OUTCOMES FROM A COMMUNITY BASED, PARTICIPATORY LAY HEALTH ADVISER HIV/STD PREVENTION INTERVENTION FOR RECENTLY ARRIVED IMMIGRANT LATINO MEN IN RURAL NORTH CAROLINA
OUTCOMES FROM A COMMUNITY BASED, PARTICIPATORY LAY HEALTH ADVISER HIV/STD PREVENTION INTERVENTION FOR RECENTLY ARRIVED IMMIGRANT LATINO MEN IN RURAL NORTH CAROLINA
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DOI：
10.1521/aeap.2009.21.5_supp.103
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发表时间：
2009-10-01
影响因子：
1.8
通讯作者：
Montano, Jaime
中科院分区：
文献类型：
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作者：
Rhodes, Scott D.;Hergenrather, Kenneth C.;Montano, Jaime
在美国的拉丁美洲人感染艾滋病毒和性传播疾病（STD）的风险增加。我们评估了一项旨在增加拉丁裔男性安全套使用和艾滋病毒检测的非专业健康顾问（LHA）干预试验的有效性。来自15支拉丁美洲足球队的15名LHA（平均年龄= 35.6;范围23-60岁）接受了18个月的训练，并与队友一起工作。另外15支球队作为对照组。在基线和LHA训练后18个月，从干预组和对照组随机抽取队友，收集数据。数据收集自222名男性（平均年龄= 29岁），他们参加了30个团队中的一个。相对于对照组，干预组的参与者在随访前30天内报告了更一致的避孕套使用率（未经调整的分析，干预组，65.6% vs.对照组，41.3%; p <0.001）。干预参与者更有可能报告使用避孕套（调整后的比值比[AOR] = 2.3;置信区间[CI = 1.2-4.3]）和HIV检测（AOR = 2.5; CI - 1.5-4.3）。与社区成员合作开发的拉丁美洲男性的LHA干预措施，依赖于以男性为中心的人际网络，并且在文化上是一致的，可以加强预防行为，并可能减少艾滋病毒感染。
Latinos in the United States are at increased risk for HIV and sexually transmitted disease (STD) infection. We evaluated the efficacy of a pilot lay health adviser (LHA) intervention designed to increase condom use and HIV testing among Latino men. Fifteen LHAs (mean age = 35.6; range 23-60 years) from 15 Latino soccer teams were trained and worked with their teammates for 18 months. Another 15 teams served as the control group. Data were collected at baseline and at 18 months post-LHA training from a random sample of teammates from intervention and control teams. Data were collected from 222 men (mean age = 29 years) who participated in one of the 30 teams. Relative to the control condition, participants in the intervention reported more consistent condom use in the 30 days preceding follow-up (unadjusted analysis, intervention, 65.6% vs. control, 41.3%; p < .001). Participants in the intervention were more likely to report condom use (adjusted odds ratio [AOR] = 2.3; confidence interval [CI = 1.2-4.3) and HIV testing (AOR = 2.5; CI - 1.5-4.3). LHA interventions for Latino men that are developed in partnership with community members, rely on male-centered intrapersonal networks, and are culturally congruent can enhance preventive behaviors and may reduce HIV infection.