Rios-Ellis Britt, Espinoza Lilia, Bird Mara, Garcia Melawhy, D'Anna Laura Hoyt, Bellamy Laura, Scolari Rosana
California State University-Long Beach, 6300State University Drive, Long Beach, CA 90815, USA.
J Health Care Poor Underserved. 2010 Aug;21(3 Suppl):148-68. doi: 10.1353/hpu.0.0360.
Latinos are less likely to be aware of their HIV seropositivity than African Americans and Whites. 'Protege tu Familia: Hazte la Prueba' is a culturally and linguistically-sensitive HIV/AIDS prevention and testing program targeting Latino families. Using community-based participatory research techniques, Spanish-speaking bicultural community health workers helped develop and then used an educational flip chart and materials to conduct outreach and HIV prevention education in diverse settings. The intervention was created to increase HIV/AIDS-related knowledge, to improve communication regarding sexual risk, and to augment intentions to use condoms and test for HIV. A secondary purpose was to decrease HIV-related stigma by improving knowledge about transmission and reducing homophobia. Participants demonstrated significant increases in HIV knowledge, intention to practice safer sex and communicate sexual risk to partner(s), and intention to test for HIV. Improvements were also found in self-reported comfort levels when interacting with and caring for the HIV positive, thus decreasing HIV/AIDS-related stigma.
与非裔美国人和白人相比,拉丁裔人群知晓自身艾滋病毒血清阳性的可能性更低。“保护你的家人:接受检测”是一项针对拉丁裔家庭的、在文化和语言方面具有敏感性的艾滋病毒/艾滋病预防与检测项目。通过运用基于社区的参与性研究技术,讲西班牙语的双文化社区卫生工作者协助开发并使用了一份教育活动挂图及相关材料,以便在不同环境中开展外展服务和艾滋病毒预防教育。该干预措施旨在增加与艾滋病毒/艾滋病相关的知识,改善关于性风险的沟通,并增强使用避孕套和进行艾滋病毒检测的意愿。其次要目的是通过增进对传播途径的了解和减少恐同心理来减少与艾滋病毒相关的污名化现象。参与者在艾滋病毒知识、采取更安全性行为并与性伴侣交流性风险的意愿以及进行艾滋病毒检测的意愿方面均有显著提高。在与艾滋病毒呈阳性者互动及照料他们时,自我报告的舒适度也有所改善,从而减少了与艾滋病毒/艾滋病相关的污名化现象。