IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i7p5309-d1110486.html
   My bibliography  Save this article

A Principal Investigator as a PrEP-Using Peer Change Agent for HIV Prevention among Black Gay and Bisexual Men: An Autoethnography

Author

Listed:
  • Derek T. Dangerfield

    (Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA
    Us Helping Us, People Into Living, Inc., Washington, DC 20010, USA)

Abstract

HIV pre-exposure prophylaxis (PrEP) use remains suboptimal among Black gay and bisexual men (GBM). Multilevel factors such as medication costs, intersectional stigma, patient-clinician communication, medical mistrust, side effect concerns, and low perceived HIV risk (PHR) are well-established PrEP initiation barriers for this group. Peer change agents (PCAs) are culturally congruent interventionists who can circumvent multilevel PrEP barriers among Black GBM. I led an intervention as a PrEP-using PCA to improve PHR and PrEP willingness among 69 Black GBM from 2019–2022 and conducted an autoethnography to better understand multilevel barriers and identify the personal/professional challenges of being an in-group HIV interventionist serving Black SMM. Findings provide novel perspectives regarding PrEP barriers, the role of cultural homophily in behavior change interventions, and how interpersonal dynamics can impact staff fatigue, protocol fidelity, and research participation. Recommendations to prepare and support culturally congruent research staff are also provided.

Suggested Citation

  • Derek T. Dangerfield, 2023. "A Principal Investigator as a PrEP-Using Peer Change Agent for HIV Prevention among Black Gay and Bisexual Men: An Autoethnography," IJERPH, MDPI, vol. 20(7), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5309-:d:1110486
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/7/5309/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/7/5309/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Schneider, John A. & Zhou, A. Ning & Laumann, Edward O., 2015. "A new HIV prevention network approach: Sociometric peer change agent selection," Social Science & Medicine, Elsevier, vol. 125(C), pages 192-202.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dustin T. Duncan & DeMarc A. Hickson & William C. Goedel & Denton Callander & Brandon Brooks & Yen-Tyng Chen & Hillary Hanson & Rebecca Eavou & Aditya S. Khanna & Basile Chaix & Seann D. Regan & Darre, 2019. "The Social Context of HIV Prevention and Care among Black Men Who Have Sex with Men in Three U.S. Cities: The Neighborhoods and Networks (N2) Cohort Study," IJERPH, MDPI, vol. 16(11), pages 1-24, May.
    2. Fu, Lin & Zhou, Yueyue & Zheng, Hao & Cheng, Jin & Fan, Yue & Eli, Buzohre & Liu, Zhengkui, 2024. "Effectiveness of a brief social network intervention for depressive symptoms among Chinese adolescents under major chronic stress," Children and Youth Services Review, Elsevier, vol. 156(C).
    3. Mulawa, Marta & Yamanis, Thespina J. & Hill, Lauren M. & Balvanz, Peter & Kajula, Lusajo J. & Maman, Suzanne, 2016. "Evidence of social network influence on multiple HIV risk behaviors and normative beliefs among young Tanzanian men," Social Science & Medicine, Elsevier, vol. 153(C), pages 35-43.
    4. Samuel F Rosenblatt & Jeffrey A Smith & G Robin Gauthier & Laurent Hébert-Dufresne, 2020. "Immunization strategies in networks with missing data," PLOS Computational Biology, Public Library of Science, vol. 16(7), pages 1-21, July.
    5. Shelton, Rachel C. & Lee, Matthew & Brotzman, Laura E. & Crookes, Danielle M. & Jandorf, Lina & Erwin, Deborah & Gage-Bouchard, Elizabeth A., 2019. "Use of social network analysis in the development, dissemination, implementation, and sustainability of health behavior interventions for adults: A systematic review," Social Science & Medicine, Elsevier, vol. 220(C), pages 81-101.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5309-:d:1110486. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.