Sexual behavior stigma and HIV/STI biospecimen self-collection among cisgender gay, bisexual, and other sexually minoritized men in the United States.
Biospecimen self-collection
HIV/STIs
Men who have sex with men
Sexual behavior stigma
Sexual health disparities
Journal
BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551
Informations de publication
Date de publication:
27 Sep 2024
27 Sep 2024
Historique:
received:
02
06
2024
accepted:
22
08
2024
medline:
28
9
2024
pubmed:
28
9
2024
entrez:
28
9
2024
Statut:
epublish
Résumé
Disparities in HIV and other sexually transmitted infections (STIs) persist among cisgender sexually minoritized men in the United States, driven in part by sexual behavior stigma, which is a barrier to clinic-based HIV/STI testing. HIV/STI biospecimen self-collection (HSBS) is a novel testing approach that mitigates stigma by allowing for some testing-related procedures to be conducted by oneself in one's home or any private location rather than a facility that requires interpersonal interactions and exposure to other members of the public. HSBS has demonstrated acceptability, feasibility, and effectiveness in testing uptake, but the extent to which stigma persists in HSBS and the quantification of stigma's role in HSBS is limited. From 2019-2020, a nationwide sample of sexually minoritized men completed an online biobehavioral survey. Those who agreed to be recontacted (N = 4147) were invited to participate in HSBS; consented participants received self-collection kits that were laboratory-tested if completed. Sexual behavior stigma and HSBS associations were assessed with logistic regression. Mean age of participants was 35 years, 58% (2421/4147) were non-Hispanic white, 82% (3391/4147) were gay-identifying, 47% (1967/4147) had at least a college degree, and 56% (2342/4147) earned ≥ $40,000 annually; 27% (1112/4147) expressed HSBS interest, and 67% (689/1034) completed HSBS. HSBS interest and completion were less common among non-Hispanic Black sexually minoritized men and sexually minoritized men of lower socioeconomic status. Stigma from family and friends was significantly, negatively associated with HSBS interest (aOR = 0.72, 95% CI = 0.56, 0.93). Among those who had not tested for HIV/STIs in the past year, anticipated healthcare stigma was marginally, negatively associated with HSBS completion (aOR = 0.40, 95% CI = 0.15, 1.07). Among those who had never previously tested for HIV/STIs, anticipated healthcare stigma was significantly, negatively associated with HSBS interest (aOR = 0.32, 95% CI = 0.14, 0.72). Sexual behavior stigma persists as an HIV/STI testing barrier, even in the case of HSBS, limiting its utilization. Increasing HSBS among sexually minoritized men in the US necessitates stigma mitigation efforts that directly address equity in implementation.
Identifiants
pubmed: 39333935
doi: 10.1186/s12879-024-09801-3
pii: 10.1186/s12879-024-09801-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1035Subventions
Organisme : NIDA NIH HHS
ID : T32DA023356
Pays : United States
Organisme : NIH HHS
ID : R01MH110358
Pays : United States
Organisme : NIH HHS
ID : R01MH110358
Pays : United States
Organisme : NIH HHS
ID : R01MH110358
Pays : United States
Informations de copyright
© 2024. The Author(s).
Références
Centers for Disease Control and Prevention. HIV Surveillance report: diagnoses of HIV infection in the United States and dependent areas, 2021. Atlanta: US Department of Health and Human Services; 2023. Accessed 15 May 2024.
Centers for Disease Control and Prevention. Sexually transmitted infections Surveillance, 2022. Atlanta: US Department of Heath and Human Services; 2024. Accessed 15 May 2024.
Stenger MR, Pathela P, Schumacher C, Burghardt N, Amiya R, Madera R, et al. Trends in HIV prevalence by self-report among MSM diagnosed and reported with gonorrhea in six United States jurisdictions from 2010 to 2019. AIDS. 2021;35:2523–30. https://doi.org/10.1097/QAD.0000000000003067 .
doi: 10.1097/QAD.0000000000003067
pubmed: 34510114
Kidd S, Torrone E, Su J, Weinstock H. Reported primary and secondary syphilis cases in the United States: implications for HIV Infection. Sex Transm Dis. 2018;45:S42–7. https://doi.org/10.1097/OLQ.0000000000000810 .
doi: 10.1097/OLQ.0000000000000810
pubmed: 29465633
pmcid: 6745698
Galvin SR, Cohen MS. The role of sexually transmitted diseases in HIV transmission. Nat Rev Microbiol. 2004;2:33–42. https://doi.org/10.1038/nrmicro794 .
doi: 10.1038/nrmicro794
pubmed: 15035007
Cohen MS, Council OD, Chen JS. Sexually transmitted infections and HIV in the era of antiretroviral treatment and prevention: the biologic basis for epidemiologic synergy 2019. https://doi.org/10.1002/jia2.25355/full .
