ArticleAIDS and behavior2026
Implementation Determinants of Scaling up and Disseminating HIV-Prevention and Treatment Services to Latino MSM in Three Ending the HIV Epidemic Priority Jurisdictions: A Rapid Qualitative Analysis.
Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Funding
Abstract
SOMOS Alianza is a strategic alliance of HIV service implementers, HIV researchers, and community members from three jurisdictions: Miami, Florida, Orlando, Florida, and San Juan, Puerto Rico. Because of high HIV incidence among Latino men who have sex with men (LMSM), improved implementation of evidence-based HIV services is needed. We sought to identify determinants influencing the reach of HIV services to LMSM in these jurisdictions. Using the Consolidated Framework for Implementation Research 2.0 and rapid qualitative analysis, we identified facilitators and barriers across jurisdictions. Common implementation facilitators were client-centered resources and culturally grounded engagement strategies. Unique barriers included state policy affecting members from Florida, and the impact of Puerto Rico's colonial status on limiting the autonomy and distribution of health-related funds. These findings underscore the need for shared and tailored implementation strategies to address the multilevel drivers of HIV-related disparities among LMSM in these regions. SOMOS Alianza es una alianza estratégica que reúne a implementadores de servicios de VIH, investigadores de VIH y miembros de la comunidad de tres jurisdicciones: Miami (Florida), Orlando (Florida) y San Juan (Puerto Rico). Debido a la alta incidencia del VIH entre los hombres latinos que tienen sexo con hombres (HLSH), se require fortalecer la implementación de servicios de VIH basados en evidencia. Nuestro objetivo fue identificar los determinantes que influyen en el alcance de los servicios de VIH para los HLSH en estas jurisdicciones. Utilizando el Consolidated Framework for Implementation Research 2.0 y análisis cualitativo rápido, identificamos facilitadores y barreras en todas las jurisdicciones. Los facilitadores comunes incluyeron recursos centrados en el cliente y estrategias de participación culturalmente relevantes. Las barreras únicas incluyeron políticas estatales que afectan a los miembros de Florida y el impacto del estatus colonial de Puerto Rico en la autonomía y distribución de fondos relacionados con la salud. Estos resultados resaltan la necesidad de estrategias de implementación compartidas y adaptadas para abordar los factores multinivel que contribuyen a las disparidades relacionadas con el VIH entre los HLSH en estas regiones.
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