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Examining Migration, Social Bonds, Transnationalism, and HIV Prevention Pathways Among African Immigrants.

Not Yet RecruitingNA

Sponsor: State University of New York at Buffalo

Conditions: HIV Prevention, HIV Testing, Sexual and Reproductive Health

Interventions: Relationship-Centered HIV Prevention Intervention Component (Proof-of-Concept)

Countries: United States

The goal of this mixed-methods pilot study is to learn whether migration experiences, social bonds, and transnational ties shape HIV prevention decision-making, including HIV testing, HIV self-testing (HIVST), and pre-exposure prophylaxis (PrEP) uptake, among first-generation African immigrants aged 18 to 50 residing in New York and Massachusetts. The main questions it aims to answer are: * What relationship typologies and migration-related relational mechanisms influence HIV testing, HIVST, and PrEP decision-making among African immigrants? * Can a relationship-tailored HIV prevention intervention component, co-developed with the community, demonstrate feasibility and acceptability among African immigrants? * Does exposure to the prioritized intervention component show directional increases in HIV testing intention, willingness to use HIVST, interest in PrEP, and readiness for relationship-based prevention communication? There is no comparison group. All Aim 3 participants receive the same co-developed intervention component. Participants will: * Complete a qualitative interview (60-90 minutes) and/or a structured electronic survey (15-20 minutes) about their relationship experiences, migration history, and HIV prevention behaviors. * Take part in a 3-4 hour structured group deliberation session called a Palava Hut Conversation to co-develop and prioritize HIV prevention intervention ideas. * Complete a baseline survey, receive the prioritized intervention component in a structured Zoom session, and complete a follow-up survey with an optional 60-90 minute cognitive interview for a subset of participants.

Eligibility overview

Sex: ALL

Age: 18 Years to 50 Years

Healthy volunteers: Yes

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria: Individuals must meet ALL of the following criteria:

* Age 18 to 50 years at the time of enrollment
* Self-identify as a first-generation African immigrant (born in an African country and currently residing in the United States)
* Currently reside in New York or Massachusetts
* Able to communicate in English at approximately a 3rd-grade reading level
* Have access to a smartphone or computer with internet capability sufficient to participate in Zoom and/or WhatsApp-based study activities
* Willing and able to provide informed consent

Exclusion Criteria:

* Are under 18 years of age
* Do not self-identify as a first-generation African immigrant
* Do not reside in New York or Massachusetts
* Are unable to provide informed consent
* Do not have access to the technology required for virtual participation (Zoom and/or WhatsApp)

Locations (1)

Buffalo, New York, United States