Abstract
LOVE Study: Theoretical bases and e-health HIV intervention design for Black women to increase awareness of pre-exposure prophylaxis (PrEP)
Keosha Bond, EdD, MPH, CHES
New York Medical College, Valhalla, NY
APHA's 2018 Annual Meeting & Expo (Nov. 10 - Nov. 14)
While efforts have been made to explore the barriers to pre-exposure prophylaxis (PrEP) among young Black women (YBW), scarce attention has been given to exploring effective educational strategies to increase knowledge of PrEP.
The purpose of this study was to identify the desired content, features, and channels of communication for an eHealth video to educate and increase utilization of PrEP among YBW. We conducted four focus groups with 26 urban, Black women between the ages of 18-25. Focus group recordings were transcribed and coded using themes informed by the Information-Motivation-Behavioral (IMB) Skills Model.
Participants identified information needs related to PrEP uptake: HIV/STI transmission/treatment information, sexual and reproductive healthcare, risks and benefits of PrEP, and resources for PrEP initiation. Areas if motivation to target for the video regarding PrEP usage included: healthcare provider trust and communication, partners’ perception of PrEP, peer education/communication about PrEP, perceived susceptibility to HIV infection, and level of personal demands. Participants identified behavioral skills for PrEP regimen adherence to address in the video: acquiring and self-administering PrEP daily, consistent condom use, negotiating safe sex, carry out PrEP monitoring, and time management skills. Further, psychological health, substance use, access to health care, family planning, social stereotypes, and sexual stigma were identified as barriers and expressed as being essential to the video content by participants.
Findings from this work provide insight into the desire content of a health education video that is culturally relevant, gender-specific, and inclusive of stigma-reduction strategies for increasing knowledge and uptake of PrEP among YBW.
Diversity and culture Implementation of health education strategies, interventions and programs Other professions or practice related to public health Public health or related education Public health or related research Systems thinking models (conceptual and theoretical models), applications related to public health
Abstract
Reducing the discussion divide by digital questionnaires in healthcare settings: Implications for HIV testing and pre-exposure prophylaxis uptake among gay, bisexual, and other men who have sex with men
Steven A. John, PhD, MPH1, Andrew Petroll, MD2, Viraj Patel, MD, MPH3, Jeffrey T. Parsons, PhD4 and Christian Grov, PhD, MPH5
(1)Hunter College of the City University of New York (CUNY), New York, NY, (2)Medical College of Wisconsin, Milwaukee, WI, (3)Montefiore Health System; Albert Einstein College of Medicine, Bronx, NY, (4)Hunter College and the Graduate Center of the City University of New York (CUNY), New York, NY, (5)CUNY Graduate School of Public Health and Health Policy, New York, NY
APHA's 2018 Annual Meeting & Expo (Nov. 10 - Nov. 14)
background: Gay, bisexual, and other men who have sex with men (GBM) account for 84% of HIV incidence among males in the United States. Healthcare provider assessment of patient behavioral risk characteristics is essential for determining appropriate HIV prevention interventions—including pre-exposure prophylaxis (PrEP)—for GBM.
methods: A nationwide sample of GBM (n=4187; mean age=38.3 years; 60% White; 82% HIV-negative) were asked about their willingness to communicate verbally and via electronic survey with a healthcare provider about sexual and substance use behavior, which we coded into a communication difference score (range: -4 to 4). We examined the associations of demographics (age, race/ethnicity, and education), recruitment venue (clinic versus online/field), HIV risk characteristics (relationship status, HIV-status and PrEP use, prior HIV testing, and any recent (past 3 months) male casual sex partners), and recent substance use with the communication difference score using OLS linear regression.
results: On average, GBM were more willing to communicate via survey (mean difference=0.17). Younger GBM (age: β=-0.08, p≤0.001), those with a Bachelor’s degree or more (β=0.04, p<0.05), and those recruited from non-clinical settings (β=0.06, p≤0.001) had higher communication difference scores favoring survey assessment in our fully-adjusted model. Similarly, men who reported any recent casual sex partners (β=0.05, p<0.01), those never tested for HIV (β=0.04, p<0.05), and HIV-negative/unknown men not on PrEP (compared to PrEP users; β=0.10, p≤ 0.001) had higher communication difference scores.
conclusions: Reducing communication barriers by incorporating electronic surveys into behavioral risk assessments could help identify HIV testing and PrEP needs for men at higher-HIV risk.
