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Behavioral HIV Prevention Interventions Among Latinas in the US: A Systematic Review of the Evidence

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Abstract

Compared to White women, Latinas are 4 times more likely to contract HIV. In an effort to determine the overall state of the science meant to address this disparity, we reviewed the current HIV prevention intervention literature for U.S. Latinas. We searched 5 online electronic databases from their inception through July, 2014, for HIV prevention interventions including a majority sample of Latinas. Of 1041 articles identified, 20 studies met inclusion criteria. We documented study designs, participant characteristics, outcomes, theories used, and other intervention characteristics. Overall, HIV knowledge and attitudes were the predominant outcome; a small minority of studies included self-reported condom use or STD incidence. Strategies used to address cultural factors specific to Latinas and HIV included; lay health advisors, using ethnographic narratives, or using the Theory of Gender and Power, however few of the interventions adopted these strategies. This study identified several gaps in the intervention literature that need to be addressed. In addition to including more direct measures of decreased HIV risk (ex. condom use), more systematic use of strategies meant to address gender and cultural factors that may place Latinas at increased risk (e.g., gender inequity, traditional gender role norms such as machismo and marianismo, and relationship power dynamics).

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Acknowledgments

This publication (report, survey instrument, journal article, etc.) was supported by Cooperative Agreement Number 1-U48DP001902-01 from the Centers for Disease Control and Prevention. The findings and conclusions in this report (journal article, etc.) are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Funding was also provided by the National Institute of Minority Health and Health Disparities (R24MD002774). The authors would also like to thank Cindy Miller for her contribution in drafting Fig. 1.

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Authors and Affiliations

  1. Department of Community and Behavioral Health, College of Public Health, University of Iowa, CPHB, CBH N436, 145 Riverside Dr, Iowa City, IA, 52242, USA

    Jason Daniel-Ulloa, B. Baquero & C. Sleeth

  2. University of Iowa, Prevention Research Center, Iowa City, IA, USA

    Jason Daniel-Ulloa, B. Baquero & H. Harig

  3. Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA

    M. Ulibarri

  4. Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Jason Daniel-Ulloa & S. D. Rhodes

  5. University of Arizona College of Medicine, Tucson, AZ, USA

    C. Sleeth

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  1. Jason Daniel-Ulloa
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Daniel-Ulloa, J., Ulibarri, M., Baquero, B. et al. Behavioral HIV Prevention Interventions Among Latinas in the US: A Systematic Review of the Evidence. J Immigrant Minority Health 18, 1498–1521 (2016). https://doi.org/10.1007/s10903-015-0283-0

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