Shannon L Edmed, M Mamun Huda, Cassandra L Pattinson, Kalina R Rossa, Simon S Smith
{"title":"Perceived Neighborhood Characteristics and Sleep in Australian Adults.","authors":"Shannon L Edmed, M Mamun Huda, Cassandra L Pattinson, Kalina R Rossa, Simon S Smith","doi":"10.1177/10901981231177687","DOIUrl":"10.1177/10901981231177687","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep can contribute to poorer health and socioemotional outcomes. Sleep health can be influenced by a range of individual and other socioecological factors. Perceptions of neighborhood physical and social characteristics reflect broader social-level factors that may influence sleep, which have not been well studied in the Australian context. This study examined the association between perceived neighborhood characteristics and sleep in a large sample of Australians.</p><p><strong>Methods: </strong>Data were from 9,792 people aged 16 years or older, from Waves 16 and 17 of the nationally representative Household, Income and Labour Dynamics in Australia Survey. Associations between perceived neighborhood characteristics (neighborly interaction and support, environmental noise, physical condition, and insecurity) and self-reported sleep duration, sleep disturbance, and napping were examined using multiple logistic regression models.</p><p><strong>Results: </strong>\"Neighborhood interaction and support\" and \"neighborhood physical condition\" were not significantly associated with any sleep outcomes after adjusting for relevant covariates. However, \"environmental noise\" and \"neighborhood insecurity\" remained significantly associated with sleep duration and sleep disturbance. None of the neighborhood characteristics were associated with napping. Furthermore, associations did not significantly vary by gender.</p><p><strong>Conclusions: </strong>This study highlights the potential benefit of public health policies to address noise and safety in neighborhoods to improve sleep.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"155-166"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9613836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hollie Bendotti, Sheleigh Lawler, Coral Gartner, David Ireland, Henry M Marshall
{"title":"Smoking Cessation Counseling in Practice: A Qualitative Analysis of Quitline Conversations in Queensland, Australia.","authors":"Hollie Bendotti, Sheleigh Lawler, Coral Gartner, David Ireland, Henry M Marshall","doi":"10.1177/10901981231206068","DOIUrl":"10.1177/10901981231206068","url":null,"abstract":"<p><p>Telephone-based services are a practical and effective behavioral support for smoking cessation, yet no in-depth analyses of this counseling have been conducted. Understanding the general content of Quitline conversations can help to improve current practices and may inform future interventions. Therefore, we aimed to independently explore conversation themes, topics, and client questions during Quitline counseling sessions with Quitline clients in Queensland, Australia. A purposive sample of 30 recorded counseling sessions, completed between January and March 2019, were de-identified, transcribed, and thematically analyzed. Seven themes, encompassing 35 topics, were derived from 26 initial calls and four follow-up calls: (1) Client details and building rapport; (2) Client history and motivation to quit; (3) Pharmacotherapy; (4) Behavioral aspects of quitting and relationship with smoking; (5) Understanding nicotine dependence and other important considerations; (6) Additional support and smoking cessation resources; and (7) Planning, goal setting and follow-up. Three themes emerged from 18 client questions including (1) Pharmacotherapy safety and contraindications; (2) Pharmacotherapy instructions and mechanism of action; and (3) Physiology of nicotine dependence. This is the first qualitative analysis of the content of Quitline counseling sessions in Australia. Counselors collect and deliver a breadth of information to provide tailored, evidence-based health care, while building rapport and trust. Findings may be translatable into personalized self-help interventions that are more accessible or appealing to people reluctant to contact Quitline. Harnessing educational opportunities regarding pharmacotherapy adherence and misconceptions can improve client confidence in the product and smoking cessation outcomes. Further research will map conversations to motivational interviewing and behavior change techniques.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"43-53"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41234830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Franciele Delurdes Colatusso, Júlia Feldmann Uhry, Adalberto de Paula Barreto, Maria Lucia de Andrade Reis, Max Luiz de Carvalho, Suely Ruiz Giolo, Milene Zanoni da Silva, Giovana Daniela Pecharki
