{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:03:24Z","timestamp":1777554204628,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T00:00:00Z","timestamp":1664496000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T00:00:00Z","timestamp":1664496000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>The Black Men who have Sex with Men (MSM) Initiative was implemented at eight sites to engage and retain Black MSM in HIV medical care and supportive services (SS) by addressing their behavioral health (BH) care needs. Using a pre-post design and generalized logistic mixed-effects models adjusting for patient-level random effects, site, baseline age, and baseline mental health status, we evaluated whether participants experienced increased postintervention attainment of (1) Awareness of HIV medical care, BH care, and SS; (2) Screening, referral, linkage, receipt, and engagement in HIV care, BH care, and SS; and (3) Retention, antiretroviral therapy prescription, and suppressed viral load. Among 758 evaluated participants, the proportion of participants who were aware of, screened for, screened positive for, and referred to BH and SS, retention in care (72% to 79%), and viral load suppression (68% to 75%) increased between baseline and postintervention. Among participants who screened positive and received BH services were statistically more likely to be linked to [OR, 1.34 (95% CI: 1.08\u20131.66)] and retained in [OR, 1.36 (95% CI: 1.00\u20131.83)] care. Among those who screened positive and received SS were statistically more likely to be retained in care [OR, 1.54 (95% CI: 1.07\u20132.22)]. Measures of linkage to care declined significantly during the study period, perhaps because of COVID-19 that delayed in-person care. This study suggests that interventions designed to increase utilization of BH services and SS can be effective at improving retention in care and viral load suppression among Black MSM, at least among those currently using HIV services.<\/jats:p>","DOI":"10.1089\/apc.2022.0095","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T10:33:31Z","timestamp":1664534011000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating Evidence-Informed Behavioral Health Models to Improve HIV Health Outcomes: Quantitative Findings from the Ryan White HIV\/AIDS Program Special Projects of National Significance Black Men Who Have Sex with Men Initiative"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2366-4208","authenticated-orcid":false,"given":"Savyasachi V.","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Health Care Evaluation, NORC at the University of Chicago, Bethesda, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2215-8269","authenticated-orcid":false,"given":"Benjamin M.","family":"Reist","sequence":"additional","affiliation":[{"name":"Department of Health Care Evaluation, NORC at the University of Chicago, Bethesda, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5918-3150","authenticated-orcid":false,"given":"Jared L.","family":"Sawyer","sequence":"additional","affiliation":[{"name":"Department of Health Care Evaluation, NORC at the University of Chicago, Bethesda, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8116-4546","authenticated-orcid":false,"given":"Andrew B.","family":"Chiao","sequence":"additional","affiliation":[{"name":"Department of Health Care Evaluation, NORC at the University of Chicago, Bethesda, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4417-4593","authenticated-orcid":false,"given":"Sarah E.","family":"Hodge","sequence":"additional","affiliation":[{"name":"Department of Health Care Evaluation, NORC at the University of Chicago, Bethesda, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandria D.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Health Care Evaluation, NORC at the University of Chicago, Bethesda, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1271-5789","authenticated-orcid":false,"given":"David B.","family":"Rein","sequence":"additional","affiliation":[{"name":"Department of Health Care Evaluation, NORC at the University of Chicago, Bethesda, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,9,30]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Centers for Disease Control and Prevention. HIV and Gay and Bisexual Men | HIV by Group | HIV\/AIDS | CDC. Center for Disease Control and Prevention. Atlanta GA; 2019. Available from: https:\/\/www.cdc.gov\/hiv\/group\/msm\/index.html [Last accessed: August 9 2022]."},{"key":"e_1_3_4_3_2","unstructured":"The Health Resources and Services Administration's Ryan White HIV\/AIDS Program (RWHAP). Black\/African American Clients: HRSA's Ryan White HIV\/AIDS Program 2019. Available from: https:\/\/ryanwhite.hrsa.gov\/sites\/default\/files\/ryanwhite\/resources\/population-factsheet-baa.pdf [Last accessed: August 9 2022]."},{"issue":"1","key":"e_1_3_4_4_2","first-page":"97","article-title":"Race and sexual identity: Perceptions about medical culture and healthcare among Black men who have sex with men","volume":"96","author":"Malebranche DJ","year":"2004","unstructured":"Malebranche DJ, , Peterson JL, , Fullilove RE, et al. Race and sexual identity: Perceptions about medical culture and healthcare among Black men who have sex with men. J Natl Med Assoc, 2004; 96(1):97\u2013107.","journal-title":"J Natl Med Assoc"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0202"},{"key":"e_1_3_4_6_2","doi-asserted-by":"crossref","unstructured":"Jones KT Wilton L Millett G et al. Formulating the Stress and Severity Model of Minority Social Stress for Black Men Who Have Sex with Men. In: African Americans and HIV\/AIDS: Understanding and Addressing the Epidemic. (McCree DH Jones KT O'Leary A. eds.) Springer: New York NY USA; 2010; pp. 223\u2013238.","DOI":"10.1007\/978-0-387-78321-5_12"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02401-2"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000606"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6537a4"},{"key":"e_1_3_4_10_2","unstructured":"Health Resources & Services Administration HIV\/AIDS Bureau. Part F: Special Projects of National Significance (SPNS) Program. hab.hrsa.gov. Rockville MD; 2020. Available from: https:\/\/hab.hrsa.gov\/about-ryan-white-hivaids-program\/part-f-special-projects-national-significance-spns-program. [Last accessed: August 9 2022]."},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2010.542125"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2010.0192"},{"key":"e_1_3_4_13_2","unstructured":"His Health. Brothers United\/The Damien Center. Available from: https:\/\/www.hishealth.org\/models-of-care\/brothers-united-damien-center [Last accessed: August 9 2022]."},{"key":"e_1_3_4_14_2","unstructured":"Community Human Services. Project Silk. Monterey CA; 2021. Available from: https:\/\/chscorp.org\/service-area\/program\/project-silk [Last accessed: August 9 2022]."},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.2196\/36025"},{"key":"e_1_3_4_16_2","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA). National Framework for Quality Improvement in Behavioral Health Care. Published 2011. Available from: https:\/\/www.nasmhpd.org\/sites\/default\/files\/SAMHSA Quality Improvement Initiative.pdf [Last accessed: August 9 2022]."},{"key":"e_1_3_4_17_2","unstructured":"Health Resources and Services Administration. The HIV\/AIDS Program: HIV\/AIDS Bureau Performance Measures. Published 2019. 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