Evidence map›Paper›PMID 36472703›Full record

ArticleJournal of behavioral medicine2023

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

Audrey Harkness, Alyssa Lozano, Sierra Bainter, Daniel Mayo, Daniel Hernandez Altamirano, Brooke G Rogers, Guillermo Prado, Steven A Safren

Abstract read
In one paragraph

Article in Journal of behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Validation of the PrEP Use Self-Efficacy (PrEP-Use) Scale Among Sexual Minority Men.AIDS education and prevention : official publication of the International Society for AIDS Education · 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

8 authors.

Audrey HarknessSchool of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA. aharkness@miami.edu.ORCID http://orcid.org/0000-0003-2290-9904
Alyssa LozanoDepartment of Public Health Sciences, University of Miami, Miami, FL, USA.
Sierra BainterDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Daniel MayoDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Daniel Hernandez AltamiranoSchool of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.
Brooke G RogersDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Guillermo PradoSchool of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.
Steven A SafrenDepartment of Psychology, University of Miami, Coral Gables, FL, USA.

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH, DEBBIE M. CHENG · 1998 to 2026
$51.7M
University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Savita Pahwa · 2007 to 2026
$33.8M
SET-Enhanced Aftercare for Mothers in Substance Abuse Recovery and Their ChildreP60MD002266 · NIMHD · UNIVERSITY OF MIAMI CORAL GABLES · PI PERAGALLO MONTANO, NILDA P · 2007 to 2016
$13.6M
The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)Research Core & MHD-CEP30MH133399 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI Victoria Behar-Zusman · 2023 to 2026
$8.9M
Hispanic Men Building Respect Education and Safety/ Hombres Manteniendo Respeto, Educacion y Seguridad (HOMBRES DE FAMILIA)U54MD002266 · NIMHD · UNIVERSITY OF MIAMI CORAL GABLES · PI BEHAR-ZUSMAN, VICTORIA, DE LA ROSA, MARIO R · 2017 to 2022
$8.3M
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)P30MH116867 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2019 to 2023
$6.5M
Developing and Pilot Testing Peer Ambassador Stories for Increasing HIV-Prevention and Behavioral Health Treatment Uptake among Latino MSMK23MD015690 · NIMHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI HARKNESS, AUDREY · 2020 to 2025
$1.1M
Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
Bayesian Variable Selection Methods to Accelerate Identification of Important Psychological Predictors and Neural Substrates of PsychopathologyK01MH122805 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI BAINTER, SIERRA · 2020 to 2024
$659k
NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI073961NIDA NIH HHS K24 DA040489NIDA NIH HHS K24DA040489NIMHD NIH HHS K23 MD015690NIMHD NIH HHS K23MD015690NIMHD NIH HHS U54 MD002266NIMHD NIH HHS U54MD002266NIMH NIH HHS K01 MH122805NIMH NIH HHS P30 MH116867NIMH NIH HHS P30MH116867NIMH NIH HHS P30 MH133399
6 · The paper itself

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.

Indexed as

Acquired Immunodeficiency SyndromeAnti-HIV AgentsHIV InfectionsDelivery of Health CareHispanic or LatinoHomosexuality, MaleHumansMaleAnti-HIV AgentsBehavioral healthHealth disparitiesImplementationLatinoPrEPSexual minority men

Identifiers

PMID36472703
PMCPMC10442148

What OpenQuestion holds

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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.