{"title":"Online Integrative Community Therapy in Latin America: Health Promotion in Times of COVID-19.","authors":"Franciele Delurdes Colatusso, Júlia Feldmann Uhry, Adalberto de Paula Barreto, Maria Lucia de Andrade Reis, Max Luiz de Carvalho, Suely Ruiz Giolo, Milene Zanoni da Silva, Giovana Daniela Pecharki","doi":"10.1177/10901981231213027","DOIUrl":"10.1177/10901981231213027","url":null,"abstract":"<p><p>This study described integrative community therapy (ICT) in the online modality as a health promotion resource in the context of COVID-19 in Latin America, characterizing the ICT circles, the ICT training centers, and the community therapists involved in this practice. It is a descriptive, observational, and cross-sectional study with a quantitative approach. Data were collected from November 2020 to July 2021 through an online questionnaire created on the Google Forms platform. The study's first stage involved the participation of ICT training centers, while the second involved community therapists. Forty-three centers participated in the first stage; 86.1% offered online ICT in the period evaluated, and 74.4% trained professionals to implement this modality. In the second stage, 66 community therapists responded to the questionnaire. Of these, 49 (74.2%) resided in Brazil, 84.8% were female, and 72.7% performed the work voluntarily, with an average of 6.1 hours per week dedicated to online circles. Community-based circles were the most cited, followed by those linked to the public sector, with an average of 20.7 participants/circle in the period. The most frequent themes were stress and negative emotions, problems with work/unemployment, and family conflicts. Strengthening self-care, participation in ICT circles, and personal empowerment stood out among the coping strategies. In conclusion, online ICT proved to be an innovative resource for health promotion during the pandemic through the articulation and engagement of community therapists and different institutions, expanding solidary social networks, and showing itself as a sustainable practice in the Latin American scenario.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"32-42"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily D Lemon, Kathleen S Mera Nieto, Luis Yael Serrano Laguna, Yesnely A Flores, Maria Niño-Suastegui, Jonathan Peraza Campos, Viridiana Fuentes, Kenia Lozada, Audrey Ling, Briana Woods-Jaeger
{"title":"\"I Can Never Feel Safe\": Latinx Youth Voices on Psychosocial Impacts of 287(g) in Georgia.","authors":"Emily D Lemon, Kathleen S Mera Nieto, Luis Yael Serrano Laguna, Yesnely A Flores, Maria Niño-Suastegui, Jonathan Peraza Campos, Viridiana Fuentes, Kenia Lozada, Audrey Ling, Briana Woods-Jaeger","doi":"10.1177/10901981231193695","DOIUrl":"10.1177/10901981231193695","url":null,"abstract":"<p><p>Increasingly, immigration policies are understood as structural determinants, rooted in racism, nativism, and ethnocentrism, which raise serious public health concerns for Latinx adolescents' mental health. Our objective was to examine how immigration policy enforcement affects mental health of Latinx youth raised in a county with an aggressive interior immigration enforcement program. From 2009 to 2021, Gwinnett County, GA, led the nation in deportations under the 287(g) program as a \"universal enforcement model,\" where local law enforcement were deputized to detain undocumented immigrants, primarily through traffic violations. From June to July 2022, we followed a participatory action research approach with two groups of Latinx youth who grew up in Gwinnett County. In total, 10 youth took photos related to the research question, and engaged in facilitated dialogue using photovoice guide SHOWED/VENCER for four, 2-hour sessions that were audio-recorded and transcribed. Transcripts were analyzed following grounded theory principles to arrive at a conceptual model codeveloped and validated by youth. Youth described how 287(g) led to policing and deportation in their communities, fueling stereotypes, and discrimination that criminalized Latinx immigrants. Youth linked immigration enforcement policies like 287(g) to exclusionary systems that contributed to fear, marginalization, and loss in their communities, bringing experiences of sadness, grief, isolation, hopelessness, and low self-worth. From youth-driven research, we identified mental health implications of the 287(g) program among Latinx youth. The cascading harms of immigration enforcement policies highlight the need to address these policies and identify immediate strategies to promote Latinx youth mental health.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"71-81"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10169945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guillermo M Wippold, Kaylyn A Garcia, Sarah Grace Frary, Derek M Griffith
