TY - JOUR
T1 - Identifying community-informed language to promote HIV pre-exposure prophylaxis (Prep) in black LGBTQ communities in Baltimore
AU - Fields, Errol L.
AU - Long, Amanda
AU - Bademosi, Kehinde
AU - Granderson, Ricky
AU - Schumacher, Christina M.
AU - Chandran, Aruna
AU - Kingon, Yvonne
AU - Jennings, Jacky M.
N1 - Funding Information:
Projects for Comprehensive Prevention, Care, Behavioral Health, and Social Services for Men Who Have Sex with Men of Color at Risk for and Living with HIV Infection (PS15-1509). This study was also supported by the CDC Minority HIV/AIDS Research Initiative CDA 1 U01 PS 005115. Address correspondence to Dr. Errol Fields, MD, PhD, MPH, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine, 200 N. Wolfe St., #2027, Baltimore, MD 21287. E-mail: errol.fields@jhmi.edu
Funding Information:
Errol L. Fields, MD, PhD, MPH, is affiliated with the Division of General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland. Amanda Long, MSPH, Christina M. Schumacher, PhD, and Jacky M Jennings, PhD, MPH, are affiliated with the Center for Child and Community Health Research (CCHR), Department of Pediatrics, Johns Hopkins School of Medicine. Kehinde Bademosi, MA, is affiliated with the Baltimore City Health Department, Baltimore, Maryland. Ricky Granderson, MPH, is a PhD student in Counseling Psychology at Indiana University Bloomington School of Education, Bloomington, Indiana. Christina M. Schumacher is also affiliated with the Johns Hopkins Bayview Medical Center, Baltimore, Maryland. Aruna Chandran, MD, MPH, is affiliated with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, and the Department of Pediatrics, Johns Hopkins School of Medicine. Yvonne Kingon, MSN, MPH, RN, CPNP, is a Pediatric Nurse Practitioner, Health Care for the Homeless, Baltimore, Maryland. Jacky M. Jennings, PhD, MPH, is also affiliated with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, and Johns Hopkins Bayview Medical Center. This study was supported by U.S. Centers for Disease Control and Prevention (CDC) National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention grants including Health Department Demonstration Projects to Reduce HIV Infection and Improve Engagement in HIV Medical Care among Men Who Have Sex with Men (MSM) and Transgender Persons (PS15-1506) and Health Department Demonstration
Publisher Copyright:
© 2020 The Guilford Press.
PY - 2020
Y1 - 2020
N2 - LGBTQ populations, particularly Black men who have sex with men and transgender women, experience significant HIV disparities; public health messages may inadvertently stigmatize LGBTQ populations. We sought to use qualitative methods to inform a PrEP campaign. Unstructured focus groups were conducted among predominantly Black LGBTQ persons re-cruited through social media and events. Discussions were audio-recorded, transcribed, and analyzed in NVivo using categorical analysis. Eighty individuals participated in 13 focus groups; 80% (64) identified as sexual or gender minorities. Eighty-eight percent (70) identified as Black/African American. Four themes emerged: (1) culturally competent, communityinformed, locally relevant messaging, (2) avoiding stigmatizing language or images, (3) inaccessibility of clinical language, and (4) using identity labels representing local communities and their diversity. Findings suggest PrEP campaigns need to be developed through community-informed processes to engage and avoid stigmatizing priority populations. Ongoing partnerships between public health and LGBTQ communities can facilitate development of campaigns with engaging, acceptable language.
AB - LGBTQ populations, particularly Black men who have sex with men and transgender women, experience significant HIV disparities; public health messages may inadvertently stigmatize LGBTQ populations. We sought to use qualitative methods to inform a PrEP campaign. Unstructured focus groups were conducted among predominantly Black LGBTQ persons re-cruited through social media and events. Discussions were audio-recorded, transcribed, and analyzed in NVivo using categorical analysis. Eighty individuals participated in 13 focus groups; 80% (64) identified as sexual or gender minorities. Eighty-eight percent (70) identified as Black/African American. Four themes emerged: (1) culturally competent, communityinformed, locally relevant messaging, (2) avoiding stigmatizing language or images, (3) inaccessibility of clinical language, and (4) using identity labels representing local communities and their diversity. Findings suggest PrEP campaigns need to be developed through community-informed processes to engage and avoid stigmatizing priority populations. Ongoing partnerships between public health and LGBTQ communities can facilitate development of campaigns with engaging, acceptable language.
KW - Black/African American
KW - Community engagement
KW - HIV disparities
KW - LGBTQ
KW - Public health messaging
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U2 - 10.1521/aeap.2020.32.2.152
DO - 10.1521/aeap.2020.32.2.152
M3 - Article
C2 - 32539478
AN - SCOPUS:85086624801
SN - 0899-9546
VL - 32
SP - 152
EP - 168
JO - AIDS Education and Prevention
JF - AIDS Education and Prevention
IS - 2
ER -