uhip partnership apha 2013

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Building Research Capacity in AIDS Service Organizations to Enhance HIV Prevention Efforts for Young MSM Jimena Loveluck, MSW President/CEO HIV/AIDS Resource Center [email protected] Emily Pingel, MPH Managing Director University of Michigan Sex Lab [email protected]

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Page 1: UHIP Partnership APHA 2013

Building Research Capacity in AIDS Service

Organizations to Enhance HIV Prevention

Efforts for Young MSM

Jimena Loveluck, MSW

President/CEO

HIV/AIDS Resource Center

[email protected]

Emily Pingel, MPH

Managing Director

University of Michigan Sex Lab

[email protected]

Page 2: UHIP Partnership APHA 2013

Conflict of Interest Statement

• We have no conflicts to disclose or report

Page 3: UHIP Partnership APHA 2013

Learning Objectives

1. Review CBPR principles.

2. Discuss the Goals & Objectives of UHIP.

3. Identify the mutual benefits of a community-academic partnership to refine HIV/STI prevention services.

4. Recognize challenges created by joint research between a large academic institution and small community-based organization.

5. Identify strategies for disseminating research findings and impact on services for young MSM and the community at large.

6. Assess opportunities to strengthen community-academic partnerships.

Page 4: UHIP Partnership APHA 2013

Principles of CBPR

• Recognizes community as a unit of identity.

• Builds on strengths and resources within the community.

• Facilitates collaborative, equitable involvement of all partners in all phases of the research.

• Integrates knowledge and intervention for mutual benefit of all partners.

Israel B, Schulz A, Parker E and Becker A. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, pp. 173-202

Page 5: UHIP Partnership APHA 2013

Principles of CBPR

• Promotes a co-learning and empowering process that attends to social inequalities.

• Involves a cyclical and iterative process.

• Addresses health from both positive and ecological perspectives.

• Disseminates findings and knowledge gained to all partners.

• Involves long-term commitment by all partners.

Israel B, Schulz A, Parker E and Becker A. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, pp. 173-202

Page 6: UHIP Partnership APHA 2013

UNITED FOR HIV INTEGRATION AND POLICY (UHIP)

Page 7: UHIP Partnership APHA 2013

Putting CBPR Into Practice - UHIP

• Focuses on Issues of Concern to Community ▫ Addressing structural vulnerability among BLYMSM.

▫ Use of data by community to advocate for change.

• Directs & Improves the Research ▫ Adequate research formulation, data collection and

dissemination.

Page 8: UHIP Partnership APHA 2013

UHIP Goals • Conduct a policy assessment to identify key

stakeholders and policy opportunities. • Survey BLYMSM in the DMA about their social

experiences and HIV/AIDS risk behaviors.

• Analyze and integrate data into policy recommendations.

• Refine our policy advocacy skills and partnerships. • Disseminate our recommendations to local, state, and

national stakeholders invested in advocating for the rights of racial/ethnic minorities and YMSM.

Page 9: UHIP Partnership APHA 2013

Methods

• Policy Diagnosis (Year 1)

▫ Stakeholder identification and interview (N = 50)

▫ Web-survey of YMSM in DMA (N = 429)

Page 10: UHIP Partnership APHA 2013

Top Structural Factors Shaping HIV Risk

0 10 20 30 40

Economic Disadvantage

Weak Social Networks/Social Support

Homophobia

HIV/AIDS Stigma

Education

Unemployment

Housing Issues and Homelessness

Page 11: UHIP Partnership APHA 2013

Barriers to HIV Services

• BLYMSM Access

• Cost

• Transportation/Location of services

• Age related barriers

• Beliefs and risk perceptions

• Provider credibility/competence

• Medical mistrust

• Navigating services

• Discrimination

Page 12: UHIP Partnership APHA 2013

Dissemination and Implementation

• Sharing research findings with CBO staff, Board of Directors and client groups.

• Presenting research findings to other relevant groups, such as CABs, planning councils, and funders.

• Targeting specific areas of HIV education in outreach and testing efforts.

• Informing areas of focus during testing sessions.

• Assessing social network strategy.

Page 13: UHIP Partnership APHA 2013

FROM DATA TO PROGRAMS

Page 14: UHIP Partnership APHA 2013

Action Steps

• Increase in certain types of services: ▫ Peer-led programs (StatusSexy.com) ▫ LGBT and youth specific clinical services ▫ Consolidated, interagency collaborations

• LGBT training (C2P) ▫ Providers & Curriculum in health schools

• Create a guide to open and accepting services and

providers ▫ Development of a HIV/STI testing navigation tool

(GetConnected)

Page 15: UHIP Partnership APHA 2013

StatusSexy.com

•Increasing HIV Testing

•Decreasing Stigma

•Tailored to young gay and bi-attracted African American men

•Knowing your status is always sexy

Page 16: UHIP Partnership APHA 2013

StatusSexy Campaign Features

• Low-cost

• User-friendly marketing

• Youth-directed

• Posters, palm cards • • Peer educators

• Paid outreach workers

• Website

Page 17: UHIP Partnership APHA 2013

StatusSexy Keys to Success

• Joint testing and outreach events

• Planning and advisory groups

• The peer Sexy Team

• StatusSexy models

• Innovative use of social media

• Ongoing evaluation

Page 19: UHIP Partnership APHA 2013

Other HARC Initiatives

• New mobile unit with expanded services that include STI screening and insurance enrollment.

• Implementation of Healthy Relationships intervention for HIV+ MSM.

• New collaborations for HIV testing with LGBTQ and youth focused organizations.

• Ongoing knowledge sharing with collaborative partners, community groups and professional networks.

Page 20: UHIP Partnership APHA 2013

Lessons Learned Strengths & Challenges

Page 21: UHIP Partnership APHA 2013

Strengths of Our Collaboration

•Energetic Members

•Diverse populations and stakeholders

•Freedom to do advocacy

•Passion and Commitment

•Research capacity

•UM Affiliation

•HIV Expertise & Programming

Page 22: UHIP Partnership APHA 2013

Challenges of Our Collaboration

• Funding

• Organizational Capacity

• Taking national directives into practical programming

• Leadership Development

• Time

• UM Affiliation

• Biomedical Focus in Prevention

Page 23: UHIP Partnership APHA 2013

FORGING AHEAD…

Page 24: UHIP Partnership APHA 2013

New Directions

• Mixed-Methods Evaluation of StatusSexy

• Get Connected • Pilot testing of AIDS Stigma Index in SE-MI

• CBO offering technical assistance in CBPR work

• Addressing the challenges and opportunities of

PrEP among Health Department and ASO providers

Page 25: UHIP Partnership APHA 2013

Future of Sex Lab Collaboration

• Expansion of community partners?

• Broader sharing of research data

• Decision-making process for responding to new funding opportunities

• Agreeing on priorities for future initiatives

Page 26: UHIP Partnership APHA 2013

Acknowledgments