IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v90y2022ics0149718921000768.html
   My bibliography  Save this article

Evaluating for health equity among a cluster of health departments implementing PrEP services

Author

Listed:
  • Carter, Jarvis W.
  • Salabarría-Peña, Yamir
  • Fields, Errol L.
  • Robinson, William T.

Abstract

African American/Black and Hispanic/Latino sexual and gender minority populations are disproportionately affected by HIV in the United States and continue to experience HIV-related disparities. CDC funded project PrIDE to support 12 health departments (HD) with implementing pre-exposure prophylaxis (PrEP) strategies for men who have sex with men (MSM) and transgender persons, with a health-equity focus established by HDs. Each HD conducted mixed-methods evaluation of at least one local strategy. CDC employed a cluster evaluation approach to maximize cross validation. As a result, this cluster evaluation focused on three HDs that evaluated health equity-focused PrEP implementation strategies. Findings suggest that integrating health equity strategies such as storytelling and healthcare worker (HCW) trainings can help reduce HIV-related disparities. Storytelling improved HCW’s understanding of clients’ experiences of stigma due to racial, gender, and sexual identities. Provider training increased competencies on culturally appropriate care and the use of clinic services by Black and Hispanic MSM and transgender persons. Good practices included community engagement, seeking leadership buy-in, and integration of programmatic staff in health equity and evaluation activities. Evaluating strategies and training policies addressing social determinants of health that adversely affect HIV outcomes may help mitigate barriers Black and Hispanic MSM and transgender populations encounter in their HIV prevention seeking efforts.

