2024
Qualitative description of interpersonal HIV stigma and motivations for HIV testing among gays, bisexuals, and men who have sex with men in Ghana’s slums—BSGH-005
Abu-Ba’are G, Shamrock O, Zigah E, Ogunbajo A, Dakpui H, Agbemedu G, Boyd D, Ezechi O, Nelson L, Torpey K. Qualitative description of interpersonal HIV stigma and motivations for HIV testing among gays, bisexuals, and men who have sex with men in Ghana’s slums—BSGH-005. PLOS ONE 2024, 19: e0289905. PMID: 38837972, PMCID: PMC11152275, DOI: 10.1371/journal.pone.0289905.Peer-Reviewed Original ResearchConceptsHIV testingHIV stigmaHIV testing servicesLevel of stigmaFace-to-face interviewsHIV education interventionsHIV knowledge levelsSummative content analysisGBMSM livingEducational interventionHIV preventionHealthcare servicesHIV prevalenceCommunity partnersHIV responseTesting servicesHIV statusHIV vulnerabilityGBMSMSexual healthStigmaKnowledge levelContent analysisHIVSlumsThe importance of developmental assets in HIV prevention behaviors among young black men who have sex with men (MSM)
Boyd D, Harris O, Abu-Ba’are G, Nelson L, Wilton L. The importance of developmental assets in HIV prevention behaviors among young black men who have sex with men (MSM). Scientific Reports 2024, 14: 12275. PMID: 38806594, PMCID: PMC11133373, DOI: 10.1038/s41598-024-63123-7.Peer-Reviewed Original ResearchConceptsHIV prevention behaviorsPrEP useDevelopmental assetsIncrease HIV testingHIV testingPersonal responsibilityExternal assetsPreventive behaviorsYoung Black menWellbeing of youthCommunity-based organizationsStrength-based interventionsIncreasing HIV prevention behaviorsYBMSM agesCross-sectional surveyBlack menAdult supportFamily supportPositive identityInternal assetsPrEPYBMSMHIVAssetsYouthMeasuring intersectional HIV, sexual diversity, and gender non-conformity stigma among healthcare workers in Ghana: scale validation and correlates of stigma
Oga E, Stockton M, Abu-Ba’are G, Vormawor R, Mankattah E, Endres-Dighe S, Richmond R, Jeon S, Logie C, Baning E, Saalim K, Torpey K, Nelson L, Nyblade L. Measuring intersectional HIV, sexual diversity, and gender non-conformity stigma among healthcare workers in Ghana: scale validation and correlates of stigma. BMC Health Services Research 2024, 24: 647. PMID: 38773589, PMCID: PMC11110277, DOI: 10.1186/s12913-024-11098-6.Peer-Reviewed Original ResearchConceptsIntersectional stigmaIntersectional identitiesHealthcare facility staffHealthcare facilitiesGender non-conformity stigmaStigmatizing beliefsGender non-conformingSame-sex relationshipsReduce intersectional stigmaSame-gender sexFactors associated with stigmaAssociated with less stigmaMethodsWe analyzed baseline dataStigma reduction interventionsGreater comfortCorrelates of stigmaMulti-level interventionsInfection control trainingSexual diversitySexual normsAssociated with greater comfortGreater religiosityHIV testingResultsFactor analysisExploratory factor analysisCommunity stigma, victimization, and coping strategies among gay, bisexual, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003