Stenger MR, Baral S, Stahlman S, Wohlfeiler D, Barton JE, Peterman T. As through a glass, darkly: the future of sexually transmissible infections among gay, bisexual and other men who have sex with men. Sex Health. 2017;14:18–27.
doi: 10.1071/SH16104
pubmed: 27585033
pmcid: 5334461
Earnshaw VA, Chaudoir SR. From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures. AIDS Behav. 2009;13:1160–77. https://doi.org/10.1007/s10461-009-9593-3 .
doi: 10.1007/s10461-009-9593-3
pubmed: 19636699
pmcid: 4511707
Herek GM. Confronting sexual stigma and prejudice: theory and practice. J Soc Issues. 2007;63:905–25. https://doi.org/10.1111/j.1540-4560.2007.00544.x .
doi: 10.1111/j.1540-4560.2007.00544.x
Jacoby A. Felt versus enacted stigma: a concept revisited. Evidence from a study of people with epilepsy in remission. Soc Sci Med. 1994;38:269–74. https://doi.org/10.1016/0277-9536(94)90396-4 .
doi: 10.1016/0277-9536(94)90396-4
pubmed: 8140453
Goffman E. Stigma: notes on the management of spoiled identity. New York: Simon & Schuster, Inc.; 1963.
Hatzenbuehler ML, Link BG. Introduction to the special issue on structural stigma and health. Soc Sci Med. 2014;103:1–6. https://doi.org/10.1016/j.socscimed.2013.12.017 .
doi: 10.1016/j.socscimed.2013.12.017
pubmed: 24445152
Berger BE, Ferrans CE, Lashley FR. Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Res Nurs Health. 2001;24:518–29. https://doi.org/10.1002/nur.10011 .
doi: 10.1002/nur.10011
pubmed: 11746080
Stahlman S, Sanchez TH, Sullivan PS, Ketende S, Lyons C, Charurat ME, et al. The Prevalence of Sexual Behavior Stigma Affecting Gay Men and Other Men Who Have Sex with Men Across Sub-Saharan Africa and in the United States. JMIR Public Health Surveill. 2016;2:e35. https://doi.org/10.2196/publichealth.5824 .
doi: 10.2196/publichealth.5824
pubmed: 27460627
pmcid: 4978863
Wiginton JM, Murray SM, Augustinavicius J, Maksut JL, Anderson BJ, Sey K, et al. Metrics of sexual behavior stigma among cisgender men who have sex with men in 9 cities across the United States. Am J Epidemiol. 2022;191:93–103. https://doi.org/10.1093/aje/kwab240 .
doi: 10.1093/aje/kwab240
pubmed: 34664625
Wiginton JM, Murray SM, Anderson BJ, Sey K, Ma Y, Flynn CP, et al. Sexual behavior stigma among cisgender gay, bisexual, and other men who have sex with men in nine NHBS cities across the United States: Burden and associations with PrEP continuum and HIV care continuum outcomes. Stigma Health 2024:No Pagination Specified-No Pagination Specified. https://doi.org/10.1037/sah0000495 .
Hatzenbuehler ML. How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychol Bull. 2009;135:707–30. https://doi.org/10.1037/a0016441 .
doi: 10.1037/a0016441
pubmed: 19702379
pmcid: 2789474
Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103:813–21. https://doi.org/10.2105/AJPH.2012.301069 .
doi: 10.2105/AJPH.2012.301069
pubmed: 23488505
pmcid: 3682466
Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129:674–97. https://doi.org/10.1037/0033-2909.129.5.674 .
doi: 10.1037/0033-2909.129.5.674
pubmed: 12956539
pmcid: 2072932
Herek GM, Chopp R, Strohl D. Sexual stigma: putting sexual minority health issues in context. In: Meyer IH, Northridge ME, editors. The health of sexual minorities: public health perspectives on lesbian, gay, bisexual, and transgender populations. Boston: Springer Science + Business Media; 2007. p. 171–208.
doi: 10.1007/978-0-387-31334-4_8
Pachankis JE, Hatzenbuehler ML, Hickson F, Weatherburn P, Berg RC, Marcus U, et al. Hidden from health: structural stigma, sexual orientation concealment, and HIV across 38 countries in the European MSM Internet Survey. AIDS. 2015;29(10):1239–46. https://doi.org/10.1097/QAD.0000000000000724 .
