Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, CA; and.
CAL-PEP, Oakland, CA.
J Acquir Immune Defic Syndr. 2021 Dec 15;88(S1):S6-S11. doi: 10.1097/QAI.0000000000002805.
Black and Latinx sexual minority youth are disproportionately affected by HIV. The House Ball and gay family communities encompass sexual and ethnic minority youth who form chosen families that promote protective HIV-related health behaviors. We conducted a small-scale trial of the We Are Family intervention, leveraging these existing social dynamics to address HIV.
From September 2018 to September 2019, we enrolled N = 118 for baseline and 6-month follow-up assessments. Eligible participants were 18 years or older, San Francisco Bay Area residents, members of a house or gay family or ball attendees in the past year, smartphone users, and sexually active. The intervention included one 2-hour in-person group session, community-level events, a mobile health app, and a dedicated service provider.
Ninety-seven percent of our participants were people of color, 94% were retained through follow-up. 73% attended at least 1 group session, 100% used the mobile health app, and 56% attended a community-level event. Modest changes were observed baseline to follow-up: among all participants, any condomless anal intercourse past 3 months (74.6%-66.7%, P = 0.064); among HIV-negative participants (N = 82) HIV testing past 6 months (80.7%-87.2%, P = 0.166); among HIV-positive participants (N = 34) receiving HIV primary care past 6 months (64.5%-78.8%, P = 0.139), and adherent to ART past 30 days (22.6%-28.1%, P = 0.712). 86% would be willing to refer a friend to the app, and 65% found the app to be personally relevant.
We Are Family reaches and retains its target population, is feasible, acceptable, and shows promise for improving HIV-related health behavior.
黑人和拉丁裔性少数青年受到 HIV 的影响不成比例。豪斯舞会和同性恋家庭社区包含性少数和族裔少数青年，他们组成选择的家庭，促进与保护 HIV 相关的健康行为。我们利用这些现有的社会动态，对 We Are Family 干预措施进行了小规模试验，以解决 HIV 问题。
从 2018 年 9 月到 2019 年 9 月，我们招募了 118 名参加基线和 6 个月随访评估的参与者。合格的参与者年龄在 18 岁或以上，是旧金山湾区的居民，是过去一年豪斯舞会或同性恋家庭或舞会的成员，是智能手机用户，并且有性行为。该干预措施包括一次 2 小时的面对面小组会议、社区层面的活动、一个移动健康应用程序和一个专门的服务提供商。
我们的参与者中有 97%是有色人种，94%在随访中保留下来。73%的人至少参加了一次小组会议，100%的人使用了移动健康应用程序，56%的人参加了社区层面的活动。在基线到随访期间观察到了适度的变化：在所有参与者中，过去 3 个月内有无保护的肛交（74.6%-66.7%，P=0.064）；在 HIV 阴性参与者（N=82）中，过去 6 个月内接受 HIV 检测（80.7%-87.2%，P=0.166）；在 HIV 阳性参与者（N=34）中，过去 6 个月内接受 HIV 初级保健（64.5%-78.8%，P=0.139），以及过去 30 天内接受抗逆转录病毒治疗（ART）的依从性（22.6%-28.1%，P=0.712）。86%的人愿意将朋友推荐给应用程序，65%的人认为该应用程序与个人相关。
We Are Family 能够接触到并留住目标人群，是可行的、可接受的，并且有希望改善与 HIV 相关的健康行为。
