Strategies to Facilitate Service Utilization Among Youth at Risk for HIV: A Randomized Controlled Trial (ATN 149)
Sexual and gender minority youth (SGMY) are vulnerable to acquiring HIV and need HIV prevention and health services, but may have competing needs. A prior analysis found that PrEP use reports increased in a combination intervention study arm with coaching, peer support, and automated text-messages. This paper examines ancillary support and healthcare services utilization as secondary intervention objectives. SGMY (N = 895, 40% Black, 29% Latino) in Los Angeles and New Orleans were recruited from May, 2017 to August, 2019 and randomized to four intervention conditions: (a) automated text-messaging and monitoring intervention (AMMI), (b) AMMI plus peer support online (AMMI+PS), (c) AMMI plus strengths-based coaching by near-peer paraprofessionals (AMMI+C), or (d) all three (AMMI+PS+C). Intent-to-treat multivariate regression analyses evaluated the interventions' efficacy on past 4-month reports of ancillary support services use, having a regular healthcare provider, receiving care from doctor's office or clinic and mental health specialists, and participation in mental health support groups and HIV prevention programs. Ancillary services utilization reports declined from 40% of youth reporting an average of 4.4 services at baseline to 22.6% reporting 2.5 services by 24 months. Food, housing, transportation, and other basic services were utilized most frequently. Youth in the two coaching interventions maintained higher reports of services use over time compared to AMMI-only (both OR 1.23, 95%CI 1.12-1.35) and to AMMI+PS (both OR 1.20 95%CI 1.08-1.33). Our coaching intervention may support SGMY to stay engaged in support services. Results may be limited by self-report biases. It is unclear if these services are related to better long-term outcomes.
Authors
- Yvonne J. Bryson (ORCID: https://orcid.org/0000-0003-1589-269X)
- Wenze Tang (ORCID: https://orcid.org/0000-0002-0491-8842)
- Catherine Donahue (ORCID: https://orcid.org/0009-0005-8908-8882)
- Karin Nielsen (ORCID: https://orcid.org/0000-0003-4736-8980)
- Kelsey Ishimoto (ORCID: https://orcid.org/0009-0001-2031-6913)
- Tara Kerin (ORCID: https://orcid.org/0000-0003-2655-5605)
- Panteha Hayati Rezvan (ORCID: https://orcid.org/0000-0001-6360-8388)
- Sung‐Jae Lee (ORCID: https://orcid.org/0000-0002-7924-7430)
- Cathy J. Reback (ORCID: https://orcid.org/0000-0003-4375-7452)
- Katherine Lewis (ORCID: https://orcid.org/0009-0005-5510-5429)
- Elizabeth Mayfield Arnold (ORCID: https://orcid.org/0000-0002-4279-8896)
- Robert Bolan (ORCID: https://orcid.org/0000-0002-6686-1052)
- Ruth Cortado (ORCID: https://orcid.org/0000-0002-9280-4107)
- Naihua Duan (ORCID: https://orcid.org/0000-0001-9411-2924)
- Robert E. Weiss (ORCID: https://orcid.org/0000-0003-3648-8522)
- Anusha Moses (ORCID: https://orcid.org/0000-0002-0267-571X)
- Risa Flynn (ORCID: https://orcid.org/0000-0003-0289-2842)
- Mary Jane Rotheram‐Borus (ORCID: https://orcid.org/0000-0001-6395-5187)
- Jasmine Fournier (ORCID: https://orcid.org/0000-0003-4256-9476)
- Warren Scott Comulada (ORCID: https://orcid.org/0000-0002-1340-6371)
- Antwon Chaplin (ORCID: https://orcid.org/0009-0004-6061-4247)
- Debra A. Murphy (ORCID: https://orcid.org/0000-0001-7846-5164)
- Wilson Ramos
- Norweeta G. Milburn (ORCID: https://orcid.org/0000-0002-1004-0415)
- María Isabel Ruiz Fernández (ORCID: https://orcid.org/0000-0002-8887-5228)
- Dallas T. Swendeman (ORCID: https://orcid.org/0000-0002-4570-6352)
- Stacey Urauchi
- Marguerita Lightfoot (ORCID: https://orcid.org/0000-0001-5293-9755)
- Sergio Jimenez
- Manuel A. Ocasio (ORCID: https://orcid.org/0000-0002-8287-2878)
- Jeffrey David Klausner (ORCID: https://orcid.org/0000-0002-6922-7364)
- William Gertsch (ORCID: https://orcid.org/0009-0003-0307-438X)
- Yara Tapia
- Sue Ellen Abdalian
- D B Thomas
- Jody Kussin
- Jasmine Mosafer
Institutions
- Tulane University (US)
- University of Kentucky (US)
- Neurosciences Institute (US)
- Nova Southeastern University (US)
Publication Details
- Journal
- AIDS and Behavior
- Published
- 2024-11-28
- DOI
- https://doi.org/10.1007/s10461-024-04545-2
- Citations
- 1
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.39
Funders
- National Institutes of Health
- National Institute of Mental Health
- National Institute on Drug Abuse
- National Institute on Minority Health and Health Disparities
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Clinical and Translational Science Institute, University of California, Los Angeles
- Center for AIDS Research, University of California Los Angeles
- Center for HIV Identification, Prevention, and Treatment Services, University of California, Los Angeles