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Status-Neutral Interventions to Support Health Equity for Black Sexual Minority Men

  • Behavioral-Bio-Medical Interface (RJ DiClemente and JL Brown, Section Editors)
  • Published:
Current HIV/AIDS Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Status-neutral care, a person-centered approach to healthcare not predicated on HIV serostatus, may improve health equity among Black sexual minority men (BSMM). We reviewed current status-neutral, HIV, and Pre-Exposure Prophylaxis (PrEP) interventions, and coded each for social-ecological focus and use of six approaches: (1) person-centered, (2) anti-stigma, (3) social support, (4) the social determinants of health (SDOH), (5) community engagement, and (6) multi-sectoral partnerships.

Recent Findings

We reviewed 25 studies, of which 3 were status-neutral. Nineteen studies utilized person-centered approaches, with several employing BSMM peers. For SDOH, financial incentives and reducing clinic-level barriers to care improved cascade outcomes. Direct text messaging, anti-stigma, social support, community-engagement, and multi-sectoral partnerships also improved outcomes in some studies.

Summary

Few status-neutral programs exist and additional research is needed to identify key intervention components and mechanisms of influence. Programs targeting SDOH and multiple social-ecological levels offer promise for providing holistic care to BSMM, while addressing HIV prevention and treatment and health equity.

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Authors and Affiliations

  1. Chicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, Chicago, USA

    Jade Pagkas-Bather, Russell Brewer & Alida Bouris

  2. Department of Medicine, University of Chicago, Chicago, IL, USA

    Jade Pagkas-Bather & Russell Brewer

  3. Crown Family School of Social Work, Policy and Practice, University of Chicago, Chicago, IL, USA

    Alida Bouris

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All the authors developed the initial concept and co-wrote the article. All the authors have read and approved the final manuscript.

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Correspondence to Alida Bouris.

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Conflict of Interest

Dr. Pagkas-Bather currently serves as a Principal Investigator (PI) on a project funded by Gilead. Dr. Brewer currently serves as Project Director/PI on several ViiV Healthcare-funded initiatives under AMP and Positive Action Community Grants. He is also an evaluation consultant for ViiV Healthcare’s domestic HIV programs. No other conflicts of interest to report. Dr. Bouris declares that she has no conflict of interest.

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Pagkas-Bather, J., Brewer, R. & Bouris, A. Status-Neutral Interventions to Support Health Equity for Black Sexual Minority Men. Curr HIV/AIDS Rep 19, 265–280 (2022). https://doi.org/10.1007/s11904-022-00610-4

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