Farley JE, Beuchamp G, Bergman AJ, Hughes JP, Batey DS, del Rio C, et al. The Impact of Stigma and Sexual Identity on PrEP Awareness and Use Among At-Risk Men Who Have Sex With Men in Four U.S. Cities (HPTN 078). Stigma Health. 2022. https://doi.org/10.1037/sah0000413 .
Babel RA, Wang P, Alessi EJ, Raymond HF, Wei C. Stigma, HIV Risk, and access to HIV prevention and treatment services among Men Who have Sex with Men (MSM) in the United States: a scoping review. AIDS Behav. 2021;25:3574–604. https://doi.org/10.1007/s10461-021-03262-4 .
doi: 10.1007/s10461-021-03262-4
pubmed: 33866444
pmcid: 8053369
Jeffries WL, Flores SA, Rooks-Peck CR, Gelaude DJ, Belcher L, Ricks PM, et al. Experienced homophobia and HIV infection risk among U.S. gay, bisexual, and other men who have sex with men: a meta-analysis. LGBT Health. 2021;8:1–10. https://doi.org/10.1089/lgbt.2020.0274 .
doi: 10.1089/lgbt.2020.0274
pubmed: 33372845
Batchelder AW, Klevens M, Fitch C, McKetchnie SM, Mayer KH, O’Cleirigh C. Stigma, discrimination, and substance use among an urban sample men who have sex with men in Massachusetts. AIDS Care. 2020;32:370–8. https://doi.org/10.1080/09540121.2019.1683807 .
doi: 10.1080/09540121.2019.1683807
pubmed: 31661969
Preston DB, D’Augelli AR, Kassab CD, Cain RE, Schulze FW, Starks MT. The influence of stigma on the sexual risk behavior of rural men who have sex with men. AIDS Educ Prev. 2004;16:291–303. https://doi.org/10.1521/aeap.16.4.291.40401 .
doi: 10.1521/aeap.16.4.291.40401
pubmed: 15342332
Wiginton JM, Murray SM, Baral SD, Sanchez TH. Targeted violence as a risk factor for posttraumatic stress disorder among cisgender gay, bisexual, and other men who have sex with men in the United States. J Interpers Violence. 2023;38(17-18):9739–64. https://doi.org/10.1177/08862605231169755 .
Versluis A, Schnoor K, Chavannes NH, Talboom-Kamp EPWA. Direct access for patients to diagnostic testing and results using ehealth: systematic review on ehealth and diagnostics. J Med Internet Res. 2022;24:e29303. https://doi.org/10.2196/29303 .
doi: 10.2196/29303
pubmed: 35019848
pmcid: 8792777
Harding-Esch EM, Hollis E, Mohammed H, Saunders JM. Self-sampling and self-testing for STIs and HIV: the case for consistent nomenclature. Sex Transm Infect. 2017;93:80. https://doi.org/10.1136/sextrans-2016-052841 .
doi: 10.1136/sextrans-2016-052841
Biello KB, Horvitz C, Mullin S, Mayer KH, Scott H, Coleman K, et al. HIV self-testing and STI self-collection via mobile apps: Experiences from two pilot randomized controlled trials of young men who have sex with men. Mhealth. 2021;7. https://doi.org/10.21037/mhealth-20-70 .
Sallabank G, Stephenson R, Gandhi M, Merrill L, Sharma A. Lessons learned from the implementation of a pilot study on self-collected specimen return by sexual minority men (Project Caboodle!): qualitative exploration. JMIR Form Res. 2023;7:e43539. https://doi.org/10.2196/43539 .
doi: 10.2196/43539
pubmed: 37023442
pmcid: 10131702
Yared N, Horvath K, Fashanu O, Zhao R, Baker J, Kulasingam S. Optimizing screening for sexually transmitted infections in men using self-collected swabs: a systematic review. Sex Transm Dis. 2018;45:294–300. https://doi.org/10.1097/OLQ.0000000000000739 .
doi: 10.1097/OLQ.0000000000000739
pubmed: 29465701
pmcid: 5889342
Ogale Y, Yeh PT, Kennedy CE, Toskin I, Narasimhan M. Self-collection of samples as an additional approach to deliver testing services for sexually transmitted infections: a systematic review and meta-analysis. BMJ Glob Health. 2019;4. https://doi.org/10.1136/bmjgh-2018-001349 .
