2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Background: In the United States, young cisgender men who have sex with
|
|
|
|
|
|
|
|
|
|
men (YMSM), young transgender women (YTW), and gender nonconforming
|
|
|
|
|
|
|
|
|
|
(GNC) youth face elevated rates of HIV infection. However, racial and
|
|
|
|
|
|
|
|
|
|
ethnic disparities in adolescent HIV infection cannot be attributed to
|
|
|
|
|
|
|
|
|
|
individual-level factors alone and are situated within larger social and
|
|
|
|
|
|
|
|
|
|
structural contexts that marginalize and predispose sexual and gender
|
|
|
|
|
|
|
|
|
|
minority youth of color to HIV. Addressing broader ecological factors
|
|
|
|
|
|
|
|
|
|
that drive transmission requires interventions that focus on the distal
|
|
|
|
|
|
|
|
|
|
drivers of HIV infection, including violence exposure, housing, food
|
|
|
|
|
|
|
|
|
|
insecurity, educational attainment, and employment. Given the ways that
|
|
|
|
|
|
|
|
|
|
economic instability may make YMSM, YTW, and GNC youth of color
|
|
|
|
|
|
|
|
|
|
vulnerable to HIV exposure, this study focuses on employment as an HIV
|
|
|
|
|
|
|
|
|
|
prevention intervention. More specifically, the intervention, called
|
|
|
|
|
|
|
|
|
|
Work2Prevent (W2P), targets economic stability through job readiness and
|
|
|
|
|
|
|
|
|
|
employment as a means of preventing behaviors and factors associated
|
|
|
|
|
|
|
|
|
|
with adolescent and young adult HIV, such as transactional sex work and
|
|
|
|
|
|
|
|
|
|
homelessness. The intervention was adapted from iFOUR, an evidence-based
|
|
|
|
|
|
|
|
|
|
employment program for HIV-positive adults in phase 1 of this study, and
|
|
|
|
|
|
|
|
|
|
pilot tested in a university-based setting in phase 2.
|
|
|
|
|
|
|
|
|
|
Objective: This paper aims to describe the protocol for the
|
|
|
|
|
|
|
|
|
|
community-based test phase of W2P. The purpose of this phase was to
|
|
|
|
|
|
|
|
|
|
pilot test a tailored, theoretically informed employment intervention
|
|
|
|
|
|
|
|
|
|
program among YMSM, YTW, and GNC youth of color within a lesbian, gay,
|
|
|
|
|
|
|
|
|
|
bisexual, transgender, and queer (LGBTQ) community setting.
|
|
|
|
|
|
|
|
|
|
Methods: The employment intervention was pilot tested using a single-arm
|
|
|
|
|
|
|
|
|
|
pretest-posttest trial design implemented among a sample of vulnerable
|
|
|
|
|
|
|
|
|
|
YMSM, YTW, and GNC youth of color using services within a
|
|
|
|
|
|
|
|
|
|
community-based LGBTQ center. Assessments will examine intervention
|
|
|
|
|
|
|
|
|
|
feasibility, acceptability, and preliminary estimates of efficacy.
|
|
|
|
|
|
|
|
|
|
Results: Phase 3 of W2P research activities began in May 2019 and was
|
|
|
|
|
|
|
|
|
|
completed in December 2019. Overall, 41 participants were enrolled in
|
|
|
|
|
|
|
|
|
|
the community-based pilot.
|
|
|
|
|
|
|
|
|
|
Conclusions: This study will assess intervention feasibility and
|
|
|
|
|
|
|
|
|
|
acceptability in the target populations and determine preliminary
|
|
|
|
|
|
|
|
|
|
efficacy of the intervention to increase employment and reduce
|
|
|
|
|
|
|
|
|
|
vulnerability to HIV when implemented in a community-based setting
|
|
|
|
|
|
|
|
|
|
serving LGBTQ youth of color. Testing the intervention in a community
|
|
|
|
|
|
|
|
|
|
setting is an opportunity to evaluate how recruitment, retention, and
|
|
|
|
|
|
|
|
|
|
other outcomes are impacted by delivery in a venue akin to where this
|
|
|
|
|
|
|
|
|
|
intervention could eventually be used by nonresearchers. If W2P
|
|
|
|
|
|
|
|
|
|
demonstrates feasibility and acceptability, a larger multisite trial
|
|
|
|
|
|
|
|
|
|
implemented in multiple community settings serving YMSM, YTW, and GNC
|
|
|
|
|
|
|
|
|
|
youth of color is planned.'
|
|
|
|
|
affiliation: 'Hill, BJ (Corresponding Author), Planned Parenthood Great Plains, 4401
|
|
|
|
|
W 109th St 100, Overland Pk, KS 66211 USA.
|
|
|
|
|
|
|
|
|
|
Hill, Brandon J., Planned Parenthood Great Plains, 4401 W 109th St 100, Overland
|
|
|
|
|
Pk, KS 66211 USA.
|
|
|
|
|
|
|
|
|
|
Motley, Darnell N.; Rosentel, Kris, Univ Chicago, Dept Obstet \& Gynecol, Ctr Interdisciplinary
|
|
|
|
|
Inquiry \& Innovat Sexual \&, Chicago, IL 60637 USA.
|
|
|
|
|
|
|
|
|
|
VandeVusse, Alicia, Guttmacher Inst, New York, NY USA.
|
|
|
|
|
|
|
|
|
|
Garofalo, Robert; Kuhns, Lisa M., Northwestern Univ, Ann \& Robert H Lurie Childrens
|
|
|
|
|
Hosp, Feinberg Sch Med, Dept Pediat,Div Adolescent Med, Chicago, IL 60611 USA.
