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AIDS and Behavior

Erschienen in:

01.07.2012 | Original Paper

The Efficacy of an HIV Risk Reduction Intervention for Hispanic Women

verfasst von: Nilda Peragallo, Rosa M. Gonzalez-Guarda, Brian E. McCabe, Rosina Cianelli

Erschienen in: AIDS and Behavior | Ausgabe 5/2012

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Abstract

Culturally-specific HIV risk reduction interventions for Hispanic women are needed. SEPA (Salud/Health, Educación/Education, Promoción/Promotion, y/and Autocuidado/Self-care) is a culturally-specific and theoretically-based group intervention for Hispanic women. The SEPA intervention consists of five sessions covering STI and HIV prevention; communication, condom negotiation and condom use; and violence prevention. A randomized trial tested the efficacy of SEPA with 548 adult U.S. Hispanic women (SEPA n = 274; delayed intervention control n = 274) who completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Intent-to-treat analyses indicated that SEPA decreased positive urine samples for Chlamydia; improved condom use, decreased substance abuse and IPV; improved communication with partner, improved HIV-related knowledge, improved intentions to use condoms, decreased barriers to condom use, and increased community prevention attitudes. Culturally-specific interventions have promise for preventing HIV for Hispanic women in the U.S. The effectiveness of SEPA should be tested in a translational community trial.

World Health Organization. Women and health: today’s evidence, tomorrow’s agenda. 2009; Available at: http://whqlibdoc.who.int/hq/2009/WHO_IER_MHI_STM.09.1_eng.pdf. Accessed 9 December 2010.

Centers for Disease Control and Prevention. Estimates of new HIV infection in the United States. 2008; Available at: http://www.cdc.gov/hiv/topics/surveillance/resources/factsheets/incidence.htm. Accessed 9 December 2010.

Centers for Disease Control and Prevention. HIV/AIDS among Hispanics/Latinos. 2010; Available at: http://www.cdc.gov/hiv/hispanics/resources/factsheets/pdf/hispanic.pdf Accessed 29 September 2011.

US Census Bureau. State & county quickfacts Miami-Dade County, Florida. Revised August 16, 2010; Available at: http://quickfacts.census.gov/qfd/states/12/12086.html. Accessed 9 December 2010.

Shedlin MG, Decena CU, Oliver-Velez D. Initial acculturation and HIV risk among new Hispanic immigrants. J Natl Med Assoc. 2005;97(7 Suppl):32S–7S.PubMed

Cianelli R, Ferrer L, McElmurry BJ. HIV prevention and low-income Chilean women: machismo, marianismo and HIV misconceptions. Cult Health Sex. 2008;10(3):297–306.PubMedCrossRef

Gonzalez-Guarda RM, Peragallo N, Urrutia MT, Vasquez EP. HIV risk, substance abuse and intimate partner violence among Hispanic females and their partners. J Assoc Nurses AIDS Care. 2008;19(4):252–66.PubMedCrossRef

Peragallo N. Latino women and AIDS risk. Public Health Nurs. 1996;13(3):217–22.PubMedCrossRef

Campbell JC, Baty ML, Ghandour RM, Stockman JK, Francisco L, Wagman J. The intersection of intimate partner violence against women and HIV/AIDS: a review. Int J Inj Contr Saf Promot. 2008;15(4):221–31.PubMedCrossRef

10.

The Henry J. Kaiser Family Foundation. Women and HIV/AIDS in the United States: 2010. Available at: http://www.cdc.gov/std/stats08/surv2008-Complete.pdf. Accessed 10 December 2010.

11.

Dworkin SL, Ehrhardt AA. Going beyond “ABC” to include “GEM”: critical reflections on progress in the HIV/AIDS epidemic. Am J Public Health. 2007;97(1):13–8.PubMedCrossRef

12.

UNESCO. A cultural approach to HIV/AIDS prevention and care: UNESCO/UNAIDS research project. 2002; Available at: http://unesdoc.unesco.org/images/0012/001262/126289e.pdf. Accessed 9 December 2010.

13.

U.S. Census Bureau. Health status, health insurance and health services utilization: 2001. 2006: Available at: http://www.census.gov/prod/2006pubs/p70-106.pdf. Accessed 7 July 2011.

14.

Centers for Disease Control and Prevention. Subset of best-evidence interventions, by characteristics. 2009; Available at: http://www.cdc.gov/hiv/topics/research/prs/subset-best-evidence-interventions.htm. Accessed 1 July 2011.

15.

El-Bassel N, Witte SS, Gilbert L, et al. The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. Am J Public Health. 2003;93(6):963–9.PubMedCrossRef

16.

Raj A, Amaro H, Cranston K, Martin B, Cabral H, Navarro A, et al. Is a general women’s health promotion program as effective as an HIV-intensive prevention program in reducing HIV risk among Hispanic women? Public Health Rep. 2001;116(6):599–607.PubMedCrossRef

17.

