Evidence map›Paper›PMID 30632775›Full record

ArticleAIDS care2018

"Stay strong! keep ya head up! move on! it gets better!!!!": resilience processes in the healthMpowerment online intervention of young black gay, bisexual and other men who have sex with men.

Megan C Barry, Megan Threats, Natalie A Blackburn, Sara LeGrand, Willa Dong, Deren V Pulley, Greg Sallabank, Gary W Harper, Lisa B Hightow-Weidman, Jose A Bauermeister and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in AIDS care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pre-Exposure Prophylaxis Interventions among Black Sexual Minority Men: A Systematic Literature Review.International journal of environmental research and public health · 2022
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  12. Resilience and Aging Among Black Gay and Bisexual Older Men.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Megan C Barrya Department of Maternal and Child Health, Gillings School of Global Public Health , The University of North Carolina at Chapel Hill , Chapel Hill , USA.
Megan Threatsb School of Information and Library Science , The University of North Carolina at Chapel Hill , Chapel Hill , USA.
Natalie A Blackburnc Department of Health Behavior, Gillings School of Global Public Health , The University of North Carolina at Chapel Hill , Chapel Hill , USA.
Sara LeGrandd Duke Global Health Institute , Duke University , Durham , USA.
Willa Dongc Department of Health Behavior, Gillings School of Global Public Health , The University of North Carolina at Chapel Hill , Chapel Hill , USA.
Deren V Pulleyc Department of Health Behavior, Gillings School of Global Public Health , The University of North Carolina at Chapel Hill , Chapel Hill , USA.
Greg Sallabanke Center for Sexuality and Health Disparities , University of Michigan , Ann Arbor , USA.
Gary W Harperf Department of Health Behavior and Health Education , University of Michigan , Ann Arbor , USA.
Lisa B Hightow-Weidmang Institute for Global Health and Infectious Diseases , The University of North Carolina at Chapel Hill , Chapel Hill , USA.
Jose A Bauermeisterh Department of Family and Community Health , University of Pennsylvania , Philadelphia , USA.
Kathryn E Muessigc Department of Health Behavior, Gillings School of Global Public Health , The University of North Carolina at Chapel Hill , Chapel Hill , USA.
University of North Carolina at Chapel Hill · USUniversity of Michigan–Ann Arbor · USDuke Institute for Health Innovation · USUniversity of Pennsylvania · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
Health Mpowerment.org: a novel Internet and mobile phone HIV intervention for youR01MH093275 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HIGHTOW-WEIDMAN, LISA B · 2011 to 2015
$2.3M
Addressing stigma among Black MSM in a mobile phone and internet HIV interventionR21MH105292 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BAUERMEISTER, JOSE ARTURO, MUESSIG, KATHRYN E · 2015 to 2016
$443k
NIAID NIH HHS P30 AI050410NIAID NIH HHS T32 AI007001NIMH NIH HHS R01 MH093275NIMH NIH HHS R21 MH105292
6 · The paper itself

Abstract

Overlapping stigmas related to sexual minority-, race/ethnicity-, and HIV-status pose barriers to HIV prevention and care and the creation of supportive social networks for young, Black, gay, bisexual, and other men who have sex with men (GBMSM). A risk-based approach to addressing the HIV epidemic focuses on what is lacking and reinforces negative stereotypes about already-marginalized populations. In contrast, a strengths-based approach builds on Black GBMSM's existing strengths, recognizing the remarkable ways in which they are overcoming barriers to HIV prevention and care. HealthMpowerment (HMP) is an online, mobile phone optimized intervention that aimed to reduce condomless anal intercourse and foster community among young Black GBMSM (age 18-30). Applying a resilience framework, we analyzed 322 conversations contributed by 48 HMP participants (22/48 living with HIV) on the intervention website. These conversations provided a unique opportunity to observe and analyze dynamic, interpersonal resilience processes shared in response to stigma, discrimination, and life challenges experienced by young Black GBMSM. We utilized an existing framework with four resilience processes and identified new subthemes that were displayed in these online interactions: (1) Exchanging social support occurred through sharing emotional and informational support. (2) Engaging in health-promoting cognitive processes appeared as reframing, self-acceptance, endorsing a positive outlook, and agency and taking responsibility for outcomes. (3) Enacting healthy behavioral practices clustered into modeling sex-positive norms, reducing the risk of acquiring or transmitting HIV, and living well with HIV. (4) Finally, empowering other gay and bisexual youth occurred through role modeling, promoting self-advocacy, and providing encouragement. Future online interventions could advance strengths-based approaches within HIV prevention and care by intentionally building on Black GBMSM's existing resilience processes. The accessibility and anonymity of online spaces may provide a particularly powerful intervention modality for amplifying resilience among young Black GBMSM.

Indexed as

AdolescentAdultAgedBlack or African AmericanHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesUnited StatesYoung AdultAfrican AmericanBlackempowermentmen who have sex with men (MSM)Resiliencestigma

Identifiers

PMID30632775
PMCPMC6430674
OpenAlexW2908880695

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.