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2. Engaging Latino sexual minority men in PrEP and behavioral health care: multilevel barriers, facilitators, and potential implementation strategies

Author

Harkness, Audrey, Lozano, Alyssa, Bainter, Sierra, Mayo, Daniel, Hernandez Altamirano, Daniel, Rogers, Brooke G., and Prado, Guillermo

Subjects
Health care disparities -- Demographic aspects, Behavioral health care -- Demographic aspects, Hispanic American men -- Health aspects -- Sexual behavior, HIV infection -- Risk factors -- Demographic aspects -- Prevention, Psychology and mental health
Abstract

Latino sexual minority men (LSMM) are affected by HIV and behavioral health disparities. Evidence-based HIV-prevention and behavioral health (BH) services are not sufficiently scaled up to LSMM. The current study identified multilevel barriers and facilitators to LSMM's use of HIV-prevention and BH services. LSMM (N = 290) in South Florida, a US HIV epicenter, completed a battery of measures potentially associated with pre-exposure prophylaxis (PrEP) and BH treatment use. Stochastic search variable selection (SSVS) followed by multiple linear regression analyses identified variables associated with engagement in PrEP and BH treatment. Multilevel determinants of PrEP and BH treatment engagement were identified, with most identified determinants being at the relational level (e.g., stigma, discrimination based on income and immigration status, personal recommendation for treatment). Individual (e.g., knowledge, self-efficacy) and structural (e.g., financial stress) determinants were also identified. Accordingly, modifiable leverage points to enhance the reach of PrEP and BH treatment to LSMM include educating and enhancing the perceived relevance of services, de-stigmatizing and normalizing via peer examples, bolstering self-efficacy, and building trust., Author(s): Audrey Harkness [sup.1] , Alyssa Lozano [sup.2] , Sierra Bainter [sup.3] , Daniel Mayo [sup.3] , Daniel Hernandez Altamirano [sup.1] , Brooke G. Rogers [sup.4] , Guillermo Prado [sup.1] [...]

Published
2023
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5. Longitudinal findings of a U.S. preventive evidence-based family intervention tested among youth in Ecuador: Familias Unidas

Author

Estrada, Yannine, primary, Lozano, Alyssa, additional, Terán, Ana M. Quevedo, additional, Eckembrecher, Daphne G., additional, Rojas, Lourdes M., additional, Tamayo, Cecilia Condo, additional, Lee, Tae Kyoung, additional, Velázquez, María Rosa, additional, Tapia, María I., additional, Martin, Julio, additional, and Prado, Guillermo, additional

Published
2023
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7. eHealth Familias Unidas Mental Health: Protocol for an effectiveness-implementation hybrid Type 1 trial to scale a mental health preventive intervention for Hispanic youth in primary care settings

Author

Estrada, Yannine, primary, Lozano, Alyssa, additional, Boga, Devina, additional, Tapia, Maria I., additional, Perrino, Tatiana, additional, Velazquez, Maria Rosa, additional, Forster, Lourdes, additional, Torres, Nicole, additional, Morales, Cecilia V., additional, Gwynn, Lisa, additional, Beardslee, William R., additional, Brown, C. Hendricks, additional, and Prado, Guillermo, additional

Published
2023
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9. sj-docx-1-irp-10.1177_26334895221096293 - Supplemental material for Refining an implementation strategy to enhance the reach of HIV-prevention and behavioral health treatments to Latino men who have sex with men

Author

Harkness, Audrey, Weinstein, Elliott R., Lozano, Alyssa, Mayo, Daniel, Doblecki-Lewis, Susanne, Rodríguez-Díaz, Carlos E., Hendricks Brown, C., Prado, Guillermo, and Safren, Steven A.

Subjects
FOS: Psychology, 170199 Psychology not elsewhere classified
Abstract

Supplemental material, sj-docx-1-irp-10.1177_26334895221096293 for Refining an implementation strategy to enhance the reach of HIV-prevention and behavioral health treatments to Latino men who have sex with men by Audrey Harkness, Elliott R. Weinstein, Alyssa Lozano, Daniel Mayo, Susanne Doblecki-Lewis, Carlos E. Rodríguez-Díaz, C. Hendricks Brown, Guillermo Prado and Steven A. Safren in Implementation Research and Practice

Published
2022
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