Amaro H, Raj A, Reed E, Cranston K. Implementation and long-term outcomes of two HIV intervention programs for Latinas. Health Promot Pract. 2002;3(2):245–54.CrossRef

18.

Martin M, Camargo M, Ramos L, Lauderdale D, Krueger K, Lantos J. The evaluation of a Latino community health worker HIV prevention program. Hispanic J Behav Sci 2005;27(3):371–84.

19.

Harvey SM, Henderson JT, Thorburn S, Beckman LJ, Casillas A, Mendez L, et al. A randomized study of a pregnancy and disease prevention intervention for Hispanic couples. Perspect Sex and Reprod Health. 2004;36(4):162–9.CrossRef

20.

Peragallo N, Deforge B, O’Campo P, Lee SM, Kim YJ, Cianelli R, Ferrer L. A randomized clinical trial of an HIV risk reduction intervention among low-income Latina women. Nurs Res. 2005;54(2):108–18.PubMedCrossRef

21.

Choi KH, Hoff C, Gregorich SE, Grinstead O, Gomez C, Hussey W. The efficacy of female condom skills training in HIV risk reduction among women: a randomized controlled trial. Am J Public Health. 2008;98(10):1841–8.PubMedCrossRef

22.

Gonzalez-Guarda RM, Vasquez EP, Urrutia MT, Villarruel A, Peragallo N. Hispanic females’ experiences with substance abuse, intimate partner violence and risk for HIV. J Transcult Nurs. 2011;22(1):46–54.PubMedCrossRef

23.

Kim Y, Peragallo N, DeForge B. Predictors of participation in an HIV risk reduction intervention for socially deprived Latino women: a cross sectional cohort study. Int J Nurs Stud. 2006;43(5):527–34.PubMedCrossRef

24.

Bandura A. Social learning theory. Englewood Cliffs, NJ: Prentice Hall; 1977.

25.

Cohen J. Statistical analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.; 1987.

26.

Freire P. Pedagogy of the oppressed. New York, NY: Continuum; 1970.

27.

Walker GT, Fraiser MS, Schram JL, Little MC, Nadeau JG, Malinowski DP. Strand displacement amplification—an isothermal, in vitro DNA amplification technique. Nucleic Acids Res. 1992;20(7):1691–6.PubMedCrossRef

28.

Straus MA, Douglas EM. A short form of the Revised Conflict Tactics Scales, and typologies for severity and mutuality. Violence Vict. 2004;19(5):507–20.PubMedCrossRef

29.

Kelly JA, Murphy DA, Washington CD, et al. The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. Am J Public Health. 1994;84(12):1918–22.PubMedCrossRef

30.

Catania JA, Binson D, Dolcini MM, et al. Risk factors for HIV and other sexually transmitted diseases and prevention practices among US heterosexual adults: changes from 1990 to 1992. Am J Public Health. 1995;85(11):1492–9.PubMedCrossRef

31.

Cianelli R. HIV/AIDS issues among Chilean Women: cultural factors and perception of risk for HIV/AIDS acquisition [dissertation]. University of Illinois at Chicago, Health Sciences Center; 2003

32.

Heckman TG, Kelly JA, Sikkema K, et al. HIV risk characteristics of young adult, adult, and older adult women who live in inner-city housing developments: implications for prevention. J Womens Health 1995;4(4):397–406.

33.

Sikkema KJ, Heckman TG, Kelly JA, et al. HIV risk behaviors among women living in low-income, inner-city housing developments. Am J Public Health. 1996;86(8):1123–8.PubMedCrossRef

34.

Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1(3):385–401.

35.

Roberts RE, Vernon SW, Rhoades HM. Effects of language and ethnic status on reliability and validity of the Center for Epidemiologic Studies-Depression Scale with psychiatric patients. J Nerv Ment Dis. 1989;177(10):581–92.PubMedCrossRef

36.

Marin G, Gamba RJ. A new measurement of acculturation for Hispanics: the Bidimensional Acculturation Scale for Hispanic. Hispanic J Behav Sci. 1996;18(3):297–316.CrossRef

37.

Diggle PJ, Liang K, Zeger SL. Analysis of longitudinal data. Oxford: Oxford University Press; 1994.

38.

Muthén LK, Muthén BO. Mplus user’s guide. 5th ed. Los Angeles: Muthén and Muthén; 2007.

39.

Pew Hispanic Center and Robert Wood Johnson Foundation. Hispanics and health care in the United States: Access, information and knowledge. 2004; Available at: http://www.pewhispanic.org/files/reports/91.pdf. Accessed 30 September 2011.

Titel: The Efficacy of an HIV Risk Reduction Intervention for Hispanic Women
verfasst von: Nilda Peragallo
Rosa M. Gonzalez-Guarda
Brian E. McCabe
Rosina Cianelli
Publikationsdatum: 01.07.2012
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 5/2012
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-011-0052-6

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