Implementation of a socio-structural demonstration project to improve HIV outcomes among young Black men in the Deep South

Details

• Alternative Title:
  J Racial Ethn Health Disparities
• Personal Author:
  Brewer, Russell ; Daunis, Chris ; Ebaady, Sabira ; Wilton, Leo ; Chrestman, Sarah ; Mukherjee, Snigdha ; Moore, Mary ; Corrigan, Renee ; Schneider, John
• 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.
• Subjects:
  • Adolescent
  • Adult
  • Black or African American
  • Communication
  • HIV Infections/ethnology
  • Health Promotion
  • Health Services Accessibility
  • Homosexuality, Male
  • Housing
  • Humans
  More +
• 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
• Place as Subject:
  Louisiana
• Volume:
  6
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/80104/cdc_80104_DS1.pdf
• File Type:
  [PDF - 375.75 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:375b7edc0ef616f4a602bab22e1c30bc4dc516abf00995b8134f1a8d4f13d6ec