The Juntos Referral Network: Planning an Implementation Strategy to Enhance the Reach of HIV Prevention and Treatment Services to Latino MSM and Address Intersectional Insecurities
The Juntos Referral Network: Planning an Implementation Strategy to Enhance the Reach of HIV Prevention and Treatment Services to Latino MSM and Address Intersectional Insecurities
批准号:
10394554
负责人:
Steven A Safren
金额:
$30.1万
依托单位国家:
美国
项目类别:
财政年份:
2019
资助国家:
美国
项目状态:
已结题
起止时间:
2019-03-22 至 2023-02-28
关键词:
AIDS preventionAccess to InformationAddressAffectCaringCommunitiesConsolidated Framework for Implementation ResearchCountyDataData CollectionDropsEconomicsEpidemicEvidence based interventionFeedbackFloridaFocus GroupsFoundationsFrightGoalsHIVHealthcareHourHousingImmigrantImmigrationIncidenceIndividualInterventionInterviewInterviewerLanguageLatinoLegalMapsMental HealthMental Health ServicesMethodsOnline SystemsOutcomePopulationPrevalencePreventionProphylactic treatmentResearchResourcesServicesStructureSubgroupSurveysSystemTestingTranslationsTransportationUniversitiesUpdateViralWorkantiretroviral therapybaseconsumer demanddesigneffectiveness implementation trialevidence baseexperiencehealth care disparityhealth equityimplementation designimplementation determinantsimplementation outcomesimplementation scienceimplementation strategyimprovedmenmen who have sex with menonline resourcepeerpeer networkspeer supportpre-exposure prophylaxispreferencepreventprevention serviceprototypeservice deliverysocial stigmatooltreatment servicesuptakeweb site
中文摘要
拉丁裔男男性行为者(LMSM)的艾滋病毒差异是由交叉的不安全感引起的
英文摘要
HIV disparities among Latino men who have sex with men (LMSM) are fueled by intersectional insecurities tied
to inequity. Our research with LMSM in Miami-Dade County (MDC) found that interlocking oppressive systems
(e.g., intersectional stigma, immigration, structural barriers) prevent LMSM from obtaining HIV-prevention (e.g.,
pre-exposure prophylaxis/PrEP, non-occupational post-exposure prophylaxis/nPEP) and treatment (e.g., rapid
ART). Yet, LMSM’s peers can facilitate the extended reach of services. We also found that HIV services in
MDC are fragmented, creating challenges for stakeholders to navigate LMSM to existing, potentially useful HIV
services that address intersectional insecurities (e.g., free transportation, drop-in services, rapid service
delivery, and co-located ancillary services) and therefore block access to evidence-based interventions.
Accordingly, we will employ community engaged methods to develop an implementation strategy (the Juntos
referral network) to improve the reach of PrEP, nPEP, and rapid ART to LMSM. The implementation strategy
will improve reach by (a) strengthening relationships and cross referrals between HIV organizations and (b)
increasing consumer demand via LMSM’s access to information about HIV and ancillary services addressing
intersectional insecurities and peer support for services. The planning project will be conducted in partnership
with implementing and community partners (Florida Department of Health, Care Resource, LMSM advisory
board). Aim 1: Identify LMSM and stakeholder priorities for the content, design, and implementation of
Juntos. Interviews (based on the Consolidated Framework for Implementation Research and Health Care
Disparities Framework) with LMSM (N=20-30) and stakeholder focus groups (1-2 groups) will identify priorities
for Juntos’ content (e.g., information to be included about HIV organizations), design (e.g., interactive features
with peers), and implementation (e.g., anticipated uses). Surveys with LMSM (N=200) and stakeholders
(N=100) will further assess priorities. To expedite translation of the implementation strategy into the field,
qualitative data will be analyzed via rapid qualitative analysis and surveys will be analyzed descriptively with
subgroup comparisons (e.g., immigration, language). Aim 2: Identify services. Interviewer-administered
surveys and web-based data extraction will identify local HIV organizations’ available services (N=30+),
mapped on to priorities identified in Aim 1, informing the content of Juntos. Aim 3: Develop and pre-test
prototypes. We will produce prototypes of Juntos and gather feedback via theater testing with LMSM (N=10-
15 individual tests) and stakeholders (N=1-2 group tests). Interviews and surveys will elicit feedback on the
content and design of Juntos as well as implementation outcomes (acceptability, appropriateness, feasibility).
The project will add value by creating an implementation strategy tailored to LMSM’s intersectional insecurities
and local resources to improve the reach of PrEP, nPEP, and rapid ART, aligned with the EHE plan. This will
lay the foundation for an implementation-effectiveness trial of Juntos.
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会议论文
The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)
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批准号:10896525
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项目类别:
-
资助金额:$23.08万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)
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批准号:10896523
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项目类别:
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资助金额:$22.58万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
Improving HIV care continuum outcomes among formerly incarcerated individuals through critical time legal interventions
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批准号:10819889
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项目类别:
-
资助金额:$23.08万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)
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批准号:10686542
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项目类别:
-
资助金额:$32.31万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)
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批准号:10686541
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项目类别:
-
资助金额:$150.0万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
CERCA DE TI: Leveraging an Established Academic and CVS Health® Partnership to Advance Biomedical HIV Prevention with a New Pharmacy-Based PrEP Program.
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批准号:10819876
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项目类别:
-
资助金额:$22.57万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)
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批准号:10896532
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项目类别:
-
资助金额:$22.57万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
Nou La We are Here Biomedical Prevention for People of Haitian Descent
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批准号:10819886
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项目类别:
-
资助金额:$22.58万
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财政年份:2023
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负责人:Steven A Safren
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依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:9987782
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项目类别:
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资助金额:$15.05万
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财政年份:2019
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负责人:Steven A Safren
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依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:10115850
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项目类别:
-
资助金额:$22.87万
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财政年份:2019
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负责人:Steven A Safren
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依托单位:
Tools to Visualize and Summarize HIV Resources, Disease Burden and EHE Interventions in Miami-Dade County
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批准号:10395037
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项目类别:
-
资助金额:$30.1万
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财政年份:2019
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负责人:Steven A Safren
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依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:10220206
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项目类别:
-
资助金额:$30.1万
-
财政年份:2019
-
负责人:Steven A Safren
-
依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:9987850
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项目类别:
-
资助金额:$15.05万
-
财政年份:2019
-
负责人:Steven A Safren
-
依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:10220192
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项目类别:
-
资助金额:$30.1万
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财政年份:2019
-
负责人:Steven A Safren
-
依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:9899305
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项目类别:
-
资助金额:$82.08万
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财政年份:2019
-
负责人:Steven A Safren
-
依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:10671780
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项目类别:
-
资助金额:$29.36万
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财政年份:2019
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负责人:Steven A Safren
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依托单位:
PrEP Uptake among Justice Involved Peripregnancy Women Who Use Drugs
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批准号:10601712
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项目类别:
-
资助金额:$29.36万
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财政年份:2019
-
负责人:Steven A Safren
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依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:10361446
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项目类别:
-
资助金额:$79.12万
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财政年份:2019
-
负责人:Steven A Safren
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依托单位:
University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC)
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批准号:10671776
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项目类别:
-
资助金额:$39.99万
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财政年份:2019
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负责人:Steven A Safren
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依托单位:
SOMOS Alianza: Developing a Strategic Alliance across Three HIV Epicenters to Achieve Ending the HIV Epidemic Goals among Latino MSM
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批准号:10601682
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项目类别:
-
资助金额:$39.99万
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财政年份:2019
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负责人:Steven A Safren
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依托单位:
海外基金