Suggested Citation

  • Carter, Jarvis W. & Salabarría-Peña, Yamir & Fields, Errol L. & Robinson, William T., 2022. "Evaluating for health equity among a cluster of health departments implementing PrEP services," Evaluation and Program Planning, Elsevier, vol. 90(C).
    • Handle: RePEc:eee:epplan:v:90:y:2022:i:c:s0149718921000768
    DOI: 10.1016/j.evalprogplan.2021.101981
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718921000768
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2021.101981?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Blair, I.V. & Havranek, E.P. & Price, D.W. & Hanratty, R. & Fairclough, D.L. & Farley, T. & Hirsh, H.K. & Steiner, J.F., 2013. "Assessment of biases against latinos and african americans among primary care providers and community members," American Journal of Public Health, American Public Health Association, vol. 103(1), pages 92-98.
    2. Bogart, Laura M. & Wagner, Glenn J. & Green, Harold D. & Mutchler, Matt G. & Klein, David J. & McDavitt, Bryce & Lawrence, Sean J. & Hilliard, Charles L., 2016. "Medical mistrust among social network members may contribute to antiretroviral treatment nonadherence in African Americans living with HIV," Social Science & Medicine, Elsevier, vol. 164(C), pages 133-140.
    3. Rupa R Patel & Leandro Mena & Amy Nunn & Timothy McBride & Laura C Harrison & Catherine E Oldenburg & Jingxia Liu & Kenneth H Mayer & Philip A Chan, 2017. "Impact of insurance coverage on utilization of pre-exposure prophylaxis for HIV prevention," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-7, May.
    4. Aidala, A.A. & Wilson, M.G. & Shubert, V. & Gogolishvili, D. & Globerman, J. & Rueda, S. & Bozack, A.K. & Caban, M. & Rourke, S.B., 2016. "Housing status, medical care, and health outcomes among people living with HIV/AIDS: A systematic review," American Journal of Public Health, American Public Health Association, vol. 106(1), pages 1-23.
    5. Canan Corus & Bige Saatcioglu, 2015. "An intersectionality framework for transformative services research," The Service Industries Journal, Taylor & Francis Journals, vol. 35(7-8), pages 415-429, May.
    6. Eaton, L.A. & Driffin, D.D. & Kegler, C. & Smith, H. & Conway-Washington, C. & White, D. & Cherry, C., 2015. "The role of stigma and medical mistrust in the routine health care engagement of black men who have sex with men," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 75-82.
    7. Schilder, Arn J. & Kennedy, Cornelis & Goldstone, Irene L. & Ogden, Russel D. & Hogg, Robert S. & O'Shaughnessy, Michael V., 2001. ""Being dealt with as a whole person." Care seeking and adherence: the benefits of culturally competent care," Social Science & Medicine, Elsevier, vol. 52(11), pages 1643-1659, June.
    8. Caulley, Darrel N., 1983. "Document analysis in program evaluation," Evaluation and Program Planning, Elsevier, vol. 6(1), pages 19-29, January.
    9. Feagin, Joe & Bennefield, Zinobia, 2014. "Systemic racism and U.S. health care," Social Science & Medicine, Elsevier, vol. 103(C), pages 7-14.
    10. Choi, K.-H. & Paul, J. & Ayala, G. & Boylan, R. & Gregorich, S.E., 2013. "Experiences of discrimination and their impact on the mental health among African American, Asian and Pacific Islander, and Latino men who have sex with men," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 868-874.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Salabarría-Peña, Yamir & Douglas, Chelsea & Brantley, Meredith & Johnson, Amy K., 2022. "Informing the future of PrEP navigation: Findings from a five-site cluster evaluation," Evaluation and Program Planning, Elsevier, vol. 90(C).
    2. Priyanga Gunarathne & Huaxia Rui & Abraham Seidmann, 2022. "Racial Bias in Customer Service: Evidence from Twitter," Information Systems Research, INFORMS, vol. 33(1), pages 43-54, March.
    3. Yanrong Qiu & Kaihuai Liao & Yanting Zou & Gengzhi Huang, 2022. "A Bibliometric Analysis on Research Regarding Residential Segregation and Health Based on CiteSpace," IJERPH, MDPI, vol. 19(16), pages 1-21, August.
    4. Theo Beltran & Amani M. Allen & Jess Lin & Caitlin Turner & Emily J. Ozer & Erin C. Wilson, 2019. "Intersectional Discrimination Is Associated with Housing Instability among Trans Women Living in the San Francisco Bay Area," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
    5. Winskell, Kate & Sabben, Gaëlle, 2016. "Sexual stigma and symbolic violence experienced, enacted, and counteracted in young Africans’ writing about same-sex attraction," Social Science & Medicine, Elsevier, vol. 161(C), pages 143-150.
    6. Slaughter-Acey, Jaime C. & Brown, Tony N. & Keith, Verna M. & Dailey, Rhonda & Misra, Dawn P., 2020. "A tale of two generations: Maternal skin color and adverse birth outcomes in Black/African American women," Social Science & Medicine, Elsevier, vol. 265(C).
    7. Ching-Heng Lin & Ting Lin & Pesus Chou & Nan-Ping Yang, 2017. "Trends and Comparisons of Utilization of Emergency Departments Due to Traumatic or Non-Traumatic Causes among the HIV-Positive Population in Taiwan, 2006–2011," IJERPH, MDPI, vol. 14(10), pages 1-11, October.
    8. Mindlis, Irina & Livert, David & Federman, Alex D. & Wisnivesky, Juan P. & Revenson, Tracey A., 2020. "Racial/ethnic concordance between patients and researchers as a predictor of study attrition," Social Science & Medicine, Elsevier, vol. 255(C).
    9. Mieko Yoshihama & Jun Sung Hong & Yueqi Yan, 2022. "Everyday Discrimination and Depressive Symptoms among Gujarati Adults: Gender Difference in the Role of Social Support," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    10. Ursula Meidert & Godela Dönnges & Thomas Bucher & Frank Wieber & Andreas Gerber-Grote, 2023. "Unconscious Bias among Health Professionals: A Scoping Review," IJERPH, MDPI, vol. 20(16), pages 1-28, August.
    11. Thorsen, Maggie L. & Thorsen, Andreas & McGarvey, Ronald, 2019. "Operational efficiency, patient composition and regional context of U.S. health centers: Associations with access to early prenatal care and low birth weight," Social Science & Medicine, Elsevier, vol. 226(C), pages 143-152.
    12. Headley, Andrea M. & Blount-Hill, Kwan-Lamar & St. John, Victor J., 2021. "The psychology of justice buildings: A survey experiment on police architecture, public sentiment, and race," Journal of Criminal Justice, Elsevier, vol. 73(C).
    13. Marshall, Brittany & Salabarría-Peña, Yamir & Johnson, Wayne & Moore, Leo, 2022. "Reaching racial/ethnic and sexual and gender minorities with HIV prevention information via social marketing," Evaluation and Program Planning, Elsevier, vol. 90(C).
    14. Leddy, Anna M. & Whittle, Henry J. & Shieh, Jacqueline & Ramirez, Catalina & Ofotokun, Ighovwerha & Weiser, Sheri D., 2020. "Exploring the role of social capital in managing food insecurity among older women in the United States," Social Science & Medicine, Elsevier, vol. 265(C).
    15. Shoshana Y Kahana & Richard A Jenkins & Douglas Bruce & Maria I Fernandez & Lisa B Hightow-Weidman & Jose A Bauermeister & Adolescent Medicine Trials Network for HIV/AIDS Interventions, 2016. "Structural Determinants of Antiretroviral Therapy Use, HIV Care Attendance, and Viral Suppression among Adolescents and Young Adults Living with HIV," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-19, April.
    16. Richmond, Jennifer & Boynton, Marcella H. & Ozawa, Sachiko & Muessig, Kathryn E. & Cykert, Samuel & Ribisl, Kurt M., 2022. "Development and Validation of the Trust in My Doctor, Trust in Doctors in General, and Trust in the Health Care Team Scales," Social Science & Medicine, Elsevier, vol. 298(C).
    17. Ofole Mgbako & Magdalena E. Sobieszczyk & Susan Olender & Peter Gordon & Jason Zucker & Susan Tross & Delivette Castor & Robert H. Remien, 2020. "Immediate Antiretroviral Therapy: The Need for a Health Equity Approach," IJERPH, MDPI, vol. 17(19), pages 1-10, October.
    18. Dwyer, Laura A. & Epstein, Ronald M. & Feeney, Brooke C. & Blair, Irene V. & Bolger, Niall & Ferrer, Rebecca A., 2022. "Responsive social support serves important functions in clinical communication: Translating perspectives from relationship science to improve cancer clinical interactions," Social Science & Medicine, Elsevier, vol. 315(C).
    19. Hee, Puanani J. & Mueller, Liam O. & Orimoto, Trina E. & Maesaka, Tristan J. & Mueller, Charles W., 2023. "Combining local aggregate and treatment research findings to inform clinical decision making in youth mental health care," Children and Youth Services Review, Elsevier, vol. 154(C).
    20. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:90:y:2022:i:c:s0149718921000768. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.