Merchant RC, Clark MA, Liu T, Romanoff J, Rosenberger JG, Bauermeister J, et al. Comparison of home-based oral fluid rapid HIV self-testing versus mail-in blood sample collection or Medical/Community HIV Testing By Young Adult Black, Hispanic, and White MSM: results from a randomized trial. AIDS Behav. 2018;22:337–46. https://doi.org/10.1007/s10461-017-1802-x .
doi: 10.1007/s10461-017-1802-x
pubmed: 28540562
pmcid: 5701881
Mustanski B, Feinstein BA, Madkins K, Sullivan P, Swann G. Prevalence and risk factors for rectal and urethral sexually transmitted infections from self-collected samples among young men who have sex with men participating in the Keep It Up! 2.0 randomized controlled trial. Sex Transm Dis. 2017;44:483–8. https://doi.org/10.1097/OLQ.0000000000000636 .
doi: 10.1097/OLQ.0000000000000636
pubmed: 28703727
pmcid: 5821498
Ong JJ, Fu H, Smith MK, Tucker JD. Expanding syphilis testing: a scoping review of syphilis testing interventions among key populations. Expert Rev Anti Infect Ther. 2018;16:423–32. https://doi.org/10.1080/14787210.2018.1463846 .
doi: 10.1080/14787210.2018.1463846
pubmed: 29633888
pmcid: 6046060
Sharma A, Gandhi M, Sallabank G, Merrill L, Stephenson R. Study Evaluating Self-Collected Specimen Return for HIV, Bacterial STI, and Potential Pre-Exposure Prophylaxis Adherence Testing Among Sexual Minority Men in the United States. Am J Mens Health. 2022;16. https://doi.org/10.1177/15579883221115591 .
Pontes MF, Armington G, Fink R, Gaydos CA, Manabe YC. Landscape review of mail-in self-collection, programs for sexually transmitted infections. Sex Transm Dis. 2023;50:336–41. https://doi.org/10.1097/OLQ.0000000000001787 .
doi: 10.1097/OLQ.0000000000001787
pubmed: 36849254
pmcid: 10451091
Maté T, Hoyos J, Guerras JM, Agustí C, Chanos S, Kuske M, et al. Potential of HIV self-sampling to increase testing frequency among gay, bisexual, and other men who have sex with men, and the role of online result communication: online cross-sectional study. J Med Internet Res. 2020;22:e21268. https://doi.org/10.2196/21268 .
doi: 10.2196/21268
pubmed: 33252346
pmcid: 7735895
Zlotorzynska M, Sullivan P, Sanchez T. The annual American Men’s internet survey of behaviors of men who have sex with men in the United States: 2015 key indicators report. JMIR Public Health Surveill. 2017;3:e13. https://doi.org/10.2196/publichealth.7119 .
doi: 10.2196/publichealth.7119
pubmed: 28356240
pmcid: 5390111
Sanchez TH, Sineath RC, Kahle EM, Tregear SJ, Sullivan PS. The annual American Men’s internet survey of behaviors of men who have sex with men in the united states: protocol and key indicators report 2013. JMIR Public Health Surveill. 2015;1:e3. https://doi.org/10.2196/publichealth.4314 .
doi: 10.2196/publichealth.4314
pubmed: 27227126
pmcid: 4869242
Augustinavicius JL, Baral SD, Murray SM, Jackman K, Xue QL, Sanchez TH, et al. Characterizing cross-culturally relevant metrics of stigma among men who have sex with men across 8 Sub-Saharan African Countries and the United States. Am J Epidemiol. 2020;189:690–7. https://doi.org/10.1093/aje/kwz270 .
doi: 10.1093/aje/kwz270
pubmed: 31942619
pmcid: 7608078
Freeman JQ, Trujillo L, Baugher AR. Prevalence of and racial/ethnic differences in sexuality disclosure among men who have sex with men in 23 U.S. cities—National HIV Behavioral Surveillance, 2017. J HIV AIDS Soc Serv. 2022;21:76–89. https://doi.org/10.1080/15381501.2021.2015504 .
