM); transgender women; and persons of color. Our community-based participatory research partnership developed and implemented Impact Triad, a bilingual multilevel intervention harnessing peer navigation and mHealth to increase STI/HIV preventive behaviors and address 4 community-prioritized social determinants of health-education, employment, social support, and discrimination-among young African American/Black and Latine GBQMSM and transgender women.
  
  Fifteen community-based peer navigators were trained to work within their social networks for 12 months. Each navigator engaged 5 social network members who completed baseline and immediate post-intervention assessments (retention rate, 97.3%). Regression modeling was used to assess changes in outcomes between baseline and follow-up.
  
  Among 74 enrolled social network members, the average age was 27.8 years; 61% identified as African American/Black, 31% as Latine, and 8% as multiracial/multiethnic. The majority self-identified as cisgender men and 8% as transgender women; 78% identified as gay. About half reported monthly income below $1000.Compared with baseline, at follow-up, social network members increased: STI screening (P = 0.001), HIV testing (P = 0.001), condom use (P = 0.03), and preexposure prophylaxis use (P = 0.02). Knowledge of preexposure prophylaxis (P < 0.0001) and of community-based educational (P = 0.047), job-training (P = 0.002), and job-finding resources (P = 0.02) also increased. Social support increased (P < 0.0001) and perceived discrimination decreased (P < 0.01).
  
  Pilot findings suggest that Impact Triad is promising in increasing STI/HIV protective behaviors and addressing social determinants of health among young GBQMSM and transgender women of color; further testing is warranted.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Transgender Persons
  • Female
  • HIV Infections
  • Adult
  • Sexually Transmitted Diseases
  • Male
  • Social Determinants of Health
  • Community-Based Participatory Research
  • Black or African American
  More +
• Keywords:
  • STI
  • HIV
  • social determinants of health
  • intervention
  • MSM
  • transgender
  • pilot
• Source:
  Sexually Transmitted Diseases, 2025, v. 52, no. 4
• DOI:
  https://doi.org/10.1097/OLQ.0000000000002106
• ISSN:
  0148-5717 ; 1537-4521
• Pubmed ID:
  40053327
• Pubmed Central ID:
  PMC11878582
• Document Type:
  Text
• Funding:
  U01 PS005115/PS/NCHHSTP CDC HHSUnited States/ ; U01 PS005137/PS/NCHHSTP CDC HHSUnited States/ ; U01 PS005250/PS/NCHHSTP CDC HHSUnited States/
• Genre:
  Journal Article
• Pages in Document:
  248-254 (17 pdf pages)
• Volume:
  52
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/261618/cdc_261618_DS1.pdf
• File Type:
  [PDF - 360.98 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:23a86fb4a4bd63cffaa6ca29be136297ecab085d79def4699dca9395ce90aa13b5926cb21034888eade144e94628494acfd8f25c383b0f5f79f5ed44cc1d0db1