Online Program

Integration of Biomedical Intervention Strategies and Structural Approaches into a Couple-Based Behavioral HIV/STI Prevention Intervention: Voices of Spanish-Speaking Latino Gay Couples

Tuesday, November 3, 2015

Omar Martinez, JD, MPH, MS, HIV Center for Clinical & Behavioral Studies, Columbia University/New York State Psychiatric Institute, New York, NY
Silvia Chavez-Baray, PhD, School of Social Work, University of Texas School of Social Work, El Paso, TX
Eva Moya, PhD, LMSW, School of Social Work, University of Texas School of Social Work, El Paso, TX
Justin Manusov, School of Social Work, Columbia University, New York, NY
Hugo Ovejero, JD, Lutheran Family Health Center - Sunset Terrace Family Health Center, Brooklyn, NY
Andrew Shultz, MA, CUNY, New Yor, NY
Timothy Frasca, MPH, HIV Center at Columbia University, HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University, New York, NY
Elwin Wu, PhD, Columbia University School of Social Work, New York, NY
Chukwuemeka Anyamele, MD, MPH, HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University, Columbia University, New York, NY
A combination approach to HIV prevention and treatment requires both structural and evidence-based approaches. Of particular importance is how to tailor a combination approach to subpopulations of MSM at highest risk of HIV acquisition. A purposive stratified sample of 20 couples (n=40) and 10 providers provided insights into how to adapt and integrate biomedical interventions and structural approaches in a couple-based HIV/AIDS behavioral intervention. The adapted intervention, called Latinos en Pareja, integrates behavioral and biomedical intervention strategies and structural approaches to HIV prevention. The majority, 37 of the participants, had no prior knowledge of the following new biomedical interventions: nPEP; PrEP; and HIV self-testing kits.  Once they were introduced to these interventions, all suggested the need to offer them as part of the behavioral intervention. Participants mentioned the need for information and empowerment through knowledge and awareness of these biomedical interventions. Providers suggested the need to address behavioral, social and structural issues, such as language barriers and the promotion of client-centered approaches to increase access to, adaptation of, and adherence to biomedical interventions.  Corroborating what participants suggested, providers agreed that biomedical interventions should be offered after providing information about these tools. Regarding structural approaches, participants identified structural stigma and discrimination as barriers to care; the couple-based approach as ideal to health promotion; documentation status as a barrier to care; and the need to include family topics in the intervention. The study highlights the promise regarding the feasibility of implementing a combination approach to HIV prevention for Latino gay couples.

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Assess knowledge and use of biomedical tools by Latino gay couples. Describe the integration of biomedical tools and structural approaches in an existing couple-based HIV/AIDS behavioral intervention.

Keyword(s): HIV Interventions, Immigrant Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.