Details:

Alternative Title:
J Racial Ethn Health Disparities
Personal Author:
Brewer, Russell ; Daunis, Chris ; Ebaady, Sabira ; Wilton, Leo ; Chrestman, Sarah ; ... More +
Brewer, Russell ; Daunis, Chris ; Ebaady, Sabira ; Wilton, Leo ; Chrestman, Sarah ; Mukherjee, Snigdha ; Moore, Mary ; Corrigan, Renee ; Schneider, John ; Less -
Description:
Background We describe the background, rationale, intervention components, and formative results of a demonstration project aimed to ameliorate five socio-structural barriers to HIV services for young Black men aged 18–29 living with and at risk for HIV in Louisiana. Methods The interventions and activities consisted of: 1) five person-centered approaches to enhance linkage to HIV services and improve socio-economic outcomes; 2) the implementation of systematic mystery shopping tests to document instances of housing discrimination; 3) the development and implementation of a multi-prong communications campaign to increase knowledge about the signs of housing discrimination and community resources among young Black men who have sex with men (YBMSM); 4) the integration of HIV/STI services and Lesbian, Gay, Bisexual, and Trans (LGBT)-inclusive events on Historically Black Colleges and Universities (HBCUs); and 5) the development of a safe space. A multi-method approach was used to evaluate the outcomes of the different interventions. Results The majority (62%) of participants living with HIV were linked to HIV care and 49% had achieved viral suppression. More than 40% of participants were employed during the project. Thirty-seven (37%) of the mystery shopping tests showed definite or possible signs of housing discrimination. The housing campaign’s duration was limited with unknown long-term impact among YBMSM. Fifteen (15) cases of Syphilis were identified during two HBCU events. A safe space was specifically created for YBMSM at a community-based organization. Conclusion Multi-component holistic health interventions are needed to improve HIV outcomes and curb the high HIV rates among young Black men, particularly YBMSM in the United States and the Deep South.
Subject:
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Adolescent
Adult
African Americans
Communication
Health Education
Health Promotion
Health Services Accessibility
HIV Infections/ethnology
Homosexuality, Male
Housing
Humans
Male
Patient-Centered Care
Patient Navigation
Prisoners
Racism
Sexual And Gender Minorities
Sexually Transmitted Diseases
Social Work
Socioeconomic Factors
Universities
Young Adult

Source:
J Racial Ethn Health Disparities. 6(4):775-789
Pubmed ID:
30793253
Pubmed Central ID:
PMC6661001
Document Type:
Journal Article ;
Funding:
P30 DA027828/DA/NIDA NIH HHS/United States ; R25 MH067127/MH/NIMH NIH HHS/United States ; U01 PS005122/PS/NCHHSTP CDC HHS/United States ; U01PS005122/ACL/ACL HHS/United States ;
P30 DA027828/DA/NIDA NIH HHS/United States ; R25 MH067127/MH/NIMH NIH HHS/United States ; U01 PS005122/PS/NCHHSTP CDC HHS/United States ; U01PS005122/ACL/ACL HHS/United States ; Less -
Place as Subject:
Louisiana ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:375b7edc0ef616f4a602bab22e1c30bc4dc516abf00995b8134f1a8d4f13d6ec
File Type:

Supporting Files

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