230172 Results from a pilot small-group HIV prevention intervention for immigrant Latino men: A community-based participatory research approach

Wednesday, November 10, 2010 : 10:45 AM - 11:00 AM

Scott Rhodes, PhD, MPH, CHES , Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC
Aaron T. Vissman, MPH , Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Kenneth Hergenrather, PhD, MSEd, MRC , Department of Counseling and Human Development, The George Washington University, Washington, DC
Jaime Montaņo , HoMBReS-2 and Latino Partnership, Chatham Social Health Council, Siler City, NC
Cynthia Miller , Division of Public Health Sciences/Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC
Stacy Duck, BA , Administration, Chatham Social Health Council, Siler City, NC
Eugenia Eng, MPH, DrPH , Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Kristie Long Foley, PhD , Medical Humanities Program, Davidson College, Davidson, NC
Background: Immigrant Latinos in the US are disproportionately affected by HIV. The objective of this study was to refine, implement, and evaluate an intervention to reduce sexual risk among immigrant Latino men using community-based participatory research.

Methods: A CBPR partnership developed a multi-session, 6-hour small-group intervention known as: HoMBReS-2. HoMBReS-2 was based on social cognitive theory and empowerment education.

Immigrant Latino men in rural NC were randomized to either the intervention condition or a cancer-education comparison condition. The interventions were delivered by 4 trained male Latino peer educators from the community.

Results: Of the 141 participants, mean age was 31.27 (range: 18- 66) years. About three-fourths reported being originally from rural Mexico. Over half reported 6 years of education or fewer. Acculturation was low. Knowledge of HIV transmission and prevention was low. The majority (95.7%) self-identified as heterosexual and 48.2% reported being partnered or married, and of these, 33.3% reported having multiple sexual partners.

Three-month follow-up data were collected from 139 (98.5%) participants. Relative to the comparison condition, participants in the intervention reported using condoms more consistently in the past 3 months (unadjusted analysis, intervention, 58.5% versus comparison, 31.3%; P<.004). Adjusting baseline behaviors, participants in the intervention were more likely to report condom use (adjusted odds ratio=4.04; 95% CI=1.4-11.4; P<.009).

Conclusions: Although further research is needed, interventions for Latino men that are developed in partnership with community members, are led by well trained community members, and are culturally congruent can enhance preventive behaviors and may reduce HIV risk.

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

Learning Objectives:
Objectives: By the conclusion of the presentation, the participant will be able to: 1) Delineate key components and theoretical underpinnings of an HIV prevention intervention for Latino men; 2) Describe the outcomes of the intervention; 3) Apply preliminary findings to future research; and 4) Analyze the advantages and disadvantages of community-based participatory research in HIV/AIDS research.

Keywords: Immigrants, Latino

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD-level researcher with multiple federally funded studies.
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.