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Addressing Latino MSM Health Disparities by Increasing Engagement with Behavioral and HIV-Prevention Services: An Implementation Science Approach

Award Number: K23MD015690
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/25/2020
PERIOD OF PERFORMANCE END DATE: 10/31/2025

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Addressing Latino MSM Health Disparities by Increasing Engagement with Behavioral and HIV-Prevention Services: An Implementation Science Approach - PROJECT SUMMARY Miami is an HIV hotspot, driven by HIV disparities among Latino men who have sex with men (MSM). Behavioral health problems (e.g., mental health, substance use) contribute to HIV acquisition, forming synergistic disparities. Yet, Latino MSM show delayed HIV testing and underutilize pre-exposure prophylaxis (PrEP) and behavioral health services, highlighting that existing implementation efforts inadequately reach this population. My preliminary data highlight multilevel, modifiable mechanisms that drive disparities in Latino MSM’s use of PrEP, HIV testing, and behavioral health services. To advance health disparities science and achieve the Ending the HIV Epidemic goals, tailored implementation strategies that address these mechanisms to ensure the equitable delivery of PrEP, HIV testing, and behavioral health services to Latino MSM must be developed and evaluated. Research Strategy. Aim 1: Discover the key components of a culturally tailored implementation strategy that addresses the mechanisms driving Latino MSM disparities in HIV-prevention and behavioral health service use. I will leverage my preliminary data to develop a culturally tailored implementation strategy, Dime Más (“Tell Me More”) with the goal of ensuring the equitable delivery of PrEP, HIV testing, and behavioral health services to Latino MSM. From my prior work, I anticipate Dime Más will involve Latino MSM outreach workers using techniques such as motivational interviewing, problem solving, and destigmatizing narratives to engage Latino MSM in services. Results of three phases of formative research (focus groups, demonstration and feedback sessions, and a feasibility test) will be used to iteratively refine Dime Más. Aim 2: Evaluate the impact of the culturally tailored implementation strategy on Latino MSM disparities in service use. I will then conduct a pilot trial comparing Dime Más delivered by a Latino MSM outreach worker from our community partner site to standard community outreach only. Latino MSM will be randomized 1:1 to each condition (N=60, ~50% U.S. born). The trial will evaluate the impact of Dime Más on health disparities by examining PrEP, HIV testing, and behavioral health uptake across groups and exploring mechanisms of effects. We will also examine implementation outcomes (appropriateness, acceptability, feasibility, fidelity, cost) via exit interviews and surveys with participants and outreach workers. Outcomes. The proposed research and the associated training and mentoring activities will begin to elucidate the tailored strategies needed to overcome factors driving Latino MSM’s HIV and behavioral health disparities, while also building my expertise in using implementation research to advance health disparities science. With expert mentors, a strong HIV research infrastructure, solid community partnerships, and the urgent public health need to scale up PrEP, HIV testing, and behavioral health services to Latino MSM, I am well positioned to advance my research and training plan.The findings will lay the foundation for a subsequent R01 hybrid effectiveness- implementation trial, further advancing health disparities science and health equity for Latino MSM.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = -$2,569 )
2026	2025	UNIVERSITY OF MIAMI	1320 S DIXIE HWY STE 1200	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Minority Health and Health Disparities Research	000	5	3/11/2026	NON-COMPETING CONTINUATION	-$2,569
														Subtotal = -$2,569

Issue Date FY: 2025 ( Subtotal = $157,409 )
2025	2025	UNIVERSITY OF MIAMI	1320 S DIXIE HWY STE 1200	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Minority Health and Health Disparities Research	001	5	11/10/2024	NON-COMPETING CONTINUATION	$141,668
2025	2025	UNIVERSITY OF MIAMI	1320 S DIXIE HWY STE 1200	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Minority Health and Health Disparities Research	002	5	4/21/2025	NON-COMPETING CONTINUATION	$15,741
2025	2023	UNIVERSITY OF MIAMI	1320 S DIXIE HWY STE 1200	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Minority Health and Health Disparities Research	000	4	11/10/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $157,409

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	UNIVERSITY OF MIAMI	1320 S DIXIE HWY STE 1200	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Minority Health and Health Disparities Research	000	4	3/26/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $157,878 )
2023	2023	UNIVERSITY OF MIAMI	1400 NW 10TH AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	000	4	3/23/2023	NON-COMPETING CONTINUATION	$157,878
														Subtotal = $157,878

Issue Date FY: 2022 ( Subtotal = $314,111 )
2022	2022	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	002	3	5/26/2022	NON-COMPETING CONTINUATION	$31,412
2022	2022	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	001	3	3/31/2022	NON-COMPETING CONTINUATION	$282,699
2022	2021	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	000	2	2/2/2022	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $314,111

Issue Date FY: 2021 ( Subtotal = $316,822 )
2021	2021	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	003	2	9/11/2021	SUPPLEMENT FOR EXPANSION	$158,119
2021	2021	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	002	2	5/17/2021	NON-COMPETING CONTINUATION	$0
2021	2021	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	001	2	3/22/2021	NON-COMPETING CONTINUATION	$158,703
2021	2020	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	000	1	11/5/2020	NEW	$0
														Subtotal = $316,822

Issue Date FY: 2020 ( Subtotal = $159,210 )
2020	2020	UNIVERSITY OF MIAMI	1600 NW 10 AVE	MIAMI	FL	33136	MIAMI-DADE	USA	Minority Health and Health Disparities Research	000	1	9/25/2020	NEW	$159,210
														Subtotal = $159,210

Grand Total All Awards = $1,102,861

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Addressing Latino MSM Health Disparities by Increasing Engagement with Behavioral and HIV-Prevention Services: An Implementation Science Approach

Award Number: K23MD015690

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/25/2020

PERIOD OF PERFORMANCE END DATE: 10/31/2025

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