Carlos S Saldana, Raul Perez, Lily Bonadonna, Jane Y Scott, Karina I Gonzalez, Jessica M Sales, Shirin Jabbarzadeh, Joshua O'Neal, David P Holland, Eric Rangel, Brad Cooper, Phyllis Mwaura, Alana Sulka, Dorian Freeman, Karie Reed, Pete Clark, Yazmin Silva, Sebastian Gonzalez, Mario Zuluaga, Carmen Gonzalez, Jane J Lee, Holley Wilkin, Valeria D Cantos
{"title":"亚特兰大拉丁裔同性恋和双性恋男性的文化响应性外展和同伴导航改善艾滋病预防和护理。","authors":"Carlos S Saldana, Raul Perez, Lily Bonadonna, Jane Y Scott, Karina I Gonzalez, Jessica M Sales, Shirin Jabbarzadeh, Joshua O'Neal, David P Holland, Eric Rangel, Brad Cooper, Phyllis Mwaura, Alana Sulka, Dorian Freeman, Karie Reed, Pete Clark, Yazmin Silva, Sebastian Gonzalez, Mario Zuluaga, Carmen Gonzalez, Jane J Lee, Holley Wilkin, Valeria D Cantos","doi":"10.1007/s10508-025-03231-1","DOIUrl":null,"url":null,"abstract":"<p><p>To evaluate the implementation outcomes of a culturally responsive social media outreach campaign and peer navigation program to improve access to HIV status-neutral sexual health services-which encompass both HIV prevention and care, regardless of HIV status-for Latino gay and bisexual men (LGBM) in metropolitan Atlanta. We designed and implemented a social media outreach campaign linked to a peer navigation program. The study included four stages: peer navigator recruitment/training, social media campaign development, program implementation, and exit interviews. Data from social media engagement, intake forms, follow-ups, and exit interviews evaluated reach, effectiveness, acceptability, usability, and patient-centeredness. A total of 70 participants, primarily young, foreign-born, Spanish-speaking, uninsured, and undocumented, enrolled in the study over 6 months. The program facilitated same-day service referrals, providing access to HIV/STI testing, PrEP, and care. Participants reported high acceptability, usability, and patient-centeredness. Factors impacting acceptability included ease of use, practical assistance, effective communication, and empathetic approach of the navigator. A community-informed social media outreach campaign connected with a culturally responsive peer navigation program was very well received by LGBM participants in the Atlanta area and led to successful linkage the HIV status-neutral services. Given the ongoing disparities in HIV prevention and care in this group, further intervention scale-up in the setting of a clinical trial is warranted, to assess its effectiveness in increasing uptake of PrEP and HIV treatment services in this population.</p>","PeriodicalId":8327,"journal":{"name":"Archives of Sexual Behavior","volume":" ","pages":""},"PeriodicalIF":2.9000,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Culturally Responsive Outreach and Peer Navigation to Improve HIV Prevention and Care for Latino Gay and Bisexual Men in Atlanta.\",\"authors\":\"Carlos S Saldana, Raul Perez, Lily Bonadonna, Jane Y Scott, Karina I Gonzalez, Jessica M Sales, Shirin Jabbarzadeh, Joshua O'Neal, David P Holland, Eric Rangel, Brad Cooper, Phyllis Mwaura, Alana Sulka, Dorian Freeman, Karie Reed, Pete Clark, Yazmin Silva, Sebastian Gonzalez, Mario Zuluaga, Carmen Gonzalez, Jane J Lee, Holley Wilkin, Valeria D Cantos\",\"doi\":\"10.1007/s10508-025-03231-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>To evaluate the implementation outcomes of a culturally responsive social media outreach campaign and peer navigation program to improve access to HIV status-neutral sexual health services-which encompass both HIV prevention and care, regardless of HIV status-for Latino gay and bisexual men (LGBM) in metropolitan Atlanta. We designed and implemented a social media outreach campaign linked to a peer navigation program. The study included four stages: peer navigator recruitment/training, social media campaign development, program implementation, and exit interviews. Data from social media engagement, intake forms, follow-ups, and exit interviews evaluated reach, effectiveness, acceptability, usability, and patient-centeredness. A total of 70 participants, primarily young, foreign-born, Spanish-speaking, uninsured, and undocumented, enrolled in the study over 6 months. The program facilitated same-day service referrals, providing access to HIV/STI testing, PrEP, and care. Participants reported high acceptability, usability, and patient-centeredness. Factors impacting acceptability included ease of use, practical assistance, effective communication, and empathetic approach of the navigator. A community-informed social media outreach campaign connected with a culturally responsive peer navigation program was very well received by LGBM participants in the Atlanta area and led to successful linkage the HIV status-neutral services. Given the ongoing disparities in HIV prevention and care in this group, further intervention scale-up in the setting of a clinical trial is warranted, to assess its effectiveness in increasing uptake of PrEP and HIV treatment services in this population.</p>\",\"PeriodicalId\":8327,\"journal\":{\"name\":\"Archives of Sexual Behavior\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2025-10-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Sexual Behavior\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1007/s10508-025-03231-1\",\"RegionNum\":2,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Sexual Behavior","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1007/s10508-025-03231-1","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Culturally Responsive Outreach and Peer Navigation to Improve HIV Prevention and Care for Latino Gay and Bisexual Men in Atlanta.
To evaluate the implementation outcomes of a culturally responsive social media outreach campaign and peer navigation program to improve access to HIV status-neutral sexual health services-which encompass both HIV prevention and care, regardless of HIV status-for Latino gay and bisexual men (LGBM) in metropolitan Atlanta. We designed and implemented a social media outreach campaign linked to a peer navigation program. The study included four stages: peer navigator recruitment/training, social media campaign development, program implementation, and exit interviews. Data from social media engagement, intake forms, follow-ups, and exit interviews evaluated reach, effectiveness, acceptability, usability, and patient-centeredness. A total of 70 participants, primarily young, foreign-born, Spanish-speaking, uninsured, and undocumented, enrolled in the study over 6 months. The program facilitated same-day service referrals, providing access to HIV/STI testing, PrEP, and care. Participants reported high acceptability, usability, and patient-centeredness. Factors impacting acceptability included ease of use, practical assistance, effective communication, and empathetic approach of the navigator. A community-informed social media outreach campaign connected with a culturally responsive peer navigation program was very well received by LGBM participants in the Atlanta area and led to successful linkage the HIV status-neutral services. Given the ongoing disparities in HIV prevention and care in this group, further intervention scale-up in the setting of a clinical trial is warranted, to assess its effectiveness in increasing uptake of PrEP and HIV treatment services in this population.
期刊介绍:
The official publication of the International Academy of Sex Research, the journal is dedicated to the dissemination of information in the field of sexual science, broadly defined. Contributions consist of empirical research (both quantitative and qualitative), theoretical reviews and essays, clinical case reports, letters to the editor, and book reviews.