Health Disparities in HIV: Supporting Adolescents through the Care Continuum

Presenter:Tanner_Headshot
Amanda Tanner
Associate Professor
University of North Carolina – Greensboro

Description:

This webinar explores the specific challenges associated with ensuring adolescents are able to access HIV screening and treatment. Dr. Amanda Tanner provides background on adolescent’s biological, cognitive, social, and legal changes as they progress to adulthood as well as the disparities of HIV diagnosis and care among adolescents, especially minority youth. This presentation continues with an overview of two studies that investigate care linkage and engagement for youth with newly diagnosed HIV as well as the HIV-related healthcare transition at adolescent clinics. Dr. Tanner provides recommendations for future interventions that will help adolescents know their HIV status, become linked with appropriate care, and maintain viral suppression.

Course Objectives:

  1. Define the adolescent specific HIV-related health disparities in the United States.
  2. Describe the individual and structural level factors impeding youth’s progress through the HIV Care Continuum.
  3. Identify potential individual and structural level intervention points to support the health of youth living with HIV.

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

1A1, 1B1, 1C1, 5A2, 5A3, 6B4, 6C4, 8A3, 8A5

Click on the appropriate button to begin.I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

Socio-structural factors, health disparities, and the uptake of biomedical HIV prevention for Black Men who have Sex with Men (MSM)

Presenter:mp3243
Morgan Philbin, PhD, MHS
Assistant Professor, Department of Sociomedical Sciences
Columbia University Mailman School of Public Health

Description:

Black men who have sex with men (MSM) are at significantly higher risk of HIV. This is due to a complex interplay between socio-structural factors and their own intersectional identities. In this webinar, Dr Philbin describes her ethnographic study examining how factors at all levels of the social-ecological model shape healthcare behavior for black MSM and how they access PreP, as well as her sub-study about structural barriers to access. Some of these barriers included misunderstanding about PreP’s effectiveness and side-effects, concerns that it would decrease others’ condom use, distrust in the pharmaceutical industry and healthcare providers, precarious housing, the structure of the labor market, gendered healthcare systems, institutional and normative gender rules, and stigma. Dr Philbin highlights the importance of reducing barriers at all levels, particularly at the structural level in areas of stigma, employment, and housing. The implications include the need to eliminate the relationship between employment and access to healthcare, enacting policies that regulate shift work (scheduling and pay), creating clinical spaces that welcome all types of men, and expanding the PreP Assistance Program.

Course Objectives:

1) Describe how factors not directly related to biomedical HIV prevention (e.g., the labor market, law enforcement, gendered expectations) influence how Black MSM approach HIV prevention and pre-exposure prophylaxis.

2) Give examples of how factors across multiple levels (e.g., structural, community, interpersonal) impact how Black MSM engage with biomedical HIV prevention.

3) Describe what types of multi-level approaches might facilitate Black MSM’s uptake of PrEP. Describe how can we balance the development of more proximate interventions (e.g., education campaigns) with large scale interventions (e.g., expanding insurance access) that might have a larger impact.

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

2B8, 3A8, 4A2, 4A3, 4A4, 4A6

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

Syndemics y VIH entre hombres que tienen relaciones sexuales con hombres (HSH) en los Estados Unidos: Entendiendo el riesgo en el contexto

Presentador: Patrick Wilson, PhD, MA
Profesor Asociado, Ciencias Sociomédicas, Universidad de Columbia Mailman School of Public Health

Fecha: 5 de mayo de 2015

Descripción: Syndemics ofrece un marco útil a través del cual podemos potencialmente explicar el aumento del riesgo de VIH entre HSH en que describe la “agrupación” de diferentes epidemias fisiológicas y sociológicas por persona, lugar o tiempo. El Dr. Patrick Wilson discute el problema del VIH en nuestro propio país, donde la prevalencia del VIH en las comunidades afroamericanas y latinas es alta y donde la epidemia de VIH tiende a aumentar en HSH en los Estados Unidos. Este seminario web examina cómo observar y enfocar los factores conductuales, sociales y estructurales que influyen en las disparidades en la epidemia del VIH en HSH en blancos y negros, puede ayudar a abordar dichas disparidades en formas abiertas y desencolares.

 

Lectura pre-webinar recomendada:
Wilson, P.A., Nanin, J, Wallace, S., Cherenack, E.M., Fullilove, R. (2014). Uso de la teoría sindémica para entender la vulnerabilidad a la infección por el VIH entre hombres negros y latinos en la ciudad de Nueva York. Revista de Salud Urbana, 9 (5), 983-998. Artículo de Patrick Wilson

Preguntas de Reflexión: ¿Qué es un síndrome? ¿Cuáles son los conceptos claves del síndrome que afecta a los HSH negros y latinos en los Estados Unidos? ¿Cómo el concepto de syndemics aumenta nuestra capacidad de describir e intervenir sobre las disparidades en el VIH / SIDA que afectan a los HSH de color en los Estados Unidos?