{"title":"Community Health Worker Interventions for Men: A Scoping Review Using the RE-AIM Framework.","authors":"Guillermo M Wippold, Kaylyn A Garcia, Sarah Grace Frary, Derek M Griffith","doi":"10.1177/10901981231179498","DOIUrl":"10.1177/10901981231179498","url":null,"abstract":"<p><strong>Introduction: </strong>Community health workers (CHWs) are health promotion specialists who are trusted members of the community served and have a close understanding of the community's needs and values. CHWs are a cost-effective and scalable workforce to promote health among men through tailored approaches. The purpose of the present review was to use the RE-AIM Framework to assess design, implementation, and outcomes of CHW-implemented health promotion efforts tailored for men to provide recommendations for future efforts.</p><p><strong>Methods: </strong>The protocol was pre-registered with PROSPERO. The primary inclusion criteria were that the interventions were (a) implemented at least partially by CHWs, (b) conducted only among men, and (c) designed to improve a health-related outcome. PubMed, EMBASE, PsycINFO, CINAHL, Web of Science, and Global Index Medicus were searched using a librarian-generated search strategy. In all, 1,437 articles were uploaded to Rayyan and two reviewers blindly reviewed each article for inclusion. A total of 24 articles met the inclusion criteria.</p><p><strong>Results: </strong>Most interventions (a) targeted men under 50 years, (b) were conducted among a subset of underserved men, (c) improved health outcomes, (d) community-based and informed, (e) atheoretical, and (f) had satisfactory retention rates. The roles and responsibilities of CHWs were varied. Attention was given to training of CHWs, but limited attention was given to how/if the CHWs were supervised.</p><p><strong>Discussion: </strong>CHW-implemented interventions can improve health outcomes among men. Opportunities exist to build on past interventions, such as addressing mental health and incorporating prosocial aspects of masculinity. The results have implications for designing similar interventions.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"128-143"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10050834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hale M Thompson, Timothy M Wang, Ali J Talan, Kellan E Baker, Arjee J Restar
{"title":"First They Came for Us All: Responding to Anti-Transgender Structural Violence With Collective, Community-Engaged, and Intersectional Health Equity Research and Advocacy.","authors":"Hale M Thompson, Timothy M Wang, Ali J Talan, Kellan E Baker, Arjee J Restar","doi":"10.1177/10901981231201146","DOIUrl":"10.1177/10901981231201146","url":null,"abstract":"<p><p>This article is a call for collective action across health equity researchers and advocates to build a more just world. We attempt to make sense of senseless structural and interpersonal brutality in the context of the current political climate across the United States, whereby the spectrum of gender nonconformity has been and continues to be stigmatized. From drag performance to transgender identities to gender-affirming health care, extremists have instrumentalized primary levers of democracy-the courts, legislatures, and social media-to attempt to outlaw and eradicate gender expansiveness and those who provide forms of support and care, including gender-affirming medical care, to transgender, nonbinary, and gender-expansive (TNBGE) individuals.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"5-9"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41114735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Marie Schipani-McLaughlin, Laura F Salazar, Ruschelle M Leone, Dori Balser, Kate Hunley, Kelly Quinn-Echevarria
