Cohort I
2015 - 2017

Andres Camacho-Gonzalez | Suzanne Grieb
Marco Hidalgo | Thespina (Nina) Yamanis


Marco Hidalgo

Marco Hidalgo, PhD
Keck School of Medicine of USC

CFAR Mentor:
Robert Garofalo, MD, MPH
   (Third Coast CFAR)

Collaborating Partner:
Ricardo Cifuentes, BA
   (Esperanza Health Centers)

PrEP Engagement Among Latino MSM and Latina TW in Chicago

This proposal aims to employ focus groups among Latino men who have sex with men (LMSM) and Latina transgender women (LTW), aged 18-29, to assess personal and social factors that may influence individual uptake and acceptability of the newest biomedical HIV prevention strategy: pre-exposure prophylaxis (PrEP).

Previous studies conducted among MSM and TW illustrate how public health efforts to implement CDC PrEP clinical practice guidelines to decrease HIV infection can benefit from assessing potential individual, socioecological and cultural facilitators and/or barriers of PrEP initiation and acceptability (e.g., knowledge, attitudes, education level, perceptions of judgment from others, patient-provider relationship, immigration history, US-nativity, years residing as immigrant in the US, access to culturally-competent health care, adherence to familism, etc.). However, it remains unclear the extent to which these facilitators/barriers are influenced by intersecting factors associated with race, sexuality, gender identity, and social determinants of health among Latino/as specifically.

In accordance with CFAR ADELANTE as well as national recommendations for HIV prevention research among Hispanics, this study proposes to employ a mixedmethods design to identify important individual, culturally-specific and socio-ecological factors that facilitate and obstruct PrEP initiation, and operationally define PrEP acceptability among Chicago LMSM and young LTW, aged 18-29.

The study team, guided by a community advisory board (CAB), will code findings from 12 focus groups (6= MSM, 6= TW) to construct and implement a survey instrument designed to assess individual and socio-ecological factors among a larger sample of 100 respondents (n= 50 LMSM, n=50 LTW). The qualitative and quantitative findings from this proposed study will inform the development of a NIH R21/R34 PrEP-related intervention proposal.

   NIH RePORT list of Dr. Hidalgo's NIH grants
Not all of which have devolved from his Adelante project