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Experiences of peer navigators implementing a bilingual multilevel intervention to address sexually transmitted infection and HIV disparities and social determinants of health.
- Source :
- Health Expectations; Apr2023, Vol. 26 Issue 2, p728-739, 12p, 5 Charts
- Publication Year :
- 2023
-
Abstract
- Introduction: Sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) disproportionately affect young gay, bisexual and other men who have sex with men (GBMSM) and transgender women of colour. We explored the experiences of community‐based peer navigators ('Community Navigators') who participated in Impact Triad, a bilingual multilevel intervention developed by our community‐based participatory research partnership to reduce STIs and HIV and address social determinants of health (e.g., employment, education, social support and discrimination) among young GBMSM and transgender women of colour. Methods: Individual in‐depth interviews were conducted with 15 Community Navigators who participated in Impact Triad. Themes were identified through constant comparison. Results: Community Navigators' mean age was 31.4 years. Seven were self‐identified as African American/Black, 5 as Latine, 2 as multiracial/multiethnic, 1 as Asian American, 10 as cisgender men, 4 as transgender women and 1 as gender nonbinary. Thirteen themes emerged in three domains: (1) key aspects of the Community Navigator role (e.g., desire to serve as a community resource, the importance of being part of the communities in which one was working, the value of having an official role, being connected to other Community Navigators to problem‐solving and sustaining intervention aspects long‐term); (2) experiences implementing Impact Triad (e.g., engaging community members, meeting prioritized needs, building trust, using social media, increasing awareness and knowledge and challenges related to COVID‐19) and (3) lessons learned for future interventions (e.g., facilitating access to broader resources, building additional skills and increasing interactions among Community Navigators). Conclusion: Interviews identified important learnings about serving as Community Navigators and implementing Impact Triad that can guide future efforts to address STI/HIV disparities and social determinants of health through community‐based peer navigation. Patient or Public Contribution: Throughout this intervention trial, our partnership worked collaboratively with a study‐specific community advisory board (CAB) comprised primarily of young GBMSM and transgender women of colour. Members of this CAB participated in all aspects of the trial including trial design, intervention development, recruitment and retention strategies, data collection and analysis, interpretation of findings and dissemination. [ABSTRACT FROM AUTHOR]
- Subjects :
- AFFINITY groups
HIV infections
SOCIAL determinants of health
HEALTH services accessibility
MULTILINGUALISM
TRANS women
SOCIAL media
PATIENT-centered care
NONBINARY people
INTERVIEWING
COMMUNITIES
RACE
COGNITION
SEXUALLY transmitted diseases
EXPERIENCE
HUMAN services programs
HEALTH literacy
COMPARATIVE studies
QUALITATIVE research
HOMOSEXUALITY
PREVENTIVE health services
PSYCHOSOCIAL factors
DESCRIPTIVE statistics
RESEARCH funding
HEALTH equity
MEN who have sex with men
THEMATIC analysis
GAY men
BISEXUAL people
CISGENDER people
AFRICAN Americans
MEDICAL needs assessment
TRUST
COVID-19 pandemic
HEALTH promotion
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 13696513
- Volume :
- 26
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Health Expectations
- Publication Type :
- Academic Journal
- Accession number :
- 162380847
- Full Text :
- https://doi.org/10.1111/hex.13698