Shamrock O, Abu-Ba’are G, Zigah E, Dakpui H, Adjaka G, LeBlanc N, Alio A, Nelson L. Community stigma, victimization, and coping strategies among gay, bisexual, and other cis-gender men who have sex with men in slum communities in Ghana. BSGH-003. BMC Public Health 2024, 24: 966. PMID: 38580970, PMCID: PMC10998418, DOI: 10.1186/s12889-024-18242-1.Peer-Reviewed Original ResearchMeSH KeywordsCrime VictimsGhanaHIV InfectionsHomosexuality, MaleHumansMalePoverty AreasSexual and Gender MinoritiesSexual BehaviorConceptsCis-gender menGBMSM livingSlum communitiesCoping strategiesExperiences of stigmaGhanaian citiesTime-location samplingStigmatizing environmentsGBMSMCommunity stigmaCombat stigmaHIV educationNegative attitudesNegative experiencesSlumsCommitment therapyGhanaIntervention approachesStigmaVictimsCommunityTime-locationMenLivingBackgroundGayScoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa
Dada D, Abu-Ba’are G, Turner D, Mashoud I, Owusu-Dampare F, Apreku A, Ni Z, Djiadeu P, Aidoo-Frimpong G, Zigah E, Nyhan K, Nyblade L, Nelson L. Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa. BMJ Open 2024, 14: e078794. PMID: 38346887, PMCID: PMC10862343, DOI: 10.1136/bmjopen-2023-078794.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial StigmaConceptsSub-Saharan AfricaHIV-related stigmaIntersectional stigmaIntersectional lensHIV vulnerabilityIntersectional approachGender non-conformity stigmaStigma researchScoping reviewSystems of oppressionMeta-Analysis extensionWorsening mental healthGender minoritiesTransgender individualsHIV risk factorsPreferred Reporting ItemsStigmatised identitySGM populationsStigma driversHIV riskStigmatised populationsService uptakeNegative health effectsSub-SaharanSocioecological levels
2023
“For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002
Zigah E, Abu-Ba'are G, Shamrock O, Dakpui H, Apreku A, Boyd D, Nelson L, Torpey K. “For my safety and wellbeing, I always travel to seek health care in a distant facility”—the role of place and stigma in HIV testing decisions among GBMSM – BSGH 002. Health & Place 2023, 83: 103076. PMID: 37423093, DOI: 10.1016/j.healthplace.2023.103076.Peer-Reviewed Original ResearchMeSH KeywordsDelivery of Health CareHIV InfectionsHIV TestingHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSocial StigmaConceptsHIV testing decisionsHealth care facilitiesTesting decisionsGovernment health care facilitiesHIV testing optionsHealthcare workers' attitudesLimited health care facilitiesLow-income statusHIV testingHCWs' attitudesGeneral populationCare facilitiesHIVGBMSMHealth careTesting optionsFace interviewsPlace-based interventionsStigmaMenSummative content analysisArea 3Workers' attitudesResearch designFindingsThe Promise of Pre-Exposure Prophylaxis – Examining Awareness, Knowledge, and Willingness to use Different Modalities Among US-Based African Immigrants
Aidoo-Frimpong G, Agbemenu K, Adzrago D, Akyirem S, Boateng S, Nelson L. The Promise of Pre-Exposure Prophylaxis – Examining Awareness, Knowledge, and Willingness to use Different Modalities Among US-Based African Immigrants. Journal Of Immigrant And Minority Health 2023, 25: 1331-1338. PMID: 37378713, DOI: 10.1007/s10903-023-01515-z.Peer-Reviewed Original ResearchConceptsPrEP awarenessInjectable PrEPPrEP modalitiesExact testHIV preexposure prophylaxisPre-exposure prophylaxisChi-squaredFisher's exact testEffective prevention toolPearson chi-squaredPrEP outcomesPreexposure prophylaxisHIV infectionOral pillsHIV preventionSociodemographic factorsHealthcare providersSociodemographic characteristicsPrEPEducational statusPrevention toolAfrican immigrantsProphylaxisModalitiesResearch evidenceStructural violence and the uncertainty of viral undetectability for African, Caribbean and Black people living with HIV in Canada: an institutional ethnography
