Using GPS-defined venue-based affiliation networks among Black sexually minoritized men and transgender women to identify locations for HIV prevention interventions

Ann Epidemiol. 2024 Aug:96:80-87. doi: 10.1016/j.annepidem.2024.07.001. Epub 2024 Jul 4.

Abstract

Purpose: HIV biomedical intervention uptake is suboptimal among Black sexually minoritized men (SMM) and transgender women (TW). Venues where people meet and interact shape HIV-related risk and prevention behaviors. We aimed to construct GPS-defined venue-based affiliation networks and identify the unique set of venues that could maximize reach of HIV biomedical interventions among Black SMM and TW.

Methods: We used baseline survey and GPS data from 272 Black SMM and TW in the Neighborhoods and Networks (N2) Cohort Study in Chicago, Illinois (2018-2019). We mapped participants' GPS data to the nearest pre-identified SMM- and TW-friendly venue (n = 222) to construct affiliation networks. Network analyses were performed to identify influential venues that can yield high reach to intervention candidates.

Results: Participants were affiliated with 75.5 % of all pre-identified venues based on GPS data. Two influential venues were identified in the non-PrEP use network, which when combined, could reach 52.5 % of participants not taking PrEP. Participants that could be reached through these two influential venues reported more non-main sex partners than participants not affiliated with either venue (p = 0.049).

Conclusion: We demonstrate a potential for GPS-defined venue-based affiliation networks to identify unique combinations of venues that could maximize the impact of HIV prevention interventions.

Keywords: Black or African American; Geographic Information System; HIV; Sexual and Gender Minorities; Social Network Analysis; Transgender Persons.

MeSH terms

  • Adolescent
  • Adult
  • Black or African American* / statistics & numerical data
  • Chicago
  • Cohort Studies
  • Female
  • Geographic Information Systems
  • HIV Infections* / prevention & control
  • Humans
  • Male
  • Middle Aged
  • Sexual Behavior
  • Sexual Partners
  • Sexual and Gender Minorities / statistics & numerical data
  • Transgender Persons* / statistics & numerical data
  • Young Adult