Longitudinal effects of an HIV testing and counseling programme for low‐income Latina women

Flaskerud, Jacquelyn H.; Nyamathi, Adeline; Uman, Gwen

doi:10.1080/13557858.1997.9961818

Cited by 40 publications

(19 citation statements)

References 37 publications

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“…These findings are comparable to those of Nyamathi et al (1993), who found a mean of 11 years of education for high-acculturated Hispanic women and a mean of 8 years of education for low-acculturated Hispanic women among their sample. The proportion of immigrant participants was also similar to that reported by Flaskerud and Nyamathi (1997) in their study of Hispanic women attending a WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) clinic. The number of married participants was also comparable to that found by Flaskerud and Uman (1996) in their study of immigrant women.…”

Section: Discussion Of Findingssupporting

confidence: 78%

Acculturation, Health Protective Sexual Communication, and HIV/AIDS Risk Behavior Among Hispanic Women in a Large Midwestern City

2005

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The relationships among acculturation, health protective sexual communication, and HIV/AIDS risk behaviors of Hispanic women are examined. Respondents represented 14 Latin American countries, a mean age of 29.5 years, and relatively low education and income levels. A significant correlation was found between higher non-Hispanic acculturation level and higher sexual communication with new partners. Higher non-Hispanic acculturation levels were also correlated with higher number of sexual partners in the prior 12 months. The higher the score for health protective sexual communication, the higher the reported frequency of condom use with new sexual partners in the past 12 months. Given the low number of sexual partners, HIV/AIDS risk for this group of women appears to be related to not knowing whether their partners had other sexual partners and to low frequency of condom use. Implications for health education are discussed.

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Section: Discussion Of Findingssupporting

confidence: 78%

Acculturation, Health Protective Sexual Communication, and HIV/AIDS Risk Behavior Among Hispanic Women in a Large Midwestern City

2005

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“…This mechanism was found to be operationalised primarily through the use of the first languages of immigrants themselves in interventions [51,54,94-98,101-104,107-111,122-124,158-162]. A further seven interventions reported moderate evidence of this mechanism [99,100,106,113,159,163,164] primarily through less comprehensive use of the language spoken by participants (e.g., only in supporting health promotion resources). Sound or moderate evidence to support this mechanism was reported in 18 views studies indicating that the ‘ understanding ’ mechanism was also valued by immigrants themselves in contributing to culturally appropriate HIV prevention [115,120,121,125-127,129-133,139,144,147,150,165,166].…”

Section: Resultsmentioning

confidence: 99%

HIV among immigrants living in high-income countries: a realist review of evidence to guide targeted approaches to behavioural HIV prevention

McMahon

Ward

2012

Syst Rev

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BackgroundImmigrants from developing and middle-income countries are an emerging priority in HIV prevention in high-income countries. This may be explained in part by accelerating international migration and population mobility. However, it may also be due to the vulnerabilities of immigrants including social exclusion along with socioeconomic, cultural and language barriers to HIV prevention. Contemporary thinking on effective HIV prevention stresses the need for targeted approaches that adapt HIV prevention interventions according to the cultural context and population being addressed. This review of evidence sought to generate insights into targeted approaches in this emerging area of HIV prevention.MethodsWe undertook a realist review to answer the research question: ‘How are HIV prevention interventions in high-income countries adapted to suit immigrants’ needs?’ A key goal was to uncover underlying theories or mechanisms operating in behavioural HIV prevention interventions with immigrants, to uncover explanations as how and why they work (or not) for particular groups in particular contexts, and thus to refine the underlying theories. The realist review mapped seven initial mechanisms underlying culturally appropriate HIV prevention with immigrants. Evidence from intervention studies and qualitative studies found in systematic searches was then used to test and refine these seven mechanisms.ResultsThirty-four intervention studies and 40 qualitative studies contributed to the analysis and synthesis of evidence. The strongest evidence supported the role of ‘consonance’ mechanisms, indicating the pivotal need to incorporate cultural values into the intervention content. Moderate evidence was found to support the role of three other mechanisms – ‘understanding’, ‘specificity’ and ‘embeddedness’ – which indicated that using the language of immigrants, usually the ‘mother tongue’, targeting (in terms of ethnicity) and the use of settings were also critical elements in culturally appropriate HIV prevention. There was mixed evidence for the roles of ‘authenticity’ and ‘framing’ mechanisms and only partial evidence to support role of ‘endorsement’ mechanisms.ConclusionsThis realist review contributes to the explanatory framework of behavioural HIV prevention among immigrants living in high-income countries and, in particular, builds a greater understanding of the suite of mechanisms that underpin adaptations of interventions by the cultural context and population being targeted.

