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Gepubliceerd in:

06-12-2022

Engaging Latino sexual minority men in PrEP and behavioral health care: multilevel barriers, facilitators, and potential implementation strategies

Auteurs: Audrey Harkness, Alyssa Lozano, Sierra Bainter, Daniel Mayo, Daniel Hernandez Altamirano, Brooke G. Rogers, Guillermo Prado, Steven A. Safren

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2023

Abstract

Latino sexual minority men (LSMM) are affected by HIV and behavioral health disparities. Evidence-based HIV-prevention and behavioral health (BH) services are not sufficiently scaled up to LSMM. The current study identified multilevel barriers and facilitators to LSMM’s use of HIV-prevention and BH services. LSMM (N = 290) in South Florida, a US HIV epicenter, completed a battery of measures potentially associated with pre-exposure prophylaxis (PrEP) and BH treatment use. Stochastic search variable selection (SSVS) followed by multiple linear regression analyses identified variables associated with engagement in PrEP and BH treatment. Multilevel determinants of PrEP and BH treatment engagement were identified, with most identified determinants being at the relational level (e.g., stigma, discrimination based on income and immigration status, personal recommendation for treatment). Individual (e.g., knowledge, self-efficacy) and structural (e.g., financial stress) determinants were also identified. Accordingly, modifiable leverage points to enhance the reach of PrEP and BH treatment to LSMM include educating and enhancing the perceived relevance of services, de-stigmatizing and normalizing via peer examples, bolstering self-efficacy, and building trust.

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As recommended by del Río-González (2021), we use “Latina/x/o” when referring to the community at large and “Latino” when referring to men.

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Titel: Engaging Latino sexual minority men in PrEP and behavioral health care: multilevel barriers, facilitators, and potential implementation strategies
Auteurs: Audrey Harkness
Alyssa Lozano
Sierra Bainter
Daniel Mayo
Daniel Hernandez Altamirano
Brooke G. Rogers
Guillermo Prado
Steven A. Safren
Publicatiedatum: 06-12-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 4/2023
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-022-00371-w

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A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors

Underlying patterns of the co-occurrence of tobacco use and mental health among youth

The impact of a stress management intervention including cultural components on stress biomarker levels and mental health indicators among indigenous women

Trajectories of cancer-specific stress in cancer patients: a latent growth mixture analysis

Correction to: A remotely delivered, peer-led intervention to improve physical activity and quality of life in younger breast cancer survivors