Testing the Efficacy of an HIV Prevention Intervention Among Latina Immigrants Living in Farmworker Communities in South
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ORIGINAL PAPER
Testing the Efficacy of an HIV Prevention Intervention Among Latina Immigrants Living in Farmworker Communities in South Florida Patria Rojas1,2,6 · Daisy Ramírez‑Ortiz3 · Weize Wang1 · E. Valerie Daniel2 · Mariana Sánchez1,2 · Miguel Ángel Cano1,3 · Gira J. Ravelo1 · Ronald Braithwaite4 · Nilda Peragallo Montano5 · Mario De La Rosa1,2
© Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract Latina immigrants living in farmworker communities are a population in need of HIV risk reduction interventions due to their high risk for HIV and their limited access to health care and prevention services. The present study is the first to evaluate the efficacy of SEPA intervention on a cohort of 234 pre-established Latina immigrants living in farmworker communities in South Florida. SEPA is a CDC evidenced-based and Latinx culturally tailored HIV risk reduction intervention. Data were collected through structured interviews at baseline and 6-months post intervention and were analyzed using generalized linear mixed modeling. Results showed that SEPA was effective on increasing condom use during vaginal and anal sex with male partners, self-efficacy for condom use, intentions to negotiate safe sex and HIV-related knowledge from baseline to 6-months post intervention. These findings contribute to the evidence supporting the efficacy of SEPA by confirming previous results and demonstrating the efficacy of this intervention for Latinas of diverse backgrounds. Keywords HIV/AIDS · Intervention · Latina/o · Immigrant · Farmworkers
Background
* Patria Rojas [email protected] 1
Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
2
Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
3
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA
4
Department of Community Health and Preventive Medicine, Department of Family Medicine and Psychiatry, Morehouse School of Medicine, Atlanta, Georgia
5
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
6
Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC5 Room 420, Miami, FL 33199, USA
Latinas are disproportionately affected by the human immunodeficiency virus (HIV) in the United States (U.S.). In 2016, the HIV diagnosis rate among Latinas was more than three times that of Whites [1]. An estimate of 88% of HIV diagnoses among Latinas are acquired through heterosexual contact [2]. This is concerning because Latinas tend to have sexual partners from the same race/ethnicity and Latino men have one of the highest rates of HIV [2, 3]. Thus, preventing unprotected se
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