Abstract
Introduction and Background
The arsenal of interventions to reduce the disproportionate rates of HIV and sexually
transmitted disease (STD) infection among Latinos in the United States lags behind
what is available for other populations. The purpose of this project was to develop
an intervention that builds on existing community strengths to promote sexual health
among immigrant Latinas.
Methods
Our community-based participatory research (CBPR) partnership engaged in a multistep
intervention development process. The steps were to (1) increase Latina participation
in the existing partnership, (2) establish an intervention team, (3) review the existing
sexual health literature, (4) explore health-related needs and priorities of Latinas,
(5) narrow priorities based on what is important and changeable, (6) blend health
behavior theory with Latinas’ lived experiences, (7) design an intervention conceptual
model, (8) develop training modules and (9) resource materials, and (10) pretest and
(11) revise the intervention.
Results
The MuJEReS intervention contains five modules to train Latinas to serve as lay health advisors
(LHAs) known as “Comadres.” These modules synthesize locally collected data with other local and national data,
blend health behavior theory with the lived experiences of immigrant Latinas, and
harness a powerful existing community asset, namely, the informal social support Latinas
provide one another.
Conclusion
This promising intervention is designed to meet the sexual health priorities of Latinas.
It extends beyond HIV and STDs and frames disease prevention within a sexual health
promotion framework. It builds on the strong, preexisting social networks of Latinas
and the preexisting, culturally congruent roles of LHAs.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Women's Health IssuesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- On the margin: Power and women's HIV risk reduction strategies.Sex Roles. 2000; 42: 723-749
- Social foundations of thought and action: A social cognitive theory.Prentice-Hall, Englewood Cliffs, NJ1986
- Strategies and techniques for effective group process in CBPR partnerships.in: Israel B.A. Eng E. Schulz A.J. Parker E.A. Methods in community-based participatory research for health. Jossey-Bass, San Francisco2005: 52-72
- Exploring the sexual health priorities and needs of immigrant Latinas in the southeastern US: A community-based research approach.AIDS Education and Prevention. 2011; 23: 236-248
- HIV prevalence estimates–United States, 2006.MMWR Morbidity and Mortality Weekly Reports. 2008; 57: 1073-1076
- Subpopulation estimates from the HIV incidence surveillance system–United States, 2006.MMWR Morbidity and Mortality Weekly Reports. 2008; 57: 985-989
- HIV/AIDS Surveillance Report.Author, Atlanta2009
- 2011 Compendium of Evidence-Based HIV Prevention Interventions.U.S. Department of Health and Human Services, Atlanta2011
- Natural helper models to enhance a community's health and competence.in: Emerging theories in health promotion practice and research. Vol. 2. Jossey-Bass, San Francisco2009: 303-330
- Education for critical consciousness.Seabury Press, New York1973
- Latinos and HIV/AIDS: Examining factors related to disparity and identifying opportunities for psychosocial intervention research.AIDS and Behavior. 2009; 13: 582-602
- Structural approaches to HIV prevention.Lancet. 2008; 372: 764-775
- Factors affecting Latina immigrants' perceptions of maternal health care: findings from a qualitative study.Health Care for Women International. 2008; 29: 507-526
- A systematic review and meta-analysis of behavioral interventions to reduce HIV risk behaviors of Hispanics in the United States and Puerto Rico.AIDS and Behavior. 2007; 11: 25-47
- The social constructions of sexuality: Marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community.American Journal of Public Health. 2002; 92: 1227-1237
- Efficacy of HIV prevention interventions in Latin American and Caribbean nations, 1995-2008: A meta-analysis.AIDS and Behavior. 2010; 14: 1237-1251
- The economic impact of the Hispanic population on the state of North Carolina.Frank Hawkins Kenan Institute of Private Enterprise, Chapel Hill2006
- Condom use among heterosexual immigrant Latino men in the southeastern United States.AIDS Education and Prevention. 2007; 19: 436-447
- Evidence-based HIV behavioral prevention from the perspective of the CDC's HIV/AIDS Prevention Research Synthesis Team.AIDS Education and Prevention. 2006; 18: 21-31
- Best-evidence interventions: findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000-2004.American Journal of Public Health. 2007; 97: 133-143
- Condom use among Hispanic men with secondary female sexual partners.Public Health Reports. 1993; 108: 742-750
- 2007 HIV/STD surveillance report.Author, Raleigh2008
- New estimates profile new HIV infections in North Carolina.(Accessed December 8, 2008 from)http://www.dhhs.state.nc.usDate: 2008
- Epidemiologic profile for HIV/STD prevention & care planning.Author, Raleigh2009
- NC Latino health 2003.Author, Durham2003
- Behavioral Risk Factor Surveillance System (BRFSS).(Retrieved March 2007 from)http://www.schs.state.nc.us/SCHS/brfssDate: 2006
- HIV prevention With Mexican migrants: Review, critique, and recommendations.Journal of Acquired Immune Deficiency Syndromes. 2004; 37: S227-S239
- Predictors of condom use in Mexican migrant laborers: Exploring AIDS-related knowledge, attitudes, and behaviors of female Mexican migrant workers.American Journal of Community Psychology. 2000; 28: 245-265
Rhodes, S. D. (In press). Demonstrated effectiveness and potential of CBPR for preventing HIV in Latino populations. In K. C. Organista (Ed.), HIV prevention with Latinos: Theory, research, and practice.
