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Using the Meaningful Involvement of People Living with HIV/AIDS (MIPA) Framework to Assess the Engagement of Sexual Minority Men of Color in the US HIV Response: a Literature Review

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Abstract

Black and Latino sexual minority men (SMM) continue to be disproportionately impacted by HIV. We utilized eight components of the Meaningful Involvement of People Living with HIV/AIDS (MIPA) framework to assess the engagement of Black and Latino SMM. Thirty-six (36) studies were included in the literature review. Forty-two percent of studies were Black SMM-specific, followed by Latino SMM-specific (31%) studies. Twenty-eight percent of studies were conducted among both groups. Most studies (72%) were intervention-related and focused on HIV prevention. The top five most common methods of community engagement were focus groups (39%), followed by interviews (36%), community-based participatory research (14%), the utilization of community advisory boards or peer mentorship (11%), and the establishment of multi-stakeholder coalitions, observations, or surveys (8%). We documented at least 7 MIPA components in 47% of the included studies. Community-based participatory research was more commonly utilized to engage Latino SMM. Researchers were more likely to initiate the engagement across all included studies. Few studies documented how Black and Latino SMM perceived the engagement. Engagement responsiveness was a well-documented MIPA component. In terms of engagement power dynamics, there were several examples of power imbalances, especially among Black SMM-specific studies. The inclusion of Black and Latino SMM had robust impacts on HIV research and interventions. There were limited examples of engagement capacity and maintenance. This is one of the first studies focused on utilizing MIPA to document the engagement of SMM of color. MIPA served as a useful framework for understanding the engagement of SMM of color in the US HIV response. The engagement of SMM of color is critical to reducing health inequities.

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Funding

R. Brewer’s time was supported by a grant from NIDA P30DA027828-08S1 and NIMH R21MH121187. T.V. Dyer’s time was supported by the University of Maryland Prevention Research Center cooperative agreement #U48 DP006382 from the Centers for Disease Control and Prevention (CDC), Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM (R01DA- 044037), and Project DISRUPT (R01DA-028766).

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Authors and Affiliations

  1. The Institute for Family Health, New York, NY, USA

    Jordan Lee Coleman

  2. Ann & Robert H. Lurie Children’s Hospital, Chicago, IL, USA

    Mickaya Jones

  3. Indiana University, Bloomington, IN, USA

    Dejuan Washington

  4. Department of Medicine, University of Chicago, 5837 S. Maryland Avenue, MC 5065, Chicago, IL, 60637, USA

    Ellen Almirol, John A. Schneider & Russell Brewer

  5. Population Health Innovation Lab, Oakland, CA, USA

    Peter Forberg

  6. Department of Epidemiology and Biostatistics, University of Maryland, College Park, MD, USA

    Typhanye V. Dyer

  7. MPact Global, Oakland, CA, USA

    Andrew Spieldenner

  8. California State University-San Marcos, San Marcos, CA, USA

    Andrew Spieldenner

  9. College of Medicine, University of Central Florida, Orlando, FL, USA

    Omar Martinez

  10. Department of Prevention and Community Health, George Washington University – Milken Institute School of Public Health, Washington, DC, USA

    Carlos E. Rodriguez-Diaz

  11. North Carolina Agricultural and Technical State University, Greensboro, NC, USA

    Sharon D. Parker

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Contributions

Coleman JL, Dyer TV, Spieldenner A, Martinez O, Rodriguez-Diaz CE, Parker SD, Schneider JA, and Brewer R developed the manuscript concept. Jones M wrote the “Introduction” section. Brewer R, Coleman JL, Washington D, Forberg P, and Almirol E completed the data analysis and “Results” section. Brewer R compiled the final manuscript. All authors reviewed and significantly revised the manuscript.

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Correspondence to Russell Brewer.

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Coleman, J.L., Jones, M., Washington, D. et al. Using the Meaningful Involvement of People Living with HIV/AIDS (MIPA) Framework to Assess the Engagement of Sexual Minority Men of Color in the US HIV Response: a Literature Review. J. Racial and Ethnic Health Disparities 10, 2374–2396 (2023). https://doi.org/10.1007/s40615-022-01417-0

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