Structural Interventions for HIV Prevention and Care Among US Men Who Have Sex with Men: A Systematic Review of Evidence, Gaps, and Future Priorities
The preponderance of HIV interventions have been behavioral, targeting individual, dyadic, or group dynamics. However, structural-level interventions are required to decrease HIV transmission and increase engagement in care, especially for men who have sex with men (MSM), particularly Black and Lati...
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| Veröffentlicht in: | AIDS and behavior 2021-09, Vol.25 (9), p.2907-2919 |
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| creator | Phillips, Gregory McCuskey, David Ruprecht, Megan M. Curry, Caleb W. Felt, Dylan |
| description | The preponderance of HIV interventions have been behavioral, targeting individual, dyadic, or group dynamics. However, structural-level interventions are required to decrease HIV transmission and increase engagement in care, especially for men who have sex with men (MSM), particularly Black and Latinx MSM. A systematic literature review was conducted to assess the current state of structural interventions; only two studies detailing structural interventions related to HIV for Black and Latinx MSM in the US were identified. An additional 91 studies which discussed structural-level barriers to optimal HIV outcomes among MSM, yet which did not directly evaluate a structural intervention, were also identified. While this paucity of findings was discouraging, it was not unexpected. Results of the systematic review were used to inform guidelines for the implementation and evaluation of structural interventions to address HIV among MSM in the U.S. These include deploying specific interventions for multiply marginalized individuals, prioritizing the deconstruction of structural stigma, and expanding the capacity of researchers to evaluate “natural” policy-level structural interventions through a standardization of methods for rapid evaluative response, and through universal application of sex, sexual orientation, and gender identity demographic measures. |
| doi_str_mv | 10.1007/s10461-021-03167-2 |
| format | Article |
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| subjects | Biomedical Social Sciences Black people Disease prevention Disease transmission Evaluation Female Gays & lesbians Gender Gender aspects Gender Identity Group dynamics Health behavior Health education Health Psychology Hispanic people HIV HIV Infections - epidemiology HIV Infections - prevention & control Homosexuality, Male Human immunodeficiency virus Humans Infectious Diseases Intervention Life Sciences & Biomedicine Literature reviews Male Marginality Medicine Medicine & Public Health Men Men who have sex with men Mens health Minority & ethnic groups Prevention Public Health Public, Environmental & Occupational Health Science & Technology Sexual and Gender Minorities Sexual behavior Sexual orientation Sexuality Sexually transmitted diseases Social Sciences Social Sciences, Biomedical Social Stigma Standardization STD Substantive Review Systematic review |
| title | Structural Interventions for HIV Prevention and Care Among US Men Who Have Sex with Men: A Systematic Review of Evidence, Gaps, and Future Priorities |
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