Intervention mapping for systematic development of a community-engaged CVD prevention intervention in ethnic and racial sexual minority men with HIV

作者：Baram Kang, Lauren Chin, Marlene Camacho‐Rivera, Michael A. Garza, Tania de Jesús Espinosa, Xiaomei Cong, Marilyn Fraser, Mohamed Boutjdir, S. Raquel Ramos · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1529152 · 被引用次数：4 · 研究领域：HIV-related health complications and treatments、HIV/AIDS Research and Interventions、Diabetes, Cardiovascular Risks, and Lipoproteins

Introduction: Cardiovascular disease (CVD) is a leading cause of mortality in the United States, disproportionately affecting marginalized populations such as Black and Latinx sexual minority men with HIV. These individuals face heightened CVD risk due to chronic inflammation related to HIV, side effects from treatment, and intersecting social disadvantages, including stigma and discrimination. Behavioral interventions specifically targeting these populations have been limited, with insufficient uptake in marginalized communities. Methods: This study used Intervention Mapping (IM) to develop a culturally tailored CVD prevention intervention for Black and Latinx sexual minority men with HIV. IM is a systematic, theory- and evidence-based framework for health promotion program planning. We focused on the first three of six steps in the IM process: (1) assessing community needs through literature review, framework development, and community-engaged research; (2) identifying program outcomes to develop a logic model of change; and (3) selecting theory-based methods and practical strategies for program design. Results: The needs assessment revealed significant barriers to cardiovascular health, including medical distrust, stigma, and lack of access to culturally appropriate healthcare. The logic model of change highlighted behavioral and environmental determinants influencing cardiovascular health, leading to specific performance objectives and change objectives. Strategies includ...