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