Status-Neutral Interventions to Support Health Equity for Black Sexual Minority Men

Purpose of Review Status-neutral care, a person-centered approach to healthcare not predicated on HIV serostatus, may improve health equity among Black sexual minority men (BSMM). We reviewed current status-neutral, HIV, and Pre-Exposure Prophylaxis (PrEP) interventions, and coded each for social-ec...

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Published in:Current HIV/AIDS reports Vol. 19; no. 4; pp. 265 - 280
Main Authors: Pagkas-Bather, Jade, Brewer, Russell, Bouris, Alida
Format: Journal Article
Language:English
Published: New York Springer US 01.08.2022
Springer Nature B.V
Subjects:
Antiretroviral drugs
Behavioral-Bio-Medical Interface (RJ DiClemente and JL Brown
Disease prevention
Health care
HIV
Human immunodeficiency virus
Medicine
Medicine & Public Health
Prophylaxis
Reviews
Section Editors
Social determinants of health
Social interactions
Topical Collection on Behavioral-Bio-Medical Interface
Social determinants of health
Person-centered approaches
HIV Continuum of Care
Status-neutral interventions
Black sexual minority men
PrEP Continuum of Care
ISSN:1548-3568, 1548-3576, 1548-3576
Online Access:Get full text
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Summary:Purpose of Review Status-neutral care, a person-centered approach to healthcare not predicated on HIV serostatus, may improve health equity among Black sexual minority men (BSMM). We reviewed current status-neutral, HIV, and Pre-Exposure Prophylaxis (PrEP) interventions, and coded each for social-ecological focus and use of six approaches: (1) person-centered, (2) anti-stigma, (3) social support, (4) the social determinants of health (SDOH), (5) community engagement, and (6) multi-sectoral partnerships. Recent Findings We reviewed 25 studies, of which 3 were status-neutral. Nineteen studies utilized person-centered approaches, with several employing BSMM peers. For SDOH, financial incentives and reducing clinic-level barriers to care improved cascade outcomes. Direct text messaging, anti-stigma, social support, community-engagement, and multi-sectoral partnerships also improved outcomes in some studies. Summary Few status-neutral programs exist and additional research is needed to identify key intervention components and mechanisms of influence. Programs targeting SDOH and multiple social-ecological levels offer promise for providing holistic care to BSMM, while addressing HIV prevention and treatment and health equity.
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ISSN:1548-3568
1548-3576
1548-3576
DOI:10.1007/s11904-022-00610-4