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Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South

BACKGROUND: The severity of the HIV epidemic in the United States’ rural South highlights geographic, socioeconomic, and racial disparities that disproportionately affect poor Black Americans. Approximately 16% of Alabamians living with HIV remain undiagnosed and just 37% of rural Alabamians have ev...

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Autores principales: Pratt, Madeline C., Isehunwa, Oluwaseyi O., Bassett, Ingrid V., Kempf, Mirjam-Colette, Gordon, Bretia, Matthews, Lynn T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930722/
https://www.ncbi.nlm.nih.gov/pubmed/36793139
http://dx.doi.org/10.1186/s13690-023-01039-w
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author Pratt, Madeline C.
Isehunwa, Oluwaseyi O.
Bassett, Ingrid V.
Kempf, Mirjam-Colette
Gordon, Bretia
Matthews, Lynn T.
author_facet Pratt, Madeline C.
Isehunwa, Oluwaseyi O.
Bassett, Ingrid V.
Kempf, Mirjam-Colette
Gordon, Bretia
Matthews, Lynn T.
author_sort Pratt, Madeline C.
collection PubMed
description BACKGROUND: The severity of the HIV epidemic in the United States’ rural South highlights geographic, socioeconomic, and racial disparities that disproportionately affect poor Black Americans. Approximately 16% of Alabamians living with HIV remain undiagnosed and just 37% of rural Alabamians have ever been tested for HIV. METHODS: We conducted in-depth interviews with 22 key stakeholders involved in HIV prevention, testing, treatment, or community health initiatives, and 10 adults living in rural communities across Alabama to explore HIV testing challenges and opportunities. We utilized a rapid qualitative analysis approach and engaged community partners for feedback and discussion. This analysis will inform the implementation of a mobile HIV testing service in rural Alabama. RESULTS: The following themes were identified: (1) Cultural norms, racism, poverty, and rurality impair access to healthcare. (2) Lack of sex education, low knowledge of HIV and perception of risk reinforce stigmas. (3) Messaging about “Undetectable = Untransmissible” (U = U) is not well understood in communities. (4) Community involvement may promote communication and trust between communities and testing advocates. (5) Novel testing strategies are acceptable and may diminish barriers. CONCLUSIONS: Working with community “gatekeepers” may be a key strategy to understand and promote acceptability of interventions new to rural Alabama and ameliorate stigma within communities. The implementation of new HIV testing strategies requires building and maintaining relationships with advocates, especially faith-based leaders, who engage people across many demographics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-023-01039-w.
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spelling pubmed-99307222023-02-16 Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South Pratt, Madeline C. Isehunwa, Oluwaseyi O. Bassett, Ingrid V. Kempf, Mirjam-Colette Gordon, Bretia Matthews, Lynn T. Arch Public Health Research BACKGROUND: The severity of the HIV epidemic in the United States’ rural South highlights geographic, socioeconomic, and racial disparities that disproportionately affect poor Black Americans. Approximately 16% of Alabamians living with HIV remain undiagnosed and just 37% of rural Alabamians have ever been tested for HIV. METHODS: We conducted in-depth interviews with 22 key stakeholders involved in HIV prevention, testing, treatment, or community health initiatives, and 10 adults living in rural communities across Alabama to explore HIV testing challenges and opportunities. We utilized a rapid qualitative analysis approach and engaged community partners for feedback and discussion. This analysis will inform the implementation of a mobile HIV testing service in rural Alabama. RESULTS: The following themes were identified: (1) Cultural norms, racism, poverty, and rurality impair access to healthcare. (2) Lack of sex education, low knowledge of HIV and perception of risk reinforce stigmas. (3) Messaging about “Undetectable = Untransmissible” (U = U) is not well understood in communities. (4) Community involvement may promote communication and trust between communities and testing advocates. (5) Novel testing strategies are acceptable and may diminish barriers. CONCLUSIONS: Working with community “gatekeepers” may be a key strategy to understand and promote acceptability of interventions new to rural Alabama and ameliorate stigma within communities. The implementation of new HIV testing strategies requires building and maintaining relationships with advocates, especially faith-based leaders, who engage people across many demographics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-023-01039-w. BioMed Central 2023-02-15 /pmc/articles/PMC9930722/ /pubmed/36793139 http://dx.doi.org/10.1186/s13690-023-01039-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Pratt, Madeline C.
Isehunwa, Oluwaseyi O.
Bassett, Ingrid V.
Kempf, Mirjam-Colette
Gordon, Bretia
Matthews, Lynn T.
Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South
title Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South
title_full Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South
title_fullStr Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South
title_full_unstemmed Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South
title_short Rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based HIV testing in the U.S. Deep South
title_sort rapid qualitative analysis approach to stakeholder and client interviews to inform mobile-based hiv testing in the u.s. deep south
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930722/
https://www.ncbi.nlm.nih.gov/pubmed/36793139
http://dx.doi.org/10.1186/s13690-023-01039-w
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