Wilson Kristina, Durantini Marta R, Albarracín Julia, Crause Candi, Albarracín Dolores
Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA.
AIDS Care. 2013;25(7):881-7. doi: 10.1080/09540121.2012.729803. Epub 2013 Feb 12.
Aspects of Latino culture (e.g., machismo, marianism) can act as barriers to enrollment in HIV-prevention programs. To lift these barriers, a culturally appropriate meta-intervention was designed to increase intentions to enroll in HIV-prevention counseling by Latinos. Latino participants (N=41) were recruited from the community and randomly assigned to either an experimental or control meta-intervention condition that varied the introduction to a HIV-prevention counseling program. Following the meta-intervention, participants were issued an invitation to take part in HIV-prevention counseling. The outcome measure was the intention to enroll in a HIV-prevention counseling session. Findings indicated that enrollment intentions were higher in the experimental meta-intervention condition (96%) than in the control meta-intervention condition (53%). In addition, the effects of the meta-intervention were comparable across genders and participant ages. Findings suggest that the use of a culturally appropriate meta-intervention may be an effective strategy for increasing Latino enrollment in HIV-prevention programs. These promising findings warrant further investigation into the efficacy and effectiveness of this meta-intervention.
拉丁裔文化的一些方面（如大男子主义、圣母崇拜）可能会成为参与艾滋病预防项目的障碍。为了消除这些障碍，设计了一种符合文化背景的元干预措施，以提高拉丁裔参与艾滋病预防咨询的意愿。从社区招募了拉丁裔参与者（N = 41），并将他们随机分配到实验性或对照性元干预条件下，这两种条件对艾滋病预防咨询项目的介绍方式有所不同。在元干预之后，向参与者发出了参加艾滋病预防咨询的邀请。结果指标是参加艾滋病预防咨询 session 的意愿。研究结果表明，实验性元干预条件下的参与意愿（96%）高于对照性元干预条件下的参与意愿（53%）。此外，元干预的效果在不同性别和参与者年龄之间具有可比性。研究结果表明，使用符合文化背景的元干预措施可能是提高拉丁裔参与艾滋病预防项目比例的有效策略。这些有前景的发现值得对这种元干预的功效和有效性进行进一步研究。
