A peer navigation intervention to prevent HIV among mixed immigrant status Latinx GBMSM and transgender women in the United States: outcomes, perspectives and implications for PrEP uptake

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Amanda Elizabeth Tanner, Associate Professor (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: The Latinx population in the United States is disproportionately affected by HIV. Our community-based participatory research partnership developed, implemented and evaluated a Spanish-language peer navigation intervention designed to increase HIV testing and condom use among social networks of immigrant Spanish-speaking Latinx gay, bisexual and other men who have sex with men (GBMSM) and transgender women (TW). We randomized 21 social networks of Latinx GBMSM and TW, ages 18–55?years, to the intervention, known as HOLA, or a waitlist control group. Social network participants (n?=?166) completed structured assessments at baseline and 12-month follow-up (24?months after baseline). Follow-up retention was 95%. Individual in-depth interviews with a sample of participants documented their intervention-related experiences, needs, and priorities to inform future research. At follow-up, HOLA participants reported increased HIV testing (adjusted odds ratio?=?8.3; 95% CI?=?3.0–23.0; P < 0.0001). All study participants reported increased condom use; there was no significant difference between HOLA and waitlist control participants. In-depth interviews identified critical intervention elements and impacts and community needs and priorities. The HOLA intervention is effective for increasing HIV testing among Latinx GBMSM and TW, an initial step within the HIV prevention and care continua, and may be adaptable to promote pre-exposure prophylaxis uptake.

Additional Information

Health Education Research, Volume 35, Issue 3, June 2020, Pages 165–178
Language: English
Date: 2020
hiv, bisexuality, follow-up, homosexuality, waiting lists, hiv testing, immigrants, community, hiv prevention, social networks, men who have sex with men, partnerships, spanish, transgender persons, pre-exposure prophylaxis, community-based participatory research

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