{"title":"Acceptability of <i>RealConsent</i>: A Sexual Violence Web-Based Risk Reduction Program for College Women.","authors":"Anne Marie Schipani-McLaughlin, Laura F Salazar, Ruschelle M Leone, Dori Balser, Kate Hunley, Kelly Quinn-Echevarria","doi":"10.1177/10901981231208982","DOIUrl":"10.1177/10901981231208982","url":null,"abstract":"<p><p>Acceptability of a sexual violence (SV) risk reduction program called <i>RealConsent</i> designed for first-year female college students was conducted as part of a larger, randomized controlled trial. <i>RealConsent</i> uses web-based and mobile technology to deliver four 45-minute theoretically and empirically derived modules designed to increase knowledge, affect attitudes and normative beliefs, increase bystander and other protective behaviors, and reduce alcohol misuse. Educational entertainment is used throughout the program to achieve these aims. A total of 444 first-year female college students recruited from three Southeastern universities who were eligible and provided informed consent were randomized to <i>RealConsent</i>. Acceptability was ascertained both quantitatively and qualitatively through a survey administered following the completion of each of four modules. Results suggest that overall, <i>RealConsent</i> was viewed as relatable, realistic, and relevant. Most participants rated modules as good/excellent in quality, in organization, and in the conveying of a high degree of knowledge regarding alcohol misuse, consent for sex, sexual communication, defense strategies, protective strategies, and intervening to prevent SV. Suggestions to improve <i>RealConsent</i> centered on having more content inclusive of sexual and gender-minoritized students. Results suggest that <i>RealConsent</i> is an acceptable SV risk reduction program among first-year female college students and may have advantages for dissemination over in-person programs due to its web-based and mobile technology.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"94-103"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92153588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chung Hyeon Jeong, Hyunsung Oh, Lawrence A Palinkas, Will Lusenhop
{"title":"Perceptions of Health Insurance Among Self-employed Korean Immigrants From South Korea in the United States.","authors":"Chung Hyeon Jeong, Hyunsung Oh, Lawrence A Palinkas, Will Lusenhop","doi":"10.1177/10901981221139169","DOIUrl":"10.1177/10901981221139169","url":null,"abstract":"<p><p>Korean Americans in the United States are more likely than other Asian ethnic groups to lack health insurance despite their high education and economic prosperity. According to the model of health service selection, immigrants' perceptions of the health care system and health care behaviors in their host country are affected by sociocultural referents including premigration health care experience in the country of origin. This study explored Korean immigrants' perceptions of health insurance and their intentions to purchase and maintain health insurance in the United States. We conducted in-depth interviews with 24 self-employed Korean immigrants who migrated from South Korea and were living in the Greater Los Angeles area in 2015. Participants generally had negative perceptions of U.S. health insurance in terms of cost, benefits, simplicity, and accessibility. Coupled with their positive experiences with the single-payer, universal health insurance in South Korea, respondents evaluated U.S. health insurance as not worth purchasing, and indicated they would not maintain health insurance once the individual mandate of the Affordable Care Act was abolished. On the contrary, respondents who immigrated prior to the establishment of the Korean universal health insurance in South Korea were relatively satisfied with U.S. health insurance and had maintained health insurance for substantial periods of time. Korean immigrants' premigration health care experiences appeared to influence their decisions to purchase health insurance in the United States and their intention to maintain health insurance. The study findings highlight the necessity of tailored health education that takes into account sociocultural determinants of health coverage among immigrants.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"167-175"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10723630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bo Wang, Lynette Deveaux, Yan Guo, Elizabeth Schieber, Richard Adderley, Stephenie Lemon, Jeroan Allison, Xiaoming Li, Nikkiah Forbes, Sylvie Naar
