|
1
|
Heidari O, Tobin KE, Pollock S, Li FY, Webel AR, Duncan DT, Latkin C. Social Network Influence on Syphilis Testing for Black Sexual Minority Men in Baltimore, Maryland: A Cross-sectional Social Network Analysis. J Assoc Nurses AIDS Care 2023; 34:5-14. [PMID: 36656090 DOI: 10.1097/jnc.0000000000000380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
ABSTRACT Black sexual minority men (BSMM), including those with HIV, have disproportionate rates of syphilis infection. This study examines the associations of social network characteristics on syphilis testing, given that social network approaches are well established as effective methods to establish health-promoting social norms. We analyzed baseline data from a sexual health behavioral intervention. Using multivariable logistic regression, we modeled individual and social network characteristics on syphilis testing. Of the 256 participants, 37% tested for syphilis in the past year. In the adjusted model controlling for individual factors, odds of syphilis testing increased 89% for each increase in network member participants being encouraged to get a syphilis test (95% confidence interval [1.19-3.00]). Feeling comfortable accompanying a friend for HIV/sexually transmitted infection testing was associated with 2.47 increased odds of syphilis testing. Encouraging and training individuals to discuss sexual health topics with their network members may lead to the establishment of testing in social networks of Black sexual minority men.
Collapse
Affiliation(s)
- Omeid Heidari
- Omeid Heidari * , PhD, MPH, ANP-C, is an Assistant Professor, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Karin E. Tobin, PhD, is an Associate Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Sarah Pollock, MSPH, is a PhD student, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Fang-Ying Li, PhD, is a Research Associate and Director of Health Education, Aurora Healthcare US Corporation, Danvers, Massachusetts, USA
- Allison R. Webel, PhD, RN, FAAN, is a Professor and Associate Dean of Research, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Dustin T. Duncan is an Associate Professor, Columbia University, Mailman School of Public Health, Department of Epidemiology, New York, New York, USA
- Carl Latkin is a Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
| | - Karin E Tobin
- Omeid Heidari * , PhD, MPH, ANP-C, is an Assistant Professor, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Karin E. Tobin, PhD, is an Associate Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Sarah Pollock, MSPH, is a PhD student, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Fang-Ying Li, PhD, is a Research Associate and Director of Health Education, Aurora Healthcare US Corporation, Danvers, Massachusetts, USA
- Allison R. Webel, PhD, RN, FAAN, is a Professor and Associate Dean of Research, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Dustin T. Duncan is an Associate Professor, Columbia University, Mailman School of Public Health, Department of Epidemiology, New York, New York, USA
- Carl Latkin is a Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
| | - Sarah Pollock
- Omeid Heidari * , PhD, MPH, ANP-C, is an Assistant Professor, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Karin E. Tobin, PhD, is an Associate Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Sarah Pollock, MSPH, is a PhD student, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Fang-Ying Li, PhD, is a Research Associate and Director of Health Education, Aurora Healthcare US Corporation, Danvers, Massachusetts, USA
- Allison R. Webel, PhD, RN, FAAN, is a Professor and Associate Dean of Research, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Dustin T. Duncan is an Associate Professor, Columbia University, Mailman School of Public Health, Department of Epidemiology, New York, New York, USA
- Carl Latkin is a Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
| | - Fang-Ying Li
- Omeid Heidari * , PhD, MPH, ANP-C, is an Assistant Professor, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Karin E. Tobin, PhD, is an Associate Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Sarah Pollock, MSPH, is a PhD student, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Fang-Ying Li, PhD, is a Research Associate and Director of Health Education, Aurora Healthcare US Corporation, Danvers, Massachusetts, USA
- Allison R. Webel, PhD, RN, FAAN, is a Professor and Associate Dean of Research, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Dustin T. Duncan is an Associate Professor, Columbia University, Mailman School of Public Health, Department of Epidemiology, New York, New York, USA
- Carl Latkin is a Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
| | - Allison R Webel
- Omeid Heidari * , PhD, MPH, ANP-C, is an Assistant Professor, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Karin E. Tobin, PhD, is an Associate Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Sarah Pollock, MSPH, is a PhD student, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Fang-Ying Li, PhD, is a Research Associate and Director of Health Education, Aurora Healthcare US Corporation, Danvers, Massachusetts, USA
- Allison R. Webel, PhD, RN, FAAN, is a Professor and Associate Dean of Research, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Dustin T. Duncan is an Associate Professor, Columbia University, Mailman School of Public Health, Department of Epidemiology, New York, New York, USA
