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