Check It: A Community-Based Chlamydia Seek, Test, and Treat Program for Young Black Men Who Have Sex With Women in New Orleans, Louisiana
| Autor: | Alyssa M. Lederer, David H. Martin, Breon Wise, Megan Clare Craig-Kuhn, Patricia Kissinger, Norine Schmidt, Gérard Gomes, Glenis Scott |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Adolescent Referral Brand awareness Population Chlamydia trachomatis Dermatology Formative assessment Young Adult Humans Medicine education education.field_of_study business.industry Public Health Environmental and Occupational Health New Orleans Chlamydia Infections Louisiana Social marketing Health equity Sexual Partners Infectious Diseases Incentive Family medicine Female Program Design Language business |
| Zdroj: | Sexually Transmitted Diseases. 49:5-11 |
| ISSN: | 1537-4521 0148-5717 |
| DOI: | 10.1097/olq.0000000000001519 |
| Popis: | Check It is a novel, bundled, community-based seek, test, and treat Chlamydia trachomatis (Ct) screening program for 15- to 24-year-old Black men in New Orleans who have sex with women. The program design addressed barriers and facilitators to Ct screening/treatment by enlisting trusted community partners, incorporating participant input, providing free index/partner expedited treatment, developing relatable marketing materials and an educational Web site, encouraging peer referral, and providing a modest monetary incentive.Areas of high poverty were identified using census data; ethnographic/key informant interviews identified sites in those areas where the target population congregated. Black youth informed Web site design and social marketing. Content was inspirational/educational/amusing and endorsed recruitment and brand awareness. A community advisory board, participant interviews, community partner feedback, and recruitment staff involvement in the process evaluation helped refine the program in an ongoing manner.During formative stages, 41 key informant/community advisory board members informed program refinement. Community partners provided venue locations (n = 65) and participant referrals. Between May 22, 2017, and February 28, 2020, 1890 men were enrolled (acceptance rate, 96.0%) with Ct infection rate of 10.2%. Overall study treatment was provided to 86.1% (71.4%-90.9%) of participants who tested positive and 28.5% (14.5%-41.5%) of their partners. Findings from in-depth interviews with participants (n = 43) led to increased treatment uptake.C. trachomatis community screening of young Black men was successful through collaboration with trusted community partners, by tailoring implements/marketing with participant input, reducing barriers to treatment, and providing modest monetary incentives. The Check It program can serve as a roadmap for reducing health disparities in this population. |
| Databáze: | OpenAIRE |
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