- Carl Latkin is a Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
| | - Dustin T Duncan
- Omeid Heidari * , PhD, MPH, ANP-C, is an Assistant Professor, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Karin E. Tobin, PhD, is an Associate Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Sarah Pollock, MSPH, is a PhD student, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Fang-Ying Li, PhD, is a Research Associate and Director of Health Education, Aurora Healthcare US Corporation, Danvers, Massachusetts, USA
- Allison R. Webel, PhD, RN, FAAN, is a Professor and Associate Dean of Research, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Dustin T. Duncan is an Associate Professor, Columbia University, Mailman School of Public Health, Department of Epidemiology, New York, New York, USA
- Carl Latkin is a Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
| | - Carl Latkin
- Omeid Heidari * , PhD, MPH, ANP-C, is an Assistant Professor, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Karin E. Tobin, PhD, is an Associate Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Sarah Pollock, MSPH, is a PhD student, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
- Fang-Ying Li, PhD, is a Research Associate and Director of Health Education, Aurora Healthcare US Corporation, Danvers, Massachusetts, USA
- Allison R. Webel, PhD, RN, FAAN, is a Professor and Associate Dean of Research, University of Washington, School of Nursing, Department of Child, Family, and Population Health Nursing, Seattle, Washington, USA
- Dustin T. Duncan is an Associate Professor, Columbia University, Mailman School of Public Health, Department of Epidemiology, New York, New York, USA
- Carl Latkin is a Professor, Johns Hopkins University, Bloomberg School of Public Health, Department of Health Behavior and Society, Baltimore, Maryland, USA
| |
Collapse
|
|
3
|
Khan MR, Brewer R, Abrams J, Mazumdar M, Scheidell JD, Feelemyer J, Dyer TV, Turpin RE, Hucks-Ortiz C, Gaydos CA, Severe M, Irvine NM, Kaufman JS, Cleland CM, Mayer KH. Incarceration and Sexual Risk Behavior and Incident Sexually Transmitted Infection/HIV in HIV Prevention Trials Network 061: Differences by Study City and Among Black Sexual Minority Men Who Have Sex With Men, Black Sexual Minority Men Who Have Sex With Men and Women, and Black Transgender Women. Sex Transm Dis 2022; 49:284-296. [PMID: 35312668 PMCID: PMC9387752 DOI: 10.1097/olq.0000000000001594] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Black sexual minority men (BSMM) and Black transgender women face a disproportionate risk of incarceration and sexually transmitted infection (STI)/HIV, yet research on the longitudinal association between incarceration and STI/HIV risk in these groups is limited. METHODS We used data from the HIV Prevention Trials Network (HPTN) 061 study conducted among BSMM and Black transgender women in Atlanta, Boston, Los Angeles, New York City, San Francisco, and Washington, DC, restricting analyses to those who returned for the 6-month follow-up visit when recent incarceration was measured (n = 1169). Using inverse probability of treatment weighting, we measured associations between incarceration and next 6-month multiple partnerships; selling or buying sex; condomless anal intercourse; and incident chlamydia, gonorrhea, syphilis, and HIV. We explored differences by study city, and among BSMM who had sex with men only, BSMM who had sex with men and women, and Black transgender women. RESULTS Approximately 14% reported past 6-month incarceration. Incarceration was associated with next 6-month selling sex (adjusted risk ratio [ARR], 1.80; 95% confidence interval [CI], 1.12-2.87) in the overall sample and multiple partnerships among BSMM who had sex with men and women (ARR, 1.34; 95% CI, 1.10-1.63) and transgender women (ARR, 1.77; 95% CI, 1.22-2.57). There is evidence suggesting that incarceration may predict gonorrhea (ARR, 2.35; 95% CI, 0.95-5.77), with particularly strong associations observed in Los Angeles (ARR, 6.48; 95% CI, 1.48-28.38). CONCLUSIONS Incarceration may increase STI/HIV risk among BSMM and Black transgender women. Additional mixed-methods research is needed to validate associations and understand pathways.
Collapse
Affiliation(s)
- Maria Rabia Khan
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Russell Brewer
- Department of Medicine, University of Chicago, Chicago, IL
| | - Jasmyn Abrams
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Medha Mazumdar
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Joy D Scheidell
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Jonathan Feelemyer
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Typhanye V Dyer
- Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD
| | - Rodman E Turpin
- Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD
| | | | - Charlotte A Gaydos
- Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, Baltimore, MD
| | - MacRegga Severe
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Natalia M Irvine
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Jay S Kaufman
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada
| | - Charles M Cleland
- From the Department of Population Health, New York University School of Medicine, New York, University, New York, NY
| | - Kenneth H Mayer
- The Fenway Institute, and Department of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA
| |
Collapse
|