|
|
|
|
|
|
|
|
|
|
Kipke, Michele D., Childrens Hosp Los Angeles, Div Res Children Youth \& Families,
|
|
|
|
|
Los Angeles, CA 90027 USA.
|
|
|
|
|
|
|
|
|
|
Reisner, Sari, Fenway Inst, Fenway Hlth, Boston, MA USA.
|
|
|
|
|
|
|
|
|
|
Rupp, Betty; Goolsby, Rachel West; McCumber, Micah; Renshaw, Laura, Univ N Carolina,
|
|
|
|
|
Gillings Sch Global Publ Hlth, Dept Biostat, Collaborat Studies Coordinating Ctr,
|
|
|
|
|
Chapel Hill, NC 27515 USA.
|
|
|
|
|
|
|
|
|
|
Schneider, John A., Univ Chicago, Dept Med, 5841 S Maryland Ave, Chicago, IL 60637
|
|
|
|
|
USA.'
|
|
|
|
|
article-number: e18051
|
|
|
|
|
author: Hill, Brandon J. and Motley, Darnell N. and Rosentel, Kris and VandeVusse,
|
|
|
|
|
Alicia and Garofalo, Robert and Kuhns, Lisa M. and Kipke, Michele D. and Reisner,
|
|
|
|
|
Sari and Rupp, Betty and Goolsby, Rachel West and McCumber, Micah and Renshaw, Laura
|
|
|
|
|
and Schneider, John A.
|
|
|
|
|
author-email: brandon.hill@ppgreatplains.org
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Hill
|
|
|
|
|
given: Brandon J.
|
|
|
|
|
- family: Motley
|
|
|
|
|
given: Darnell N.
|
|
|
|
|
- family: Rosentel
|
|
|
|
|
given: Kris
|
|
|
|
|
- family: VandeVusse
|
|
|
|
|
given: Alicia
|
|
|
|
|
- family: Garofalo
|
|
|
|
|
given: Robert
|
|
|
|
|
- family: Kuhns
|
|
|
|
|
given: Lisa M.
|
|
|
|
|
- family: Kipke
|
|
|
|
|
given: Michele D.
|
|
|
|
|
- family: Reisner
|
|
|
|
|
given: Sari
|
|
|
|
|
- family: Rupp
|
|
|
|
|
given: Betty
|
|
|
|
|
- family: Goolsby
|
|
|
|
|
given: Rachel West
|
|
|
|
|
- family: McCumber
|
|
|
|
|
given: Micah
|
|
|
|
|
- family: Renshaw
|
|
|
|
|
given: Laura
|
|
|
|
|
- family: Schneider
|
|
|
|
|
given: John A.
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.2196/18051
|
|
|
|
|
files: []
|
|
|
|
|
issn: 1929-0748
|
|
|
|
|
journal: JMIR RESEARCH PROTOCOLS
|
|
|
|
|
keywords: 'HIV/AIDS; youth; young men who have sex with men; YMSM; young
|
|
|
|
|
|
|
|
|
|
transgender women; YTW; gender nonconforming youth; LGBTQ; unemployment;
|
|
|
|
|
|
|
|
|
|
homelessness; sex work'
|
|
|
|
|
keywords-plus: 'BLACK-MEN; PREEXPOSURE PROPHYLAXIS; HEALTH-CARE; STRUCTURAL
|
|
|
|
|
|
|
|
|
|
INTERVENTIONS; RISK BEHAVIORS; UNITED-STATES; SURVIVAL SEX; WOMEN;
|
|
|
|
|
|
|
|
|
|
EFFICACY; GAY'
|
|
|
|
|
language: English
|
|
|
|
|
month: SEP
|
|
|
|
|
number: '9'
|
|
|
|
|
number-of-cited-references: '75'
|
|
|
|
|
orcid-numbers: 'Kuhns, Lisa/0000-0001-8294-7801
|
|
|
|
|
|
|
|
|
|
Rosentel, Kris/0000-0002-6862-5344
|
|
|
|
|
|
|
|
|
|
West Goolsby, Rachel/0000-0001-9744-967X
|
|
|
|
|
|
|
|
|
|
Hill, Brandon/0000-0001-8897-6566
|
|
|
|
|
|
|
|
|
|
Motley, Darnell/0000-0002-3250-8154
|
|
|
|
|
|
|
|
|
|
Garofalo, Robert/0000-0001-9513-9416
|
|
|
|
|
|
|
|
|
|
Rupp, Betty/0000-0003-0336-9981'
|
|
|
|
|
papis_id: 3a367938d7cde3b3afbee7fdb3c974d8
|
|
|
|
|
ref: Hill2020work2preventemployme
|
|
|
|
|
researcherid-numbers: 'Kuhns, Lisa/ABF-9280-2020
|
|
|
|
|
|
|
|
|
|
Rosentel, Kris/B-9706-2019
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '4'
|
|
|
|
|
title: 'Work2Prevent, an Employment Intervention Program as HIV Prevention for Young
|
|
|
|
|
Men Who Have Sex With Men and Transgender Youth of Color (Phase 3): Protocol for
|
|
|
|
|
a Single-Arm Community-Based Trial to Assess Feasibility and Acceptability in a
|
|
|
|
|
Real-World Setting'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000579129700006
|
|
|
|
|
usage-count-last-180-days: '2'
|
|
|
|
|
usage-count-since-2013: '5'
|
|
|
|
|
volume: '9'
|
|
|
|
|
web-of-science-categories: 'Health Care Sciences \& Services; Public, Environmental
|
|
|
|
|
\& Occupational
|
|
|
|
|
|
|
|
|
|
Health'
|
|
|
|
|
year: '2020'
|
