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在南佛罗里达州的农场工人社区中,对生活在那里的拉丁裔移民进行的 HIV 预防干预措施的效果进行测试。

Testing the Efficacy of an HIV Prevention Intervention Among Latina Immigrants Living in Farmworker Communities in South Florida.

机构信息

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.

Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.

出版信息

J Immigr Minor Health. 2020 Aug;22(4):661-667. doi: 10.1007/s10903-019-00923-4.


DOI:10.1007/s10903-019-00923-4
PMID:31493119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7058487/
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.

摘要

居住在农业工人社区的拉丁裔移民由于感染 HIV 的高风险以及获得医疗保健和预防服务的机会有限,是需要进行 HIV 风险降低干预的人群。本研究是首次评估 SEPA 干预措施对南佛罗里达州 234 名预先确定的居住在农业工人社区的拉丁裔移民队列的疗效。SEPA 是一种基于 CDC 证据的、针对拉丁裔文化的 HIV 风险降低干预措施。数据是通过基线和干预后 6 个月的结构化访谈收集的,并使用广义线性混合模型进行分析。结果表明,SEPA 能够有效增加与男性伴侣进行阴道和肛门性行为时使用避孕套的频率、使用避孕套的自我效能感、协商安全性行为的意愿以及 HIV 相关知识,从基线到干预后 6 个月。这些发现通过证实先前的结果并证明这种干预措施对不同背景的拉丁裔女性的有效性,为 SEPA 的疗效提供了证据支持。

相似文献

[1]
Testing the Efficacy of an HIV Prevention Intervention Among Latina Immigrants Living in Farmworker Communities in South Florida.

J Immigr Minor Health. 2020-8

[2]
Associations between gender norms and HIV self-efficacy among Latina immigrants in a farmworker community.

Ethn Health. 2022-1

[3]
Associations of Self-Silencing and Egalitarian Attitudes with HIV Prevention Behaviors Among Latina Immigrant Farmworkers.

J Immigr Minor Health. 2019-4

[4]
A Brief Report: Lessons Learned and Preliminary Findings of Progreso en Salud, an HIV Risk Reduction Intervention for Latina Seasonal Farmworkers.

Int J Environ Res Public Health. 2016-12-30

[5]
Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers.

Int J Environ Res Public Health. 2019-11-15

[6]
Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Latina Immigrants in the Farmworker Community.

World Med Health Policy. 2016-9

[7]
Self-efficacy for HIV Prevention Among Refugee Hispanic Women in South Florida.

J Immigr Minor Health. 2017-8

[8]
Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Hispanic Women Delivered in a Real-World Setting by Community Agency Personnel.

Am J Health Promot. 2018-10-24

[9]
Effectiveness of an HIV prevention intervention in prison among African Americans, Hispanics, and Caucasians.

Health Educ Behav. 2006-4

[10]
Efficacy of a health educator-delivered HIV prevention intervention for Latina women: a randomized controlled trial.

Am J Public Health. 2011-10-20

引用本文的文献

[1]
Applying the Social Ecological Model to Explore HIV-Related Stigma in Florida: A Qualitative Study.

Stigma Health. 2024-8

[2]
Interventions for HIV prevention and treatment among people of Haitian descent: a scoping review.

BMJ Open. 2024-12-3

[3]
A qualitative community health assessment of HIV prevention awareness in a semi-rural Latinx seasonal farm working community in South Florida.

Cult Health Sex. 2024-8

[4]
Community Health Workers' Role in Addressing Farmworker Health Disparities.

J Agromedicine. 2022-10

[5]
Associations Between Sexual Trauma and Sexual Relationship Power Among Latina Immigrant Farmworkers: The Moderating Role of Gender Norms.

J Trauma Stress. 2020-12

本文引用的文献

[1]
Mental Health Among Latina Farmworkers and Other Employed Latinas in North Carolina.

Rural Ment Health. 2018-4

[2]
Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Latina Immigrants in the Farmworker Community.

World Med Health Policy. 2016-9

[3]
Sociocultural Determinants of Risky Sexual Behaviors among Adult Latinas: A Longitudinal Study of a Community-Based Sample.

Int J Environ Res Public Health. 2016-11-23

[4]
Barriers and Facilitators to HIV Testing in Migrants in High-Income Countries: A Systematic Review.

AIDS Behav. 2015-11

[5]
Changes in pre- to post-immigration HIV risk behaviors among recent Latino immigrants.

AIDS Educ Prev. 2015-2

[6]
Depression, stress, and intimate partner violence among Latino migrant and seasonal farmworkers in rural Southeastern North Carolina.

J Immigr Minor Health. 2014-12

[7]
HIV risk behaviors and sociodemographic features of HIV-infected Latinos residing in a new Latino settlement area in the Southeastern United States.

AIDS Care. 2013

[8]
The efficacy of an HIV risk reduction intervention for Hispanic women.

AIDS Behav. 2012-7

[9]
Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression.

Health Psychol. 2010-3

[10]
Acculturation and sexual risk behaviors among Latina adolescents transitioning to young adulthood.

J Youth Adolesc. 2009-12-18

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