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“…Three studies (Birkel et al, 1993;Flaskerud et al, 1997;Grella et al, 1995) were excluded because intervention and comparison groups were pooled in the reported analyses. Four additional studies (Coyle et al, 2004;Jemmott et al, 2005;Kipke et al, 1993;Lesser et al, 2005) were excluded because outcome data were not reported in a manner that permitted calculation of effect size estimates.…”

Section: Discussionmentioning

confidence: 99%

“…1, among the 2,658 behavioral intervention citations identified through the comprehensive search, 61 citations representing 27 intervention studies were eligible for review. We excluded three studies (Birkel et al, 1993;Flaskerud, Nyamathi, & Uman, 1997;Grella, Annon, & Anglin, 1995) for combining intervention and comparison groups in the evaluation, and four studies for not reporting sufficient data necessary for effect size calculation (Coyle, Kirby, Marin, Gomez, & Gregorich, 2004;Jemmott, Jemmott, Braverman, & Fong, 2005;Kipke, Boyer, & Hein, 1993;Lesser et al, 2005). Thus, 20 intervention studies (N = 6,173 participants) were included in this review and meta-analysis.…”

Section: Study Selectionmentioning

confidence: 98%

A Systematic Review and Meta-Analysis of Behavioral Interventions to Reduce HIV Risk Behaviors of Hispanics in the United States and Puerto Rico

et al. 2006

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This systematic review examines the overall efficacy of HIV behavioral interventions designed to reduce HIV risk behaviors or incident sexually transmitted diseases (STDs) among Hispanics residing in the United States or Puerto Rico. Data from 20 randomized and nonrandomized trials (N = 6,173 participants) available through January 2006 were included in this review. Interventions successfully reduced the odds of unprotected sex and number of sex partners, increased the odds of condom use, and decreased the odds of acquiring new STD infections. Interventions successful in reducing the odds of any sex risk behavior used non-peer deliverers; included >or=4 intervention sessions; taught condom use or problem solving skills; or addressed barriers to condom use, sexual abstinence, or peer norms. Interventions that included the Hispanic cultural belief of machismo or those developed based on ethnographic interviews were successful in reducing the odds of sex risk behaviors among non-drug users. Interventions targeting injection drug users (IDUs; N = 3,569) significantly reduced the odds of injection drug use and the odds of sharing cotton or cookers, but did not significantly reduce the odds of engaging in risky sex behavior or needle sharing. Further development of culturally appropriate HIV prevention interventions for Hispanic populations, particularly men and persons living with HIV, are warranted.

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Longitudinal effects of an HIV testing and counseling programme for low‐income Latina women

Cited by 40 publications

References 37 publications

Acculturation, Health Protective Sexual Communication, and HIV/AIDS Risk Behavior Among Hispanic Women in a Large Midwestern City

Acculturation, Health Protective Sexual Communication, and HIV/AIDS Risk Behavior Among Hispanic Women in a Large Midwestern City

HIV among immigrants living in high-income countries: a realist review of evidence to guide targeted approaches to behavioural HIV prevention

A Systematic Review and Meta-Analysis of Behavioral Interventions to Reduce HIV Risk Behaviors of Hispanics in the United States and Puerto Rico

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