230210 Latino Partnership: A CBPR approach to reducing HIV risk among immigrant Latino men

Tuesday, November 9, 2010 : 9:30 AM - 9:45 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
Jaime Montaņo , HoMBReS and Latino Partnership, Chatham Social Health Council, Siler City, NC
Mario Downs , Latino Partnership, AIDS Care Service, Winston-Salem, 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
Kimberly Wagoner, DrPH (c), MPH , Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC
Thomas McCoy, MS , Department of Biostatistical Science, Wake Forest University School of Medicine, Winston-Salem, NC
Eugenia Eng, MPH, DrPH , Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC
Christine Jolly, BA , Administration, AIDS Care Service, Winston-Salem, NC
Michael Reece, PhD, MPH , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Background: The objectives of this ongoing study are to revise, implement, and evaluate an intervention to reduce sexual risk among members of adult male Latino soccer leagues, using a community-based participatory research (CBPR).

Methods: Using an iterative process, a CBPR partnership systematically revised and finalized a multi-level intervention known as: HoMBReS: Hombres Manteniendo Bienestar y Relaciones Saludables. This theoretically-sound intervention has preliminary evidence of effectiveness and incorporates natural helping, social cognitive theory, and empowerment education.

This study uses a quasi-experimental delayed-intervention comparison group design. In wave one, 10 lay health advisors known as "Navegantes" have been trained from 10 different teams to serve as: sexual health advisors, opinion leaders, and community activists to promote condom use and HIV testing. Five teams are in an urban setting and five teams are in a rural setting. Quantitative baseline data have been collected from 12 members of the 10 intervention teams (n=121).

Results: The refined intervention focuses on partnership priorities: increasing awareness of the magnitude of HIV and STD infection among Latinos in the US and NC; providing information on types of infections, modes of transmission, signs and symptoms, and local counseling, testing, care, and treatment options; increasing condom use; changing health-compromising norms and expectations of what it means to be an immigrant Latino man; and increasing the use of healthcare services.

Conclusions: An urgent need exists to address the health issues facing recently-arrived immigrants through participatory approaches. The revision process and preliminary implementation and evaluation of the HoMBReS intervention will be presented.

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

Learning Objectives:
By the conclusion of the presentation, the participant will be able to: 1) Describe key socio-cultural determinants of sexual health within a sample of Latino men; 2) Identify opportunities and strategies to build partnerships to explore the needs and assets of Latino men; 3) Analyze the intervention components and theoretical underpinnings; 4) Apply preliminary findings to future research and intervention revision and evaluation; and, 5) Analyze the advantages and disadvantages of community-based participatory research in HIV/AIDS research with Latino men.

Keywords: Latino, Immigration

Presenting author's disclosure statement:

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