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Status-Neutral Interventions to Support Health Equity for Black Sexual Minority Men
Jade Pagkas-Bather1,2, Russell Brewer1,2, Alida Bouris3,4
1Chicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, Chicago, USA.
Current HIV/AIDS Reports
|July 6, 2022
Summary
Status-neutral care shows promise for improving health equity among Black sexual minority men (BSMM). Interventions addressing social determinants of health and using person-centered approaches are key to holistic HIV prevention and treatment.
Area of Science:
- Public Health
- Health Equity
- HIV Prevention
Background:
- Status-neutral care is a person-centered healthcare approach not dependent on HIV status.
- This approach may enhance health equity for Black sexual minority men (BSMM).
- Current interventions for HIV and Pre-Exposure Prophylaxis (PrEP) need evaluation within this framework.
Purpose of the Study:
- To review existing status-neutral, HIV, and PrEP interventions.
- To analyze these interventions based on their social-ecological focus.
- To assess the utilization of six key approaches: person-centered care, anti-stigma, social support, social determinants of health (SDOH), community engagement, and multi-sectoral partnerships.
Main Methods:
- A review of 25 studies was conducted.
- Studies were coded for their social-ecological focus.
- Interventions were analyzed for their application of six specific care approaches.
Main Results:
- Only 3 of the reviewed studies were status-neutral.
- Nineteen studies incorporated person-centered approaches, often involving BSMM peers.
- Interventions addressing SDOH (e.g., financial incentives, reducing barriers) and other approaches like text messaging, anti-stigma, social support, community engagement, and multi-sectoral partnerships showed positive outcomes in some studies.
Conclusions:
- Few status-neutral programs currently exist for BSMM.
- Further research is needed to identify crucial intervention components and their mechanisms of action.
- Programs focusing on SDOH and multiple social-ecological levels hold potential for comprehensive care, addressing HIV and promoting health equity for BSMM.
Keywords:
Black sexual minority menHIV Continuum of CarePerson-centered approachesPrEP Continuum of CareSocial determinants of healthStatus-neutral interventionsMore Related Videos
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