- Community-based participatory research: An introduction for the clinician researcher.in: Blessing J.D. Physician assistant's guide to research and medical literature. 2nd ed. F. A. Davis, Philadelphia2006: 105-118
- Exploring Latino men's HIV risk using community-based participatory research.American Journal of Health Behavior. 2007; 31: 146-158
- Medications for sexual health available from non-medical sources: A need for increased access to healthcare and education among immigrant Latinos in the rural southeastern USA.Journal of Immigrant and Minority Health. 2011; 13: 1183-1186
- Lay health advisor interventions among Hispanics/Latinos: A qualitative systematic review.American Journal of Preventive Medicine. 2007; 33: 418-427
- Outcomes from a community-based, participatory lay health advisor HIV/STD prevention intervention for recently arrived immigrant Latino men in rural North Carolina, USA.AIDS Ed Prev. 2009; 21: 104-109
- Sexual and alcohol use behaviours of Latino men in the south-eastern USA. Culture.Health & Sexuality. 2009; 11: 17-34
- Using community-based participatory research to develop an intervention to reduce HIV and STD infections among Latino men.AIDS Education and Prevention. 2006; 18: 375-389
- Boys must be men, and men must have sex with women: A qualitative CBPR study to explore sexual risk among African American, Latino, and white gay men and MSM.American Journal of Men's Health. 2011; 5: 140-151
- Preventing HIV infection among young immigrant Latino men: results from focus groups using community-based participatory research.Journal of the National Medical Association. 2006; 98: 564-573
- Community-based participatory research: a new and not-so-new approach to HIV/AIDS prevention, care, and treatment.AIDS Education and Prevention. 2010; 22: 173-183
- A randomized controlled trial of a culturally congruent intervention to increase condom use and HIV testing among heterosexually active immigrant Latino men.AIDS and Behavior. 2011; 15: 1764-1765
- Southern States Manifesto: Update 2008. HIV/AIDS and Sexually Transmitted Diseases in the South.Southern AIDS Coalition, Birmingham2008
- 2008 American Community Survey data profile highlights: North Carolina fact sheet. Vol. 2009. United States Department of Commerce, Washington, DC2009
- Exploring the use of non-medical sources of prescription drugs among immigrant Latinos in the rural southeastern USA.Journal of Rural Health. 2011; 27: 159-167
- What do men who serve as lay health advisors really do?: Immigrant Latino men share their experiences as Navegantes to prevent HIV.AIDS Education and Prevention. 2009; 21: 220-232
- Applying the theory of planned behavior to explore HAART adherence among HIV-positive immigrant Latinos: Elicitation interview results.Patient Education and Counseling. 2011; 85: 454-460
- Latinas and HIV/AIDS risk factors: Implications for harm reduction strategies.American Journal of Public Health. 2004; 94: 1152-1158
Biography
Dr. Rhodes is a public health scientist whose research focuses on health promotion and disease prevention among Latinos and other vulnerable populations using authentic approaches to empowerment and community-based participatory research (CBPR).
Biography
Ms. Kelley is a MPH candidate with a concentration in Epidemiology of Microbial Diseases, whose research interests include infectious diseases, health disparities and global health.
Biography
Ms. Simán, originally from El Salvador, is a Latino community advocate, health educator, and program administrator who is committed to empowerment and community capacity development among Latina women and Latino men.
Biography
Ms. Cashman is committed to authentic approaches to public health program development and implementation; she currently coordinates such activities within urban community health centers and works to increase access to healthcare for underserved populations.
Biography
Mr. Alonzo, originally from Peru, is a program manager who is committed to meeting the health care needs of immigrants through the careful and informed development, implementation, and evaluation of meaningful interventions designed to meet community priorities and needs.
Biography
Dr. McGuire, fluent in Spanish, is a resident in Obstetrics and Gynecology, and a health educatorwith specific interests in Latina women's health.
Biography
Ms. Wellendorf, a Mexican American originally from Los Angeles, CA, is a community advocate and health educator working with Latina women and adolescents on sexual health issues.
Biography
Ms. Hinshaw is a community educator and organizer on behalf of the Latino community.
Biography
Dr. Boeving Allen is a clinical psychologist whose research focuses on the psychological adjustment of women, children, and families in the context of chronic illness.
Biography
Mr. Downs, originally from Nicaragua, is a health educator who coordinates the Latino Partnership project, a community-level soccer team-based social network intervention to promote sexual health among heterosexual immigrant Latino men in central North Carolina.
Biography
Mrs. Brown is a health educator with >10 years, experience working on the development and implementation of innovative sexual health interventions for, and in close partnership with, local communities.
Biography
Mr. Martinez, originally from Havana, Cuba, is a law student whose interests include the intersections of immigration policy and immigrant health; he is particularly interested in improving the health and wellbeing of undocumented immigrant Latinos and other disenfranchised communities.
Biography
Ms. Duck is the Executive Director of Chatham Social Health Council, community-based organization to meet the sexual health needs of neglected populations in rural North Carolina.
Biography
Dr. Reboussin is a biostatistician whose interests include innovative approaches to evaluating risk-related outcomes within large community trials.
Article info
Publication history
Published online: April 09, 2012
Accepted:
February 21,
2012
Received in revised form:
February 17,
2012
Received:
June 26,
2011
Footnotes
Supported in part by Grant # R24MD002774 to Dr. Rhodes.
Identification
Copyright
© 2012 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
