Efficacy of a Family-Based Intervention for HIV Prevention with Hispanic Adolescents with Same Gender Sexual Behaviors

Ocasio, Manuel A.; Lozano, Alyssa; Lee, Tae Kyoung; Feaster, Daniel J.; Prado, Guillermo

doi:10.1007/s11121-021-01272-1

Cited by 12 publications

(6 citation statements)

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“…To enhance intervention success, there is need for more intervention efforts to be directed towards removing barriers associated with context of the intervention and recipients of the intervention. Approaches that have been found successful to address barriers linked to context of the intervention include peer education interventions [ 53 ], family-based interventions [ 54 ], school-based interventions, community-based interventions, health facility-based interventions [ 55 ] and structural interventions [ 56 ]. Behavioral or individual risk reduction interventions that use behavior change techniques (e.g., condom-use, communication and motivation enhancement, psycho-education and assertiveness skills training) have been found effective to remove barriers associated with recipients of the intervention [ 16 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review

et al. 2022

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Background Interventions aimed at reducing risky sexual behavior are considered an important strategy for averting Human Immunodeficiency Virus (HIV) infection among youth (15–24 years) who continue to be at risk of the disease. Enhancing intervention success requires a comprehensive understanding of the barriers and facilitators to interventions targeting youth. However, there is lack of a systematic review of both quantitative and qualitative studies to comprehensively identify and synthesize barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide. This review aimed to identify and synthesize barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth globally based on original peer-reviewed studies published in the last decade. Methods The Joanna Briggs Institute approach for mixed methods systematic reviews and Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were used to guide this review. Nine electronic databases, Joint United Nations Programme on HIV/AIDS and World Health Organization websites, and reference lists of included studies and systematic reviews on barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth were searched for eligible articles. Studies that met the inclusion criteria underwent quality appraisal and data extraction. Findings were analyzed using thematic synthesis and underpinned by Nilsen, 2015’s Determinant Framework. Results Overall 13 studies comprising of eight qualitative studies, four quantitative studies and one mixed methods study were included in the review. Several barriers and facilitators across the five Determinant Framework domains were identified. Most of the barriers fell under the characteristics of the context domain (e.g., gender-biased norms). The next important group of barriers emerged within the characteristics of the end users domain (e.g., fear of relationship breakdown). In terms of facilitators, the majority fell under the characteristics of the strategy of facilitating implementation domain (e.g., implementation of intervention with fidelity) and characteristics of the end users domain (e.g., fear of pregnancy or sexually transmitted infections). The next common set of facilitators appeared within the characteristics of the context domain (e.g., family support). Conclusion This review identified several multi-level barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth. Multi-level and combination approaches are needed to address these factors and enhance intervention success.

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Section: Discussionmentioning

confidence: 99%

Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review

et al. 2022

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“…However, despite the efficacy of family-based interventions in preventing or reducing such outcomes, they may not function in the same way for LSMY. A study by Ocasio et al [50] that examined the relative efficacy and effectiveness of a general family-based intervention on risk behavior outcomes in LSMY found that the hypothesized family functioning mediators of the intervention did not mediate intervention effects on risk outcomes for LSMY. It may be that there are LSMY-specific minority stressors that exist within the family and with peers that need to be resolved to maximize improvements in general family functioning processes.…”

Section: Discussionmentioning

confidence: 99%

Trajectories of Drug Use and Depressive Symptoms among Latinx Youth and Sexual Minority Youth

Lozano

Lee

Weinstein

et al. 2023

IJERPH

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Drug use and depression co-occur and disproportionately affect Latinx sexual minority youth relative to their heterosexual Latinx peers. However, heterogeneity in co-occurring patterns of drug use and depressive symptoms is unknown. The objective of the current study was to identify patterns of drug use and depressive symptom trajectories and examine how these patterns varied between Latinx sexual minority youth and Latinx non-sexual minority youth. Latent class trajectory analysis identified distinct patterns of drug use and depressive symptom trajectories among 231 Latinx adolescents (Latinx sexual minority youth: n = 46, 21.4%; Latinx non-sexual minority youth: n = 169, 78.6%). After identifying class mean trajectories, we examined differences in mean trajectories across groups. A 3-class model was selected as the optimal class trajectory model for both groups, yet classes and trajectories differed. There were differences in initial levels of depression and drug use trajectories between both groups, as well as differences in patterns of drug use trajectories between both groups in two of the three classes. Given the variation in trajectory patterns, there is a need for practitioners to consider the unique needs of both groups to inform the development of preventive interventions for these two populations.

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“…So far, various family-based program was carried out to prevent HIV infection in young people; however, their findings are contradictory and inconclusive. [ 10 11 12 13 ] Therefore, we carried out the current systematic review to critically review the available literature regarding the role of family-based interventions among young people to prevent HIV infection. Our findings can be used by health practitioners to opt for the best approach for the prevention of HIV through family education.…”

Section: Introductionmentioning

confidence: 99%

Family-based interventions in youth to prevent HIV/AIDS: A systematic review

Eslami,

Ebrahimi,

Rahimi

et al. 2023

Journal of Education and Health Promotion

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Parents are primary sex educators of their teenagers and also function as resources for advice and information about sexual decision-making and partner selection. So far, various family-based programs were carried out to prevent HIV infection in young people; however, their findings are contradictory and inconclusive. Therefore, we carried out the current systematic review to critically review the available literature regarding the role of family-based interventions among young people to prevent HIV infection. The available online databases including ISI Web of Science, Scopus, and PubMed were searched systematically up to November 2022. The risk of bias in the eligible studies was examined by two independent authors using the Cochrane Collaboration Risk of Bias tool. A total of 7 studies including 4952 participants were enrolled in the current study. They were conducted between 2006 and 2020. On the basis of the available literature, family-based HIV prevention interventions seem to be effective in terms of improving HIV/AIDS knowledge and also parent–youth communication. It seems that family-based interventions in youth to prevent HIV/AIDS are effective; however, further well-designed studies are needed to help the researchers reach a firm conclusion on this issue. The current systematic review may be used by investigators for future studies in terms of settings and the selection of educational approaches. Moreover, it strongly suggested that further studies investigating the role of family-based education in the prevention of HIV/AIDS utilize more sample size and also a more robust educational framework.

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Efficacy of a Family-Based Intervention for HIV Prevention with Hispanic Adolescents with Same Gender Sexual Behaviors

Cited by 12 publications

References 50 publications

Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review

Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review

Trajectories of Drug Use and Depressive Symptoms among Latinx Youth and Sexual Minority Youth

Family-based interventions in youth to prevent HIV/AIDS: A systematic review

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