Community-clinic linkages for promoting HIV prevention

Community-clinic linkages may help communities increase HIV pre-exposure prophylaxis (PrEP) uptake. Referrals from community-based organizations may be particularly important for linking Black men who have sex with men (MSM) to PrEP. This study describes PrEP referral and HIV/STI prevention networks among organizations that serve MSM in Houston, TX (N = 40), and Chicago, IL (N = 28), and compares network positions of organizations based on percentage of Black/African American clients. A majority of organizations conducted PrEP awareness/promotion activities, but fewer made PrEP referrals, with little overlap between the collaboration and referral networks. The networks tended to have a densely connected core group of organizations and more a peripheral group of organizations linking into the core with relatively few times among themselves; this core/periphery structure is efficient, but vulnerable to disruptions. The percentage of Black/African American clients organizations served was not related to most measures of network centrality. However, in Houston’s collaboration network, higher Black-serving organizations tended not to hold as influential positions for controlling communications or flows of resources. The findings indicate a potential to leverage collaborations into PrEP referral pathways to enhance PrEP promotion efforts and identify opportunities to address racial disparities in PrEP uptake

Business · Centrality · Family medicine · Men who have sex with men · Political science · Pre-exposure prophylaxis · Public relations · Referral · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine

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  Open Access•null null•Philosophy study•2016

  Incluir item

• Centrality in social networks conceptual clarification

  Open Access•Linton C Freeman•Social Networks•1978

  Incluir item

• Models of core/periphery structures

  Open Access•P Borgatti, Stephen P Borgatti et al.•Social Networks•2000

  Incluir item

• Introduction to stochastic actor-based models for network dynamics

  Open Access•Tom Ab Snijders, Tom A B Snijders et al.•Social Networks•2010

  Incluir item

• Use of Pre-exposure Prophylaxis (PrEP) in Young Men Who Have Sex with Men is Associated with Race, Sexual Risk Behavior and Peer Network Size

  Open Access•Lisa M Kuhns, Anna Hotton et al.•AIDS and Behavior•2017

  Incluir item

• Network Modeling of PrEP Uptake on Referral Networks and Health Venue Utilization Among Young Men Who Have Sex with Men

  Open Access•K Fujimoto, Peng Wang et al.•AIDS and Behavior•2018

  Incluir item

• Social Networks and Community Prevention Coalitions

  Open Access•Mark E Feinberg, Nathaniel R Riggs et al.•The Journal of Primary Prevention•2005

  Incluir item

• Understanding Multiplexity of Collaborative Emergency Management Networks

  Open Access•Naim Kapucu, Qian Hu•The American Review of Public…•2014

  Incluir item

• Using social network analysis to evaluate community capacity building of a regional Community Cancer Network

  Open Access•J S Luque, John Luque et al.•Journal of Community Psychology•2010

  Incluir item

• Factoring and weighting approaches to status scores and clique identification

  Phillip Bonacich•Journal of Mathematical Sociology•1972

  Incluir item

• Multiplex Competition, Collaboration, and Funding Networks Among Health and Social Organizations

  K Fujimoto, Peng Wang et al.•Medical Care•2017

  Incluir item