Structural Interventions for HIV Prevention and Care Among US Men Who Have Sex with Men: A Systematic Review of Evidence, Gaps, and Future Priorities
| Autor: | Gregory Phillips, Dylan Felt, David J. McCuskey, Caleb W. Curry, Megan M. Ruprecht |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Male medicine.medical_specialty Social Psychology Social Stigma Human immunodeficiency virus (HIV) Psychological intervention HIV Infections medicine.disease_cause Structural interventions Men who have sex with men 03 medical and health sciences Sexual and Gender Minorities 0302 clinical medicine Intervention (counseling) medicine Humans 030212 general & internal medicine Homosexuality Male 030505 public health Public health Prevention Public Health Environmental and Occupational Health Substantive Review virus diseases HIV Gender Identity United States Health psychology Infectious Diseases Systematic review Sexual orientation Female 0305 other medical science Psychology |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | 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. Supplementary Information The online version contains supplementary material available at 10.1007/s10461-021-03167-2. |
| Databáze: | OpenAIRE |
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