Communication and informatics Provision of health care to the public Public health or related research Social and behavioral sciences
Abstract
Video-conferencing and HIV Care: Access to Services in the Comfort of Home
Shanda Vereen, MSPH1, Tara Foti, MPH1, DeAnne Turner, MPH1, Elizabeth Lockhart, PhD1, Robert Glueckauf, PhD2, Celia M. Lescano, PhD1, M. Margaret Dolcini, PhD3, Wei Wang, PhD1 and Stephanie L. Marhefka, PhD4
(1)University of South Florida, Tampa, FL, (2)Florida State University College of Medicine, Tallahassee, FL, (3)Oregon State University, Corvallis, OR, (4)University of South Florida, College of Public Health, Tampa, FL
APHA's 2018 Annual Meeting & Expo (Nov. 10 - Nov. 14)
Background: Video-conferencing has been identified as a technology modality that can increase accessibility while decreasing barriers to HIV-related services and care. We sought to understand willingness to utilize video-conferencing for HIV-related services and care and identify topics people living with HIV (PLH) desire to learn about through video-conferencing support groups.
Methods: This study analyzed data from 24 semi-structured and 78 structured interviews conducted with PLH in the Southeastern United States. Participant interviews included assessment of technology use and willingness to use various technologies to access HIV-related information, programs, and services.
Results: Interviews revealed that participants were willing to use and enthusiastic about using one-on-one video-conferencing as a communication method with a case manager or medical provider (64-69%). Additionally, participants reported willingness to use both one-on-one (32-54%) and group-based (28-32%) video conferencing to get information and support related to HIV. Desired topics for group-based video-conferencing ranged from HIV-related (medication adherence, disclosure, speaking with providers) to more general discussions (social support, casual conversation, referrals to non-HIV providers). Regardless, participants stressed the necessity of trustworthiness among group members and exclusion of non-PLH. Perceived benefits of group-based video-conferencing included the elimination of travel time, mutual learning and shared experiences among participants, mutual understanding among group members, and the opportunity to bond with a diverse group of PLH.
Conclusions: Many PLH are willing and eager to incorporate video-conferencing into their HIV-related care and services routine. Video-conferencing may offer the opportunity to increase engagement and retention in care when tailored for PLH.
Assessment of individual and community needs for health education Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Public health or related research Social and behavioral sciences
Abstract
Challenging HIV Stigma, Transphobia, and Homophobia utilizing a Bilingual Telenovela Series: Sin Verguenza
Natalie Sanchez, MPH1, Hilda Sandoval, PhD., MFTI2 and Ramon Garcia2
(1)AltaMed Health Servcies Corporation, Los Angeles, CA, (2)AltaMed Health Services Corporation, Los Angeles, CA
APHA's 2018 Annual Meeting & Expo (Nov. 10 - Nov. 14)
AltaMed’s bilingual telenovela webseries Sin Verguenza was developed in 2012 to address HIV in Latino communities. Now in its third season, Sin Verguenza has become a prominent educational tool used nationwide to create awareness and education on HIV. The series returned in 2018 to address themes stigmatized including alcoholism, homophobia, and transphobia.
Methods: Using Social Media channels and a dedicated website, AltaMed evaluated its digital reach of the campaign using people reached, views, and engagement as its goal metrics. The marketing strategy comprised of using existing vertically integrated social media networks or partnerships to engage Latinos ages 18-49.
Results:In this nontraditional educational format, the telenovela series has reached over 1.6 million views online. AltaMed’s digital campaign has reached a group that remains disproportionately impacted by HIV. Season 3 has reached 2.8M people, 1M views, and over 12K post engagements. 51% of those reached have taken action including viewing, liking, commenting, and/or sharing the video, which is an organic metric that measures audience response.
Conclusion: The marketing strategy has evolved each season using evaluation of the A/B ad testing, CPV, CPC, and other measures to drive the best results at the lowest costs taking advantage of the organic virality. Through @AltaPride, 84% of view metrics come from Facebook followed by YouTube. Spanish versions of the telenovela have high viewership in highly dense Latino communities in the US such as California, Texas, New York and has expanded through Latin America including Mexico, Colombia, Chile demonstrating its effectiveness as an effective educational tool.
Administer health education strategies, interventions and programs 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