Geospatial perspectives on health: The PrEP4Love campaign and the role of local context in health promotion messaging
| Autor: | Dylan Felt, Brian Mustanski, David J. McCuskey, Julia Shenkman, Peter Lindeman, Gregory Phillips, Christina Hayford, Anand B. Raman, Jim Pickett |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Health (social science) Geospatial analysis Anti-HIV Agents Context (language use) HIV Infections Health Promotion computer.software_genre Article Men who have sex with men 03 medical and health sciences Sexual and Gender Minorities 0302 clinical medicine History and Philosophy of Science Political science medicine Humans 030212 general & internal medicine Cities Homosexuality Male Location Hiv transmission Chicago business.industry 030503 health policy & services Public health Public relations Health promotion Cohort Female 0305 other medical science business computer |
| Zdroj: | Soc Sci Med |
| ISSN: | 1873-5347 |
| Popis: | Pre-exposure prophylaxis (PrEP) remains one of the most effective biomedical interventions for the prevention of HIV transmission. However, uptake among populations most impacted by the HIV epidemic remains low. La rge-scale awareness and mobilization campaigns have sought to address gaps in knowledge and motivation in order to improve PrEP diffusion. Such campaigns must be cognizant of the historical, physical, and structural contexts in which they exist. In urban contexts, neighborhood segregation has the potential to impact health outcomes and amplify disparities. Therefore, we present novel geospatial approaches to the evaluation of a Chicago-based PrEP messaging campaign (PrEP4Love) in a 2018 cohort of men who have sex with men and transgender women, contextualizing results within the localized infrastructure and public health landscape, and examining associations between geographic location and campaign efficacy. Results revealed notable variance in rates of PrEP uptake associated with campaign exposure by Chicago planning area, which are likely explained by the historical and contemporary impacts of racist structures on physical environment and city infrastructure. Findings have important implications for the evaluation and implementation of future messaging campaigns, which should take the unique historical, structural, and geospatial factors of their particular settings into account in order to achieve maximum impact. |
| Databáze: | OpenAIRE |
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