Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina 27157-1063, USA.
Womens Health Issues. 2012 May-Jun;22(3):e293-301. doi: 10.1016/j.whi.2012.02.002. Epub 2012 Apr 6.
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.
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.
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.
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.
美国拉丁裔人群中 HIV 和性传播疾病（STD）感染率不成比例，而针对这一问题的干预手段却远远落后于其他人群。本项目旨在开发一种干预措施，利用现有的社区优势，促进移民拉丁裔女性的性健康。
我们的社区参与式研究（CBPR）合作伙伴参与了一个多步骤的干预措施开发过程。这些步骤包括：（1）增加拉丁裔女性对现有伙伴关系的参与度；（2）建立干预团队；（3）审查现有的性健康文献；（4）探索拉丁裔女性的健康相关需求和优先事项；（5）根据重要性和可变性缩小优先事项范围；（6）将健康行为理论与拉丁裔女性的生活经验相结合；（7）设计干预概念模型；（8）制定培训模块和资源材料；（9）进行预测试和修订干预措施。
MuJEReS 干预措施包含五个模块，旨在培训拉丁裔女性担任称为“Comadres”的初级卫生顾问。这些模块综合了本地收集的数据和其他本地和国家数据，将健康行为理论与移民拉丁裔女性的生活经验相结合，并利用现有的强大社区资产，即拉丁裔女性之间提供的非正式社会支持。
这项有前途的干预措施旨在满足拉丁裔女性的性健康优先事项。它不仅涵盖了 HIV 和 STD，还将疾病预防纳入了性健康促进框架。它建立在拉丁裔女性强大的、预先存在的社交网络和初级卫生顾问预先存在的、文化上一致的角色之上。
