Cultural interventions addressing disparities in the HIV prevention and treatment cascade among Black/African Americans: a scoping review.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Black or African American* ; HIV Infections*/ethnology ; HIV Infections*/prevention & control ; Sexual and Gender Minorities* ; Culturally Competent Care*/ethnology ; Culture* ; Healthcare Disparities*/ethnology; Female ; Humans ; Male ; Homosexuality, Male ; Reproducibility of Results ; Transgender Persons
    • Abstract:
      Culture is an important determinant of HIV risk and protective behaviors; yet, we know little about how it is integrated in HIV interventions. This scoping review characterizes the integration of culture in HIV prevention and treatment interventions focused on Black/African Americans. We searched MEDLINE, PsycINFO, CINAHL, and Google Scholar for peer-reviewed manuscripts published between July 1, 2011, and June 28, 2021. Twenty-five interventions were identified, with 96% focused on prevention. Most (40%) targeted men who have sex with men or transgender women. Only three were grounded in cultural theory. Although all interventions were labeled "culturally based," only two explicitly defined culture. Moreover, there was much diversity regarding the ways in which interventions integrated cultural elements, with some conflating race/ethnicity with culture. To improve uptake and HIV-related outcomes, interventions integrating culture are greatly needed. Additionally, HIV interventions purporting to be "culturally based" must include basic information to support rigor and reproducibility.
      (© 2023. BioMed Central Ltd., part of Springer Nature.)
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    • Grant Information:
      K08 MH118965 United States MH NIMH NIH HHS; P30 AI064518 United States AI NIAID NIH HHS; U54 MD012530 United States MD NIMHD NIH HHS
    • Contributed Indexing:
      Keywords: Black/African American; Culture; HIV/AIDS; Prevention; Treatment
    • Publication Date:
      Date Created: 20230907 Date Completed: 20230926 Latest Revision: 20240510
    • Publication Date:
      20240510
    • Accession Number:
      PMC10485990
    • Accession Number:
      10.1186/s12889-023-16658-9
    • Accession Number:
      37679765