Women's Health Issues
Volume 22, Issue 3, 2012, Pages e293-e301

Using Community-Based Participatory Research (CBPR) to Develop a Community-Level HIV Prevention Intervention for Latinas: A Local Response to a Global Challenge (Article)

Rhodes S.D.* , Kelley C. , Simán F. , Cashman R. , Alonzo J. , McGuire J. , Wellendorf T. , Hinshaw K. , Allen A.B. , Downs M. , Brown M. , Martínez O. , Duck S. , Reboussin B.
  • a Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States, Section on Infectious Diseases, Wake Forest School of Medicine, Winston-Salem, NC, United States, Maya Angelou Center for Health Equity, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States
  • b Yale School of Public Health, New Haven, CT, United States
  • c Health Programs/Programas de Salud, El Pueblo, Inc., Raleigh, NC, United States
  • d Health Care Resources for Human Development, Philadelphia, PA, United States
  • e Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States
  • f David Geffen School of Medicine at UCLA, Department of Obstetrics and Gynecology, Los Angeles, CA, United States
  • g [Affiliation not available]
  • h [Affiliation not available]
  • i Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States, Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC, United States
  • j Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States
  • k Wake Forest Baptist Health, Winston-Salem, NC, United States
  • l Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States, Indiana University Maurer School of Law, Bloomington, IN, United States
  • m Chatham Social Health Council, Siler City, NC, United States
  • n Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States, Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, United States

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. © 2012 Jacobs Institute of Women's Health.

Author Keywords

[No Keywords available]

Index Keywords

Community Health Workers immigrant HIV Infections health promotion Human immunodeficiency virus infection sexual behavior Community Health Services Consumer Participation Health Behavior rural population social support Risk Reduction Behavior Hispanic Americans Health Services Needs and Demand program development Sexually Transmitted Diseases United States health program Humans Hispanic Intervention Studies male Emigrants and Immigrants female sexual health women's health Article infection prevention participatory research Community-Based Participatory Research Pilot Projects
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860374174&doi=10.1016%2fj.whi.2012.02.002&partnerID=40&md5=88e6af61af9e1c018758bf9171224d2e
DOI: 10.1016/j.whi.2012.02.002
ISSN: 10493867
Cited by: 38
Original Language: English