Odhiambo A, O’Campo P, Nelson L, Forman L, Grace D. Structural violence and the uncertainty of viral undetectability for African, Caribbean and Black people living with HIV in Canada: an institutional ethnography. International Journal For Equity In Health 2023, 22: 33. PMID: 36797746, PMCID: PMC9935247, DOI: 10.1186/s12939-022-01792-4.Peer-Reviewed Original ResearchConceptsStructural violenceACB peopleBlack peopleSocial fabricInstitutional practicesBlack communityHealth policy actorsPrecarious immigration statusSocial determinantsAnti-Black racismHIV/AIDSCriminalization of HIVPolicy actorsInstitutional ethnographyHIV discourseSocial workersHousing instabilityDepth interviewsImmigration statusSocial worldBiomedical discoursePrivileged individualsFrontline workersFood insecurityRacial discriminationInvestigating the impact of stigma, accessibility and confidentiality on STI/STD/HIV self-testing among college students in the USA: protocol for a scoping review
Reeves J, Zigah E, Shamrock O, Aidoo-Frimpong G, Dada D, Batten J, Abu-Ba’are G, Nelson L, Djiadeu P. Investigating the impact of stigma, accessibility and confidentiality on STI/STD/HIV self-testing among college students in the USA: protocol for a scoping review. BMJ Open 2023, 13: e069574. PMID: 36792328, PMCID: PMC9933744, DOI: 10.1136/bmjopen-2022-069574.Peer-Reviewed Original ResearchConceptsHIV self-test kitsHIV testing uptakeCases of chlamydiaSTD/HIVSelf-test kitsPreferred Reporting ItemsFull-text articlesMeta-Analyses extensionWeb of ScienceImpact of stigmaOvid EmbaseCochrane LibraryTesting uptakeEligible studiesOvid MEDLINEGonorrhea casesInclusion criteriaReporting ItemsElectronic databasesPeer-reviewed manuscriptsSystematic reviewEthics approvalDisease controlYoung adult college studentsGoogle ScholarAutonomy-supportive sexual health communication and sexual health behaviors for black and Latino MSM in the House Ball Community: Protocol for a social network analysis and exploratory structural equation model
Smith M, Leblanc N, Nelson L, McMahon J. Autonomy-supportive sexual health communication and sexual health behaviors for black and Latino MSM in the House Ball Community: Protocol for a social network analysis and exploratory structural equation model. PLOS ONE 2023, 18: e0276350. PMID: 36735668, PMCID: PMC9897560, DOI: 10.1371/journal.pone.0276350.Peer-Reviewed Original ResearchMulti-level manifestations of sexual stigma among men with same-gender sexual experience in Ghana
Saalim K, Amu-Adu P, Amoh-Otu R, Akrong R, Abu-Ba’are G, Stockton M, Vormawor R, Torpey K, Nyblade L, Nelson L. Multi-level manifestations of sexual stigma among men with same-gender sexual experience in Ghana. BMC Public Health 2023, 23: 166. PMID: 36694150, PMCID: PMC9872747, DOI: 10.1186/s12889-023-15087-y.Peer-Reviewed Original ResearchMeSH KeywordsGhanaHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial StigmaConceptsSame-gender sexual experienceFocus group discussionsSexual stigmaSocioecological levelsSexual experienceStigma manifestationsRole of familyPoor quality servicesQualitative content analysisInternal ambivalenceReligious institutionsSuch stigmaLegal processVerbal abuseInterpersonal levelNational lawStigma researchGroup discussionsConstant fearStigma reduction interventionsPhysical abuseSocial aspectsStigma experiencesContent analysisForeign cultureAwareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004
