Engaging and Recruiting Black MSM (BMSM) in the US
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1 Engaging and Recruiting Black MSM (BMSM) in the US HPTN 073 UNC at Chapel Hill CRS Noshima Darden-Tabb, MSW, LCSW Community Engagement Manager UNC at Chapel Hill CRS
2 Objectives Overview of HPTN 073 The NC landscape Geographically HIV incidence UNC CRS engagement activities Summary Q & A
3 HPTN 073 Overview Demonstration project 3 US Sites 225 HIV-uninfected BMSM 18 years of age, targeted year olds Participants followed for 12 months Offered once daily Truvada as PrEP Client-centered care coordination (C4)
4 Client Centered Care Coordination (C4) Individualized prevention counseling Individualized adherence counseling Support Service coordination Medical Psychosocial needs
5 Demographics of participants enrolled in the study by PrEP Initiation Demographics Overall N On PrEP Not on PrEP Site % 21% Age < % 16% % 24% Gay % 19% Bi-sexual 45 71% 29% Marital Status Primary or main partner Male 74 78% 22% Female 3 100% - Transgender Ethnicity African-American/Black/Caribbean % 22% Afro-Latino 17 82% 18%
6 Employed part-time/self-employed 80 84% 16% Demographics of participants enrolled in the study by PrEP Initiation Demographics Overall N On PrEP Not on PrEP Site % 21% Healthcare Coverage % 23% Incarceration 69 74% 26% Highest education level attained High School or less 56 77% 23% Some college/vocational school 93 77% 23% 2yr/4yr or greater 77 82% 18% Annual income (decline to answer 1%) <20k % 26% 20k 49k 64 81% 19% 50k 51 84% 16% Declined to answer Employment Status Unemployed/disability/other 61 66% 34%
7 HPTN 073 Conclusions Providing theory-based culturally tailored programs can potentially increase adherence, support program retention and prevent HIV in BMSM HPTN 073 demonstrated high uptake of PrEP in BMSM utilizing C4 and led to data that could support a reduced rate of HIV-infection for BMSM on PrEP
8 Engaging BMSM in the US
9
10 Facts about HIV in NC Approximately 1351 incident cases in 2014 African Americans make-up 64% <30 years old disproportionately affected 40% of the new cases Highest rate of infection among AA males (80.4 per 100,000) MSM as a major risk factor As of 2014, ~28,526 ppl living with HIV Source: 2014 North Carolina HIV/STD Surveillance Report
11 Working with Community Agencies in NC Wake & Durham County Human Services NTTS Jail College Campuses Shelters Club/street outreach STI/HIV identification & treatment HIV Case Management Linkage to care, Retention, Psychosocial needs
12 Working with Community Agencies in NC Alliance of AIDS Services- Carolina (AAS-c) LGBT Center of Raleigh Faith Community/Leaders Night Club Outreach PRIDE events Testing events
13 Where did we put our promotional materials? ANYPLACE that allowed!!! Library Boards Park Boards Coffee Shop Boards Student Health Centers Beauty/Barbershops All the agencies previously discussed
14 Engaging BMSM in US How did UNC-CRS engage BMSM? Where are the BMSM in NC?
15 Remember social media & digital communication! Facebook (others) Apps (Grindr) Personal Ads (Craigslist)
16 Social Networking RDS-Respondent Driven Sampling HPTN 073 Recruitment Coupon ID#001 As a friend, I want to invite you to check out this research study that I m a part of for black men like us. Redeemable at any participating HPTN 073 Expires: July 2014 mychoice@med.unc.edu or call Alex at
17 Source of Referrals of BMSM 11% 20% 37% 25% Social Media Outreach Events RDS/Peer Networks Health Depts.
18 They re engaged, now what? Meet people where they are Non-judgmental Build trust Flexibility/Availability Be you-genuinely Be consistent
19 Summary Relationships with CBOs are the bridge that bring people and research together!
20 What questions do you have?
21 ACKNOWLEDGEMENTS The HIV Prevention Trials Network is sponsored by the National Institute of Allergy and Infectious Diseases, the National Institute of Mental Health, and the National Institute on Drug Abuse, all components of the U.S. National Institutes of Health. Thank you for your time, attention and participation!
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