Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Latina Immigrants in the Farmworker Community.
Evaluating a Culturally Tailored HIV Risk Reduction Intervention Among Latina Immigrants in the Farmworker Community.
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DOI：
10.1002/wmh3.193
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发表时间：
2016-09
影响因子：
4.1
通讯作者：
De La Rosa MR
中科院分区：
文献类型：
--
作者：
Sanchez M;Rojas P;Li T;Ravelo G;Cyrus E;Wang W;Kanamori M;Peragallo NP;De La Rosa MR
农场工人社区中的拉丁裔移民是脆弱和未得到充分研究的人群，面临感染艾滋病毒的风险。利用CBPR框架，这项试点研究首次评估了SEPA的有效性，SEPA是一种基于疾控中心证据和文化定制的艾滋病毒风险降低干预措施，对N=110名农场工人社区的主要无证拉美裔移民进行了干预。结果表明，SEPA在提高HIV知识和减少HIV危险行为方面是有效的。然而，在本样本中，没有发现自我效能感的变化。我们假设，最初干预中没有针对农场工人社区的特定社会文化和结构性障碍可能阻碍了该计划影响这些文化程度较低的人群自我效能感的变化。讨论了干预对目标人群可能的社会文化适应和政策影响。
Latina immigrants in the farmworker community are a vulnerable and understudied population at risk of acquiring HIV. Employing a CBPR framework, this pilot study was the first to evaluate the efficacy of SEPA, a CDC evidenced-based and culturally tailored HIV risk reduction intervention on a cohort of N = 110 predominantly undocumented Latina immigrants in a farmworker community. Findings revealed SEPA was effective in increasing HIV knowledge and decreasing HIV risk behaviors. However, no changes in self-efficacy were found in the present sample. We posit specific socio-cultural and structural barriers specific to the farmworker community not targeted in the original intervention may have hindered the program’s capacity to influence changes in self-efficacy among this less acculturated population. Possible socio-cultural adaptations of the intervention to the target population and policy implications are discussed.