Culturally Responsive Outreach and Peer Navigation to Improve HIV Prevention and Care for Latino Gay and Bisexual Men in Atlanta

为亚特兰大拉丁裔男同性恋和双性恋男性提供文化响应式外展和同伴指导,以改善艾滋病毒预防和护理

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Abstract

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.

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