Wake Forest University Health Sciences
There is an urgent need to address HIV inequities and disparities in the US, particularly within vulnerable communities such as Hispanic/Latino gay, bisexual, and other men who have sex with men (HLMSM).
Medical mistrust is associated with HIV disparities among HLMSM because mistrust may result in delayed or reduced use of needed HIV prevention (e.g., HIV testing and Pre-exposure prophylaxis (PrEP) uptake) and care (e.g., AntiretroViral Therapy \[ART\]) services. While advances have been made to increase the use of HIV prevention and care services, profound disparities persist, and a need remains for increased understanding of the multilevel drivers of medical mistrust and for effective interventions to address these drivers among HLMSM in the US. This research proposes a mixed-method study…
Inclusion Criteria: * reside in Mecklenburg County, NC * identify as Hispanic/Latino * be ≥18 years of age * speak English and Spanish * report identifying as male and having had sex with at least 1 man in the past 6 months * provide informed consent Exclusion Criteria: * less than 18 years of age * female
The Navigators training will be designed to increase knowledge and skills to help others (i.e., social network members). Navigators in the intervention group will be trained and supported for 12 months of implementation across years 3 and 4
Those in the delayed-intervention group will be trained in year 5
Arctuva estimate
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