Hodge Sarah E, Johnson-Turbes Ashani, Flemming Shauna St Clair, Passero Meredith, Tinsley Melinda, Iheanyichukwu Thelma
NORC at the University of Chicago, Bethesda, MD, United States.
HIV/AIDS Bureau, Health Resources & Services Administration, US Department of Health and Human Services, Rockville, MD, United States.
JMIR Res Protoc. 2022 Jul 25;11(7):e36025. doi: 10.2196/36025.
The HIV epidemic in the United States disproportionately affects Black communities. Nearly half of Black men who have sex with men (MSM) will be diagnosed with HIV in their lifetime. There is a significant unmet need for behavioral health care services among Black MSM, and untreated behavioral health needs make it less likely the person is retained in HIV care.
This paper offers a description of the Implementation of Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes for Black Men who have Sex with Men (Black MSM) Initiative, a program to integrate clinical care and behavioral health/supportive services for Black MSM with HIV. The Black MSM Initiative is funded through the Health Resources & Services Administration HIV/AIDS Bureau Ryan White HIV/AIDS Program (RWHAP) Part F Special Projects of National Significance.
The components of the Black MSM Initiative include providing technical assistance to 8 Initiative demonstration sites; conducting a comprehensive and culturally responsive, mixed method, multisite evaluation; and disseminating evaluation findings and lessons learned to the RWHAP community.
As of December 31, 2020, demonstration sites enrolled 809 clients in the multisite evaluation. The research team will continue evaluation data collection through December 2021 for analysis and dissemination starting in 2022. The Black MSM Initiative fully supports the US Department of Health and Human Services' Ending the HIV Epidemic in the United States Initiative.
In order to succeed, providers and programs will need to engage populations traditionally considered "hard to reach," like many people receiving RWHAP services. Findings and lessons learned from the Black MSM Initiative will expand the tool kit of solutions to support and retain Black MSM in HIV care, furthering the goals of the Ending the HIV Epidemic Initiative and the RWHAP.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/36025.
美国的艾滋病疫情对黑人社区的影响尤为严重。近一半的黑人男同性恋者（MSM）一生中会被诊断出感染艾滋病病毒。黑人男同性恋者对行为健康护理服务有着巨大的未满足需求，而未得到治疗的行为健康需求使得他们继续接受艾滋病护理的可能性降低。
本文介绍了“实施循证行为健康模式以改善与男性发生性关系的黑人（黑人男同性恋者）的艾滋病健康结局倡议”，这是一个为感染艾滋病病毒的黑人男同性恋者整合临床护理和行为健康/支持性服务的项目。黑人男同性恋者倡议由卫生资源与服务管理局艾滋病局的瑞安·怀特艾滋病项目（RWHAP）F部分国家重大专项资助。
黑人男同性恋者倡议的组成部分包括为8个倡议示范地点提供技术援助；进行全面且具有文化适应性的混合方法多地点评估；以及向RWHAP社区传播评估结果和经验教训。
截至2020年12月31日，示范地点在多地点评估中登记了809名客户。研究团队将在2021年12月前继续收集评估数据，以便在2022年开始进行分析和传播。黑人男同性恋者倡议全力支持美国卫生与公众服务部的“在美国终结艾滋病疫情倡议”。
为了取得成功，医疗服务提供者和项目需要接触传统上被认为“难以接触到”的人群，就像许多接受RWHAP服务的人一样。从黑人男同性恋者倡议中获得的结果和经验教训将扩充解决方案工具包，以支持黑人男同性恋者接受艾滋病护理并使其持续接受护理，从而推动“终结艾滋病疫情倡议”和RWHAP目标的实现。
国际注册报告识别码（IRRID）：DERR1-10.2196/36025
