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Comparison of Two Distinct House Ball Communities Involved in an HIV Prevention Study: Baseline Data from the POSSE

Sybil Hosek1, Marne Castillo2, Anna Hotton3

  • 1Department of Psychiatry, John Stroger Hospital of Cook County, Chicago, IL USA.

Journal of HIV/AIDS & Social Services
|October 5, 2020
PubMed

Insights

The POSSE project targets HIV prevention among Black/African American gay, bisexual, and other young men who have sex with men (B-GBMSM) in the House/Ball Community (HBC). Baseline data reveal high HIV prevalence and co-occurring mental health needs requiring integrated interventions.

Area of Science:

  • Public Health
  • Epidemiology
  • Social and Behavioral Sciences

Background:

  • The House/Ball Community (HBC) is a vital social network for Black/African American gay, bisexual, and other young men who have sex with men (B-GBMSM), offering a space for identity expression.
  • High HIV prevalence and stigma persist within the HBC, necessitating targeted prevention strategies.
  • Co-occurring mental health issues, such as depressive symptoms, are prevalent among this population.

Purpose of the Study:

  • To conduct an effectiveness-implementation trial of a popular opinion leader intervention (POSSE project) for HIV prevention.
  • To address HIV, gonorrhea, and Chlamydia prevention needs among sexually-active young men who have sex with men (YMSM) and transgender women (TGW) aged 15-24 in Chicago and Philadelphia HBCs.
  • To establish baseline data on HIV, STIs, and mental health to inform intervention development.

Main Methods:

  • The POSSE project utilized a baseline data collection in June 2016.
  • Participants included sexually-active YMSM and transgender women (TGW) aged 15-24, self-identifying as Black.
  • Data collected included behavioral assessments, HIV testing, and gonorrhea and Chlamydia testing.

Main Results:

  • 32.5% of participants reported depressive symptoms meeting clinical cut-offs.
  • Approximately 18% of participants across Chicago and Philadelphia were HIV-positive.
  • Baseline data underscore significant HIV and STI burdens within the studied population.

Conclusions:

  • The findings establish a clear need for comprehensive HIV and STI prevention interventions within the Chicago and Philadelphia HBCs.
  • The high prevalence of depressive symptoms indicates a need for integrated interventions addressing co-occurring mental health epidemics.
  • The POSSE project's baseline data support the implementation of tailored public health strategies for Black/African American YMSM and TGW.

Keywords:
Adolescents/Young AdultsHIV PreventionHouse Ball Community

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