Understanding African American/Black and Latine young and emerging adults living with HIV: a sequential explanatory mixed methods study focused on self-regulatory resources DOI Creative Commons
Leo Wilton, Marya Gwadz, Charles M. Cleland

et al.

International Journal for Equity in Health, Journal Year: 2025, Volume and Issue: 24(1)

Published: May 5, 2025

Abstract Background HIV care continuum engagement is inadequate among African American/Black and Latine (AABL) young/emerging adults living with in the United States. Within this population, some subgroups face barriers to research are under-studied. Grounded social action theory, present study focuses on a diverse community-recruited cohort including those non-suppressed viral load. Using sequential explanatory mixed methods design, we describe contextual self-regulatory resources (e.g., substance use, mental health), their relationships management. Methods Participants ( N = 271) engaged structured baseline assessments biomarker testing (HIV load, drug screening). Being well-engaged suppression were primary outcomes. We purposively sampled subset for maximum variability in-depth interviews 41). Quantitative data analyzed via descriptive statistics logistic regression, results used develop qualitative questions. Then, directed content analysis. The joint display method was integrate results. Results Participants’ mean age 25 years (SD 2). majority (59%) Latine/Hispanic 41% American/Black. Nearly all assigned male sex at birth (96%) identified as gay/bisexual/queer (93%). average diagnosis 4 prior 3). (72%) evidenced (81%). Substance use (tobacco, marijuana, alcohol) prevalent, mainly low- moderate-risk levels. Drug screening indicated methamphetamine, MDMA most common recent substances. Symptoms of depression PTSD associated decreased odds care. High-risk cannabis suppression. Qualitative highlighted prevalence networks venues, importance substances coping strategy, health distress. Tobacco methamphetamine (but not marijuana) described problematic, marijuana harm reduction. more versus suppressed However, overall, did commonly interfere substantially Conclusions advances knowledge AABL highlights ways improve services.

Language: Английский

A mixed methods descriptive study of a diverse cohort of African American/Black and Latine young and emerging adults living with HIV: Sociodemographic, background, and contextual factors DOI Creative Commons
Marya Gwadz, Leo Wilton, Charles M. Cleland

et al.

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 14, 2025

Abstract Background American/Black and Latine (AABL) young/emerging adults living with HIV in the United States (US) have consistently failed to meet targets for care/medication engagement. Among this population, those non-suppressed viral load are understudied, along immigrants serious socioeconomic deprivation. Guided by social action theory, we took a mixed methods approach (sequential explanatory design) describe sociodemographic, background, contextual factors, their relationships management, among diverse cohort. Methods Participants ( N = 271) received structured baseline assessments testing. Primary outcomes were being well-engaged care suppression. A subset 41) was purposively sampled maximum variability in-depth interviews. Quantitative data analyzed descriptive statistics logistic regression, used develop research question about life contexts. Qualitative directed content analysis, joint display method integrate results. Results 25 years old, on average (SD 2). The majority (59%) Latine/Hispanic reminder African American/Black. Almost all assigned male sex at birth (96%) sexual minorities (93%). Half (49%) born outside US 33% spoke primarily Spanish. They diagnosed four prior 3). Most (72%) evidenced suppression (81%). Speaking Spanish associated higher odds of engagement, adverse childhood experiences income from federal benefits lower odds. None factors predicted results highlighted both developmentally typical (insufficient financial resources, unstable housing) atypical challenges (struggles large bureaucracies, disclosure, daily medication use). Federal local services administration critical survival. Immigrant participants came escape persecution receive care, but management often disrupted. Overall qualitative risk protective resilience. added detail, nuance, richness quantitative findings. Conclusions present study advances what is known backgrounds contexts understudied AABL HIV.

Language: Английский

Citations

1
Understanding African American/Black and Latine young and emerging adults living with HIV: a sequential explanatory mixed methods study focused on self-regulatory resources DOI Creative Commons
Leo Wilton, Marya Gwadz, Charles M. Cleland

et al.

International Journal for Equity in Health, Journal Year: 2025, Volume and Issue: 24(1)

Published: May 5, 2025

Abstract Background HIV care continuum engagement is inadequate among African American/Black and Latine (AABL) young/emerging adults living with in the United States. Within this population, some subgroups face barriers to research are under-studied. Grounded social action theory, present study focuses on a diverse community-recruited cohort including those non-suppressed viral load. Using sequential explanatory mixed methods design, we describe contextual self-regulatory resources (e.g., substance use, mental health), their relationships management. Methods Participants ( N = 271) engaged structured baseline assessments biomarker testing (HIV load, drug screening). Being well-engaged suppression were primary outcomes. We purposively sampled subset for maximum variability in-depth interviews 41). Quantitative data analyzed via descriptive statistics logistic regression, results used develop qualitative questions. Then, directed content analysis. The joint display method was integrate results. Results Participants’ mean age 25 years (SD 2). majority (59%) Latine/Hispanic 41% American/Black. Nearly all assigned male sex at birth (96%) identified as gay/bisexual/queer (93%). average diagnosis 4 prior 3). (72%) evidenced (81%). Substance use (tobacco, marijuana, alcohol) prevalent, mainly low- moderate-risk levels. Drug screening indicated methamphetamine, MDMA most common recent substances. Symptoms of depression PTSD associated decreased odds care. High-risk cannabis suppression. Qualitative highlighted prevalence networks venues, importance substances coping strategy, health distress. Tobacco methamphetamine (but not marijuana) described problematic, marijuana harm reduction. more versus suppressed However, overall, did commonly interfere substantially Conclusions advances knowledge AABL highlights ways improve services.

Language: Английский

Citations

0