Abu-Ba’are G, Shamrock O, Apreku A, Agbemedu G, Zigah E, Ezechi O, Nelson L, Torpey K. Awareness and Willingness to use Condoms and Preexposure Prophylaxis among Gay, Bisexual, and Other Cisgendered Men who Have sex with men in Slum Communities in Ghana. BSGH-004. Journal Of The International Association Of Providers Of AIDS Care (JIAPAC) 2023, 22: 23259582231209649. PMID: 37933162, PMCID: PMC10631318, DOI: 10.1177/23259582231209649.Peer-Reviewed Original ResearchConceptsHIV prevention strategiesSlum communitiesPrevention strategiesPreexposure prophylaxisHuman immunodeficiency virus (HIV) prevention strategiesNegative HIV statusPrevention of HIVConsistent condom useRisk of infectionImproved health outcomesSummative content analysisAntiretroviral therapyPrEP accessGhanaian contextHIV statusLimited accessStructural barriersDepth faceHealth facilitiesHIV awarenessAnal sexHealth outcomesGBMSMCondom useQualitative studyExamining the Role of Autonomy Support, Goal Setting, and Care Coordination Quality on HIV PrEP Adherence in Black Men Who Have Sex with Men: HPTN 073
Boyd D, Nelson L, Hill M, Whitfield D, Ramos S, Akyirem S, Emel L, Wilton L, Hightow-Weidman L, Shoptaw S, Magnus M, Mayer K, Piwowar-Manning E, Wallace S, Fields S, Wheeler D. Examining the Role of Autonomy Support, Goal Setting, and Care Coordination Quality on HIV PrEP Adherence in Black Men Who Have Sex with Men: HPTN 073. AIDS Patient Care And STDs 2023, 37: 22-30. PMID: 36626154, PMCID: PMC10024067, DOI: 10.1089/apc.2022.0139.Peer-Reviewed Original Research
2022
An Innovative Adaptation of an HIV Status-Neutral, Community-Informed, Socioemotional Asset-Building Intervention With the House Ball Community
Hirshfield S, Birnbaum J, Turner D, Roberson M, Bailey M, Smith M, Nelson L. An Innovative Adaptation of an HIV Status-Neutral, Community-Informed, Socioemotional Asset-Building Intervention With the House Ball Community. Health Promotion Practice 2022, 24: 398-400. PMID: 36524579, DOI: 10.1177/15248399221140794.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanFemaleHIV InfectionsHomosexuality, MaleHumansMaleSexual and Gender MinoritiesSexual BehaviorConceptsHouse Ball CommunityBall CommunityRisk reduction interventionsBlack lesbiansGender minoritiesMultiple stigmasFamily unitYoung blacksHIV-negative Black MSMBlack menCommunity expertsInnovative adaptationNew HIV diagnosesHIV preventionHealth-promoting behaviorsEvidence-based interventionsNational networkHIV diagnosisPriority populationsCommunity modelCritical gapAdaptation processCommunityHigh incidenceBlack MSM
2020
Latent Profile Analysis of a Syndemic of Vulnerability Factors on Incident Sexually Transmitted Infection in a Cohort of Black Men Who Have Sex With Men Only and Black Men Who Have Sex With Men and Women in the HIV Prevention Trials Network 061 Study.
Dyer TV, Turpin RE, Stall R, Khan MR, Nelson L, Brewer R, Friedman MR, Mimiaga MJ, Cook RL, O'Cleirigh C, Mayer KH. Latent Profile Analysis of a Syndemic of Vulnerability Factors on Incident Sexually Transmitted Infection in a Cohort of Black Men Who Have Sex With Men Only and Black Men Who Have Sex With Men and Women in the HIV Prevention Trials Network 061 Study. Sexually Transmitted Diseases 2020, 47: 571-579. PMID: 32496390, PMCID: PMC7442627, DOI: 10.1097/olq.0000000000001208.Peer-Reviewed Original ResearchConceptsHIV Prevention Trials Network 061 studySexual risk profilesSyndemic factorsRisk profileBlack menImportant public health concernHIV/STI riskHigh-risk sexual behaviorPublic health concernExperience elevated levelsIncident STIsRisk factorsSTI riskVulnerability factorsSexual riskHealth concernElevated levelsBMSMWInfectionSyndemicIntimate partner violenceMenSexSexual behaviorRisk