# PrEP Intervention Models for Young Black MSM: A Place-based Affiliation Network Approach

> **NIH NIH R03** · UNIVERSITY OF CHICAGO · 2021 · $87,503

## Abstract

ABSTRACT: Young black men who have sex with men (YBMSM) bear a significant burden of new HIV
diagnoses in the U.S. It is widely recognized that HIV prevention interventions such as PrEP are efficacious,
but successful PrEP implementation among YBMSM is limited by several structural factors that impede
engagement. Identifying places where HIV-negative (YBMSM-) who are at increased risk for HIV but not on
PrEP can inform place-based HIV prevention strategies among YBMSM. A new line of research indicates the
place-based affiliation network wherein people are connected with others through visiting the same places
shapes individuals' drug use and sex behaviors. However, little is known about how place-based affiliation
networks are associated with uptake of biobehavioral interventions such as PrEP. This proposal will identify
regular places where YBMSM- spend time who are at increased risk for HIV, but not yet on PrEP. To reduce
redundancy in intervention targets, we will prioritize places with high connectivity to other places frequented by
people who are candidates for PrEP. Furthermore, the interconnectivity between GPS and survey data enables
researchers to understand the social norms in health care engagement behaviors among people who attend
the same place(s) but who may or may not know each other, and this can direct a better design for a
contextually relevant intervention. However, little work has been conducted on place-based affiliation networks
and PrEP readiness among YBMSM, and most of the existing research relies on survey data with self-report
data on places frequented. The use of Global Positioning System (GPS) technology can provide real-time and
objective data on which places YBMSM attend and can reduce the biased and inaccurate measurement. This
proposal aims to utilize GPS data to identify: 1) regular places that YBMSM- attend; 2) place-to-place affiliation
networks formed through co-attendance at a place(s) by two or more individuals; and 3) individual-to-individual
attendance networks (i.e., individuals who attend one or more shared places). We will conduct secondary data
analysis from an ongoing Neighborhoods and Networks (N2) cohort study in Chicago among 393 YBMSM.
Participants completed a two-week GPS protocol and a survey on their PrEP use, drug use, sexual behaviors,
and social/sexual network. Electronical Health Record data are also collected to evaluate PrEP clinical
engagement. The specific aims for the proposed study are to: Aim 1) Identify and determine the spatio-
temporal distribution of regular places commonly frequented by YBMSM. Aim 2) Construct and characterize
dynamic place-to-place attendance networks. Aim 3) Determine whether HIV-negative YBMSM who attend the
same place(s) have similar sex and drug-using behaviors, % of HIV-positive network, and uptake of PrEP. This
study will demonstrate how place-based affiliation approach can (1) inform and maximize place-based
intervention by pinpointing optimal places for...

## Key facts

- **NIH application ID:** 10161165
- **Project number:** 1R03DA053161-01A1
- **Recipient organization:** UNIVERSITY OF CHICAGO
- **Principal Investigator:** Yen-Tyng Chen
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $87,503
- **Award type:** 1
- **Project period:** 2021-04-01 → 2023-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10161165

## Citation

> US National Institutes of Health, RePORTER application 10161165, PrEP Intervention Models for Young Black MSM: A Place-based Affiliation Network Approach (1R03DA053161-01A1). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10161165. Licensed CC0.

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