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"Stay strong! keep ya head up! move on! it gets better!!!!": resilience processes in the healthMpowerment online intervention of young black gay, bisexual and other men who have sex with men.

作者信息

Barry Megan C, Threats Megan, Blackburn Natalie A, LeGrand Sara, Dong Willa, Pulley Deren V, Sallabank Greg, Harper Gary W, Hightow-Weidman Lisa B, Bauermeister Jose A, Muessig Kathryn E

机构信息

a Department of Maternal and Child Health, Gillings School of Global Public Health , The University of North Carolina at Chapel Hill , Chapel Hill , USA.

b School of Information and Library Science , The University of North Carolina at Chapel Hill , Chapel Hill , USA.

出版信息

AIDS Care. 2018 Aug;30(sup5):S27-S38. doi: 10.1080/09540121.2018.1510106. Epub 2019 Jan 11.


DOI:10.1080/09540121.2018.1510106
PMID:30632775
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6430674/
Abstract

Overlapping stigmas related to sexual minority-, race/ethnicity-, and HIV-status pose barriers to HIV prevention and care and the creation of supportive social networks for young, Black, gay, bisexual, and other men who have sex with men (GBMSM). A risk-based approach to addressing the HIV epidemic focuses on what is lacking and reinforces negative stereotypes about already-marginalized populations. In contrast, a strengths-based approach builds on Black GBMSM's existing strengths, recognizing the remarkable ways in which they are overcoming barriers to HIV prevention and care. HealthMpowerment (HMP) is an online, mobile phone optimized intervention that aimed to reduce condomless anal intercourse and foster community among young Black GBMSM (age 18-30). Applying a resilience framework, we analyzed 322 conversations contributed by 48 HMP participants (22/48 living with HIV) on the intervention website. These conversations provided a unique opportunity to observe and analyze dynamic, interpersonal resilience processes shared in response to stigma, discrimination, and life challenges experienced by young Black GBMSM. We utilized an existing framework with four resilience processes and identified new subthemes that were displayed in these online interactions: (1) Exchanging social support occurred through sharing emotional and informational support. (2) Engaging in health-promoting cognitive processes appeared as reframing, self-acceptance, endorsing a positive outlook, and agency and taking responsibility for outcomes. (3) Enacting healthy behavioral practices clustered into modeling sex-positive norms, reducing the risk of acquiring or transmitting HIV, and living well with HIV. (4) Finally, empowering other gay and bisexual youth occurred through role modeling, promoting self-advocacy, and providing encouragement. Future online interventions could advance strengths-based approaches within HIV prevention and care by intentionally building on Black GBMSM's existing resilience processes. The accessibility and anonymity of online spaces may provide a particularly powerful intervention modality for amplifying resilience among young Black GBMSM.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a214/6430674/e7a3be89e63c/nihms-1012798-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a214/6430674/c981a68b834a/nihms-1012798-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a214/6430674/d393efc92f64/nihms-1012798-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a214/6430674/e7a3be89e63c/nihms-1012798-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a214/6430674/c981a68b834a/nihms-1012798-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a214/6430674/d393efc92f64/nihms-1012798-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a214/6430674/e7a3be89e63c/nihms-1012798-f0003.jpg

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[1]
"Stay strong! keep ya head up! move on! it gets better!!!!": resilience processes in the healthMpowerment online intervention of young black gay, bisexual and other men who have sex with men.

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[2]
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[3]
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[4]
Examining the Interplay Between Preexposure Prophylaxis (PrEP) and Gender-Related Stigmas as Barriers for PrEP Uptake Among Transgender Women in Tijuana, Mexico: A Mixed-Methods Study.

AIDS Behav. 2024-11

[5]
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Ann LGBTQ Public Popul Health. 2023-12

[6]
Barriers, Facilitators and Opportunities for HIV Status Disclosure Among Young Men Who Have Sex With Men: Qualitative Findings from the Tough Talks Intervention.

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[7]
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[8]
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[9]
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[10]
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Healthcare (Basel). 2023-10-13

本文引用的文献

[1]
Cognitive and Behavioral Resilience Among Young Gay and Bisexual Men Living with HIV.

LGBT Health. 2017-7-5

[2]
Identifying Resilience Resources for HIV Prevention Among Sexual Minority Men: A Systematic Review.

AIDS Behav. 2017-10

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Willingness to Take, Use of, and Indications for Pre-exposure Prophylaxis Among Men Who Have Sex With Men-20 US Cities, 2014.

Clin Infect Dis. 2016-9-1

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Reconciling Epidemiology and Social Justice in the Public Health Discourse Around the Sexual Networks of Black Men Who Have Sex With Men.

Am J Public Health. 2016-5

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Ann Epidemiol. 2015-6

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Ties that bind: community attachment and the experience of discrimination among Black men who have sex with men.

Cult Health Sex. 2015

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Achieving HIV risk reduction through HealthMpowerment.org, a user-driven eHealth intervention for young Black men who have sex with men and transgender women who have sex with men.

Digit Cult Educ. 2014

[8]
HealthMpowerment.org: Building Community Through a Mobile-Optimized, Online Health Promotion Intervention.

Health Educ Behav. 2015-8

[9]
The Internet's Multiple Roles in Facilitating the Sexual Orientation Identity Development of Gay and Bisexual Male Adolescents.

Am J Mens Health. 2016-9

[10]
From broken windows to busy streets: a community empowerment perspective.

Health Educ Behav. 2015-4

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