Council on Linkages Competencias básicas para profesionales de la salud pública (versión 2014)

  • Dominio de Competencia Primaria: Habilidades de Comunicación
  • Competencias específicas: 1A1, 1B1, 1C1, 1A6, 1B6, 1C6, 2A7, 2B7, 2C7, 3A1, 3B1, 3C1, 3A5, 3B5, 3C5, 3A7, 3B7, 3C1, 3A8, 3B8, 3C8, 4A2, 4B2, 4C2, 4A3, 4B3, 4C3, 5A2, 5B2, 5C2, 5A7, 5B7, 5C7, 6A4, 6B5, 6C5, 6A5, 6B6, 6C6

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Información estratégica para poner fin a las epidemias de VIH: Eficacia comparativa de las intervenciones basadas en pruebas basadas en el VIH a escala

Presentador: Denis Nash, PhDProfesor de Epidemiología y Bioestadística
Escuela de Salud Pública de CUNY

Fecha: 1 de diciembre de 2015

Descripción:
En este webinar, el Dr. Denis Nash describe los retos de diseñar e implementar evaluaciones de impacto de programas / iniciativas de salud pública a gran escala para escalar en entornos “reales”. A pesar de la eficacia demostrada en los entornos de investigación, los ejecutores del programa suelen encontrarse con una serie de problemas que no se encontraron o se abordaron en el estudio de investigación. Tales temas incluyen cosas como una población más amplia que necesita la intervención de lo que originalmente se planificaba o un nivel individual y barreras estructurales que impiden el compromiso de la comunidad en la intervención. Los pasos adicionales, como los estudios de vinculación y retención, pueden ayudar a orientar mejor y a involucrar a las personas en intervenciones programáticas. Para ilustrar estos puntos, el Dr. Nash presenta varios ejemplos locales de evaluación de la eficacia de la intervención enfocada en la expansión de los programas de pruebas de VIH y programas de coordinación del cuidado del VIH. Concluye con su visión profesional sobre cómo aplicar los datos de vigilancia para evaluar las iniciativas programáticas.

Lectura pre-webinar recomendada:
Mejoras en el compromiso del cuidado del VIH y la supresión de la carga viral después de la inscripción en un programa integral de coordinación del cuidado del VIH

Preguntas de Reflexión:
¿Por qué los resultados del continuo del cuidado del VIH son persistentemente sub-óptimos casi en todas partes en los Estados Unidos, incluso en entornos con programas relativamente bien dotados de recursos de Medicaid y ADAP?
¿Cómo se pueden mejorar los resultados de la atención del VIH para las “PLWH” con grandes barreras psicosociales?
¿Cuáles son algunas métricas clave para el seguimiento de las iniciativas de “poner fin a la epidemia” o “llegar a cero”?

Council on Linkages: Competencias básicas para profesionales de la salud pública (versión 2014)

  • Dominio de Competencia Primaria: Habilidades en Ciencias de la Salud Pública
  • Competencias específicas: 1B15, 1C15, 2B10, 2B11, 2B13, 6B6, 6B7, 6C7

Tomar este entrenamiento

Planning and Implementing Evidenced-Based HIV Outreach and Prevention Strategies for MSM and Transgender People: Model Programs and Tools

Organization that developed training: National LGBT Health Education Center, The Fenway Institute

Description: This session focuses on best and promising practices in reaching transgender women and black men who have sex with men. The presenters will share preliminary findings from research studies that are being implemented by the Fenway Institute and their own experiences on how to engage high risk transgender women and black MSM in HIV prevention and treatment.

Year Launched: 2013

Recommended for: Public Health Foundation-defined Tier 2 Public Health Professionals

Take this training here

HIV/AIDS and Racial/Ethnic Disparities in the United States: Understanding the Context and Promising Approaches to Close the Gaps

Organization that developed training: Michigan Public Health Training Center

Description: This archived webcast features a presentation from the 26th Annual PHSAD Minority Health Conference on February 22, 2013 at the University of Michigan School of Public Health. The conference was entitled “Innovative Approaches to HIV & AIDS Prevention Among Youth.”

This session focuses on a review of the most recent epidemiologic data regarding the state of HIV/AIDS in the United States, with a particular focus on the severe and disproportionate impact on many African American communities. Dr. Sutton reviews what we know about the social and structural contexts as well as individual risk factors that may impact these disparities. Several HIV prevention interventions that show promising progress and policy implications are discussed. Dr. Sutton also reviews policy issues as they relate to HIV disparities.

Year Launched: 2013

Recommended for: Public Health Foundation-defined Tier 1 Public Health Professionals

Take this training here

Strategic information for ending HIV epidemics: Comparative effectiveness of evidence-based HIV interventions at scale

Presenter: Denis Nash, PhDDenis Nash
Professor of Epidemiology and Biostatistics
CUNY School of Public Health

Date: December 1st, 2015

Description:

In this webinar, Dr. Denis Nash describes the challenges of designing and implementing impact evaluations of large-scale public health programs/ initiatives to scale in “real-world” settings. Despite demonstrated effectiveness in research settings, program implementers often encounter a host of issues that were not found or addressed in the research study. Such issues include things like a broader population in need of the intervention than originally planned for or individual level and structural barriers impeding community engagement in the intervention. Additional steps, such as linkage and retention studies may help better target and engage people in programmatic interventions. To illustrate these points, Dr. Nash presents several local examples of evaluating intervention effectiveness focused on expansion of HIV testing and HIV care coordination programs. He concludes with his professional insight into how to apply surveillance data to evaluate programmatic initiatives.

Recommended Pre-Webinar Reading:

Reflection Questions:

  • Why are HIV care continuum outcomes persistently suboptimal nearly everywhere in the U.S., even in settings with relatively well-resourced Medicaid and ADAP programs?
  • How can HIV care outcomes be improved for PLWH with major psychosocial barriers?
  • What are some key metrics for tracking ‘ending the epidemic’ or ‘getting to zero’ initiatives?

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

1B15, 1C15, 2B10, 2B11, 2B13, 6B6, 6B7, 6C7

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).