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The Efficacy of an HIV Risk Reduction Intervention for Hispanic Women

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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.

Resumen

Intervenciones culturalmente específicas son necesarias para la reducción de riesgo de contraer VIH en las mujeres hispanas. SEPA (Salud/Health, Educación/Education, Promoción/Promotion, y Autocuidado/Self-care) es una intervención grupal culturalmente específica con bases teóricas diseñada para mujeres Hispanas. La intervención SEPA consiste en cinco sesiones que cubren temas relacionados con la prevención de ITS - VIH, comunicación, negociación y uso del condón; y prevención de la violencia. Utilizando un estudio randomizado se probó la eficacia de SEPA con una muestra de 548 mujeres hispanas que viven en los Estados Unidos de Norteamérica (SEPA n = 274; grupo control n = 274). Las participantes respondieron una entrevistas estructuradas al inicio del estudio y a los 3, 6, y 12 meses posteriores a la intervención. Los resultados del análisis señalan que las mujeres que participaron en SEPA disminuyeron las muestras positivas de Chlamydia en orina, aumentaron el uso del condón, disminuyeron el abuso de sustancias y los episodios de violencia de pareja, mejoraron la comunicación de pareja, aumentaron el conocimiento sobre VIH, mejoraron la intención de utilizar condón, percibieron menores barreras para uso del condón, y mejoraron las actividades de prevención en la comunidad. Las intervenciones culturalmente específicas son promisorias para la prevención del VIH en las mujeres hispanas que viven en los Estados Unidos de Norteamérica. La efectividad de SEPA debe ser probada en la comunidad.

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Acknowledgments

This research was funded by the National Center on Minority Health and Health Disparities (NCMHD) grant 1P60 MD002266—Center of Excellence for Health Disparities Research: El Centro, (Nilda P. Peragallo, Principal Investigator).

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Authors and Affiliations

  1. Center of Excellence for Health Disparities Research: El Centro, School of Nursing and Health Studies, University of Miami, 5030 Brunson Drive, Coral Gables, FL, 33124, USA

    Nilda Peragallo, Rosa M. Gonzalez-Guarda, Brian E. McCabe & Rosina Cianelli

  2. Escuela de Enfermeria, Pontificia Universidad Catolica de Chile, Santiago, Region Metropolitana, Chile

    Rosina Cianelli

Authors
  1. Nilda Peragallo
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  2. Rosa M. Gonzalez-Guarda
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  3. Brian E. McCabe
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  4. Rosina Cianelli
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Correspondence to Rosa M. Gonzalez-Guarda.

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Peragallo, N., Gonzalez-Guarda, R.M., McCabe, B.E. et al. The Efficacy of an HIV Risk Reduction Intervention for Hispanic Women. AIDS Behav 16, 1316–1326 (2012). https://doi.org/10.1007/s10461-011-0052-6

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