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. 2023 Jan-Feb;17(1):15579883231152114.
doi: 10.1177/15579883231152114.

Establishing an Academic-Community Partnership to Explore the Potential of Barbers and Barbershops in the Southern United States to Address Racial Disparities in HIV Care Outcomes for Black Men Living With HIV

Chidiogo Nwakoby  1 , Leslie J Pierce  2 , Robert Crawford  3 , Donaldson Conserve  4 , Jessica Perkins  1 , Sharon Hurt  3 , Aima A Ahonkhai  2   5
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Establishing an Academic-Community Partnership to Explore the Potential of Barbers and Barbershops in the Southern United States to Address Racial Disparities in HIV Care Outcomes for Black Men Living With HIV

Chidiogo Nwakoby et al. Am J Mens Health. 2023 Jan-Feb.

Abstract

Black men comprise most new HIV infections in the Southern United States and have worse HIV outcomes than their non-Black counterparts. We developed an academic-community partnership in Nashville, Tennessee, to explore opportunities to improve HIV outcomes for Black men. We recruited barbers to an HIV training and focus group discussion about prevention and potential barber/barbershop-based strategies to address HIV-related needs for Black men. We assessed HIV knowledge and stigma with validated scales and conducted thematic analysis on discussion transcripts. HIV-related stigma was low (1.8 of 15 points [SD = 1.69]) among 13 participants of unknown HIV status (12 men and one woman). HIV knowledge increased among eight (67%) participants after receiving a brief HIV didactic. Participants described general health care barriers (e.g., the social norm that Black men do not go to the doctor until they are "damn near dead"), fears about unwanted HIV disclosure when seeking HIV testing or care, and community fears about negative stereotypes associated with HIV. Participants expressed enthusiasm about receiving more HIV-related training and utilizing communication skills and client/community relationships to serve as health educators and navigators. Barbers highlighted opportunities to disseminate HIV information in barbershops and combine HIV interventions with other health issues, such as COVID-19, and suggested that these interventions may help reduce HIV-related stigma. Our findings suggest that barbers and barbershops are an underutilized resource for disseminating HIV-related health information and engaging Black men in HIV and other important prevention and care activities such as COVID-19.

Keywords: HIV/AIDS; health inequality/disparity; men of color; social networks.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Perceived Barriers and Solutions to HIV Care for Black Men Among Barbers in a Southern U.S. City
See this image and copyright information in PMC

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References

    1. Ahonkhai A. A., Rebeiro P. F., Jenkins C. A., Rickels M., Cook M., Shepherd B. E., Brantley M., Wester C. (2018). Trends and predictors of linkage to HIV care in Tennessee: 2012–2015. National Center for AIDS Research Conference.
    1. Agency for Toxic Substances and Disease Registry. (2018). What is community engagement?. https://www.atsdr.cdc.gov/communityengagement/pce_what.html
    1. Announcement: Monitoring selected national HIV prevention and care objectives. (2017). Morbidity and Mortality Weekly Report, 66(29), Article 794. 10.15585/mmwr.mm6629a6 - DOI - PMC - PubMed
    1. Baker J. L., Brawner B., Cederbaum J. A., White S., Davis Z. M., Brawner W., Jemmott L. S. (2012). Barbershops as venues to assess and intervene in HIV/STI risk among young, heterosexual African American men. American Journal of Men’s Health, 6(5), 368–382. 10.1177/1557988312437239 - DOI - PubMed
    1. Bassett I. V., Xu A., Govere S., Thulare H., Frank S. C., Psaros C., Parker R. A. (2018). Contraception and PrEP in South African hair salons: Owner, stylist, and client views. Journal of Acquired Immune Deficiency Syndromes, 79(2), e78–e81. 10.1097/QAI.0000000000001794 - DOI - PMC - PubMed

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