doi: 10.1080/15381501.2021.2015504
pubmed: 37583578
pmcid: 10425776
Arbeit MR, Fisher CB, Macapagal K, Mustanski B. Bisexual invisibility and the sexual health needs of adolescent girls. LGBT Health. 2016;3:342–9. https://doi.org/10.1089/lgbt.2016.0035 .
doi: 10.1089/lgbt.2016.0035
pubmed: 27604053
pmcid: 5073214
Baig AA, Lopez FY, Demeester RH, Jia JL, Peek ME, Vela MB. Addressing barriers to shared decision making among Latino LGBTQ patients and healthcare providers in clinical settings. LGBT Health. 2016;3:335–41. https://doi.org/10.1089/lgbt.2016.0014 .
doi: 10.1089/lgbt.2016.0014
pubmed: 27617356
pmcid: 5073213
García M, Ramos SR, Aponte-Soto L, Ritchwood TD, Drabble LA. “Family before Anyone Else”: A Qualitative Study on Family, Marginalization, and HIV among Hispanic or Latino/a/x Mexican Sexual Minority Males. Int J Environ Res Public Health. 2022;19. https://doi.org/10.3390/ijerph19158899 .
Dunbar W, Alcide Jean-Pierre MC, Pétion JS, Labat A, Maulet N, Coppieters Y. A realist evaluation of the continuum of HIV services for men who have sex with men. AIDS Res Ther. 2021;18. https://doi.org/10.1186/s12981-021-00396-2 .
Iott BE, Loveluck J, Benton A, Golson L, Kahle E, Lam J, et al. The impact of stigma on HIV testing decisions for gay, bisexual, queer and other men who have sex with men: a qualitative study. BMC Public Health. 2022;22. https://doi.org/10.1186/s12889-022-12761-5 .
Matthews DD, Sang JM, Chandler CJ, Bukowski LA, Friedman MR, Eaton LA, et al. Black men who have sex with men and lifetime HIV testing: characterizing the reasons and consequences of having never tested for HIV. Prev Sci. 2019;20:1098–102. https://doi.org/10.1007/s11121-019-01022-4 .
doi: 10.1007/s11121-019-01022-4
pubmed: 31089952
Statham V, BK, CD. Moving towards m-test: Breaking down barriers to HIV and STI testing and prevention in the MSM community. HIV Nursing. 2015;15:76–80.
Muncan B, Walters SM, Ezell J, Ompad DC. “They look at us like junkies”: influences of drug use stigma on the healthcare engagement of people who inject drugs in New York City. Harm Reduct J. 2020;17:53. https://doi.org/10.1186/s12954-020-00399-8 .
doi: 10.1186/s12954-020-00399-8
pubmed: 32736624
pmcid: 7393740
John SA, Cain D, Bradford-Rogers J, Rendina HJ, Grov C. Gay and bisexual men’s experiences using self-testing kits for HIV and rectal and urethral bacterial sexually transmitted infections: lessons learned from a study with home-based testing. Int J Sex Health. 2019;31:308–18. https://doi.org/10.1080/19317611.2019.1645075 .
doi: 10.1080/19317611.2019.1645075
pubmed: 32983310
Sharma A, Gandhi M, Sallabank G, Merrill L, Stephenson R. Perceptions and experiences of returning self-collected specimens for HIV, bacterial STI and potential PrEP adherence testing among sexual minority men in the United States. AIDS Behav. 2023;27:1091–105. https://doi.org/10.1007/s10461-022-03846-8 .
doi: 10.1007/s10461-022-03846-8
pubmed: 36094639
Rahib D, Bercot B, Delagreverie H, Gabassi A, Delaugerre C, Salord H, et al. Online self-sampling kits for human immunodeficiency virus and other sexually transmitted infections: feasibility, positivity rates, and factors associated with infections in France. Int J STD AIDS. 2022;33:355–62. https://doi.org/10.1177/09564624211066447 .
doi: 10.1177/09564624211066447
pubmed: 35144493
Elliot E, Rossi M, Mccormack S, Mcowan A. Identifying undiagnosed HIV in men who have sex with men (MSM) by offering HIV home sampling via online gay social media: a service evaluation. Sex Transm Infect. 2016;92:470–3. https://doi.org/10.1136/sextrans-2015-052090 .
doi: 10.1136/sextrans-2015-052090
pubmed: 27221475
Grov C, Cain D, Rendina HJ, Ventuneac A, Parsons JT. Characteristics associated with urethral and rectal gonorrhea and chlamydia diagnoses in a us national sample of gay and bisexual men: Results from the one thousand strong panel. Sex Transm Dis. 2016;43:165–71. https://doi.org/10.1097/OLQ.0000000000000410 .
