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Publication Profiles

Proyecto Compadre: Using Implementation Science to Tailor Peer Navigation for Latino Men in the US–Mexico Border Region

Citation

Tsuyuki K, Stockman JK, Stadnick NA, et al. Proyecto Compadre: Using Implementation Science to Tailor Peer Navigation for Latino Men in the US-Mexico Border Region. J Acquir Immune Defic Syndr. 2022;90(S1):S98-S104. doi:10.1097/QAI.0000000000002985

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Acceptability, Feasibility

Continuum target addressed:

Linkage to HIV care, HIV testing

Geography:

San Diego County-CA

Study Participant Classification:

Community member(s)

Plain Language Objectives

The researchers worked with Latino men and clinic staff near the US-Mexico border to adapt a peer-navigation program. They wanted to understand barriers to HIV testing and care and design a culturally appropriate model that could work in local health centers.

Plain Language Abstract

Latino men who have sex with men in San Diego experience poorer HIV testing and prevention outcomes than non-Latino White men. Researchers used interviews, focus groups, surveys, and a community-academic partnership to tailor peer navigation near the US-Mexico border. Phase 1 included interviews with 15 Latino men and focus groups and surveys with staff. Phase 2 used 31 online surveys to rank intervention and implementation strategies. Most participating Latino men spoke Spanish (94%); 67% identified as gay and 27% were US-born. Staff emphasized culturally appropriate Spanish materials, identity-neutral programming, clear training and supervision, navigator compensation, and team integration. Community participants recommended peer referrals, social networks, social media, and peer-led HIV information to address stigma and expand reach. The combined findings supported a formal peer-navigation model centered on referrals and existing Latino community networks. This planning study assessed preferences and selected strategies; it did not implement the final model or test effects on HIV testing, linkage, or clinical outcomes.

Key Takeaways

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Implementation Science Frameworks

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Community Partnerships

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