227448 Hablando Claro- Applying an Intergenerational culturally relevant approach to the Teen Health Project to prevent HIV/AIDS among Latinas in Los Angeles County

Tuesday, November 9, 2010 : 8:30 AM - 8:45 AM

Britt Rios-Ellis, PhD, MS , NCLR/CSULB Center for Latino Community Health, California State University Long Beach, Long Beach, CA
Lilia Espinoza, PhD, MPH , Keck School of Medicine/Pacific AIDS Education & Training Center, University of Southern California, Alhambra, CA
Melawhy Garcia, MPH , NCLR/CSULB Center for Latino Community Health, California State University Long Beach, Long Beach, CA
Natalia Gatdula, MPH (c), BS , NCLR/CSULB Center for Latino Community Health, Evaluation and Leadership Training, California State University Long Beach, Long Beach, CA
Few of the Centers of Disease Control and Prevention's Diffusion of Effective Behavioral Interventions (DEBI) involve family based-education. In an effort to promote the HIV prevention potential of the cultural characteristic of familism among Latinos, the NCLR/CSULB Center for Latino Community Health selected the Teen Health Project to adapt to the contexts of HIV among the Latino family and adolescents. The purpose of the Hablando Claro Project was to adapt the aforementioned project and test its impact as a culturally-based, family intervention on sexual communication comfort levels and HIV/AIDS knowledge in Latina family groups.

Utilizing Community Based Participatory Research techniques, focus groups were conducted in target communities with Latina adults and adolescents. Qualitative findings and formative input from promotores de salud (community health workers) were employed in curriculum development and intervention adaptation. The educational sessions include the topics of communication, mental health, domestic violence, sexual health, HIV/AIDS, and sexually transmitted infections. The two-session intervention was tested among Latina family intergenerational groups (e.g. mother and two daughters). Intervention content, discussions, and activities focused on increasing: 1) knowledge of sexual risk, 2) recognition of cultural factors that impact risk, 3) female adult-adolescent communication about sex, 4) skills and self-efficacy in HIV/AIDS and STI risk reduction, and 5) recognition of and intervention for domestic violence in the target communities. Changes in self-reported comfort in communication about sex were assessed at pre-intervention, immediate posttest, and at three-month follow-up; changes in HIV knowledge and behavior change were measured from pre-intervention to immediate posttest, and follow-up.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
This presentation will highlight the adaptation of the Teen Health Model, showcase the curriculum and materials developed for the intervention, and discuss the results of the Hablando Claro project.

Keywords: Adolescent Health, Community Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have developed and implemented numerous HIV/AIDS preventions projects and collaborate with many organizations working on HIV/AIDS prevention, education, and testing.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.