{"title":"Effects of Teacher Training and Continued Support on the Delivery of an Evidence-Based HIV Prevention Program: Findings From a National Implementation Study in the Bahamas.","authors":"Bo Wang, Lynette Deveaux, Yan Guo, Elizabeth Schieber, Richard Adderley, Stephenie Lemon, Jeroan Allison, Xiaoming Li, Nikkiah Forbes, Sylvie Naar","doi":"10.1177/10901981231195881","DOIUrl":"10.1177/10901981231195881","url":null,"abstract":"<p><strong>Background: </strong>Few studies have investigated the effects of teacher training and continued support on teachers' delivery of evidence-based HIV prevention programs. We examined these factors in a national implementation study of an evidence-based HIV risk reduction intervention for adolescents in the sixth grade in the Bahamas.</p><p><strong>Methods: </strong>Data were collected from 126 grade 6 teachers and 3,118 students in 58 government elementary schools in the Bahamas in 2019-2021. This is a Hybrid Type III implementation study guided by the Exploration, Preparation, Implementation, Sustainment (EPIS) model. Teachers attended 2-day training workshops. Trained school coordinators and peer mentors provided biweekly monitoring and mentorship. We used mixed-effects models to assess the effects of teacher training and continued support on implementation fidelity.</p><p><strong>Results: </strong>Teachers who received training in-person or both in-person and online taught the most core activities (27.0 and 27.2 of 35), versus only online training (21.9) and no training (14.9) (<i>F</i> = 15.27, <i>p</i> < .001). Teachers with an \"excellent\" or \"very good\" school coordinator taught more core activities than those with a \"satisfactory\" coordinator or no coordinator (29.2 vs. 27.8 vs. 19.3 vs. 14.8, <i>F</i> = 29.20, <i>p</i> < .001). Teachers with a \"very good\" mentor taught more core activities and sessions than those with a \"satisfactory\" mentor or no mentor (30.4 vs. 25.0 vs. 23.1; <i>F</i> = 7.20; <i>p</i> < .01). Teacher training, implementation monitoring, peer mentoring, teachers' self-efficacy, and school-level support were associated with implementation fidelity, which in turn was associated with improved student outcomes (HIV/AIDS knowledge, preventive reproductive health skills, self-efficacy, and intention to use protection).</p><p><strong>Conclusion: </strong>Teachers receiving in-person training and those having higher-rated school coordinator and mentor support taught a larger number of HIV prevention core activities. Effective teacher training, implementation monitoring, and peer mentoring are critical for improving implementation fidelity and student outcomes.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"770-782"},"PeriodicalIF":2.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10194671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clare Barrington, Dirk A Davis, Gustavo Angeles, Angela Yolanda Pajarito Rompich, Renato Santa Luce, Victoria Shelus, Sanny Northbrook
{"title":"HIV Treatment and Mental Health Outcomes Among Gay, Bisexual, and Other Men Who Have Sex With Men Living With HIV in a Pilot Multicomponent Intervention in Guatemala City.","authors":"Clare Barrington, Dirk A Davis, Gustavo Angeles, Angela Yolanda Pajarito Rompich, Renato Santa Luce, Victoria Shelus, Sanny Northbrook","doi":"10.1177/10901981231164598","DOIUrl":"10.1177/10901981231164598","url":null,"abstract":"<p><p>Globally, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by HIV, but few interventions address mental health and HIV outcomes among GBMSM living with HIV. The purpose of this study was to pilot a multicomponent intervention, integrating emotional well-being (EW) and health navigation for GBMSM living with HIV in Guatemala City. We implemented a 12-month intervention, including a four-session EW component and a health navigation component among newly diagnosed and reengaged GBMSM with HIV (<i>n</i> = 112). We conducted socio-behavioral surveys at baseline and endline to measure patient characteristics and HIV, and mental health outcomes as well as viral load testing. We documented participation in EW sessions and used a smartphone application to track navigation mode, frequency, and content. Using first-difference estimation modeling, we assessed associations between participation in EW and navigation and mental health (depression and anxiety symptoms) and HIV outcomes (HIV treatment adherence, viral suppression). Acceptability was high for EW (86%) and navigation (99%). During the intervention, viral suppression increased significantly and anxiety and depression decreased significantly. Participation in EW sessions and greater navigation frequency and duration were associated with being suppressed, whereas higher emotional navigator support was associated with being unsuppressed. Participation in EW sessions was associated with reduced anxiety. Findings suggest that multicomponent interventions integrating individual counseling and navigation may promote EW and sustained viral suppression. Future intervention research is needed to confirm whether HIV and mental health outcomes are attributable to the intervention and to assess mechanisms of influence.</p>","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"758-769"},"PeriodicalIF":2.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9740145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}