PrEPárate: Evaluation of a Community-Driven PrEP Social Marketing Intervention Tailored to Latina/o/x Individuals-Reference-Cited by-同舟云学术

PrEPárate: Evaluation of a Community-Driven PrEP Social Marketing Intervention Tailored to Latina/o/x Individuals

Published:2023-11-30 Issue: Volume: Page:
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Author:

Shah Harita S.¹^ORCID,Serrano Pedro A.²,Mathur Priya K.¹,Albarran Ricardo,Hondal Esbeidy Torres,Miguel Cindy San,Curtis Michael G.,II Gregory Phillips

Affiliation:

1. University of Chicago

2. Northwestern University

Abstract

Abstract Background: Latina/o/x sexual minority men (SMM) and transgender women (TW) remain disproportionately impacted by HIV, with higher HIV incidence and lower uptake of pre-exposure prophylaxis (PrEP) than non-Hispanic white peers. Disparities in PrEP uptake among Latina/o/x populations have been found to be due to structural, social, and personal barriers. Social marketing interventions have been shown to effectively address barriers and increase PrEP uptake in other populations, and thus offer potential as a tool to increase PrEP uptake for Latina/o/x populations. Methods: The PrEPárate campaign was developed through community based participatory research and ran from April to September 2022 in Cook County, Illinois. We conducted a mixed methods evaluation through surveys (N=515) and semi-structured interviews with community partners and survey participants (N=14). Cross-sectional associations of campaign exposure with PrEP awareness and uptake were examined in covariate-adjusted multivariable regression models. We used rapid qualitative methods to analyze interviews and assess implementation outcomes using the RE-AIM framework. Results: The campaign reached over 118,000 people on social media, with additional reach over public transit. PrEPárate exposure was associated with increased PrEP awareness (aOR= 5.23; 95% CI = (2.58, 10.63) and PrEP uptake (aOR= 1.69; 95% CI = (1.09, 2.62). Qualitative analysis found the campaign to be acceptable, appropriate, and implemented with fidelity. Future directions for PrEPárate include expanding adoption and focusing on PrEP stigma reduction. Conclusions: Social marketing campaigns can be an effective strategy to increase PrEP awareness and uptake among underserved Latina/o/x populations. Community engagement is essential to the development of tailored, acceptable, and appropriate interventions.

Publisher

Research Square Platform LLC

Reference44 articles.

1. Centers for Disease Control and Prevention. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(No.2). http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Published May 2021. Accessed 16 Nov 2023.

2. Centers for Disease Control and Prevention. HIV Infection, Risk, Prevention, and Testing Behaviors Among Transgender Women—National HIV Behavioral Surveillance, 7 U.S. Cities, 2019–2020. HIV Surveillance Special Report 27. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Published April 2021. Accessed 16 Nov 2023.

3. Chicago Department of Public Health. HIV + STI Data Brief, 2021. Chicago, IL: City of Chicago; December 2022.

4. Ending the HIV Epidemic: A Plan for the United States;Fauci AS;JAMA,2019

5. A programmatic approach to address increasing HIV diagnoses among Hispanic/Latino MSM, 2010–2014;McCree DH;Prev Med,2018