Nursing and Health Care Preferences among Opioid and Stimulant Using Black Sexual Minority Men: An Exploratory Study

Derek T. Dangerfield; Jessica Cooper; Omeid Heidari; Sophia Allen; Terrell J.A. Winder; Gregory M. Lucas

doi:10.1097/JNC.0000000000000201

Nursing and Health Care Preferences among Opioid and Stimulant Using Black Sexual Minority Men: An Exploratory Study

Derek T. Dangerfield, Jessica Cooper, Omeid Heidari, Sophia Allen, Terrell J.A. Winder, Gregory M. Lucas

Research output: Contribution to journal › Article › peer-review

Abstract

Black sexual minority men (BSMM) experience the worst HIV treatment outcomes in the United States. Drug use increases HIV transmission risks and reduces health care engagement. Perceived health care provider stigma and medical mistrust minimizes treatment efforts. This study identified nursing and health care preferences among drug-using BSMM. In-depth qualitative interviews were conducted among 30 BSMM who reported drug use in Baltimore City, MD, from December 2018 to March 2019. Analysis identified themes as client preferences for nursing practices and gaps in clinical services. Participants' ages ranged from 23 to 63 years (M = 41.1). Most (91%) reported living with HIV. The following themes were identified as nursing and health care preferences: (a) being genuine, (b) knowing drug treatment and social services, (c) understanding drug use effects, (d) providing mental health services, and (e) clarifying treatment recommendations. Nurses and health care facilities can improve cultural competency for drug-using BSMM. Future research should identify the impact of these preferences on HIV care outcomes among BSMM.

Original language	English (US)
Pages (from-to)	E30-E39
Journal	Journal of the Association of Nurses in AIDS Care
Volume	32
Issue number	5
DOIs	https://doi.org/10.1097/JNC.0000000000000201
State	Published - Sep 1 2021

Keywords

HIV
culture
drug treatment
provider
sexual health

ASJC Scopus subject areas

Advanced and Specialized Nursing

Access to Document

10.1097/JNC.0000000000000201

Cite this

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title = "Nursing and Health Care Preferences among Opioid and Stimulant Using Black Sexual Minority Men: An Exploratory Study",

abstract = "Black sexual minority men (BSMM) experience the worst HIV treatment outcomes in the United States. Drug use increases HIV transmission risks and reduces health care engagement. Perceived health care provider stigma and medical mistrust minimizes treatment efforts. This study identified nursing and health care preferences among drug-using BSMM. In-depth qualitative interviews were conducted among 30 BSMM who reported drug use in Baltimore City, MD, from December 2018 to March 2019. Analysis identified themes as client preferences for nursing practices and gaps in clinical services. Participants' ages ranged from 23 to 63 years (M = 41.1). Most (91%) reported living with HIV. The following themes were identified as nursing and health care preferences: (a) being genuine, (b) knowing drug treatment and social services, (c) understanding drug use effects, (d) providing mental health services, and (e) clarifying treatment recommendations. Nurses and health care facilities can improve cultural competency for drug-using BSMM. Future research should identify the impact of these preferences on HIV care outcomes among BSMM.",

keywords = "HIV, culture, drug treatment, provider, sexual health",

author = "Dangerfield, {Derek T.} and Jessica Cooper and Omeid Heidari and Sophia Allen and Winder, {Terrell J.A.} and Lucas, {Gregory M.}",

note = "Funding Information: This publication resulted (in part) from research supported by the Johns Hopkins University Center for AIDS Research, an NIH funded program (1P30AI094189: PI: Chaisson), which is supported by the following NIH Co-Funding and Participating Institutes and Centers: NIAID, NCI, NICHD, NHLBI, NIDA, NIA, NIGMS, NIDDK, and NIMHD. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The authors wish to thank all the volunteers who participated in this study. Publisher Copyright: {\textcopyright} 2021 Elsevier USA. All rights reserved.",

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AU - Cooper, Jessica

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AU - Allen, Sophia

AU - Winder, Terrell J.A.

AU - Lucas, Gregory M.

N1 - Funding Information: This publication resulted (in part) from research supported by the Johns Hopkins University Center for AIDS Research, an NIH funded program (1P30AI094189: PI: Chaisson), which is supported by the following NIH Co-Funding and Participating Institutes and Centers: NIAID, NCI, NICHD, NHLBI, NIDA, NIA, NIGMS, NIDDK, and NIMHD. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The authors wish to thank all the volunteers who participated in this study. Publisher Copyright: © 2021 Elsevier USA. All rights reserved.

PY - 2021/9/1

Y1 - 2021/9/1

N2 - Black sexual minority men (BSMM) experience the worst HIV treatment outcomes in the United States. Drug use increases HIV transmission risks and reduces health care engagement. Perceived health care provider stigma and medical mistrust minimizes treatment efforts. This study identified nursing and health care preferences among drug-using BSMM. In-depth qualitative interviews were conducted among 30 BSMM who reported drug use in Baltimore City, MD, from December 2018 to March 2019. Analysis identified themes as client preferences for nursing practices and gaps in clinical services. Participants' ages ranged from 23 to 63 years (M = 41.1). Most (91%) reported living with HIV. The following themes were identified as nursing and health care preferences: (a) being genuine, (b) knowing drug treatment and social services, (c) understanding drug use effects, (d) providing mental health services, and (e) clarifying treatment recommendations. Nurses and health care facilities can improve cultural competency for drug-using BSMM. Future research should identify the impact of these preferences on HIV care outcomes among BSMM.

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Nursing and Health Care Preferences among Opioid and Stimulant Using Black Sexual Minority Men: An Exploratory Study

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Keywords

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