doi: 10.1097/OLQ.0000000000000410
pubmed: 26859803
pmcid: 4748382
Feinstein BA, Dellucci TV, Graham S, Parsons JT, Mustanski B. Sexually transmitted infections among young men who have sex with men: experiences with diagnosis, treatment, and reinfection. Sex Res Soc Policy. 2018;15:172–82. https://doi.org/10.1007/s13178-017-0312-y .
doi: 10.1007/s13178-017-0312-y
Braun DL, Marzel A, Steffens D, Schreiber PW, Grube C, Scherrer AU, et al. High rates of subsequent asymptomatic sexually transmitted infections and risky sexual behavior in patients initially presenting with primary human immunodeficiency virus-1 infection. Clin Infect Dis. 2018;66:735–42. https://doi.org/10.1093/cid/cix873 .
doi: 10.1093/cid/cix873
pubmed: 29028966
Barbee LA, Dhanireddy S, Tat SA, Marrazzo JM. Barriers to bacterial sexually transmitted infection testing of HIV-infected men who have sex with men engaged in HIV primary care. Sex Transm Dis. 2015;42:590–4. https://doi.org/10.1097/OLQ.0000000000000320 .
doi: 10.1097/OLQ.0000000000000320
pubmed: 26372931
pmcid: 4576720
An Q, Bernstein KT, Balaji AB, Wejnert C. Sexually transmitted infection screening and diagnosis among adolescent men who have sex with men, three US cities, 2015. Int J STD AIDS. 2019;31:53–61. https://doi.org/10.1177/0956462419870223 .
doi: 10.1177/0956462419870223
pubmed: 31842696
Bien-Gund CH, Shaw PA, Agnew-Brune C, Baugher A, Brady KA, Gross R. HIV self-testing and risk behaviors among men who have sex with men in 23 US Cities, 2017. JAMA Netw Open. 2022;5:e2247540. https://doi.org/10.1001/jamanetworkopen.2022.47540 .
doi: 10.1001/jamanetworkopen.2022.47540
pubmed: 36534398
pmcid: 9856873
Sanchez TH, Zlotorzynska M, Rai M, Baral SD. Characterizing the impact of COVID-19 on men who have sex with men across the United States in April, 2020. AIDS Behav. 2020;24:2024–32. https://doi.org/10.1007/s10461-020-02894-2 .
doi: 10.1007/s10461-020-02894-2
pubmed: 32350773
pmcid: 7189633
Schumacher CM, Thornton N, Wagner J, Tilchin C, Ghanem KG, Hamill MM, et al. Sexually transmitted infection transmission dynamics during the Coronavirus Disease 2019 (COVID-19) Pandemic Among Urban Gay, Bisexual, and Other Men Who Have Sex With Men. Clin Infect Dis. 2022;75:e1137–44. https://doi.org/10.1093/cid/ciab1053 .
doi: 10.1093/cid/ciab1053
pubmed: 35169833
pmcid: 8903324
Tobin K, Edwards C, Flath N, Lee A, Tormohlen K, Gaydos CA. Acceptability and feasibility of a Peer Mentor program to train young Black men who have sex with men to promote HIV and STI home-testing to their social network members. AIDS Care. 2018;30:896–902. https://doi.org/10.1080/09540121.2018.1442553 .
doi: 10.1080/09540121.2018.1442553
pubmed: 29482342
pmcid: 6338070
Lightfoot MA, Campbell CK, Moss N, Treves-Kagan S, Agnew E, Kang Dufour M-S, et al. Using a social network strategy to distribute HIV self-test kits to African American and Latino MSM. JAIDS. 2018;79. https://doi.org/10.1097/QAI.0000000000001726 .
Valente PK, Operario D, Rusley J, Bauermeister JA, Biello KB. The need for a health equity framework in next-generation pre-exposure prophylaxis implementation. Lancet HIV. 2023;10:e266–8. https://doi.org/10.1016/S2352-3018(23)00009-7 .
doi: 10.1016/S2352-3018(23)00009-7
pubmed: 36848924
Sullivan PS, Aral SO. The dynamic remote health system: determinants, consequences, and implementation frameworks. Sex Transm Dis. 2022;49:S7-11. https://doi.org/10.1097/OLQ.0000000000001652 .
doi: 10.1097/OLQ.0000000000001652
pubmed: 35608090