Status-Neutral Interventions to Support Health Equity for Black Sexual Minority Men

Curr HIV/AIDS Rep. 2022 Aug;19(4):265-280. doi: 10.1007/s11904-022-00610-4. Epub 2022 Jul 6.

Abstract

Purpose of review: Status-neutral care, a person-centered approach to healthcare not predicated on HIV serostatus, may improve health equity among Black sexual minority men (BSMM). We reviewed current status-neutral, HIV, and Pre-Exposure Prophylaxis (PrEP) interventions, and coded each for social-ecological focus and use of six approaches: (1) person-centered, (2) anti-stigma, (3) social support, (4) the social determinants of health (SDOH), (5) community engagement, and (6) multi-sectoral partnerships.

Recent findings: We reviewed 25 studies, of which 3 were status-neutral. Nineteen studies utilized person-centered approaches, with several employing BSMM peers. For SDOH, financial incentives and reducing clinic-level barriers to care improved cascade outcomes. Direct text messaging, anti-stigma, social support, community-engagement, and multi-sectoral partnerships also improved outcomes in some studies. Few status-neutral programs exist and additional research is needed to identify key intervention components and mechanisms of influence. Programs targeting SDOH and multiple social-ecological levels offer promise for providing holistic care to BSMM, while addressing HIV prevention and treatment and health equity.

Keywords: Black sexual minority men; HIV Continuum of Care; Person-centered approaches; PrEP Continuum of Care; Social determinants of health; Status-neutral interventions.

Publication types

  • Review

MeSH terms

  • Black or African American
  • HIV Infections* / drug therapy
  • Health Equity*
  • Homosexuality, Male
  • Humans
  • Male
  • Pre-Exposure Prophylaxis*
  • Sexual and Gender Minorities*