African American/Black and Hispanic/Latino sexual and gender minority populations are disproportionately affected by HIV in the United States and continue to experience HIV-related disparities. CDC funded project PrIDE to support 12 health departments (HD) with implementing pre-exposure prophylaxis (PrEP) strategies for men who have sex with men (MSM) and transgender persons, with a health-equity focus established by HDs. Each HD conducted mixed-methods evaluation of at least one local strategy. CDC employed a cluster evaluation approach to maximize cross validation. As a result, this cluster evaluation focused on three HDs that evaluated health equity-focused PrEP implementation strategies. Findings suggest that integrating health equity strategies such as storytelling and healthcare worker (HCW) trainings can help reduce HIV-related disparities. Storytelling improved HCW’s understanding of clients’ experiences of stigma due to racial, gender, and sexual identities. Provider training increased competencies on culturally appropriate care and the use of clinic services by Black and Hispanic MSM and transgender persons. Good practices included community engagement, seeking leadership buy-in, and integration of programmatic staff in health equity and evaluation activities. Evaluating strategies and training policies addressing social determinants of health that adversely affect HIV outcomes may help mitigate barriers Black and Hispanic MSM and transgender populations encounter in their HIV prevention seeking efforts.

在美国，非裔美国人/黑人和西班牙裔/拉丁裔性和性别少数群体受到艾滋病毒的影响尤为严重，并且继续经历与艾滋病毒相关的差异。CDC 资助了 PrIDE 项目，以支持 12 个卫生部门 (HD) 实施针对男男性行为者 (MSM) 和跨性别者的暴露前预防 (PrEP) 策略，并由 HD 建立健康公平重点。每个 HD 对至少一个本地策略进行混合方法评估。CDC 采用集群评估方法来最大化交叉验证。因此，该集群评估侧重于评估以健康公平为重点的 PrEP 实施策略的三个 HD。研究结果表明，整合健康公平战略，例如讲故事和医疗保健工作者 (HCW) 培训，有助于减少与艾滋病毒相关的差异。讲故事提高了 HCW 对客户因种族、性别和性身份而遭受耻辱感的理解。提供者培训提高了黑人和西班牙裔 MSM 和跨性别者在文化上适当的护理和使用诊所服务的能力。良好实践包括社区参与、寻求领导层的支持以及将规划工作人员纳入健康公平和评估活动。评估解决对艾滋病毒结果产生不利影响的健康的社会决定因素的战略和培训政策可能有助于减轻黑人和西班牙裔 MSM 和跨性别人群在寻求艾滋病毒预防工作中遇到的障碍。提供者培训提高了黑人和西班牙裔 MSM 和跨性别者在文化上适当的护理和使用诊所服务的能力。良好实践包括社区参与、寻求领导层的支持以及将规划工作人员纳入健康公平和评估活动。评估解决对艾滋病毒结果产生不利影响的健康的社会决定因素的战略和培训政策可能有助于减轻黑人和西班牙裔 MSM 和跨性别人群在寻求艾滋病毒预防工作中遇到的障碍。提供者培训提高了黑人和西班牙裔 MSM 和跨性别者在文化上适当的护理和使用诊所服务的能力。良好实践包括社区参与、寻求领导层的支持以及将规划工作人员纳入健康公平和评估活动。评估解决对艾滋病毒结果产生不利影响的健康的社会决定因素的战略和培训政策可能有助于减轻黑人和西班牙裔 MSM 和跨性别人群在寻求艾滋病毒预防工作中遇到的障碍。