Barcelona 2013
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| Abstract #553 - E-Posters English | ||||
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Session: 50.125: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Dr Scott Rhodes - Wake Forest School of Medicine, United States |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: Despite the impact of HIV on Latinos in the United States (US), few resources exist to reduce and eliminate the HIV disparities they experience. These disparities are especially profound in the southeastern US, where the healthcare infrastructure has not kept pace with the burgeoning Latino population. Innovative strategies are needed to curb the escalating HIV infection rates within Spanish-speaking communities in the US and worldwide. | ||||
| Method / Issue: Our community-based participatory research (CBPR) partnership has developed, implemented, and evaluated community-level, social network HIV prevention interventions to meet the priorities and needs and build on the assets of recently arrived immigrant Latinos in the southeastern US. These interventions harness the power of natural helping and preexisting social networks to reach large numbers of community members. Lay community insiders are selected, trained, and supported over time to serve health advisors, opinion leaders, and community advocates to increase the use of condoms and needed healthcare services, change social norms around risk, and effect policy change within their naturally existing social networks. | ||||
| Results / Comments: Based on the partnerships and trust established, the diverse voices within our CBPR partnership, the use of both carefully collected and analyzed formative data, the application of relevant constructs from theory (i.e., empowerment theory and social cognitive theory), and a collaborative and systematic process for intervention and study design development, we currently have 4 interventions that are in various stages of implementation and evaluation designed to reduce HIV risk and build community capacity among heterosexual Latino men; Latino social minorities (including gay and bisexual men, men who have sex with men [MSM], and transgender women); and Latina women. The HoMBReS intervention, designed by and for Latino men in rural soccer leagues, was identified as the first best-evidence community-level intervention by the US Centers for Disease Control and Prevention (CDC), increasing both condom use and HIV testing. Designed for and by Latino sexual minorities, the HOLA intervention is based on the successes of the HoMBReS intervention; it builds on the social networks of Latino sexual minorities, promotes a sense of belonging among this vulnerable community, and develops the capacity of Latino sexual minorities to work for community and social change. Findings indicate that Latino sexual minorities can reach large numbers of members within their social networks to increase condom use and HIV testing. | ||||
| Discussion: CBPR can be successfully applied to develop, implement, and evaluate culturally congruent prevention interventions for immigrant Latinos. HIV prevention interventions based on natural helping within preexisting social networks can be effective to reach large numbers of vulnerable Latinos and increase condom use and HIV testing. | ||||
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