Evidence map›Paper›PMID 41773656›Full record

ArticleJMIR research protocols2026

A Novel Social Network Approach to Measure Intersectional Stigma Among Latino Men Who Have Sex With Men in San Diego, California (NEXUS): Protocol for a Longitudinal Cohort Study.

Laramie R Smith, Angel B Algarin, Eileen V Pitpitan, Heather A Pines, Nicole K Kelly, Carl Latkin, Aaron Gutierrez, Maryam Hussain, Francisco Soto, Ricardo Vazquez and 15 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

25 authors.

Laramie R SmithDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0000-0002-5371-3229
Angel B AlgarinCenter for Health Promotion and Disease Prevention, Arizona State University, Tempe, AZ, United States.ORCID 0000-0003-3518-8245
Eileen V PitpitanSchool of Social Work, San Diego State University, San Diego, CA, United States.ORCID 0009-0009-4779-768X
Heather A PinesHerbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA, United States.ORCID 0000-0002-7173-1981
Nicole K KellyDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0000-0003-1061-2767
Carl LatkinBloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.ORCID 0000-0002-7931-2116
Aaron GutierrezDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0009-0004-7907-6282
Maryam HussainDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0000-0002-7451-8609
Francisco SotoDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0009-0003-3592-9899
Ricardo VazquezSan Ysidro Health, San Diego, CA, United States.ORCID 0009-0005-4345-2124
Stevie JuarezThe San Diego LGBT Community Center, San Diego, CA, United States.ORCID 0009-0000-3882-7423
Albert GenegalingDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0009-0007-1911-1367
Rosalinda RodriguezDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0009-0004-2717-1640
Anthony CiriloRollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0001-9759-9272
Juan EsparzaThe San Diego LGBT Community Center, San Diego, CA, United States.ORCID 0009-0001-0421-4706
Saul CruzDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0009-0002-1020-8406
Erick JimenezThe San Diego LGBT Community Center, San Diego, CA, United States.ORCID 0009-0002-9394-124X
Ulises ReyesDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0009-0004-6608-1701
Veronica MooreSan Ysidro Health, San Diego, CA, United States.ORCID 0009-0006-7765-176X
Malek GuerbaouiThe San Diego LGBT Community Center, San Diego, CA, United States.ORCID 0009-0008-0830-5702
Beth DavenportThe San Diego LGBT Community Center, San Diego, CA, United States.ORCID 0000-0003-2785-3647
Jeannette AldousSan Ysidro Health, San Diego, CA, United States.ORCID 0009-0001-9291-2917
Katherine PennigaSan Ysidro Health, San Diego, CA, United States.ORCID 0009-0007-7182-3572
Kenyatta ParkerThe San Diego LGBT Community Center, San Diego, CA, United States.ORCID 0009-0001-4060-121X
Britt SkaathunDepartment of Medicine, University of California, 9500 Gilman Drive, #0507, San Diego, CA, 92093-0507, United States, 1 858 822 1462, 1 858 534 6084.ORCID 0000-0001-8780-3612

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
HOPE Training GrantT32AI007384 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sara Gianella Weibel, Scott L Letendre · 1990 to 2026
$9.7M
Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
Addressing negative social experiences through coping and resilience to reduce methamphetamine use and improve PrEP cascade progression among Latino MSMK01DA055521 · NIDA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI Angel B Algarin · 2022 to 2026
$943k
NIAID NIH HHS P30 AI036214NIAID NIH HHS T32 AI007384NIDA NIH HHS K01 DA055521NIDA NIH HHS T32 DA023356
6 · The paper itself

Abstract

Background: Latino men who have sex with men (LMSM) account for a disproportionate and growing number of HIV diagnoses in the United States. Intersectional stigma remains a key driver of HIV inequities; however, most quantitative intersectional stigma measures are limited and do not consider the larger social context. Objective: NEXUS is a longitudinal cohort study that will use social network methods and theory to rigorously measure intersectional stigma among LMSM and quantify the longitudinal association between intersectional stigma and HIV prevention outcomes. Methods: We will prospectively enroll 500 HIV-negative LMSM in San Diego, California, and follow participants over 1 year. At baseline and every 6 months thereafter (Month 0, Month 6, and Month 12), participants will complete an interviewer-administered social network inventory and a self-administered survey to collect information on their social networks (alter types, size, and characteristics) and HIV prevention engagement (HIV testing and pre-exposure prophylaxis use), respectively. Information on HIV prevention engagement will also be abstracted from medical records. Intersectional stigma will be operationalized as a multilevel latent variable comprised of observed measures of anticipated and enacted stigma experienced by a participant from an alter toward the participant's Latino, masculine, and sexual identities. Multilevel structural equation modeling will be used to estimate the longitudinal association between intersectional stigma, HIV testing, and pre-exposure prophylaxis use, considering potential mediators and moderators. Results: NEXUS recruitment began in June 2021, and as of March 11, 2025, a total of 482 participants had been enrolled. Enrollment is planned to end by May 2025, with baseline results expected late 2025 and through the following year. Data collection for our prospective study aims is expected to be complete in June 2026, with data analysis and expected results published later that year. Conclusions: NEXUS will advance quantitative intersectional stigma measurement using a novel social network approach. This study will identify intervention targets to reduce HIV inequities among LMSM and mitigate the harms of intersectional stigma in this population.

Indexed as

Hispanic or LatinoHIV InfectionsHomosexuality, MaleSocial NetworkingSocial StigmaAdultCaliforniaCohort StudiesHumansLongitudinal StudiesMaleProspective StudiesSurveys and QuestionnairesHIV preventionHIV stigmaHIV testingintersectional stigmalatino MSMmen who have sex with menpre-exposure prophylaxisPrEP usesocial networks

Identifiers

PMID41773656
PMCPMC12954697

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