HIV Prevention among transnational study participants from Panama, the Dominican Republic and New York City

Background: While Latin America and the Caribbean region are second to Sub-Saharan Africa regarding high incidence of HIV/AIDS, the underserved populations in this region lack innovative prevention Interventions. This quasi-experimental pilot test demonstrated associations between the Conversemos intervention and positive prevention changes at T2. Methods: Data was collected through pre/post intervention from 283 study subjects from three different locations: The Dominican Republic, Panama and NYC. Post cross tab analysis was conducted between the knowledge variables. Associations of program participation and changes in comfortable communication about HIV/AIDS, stigma and condom use were assessed using paired T-test analysis. Results: Knowledge gain at T2 was significant (P=.000 - .046); comfortable communicaton increased significantly on various topics: human anatomy – (P=.003); STIs (P=.044); impact of drug/alcohol use (P=.041); reduction in stigma was statistically significant at (P=.012) and increased condom use (P=.001) Gender differences were also observed and support was forthcoming from public and private health and social services agencies in home countries and in NYC, though not easily sustained.

Conclusion: The Conversemos intervention increased knowledge and attitudes through increased communication about HIV/AIDS. In turn they reduced stigma, increased condom use, had greater access to counseling and testing and when indicated, complied with treatment. Strategic partnerships and collaborations facilitated Conversemos implementation in DR, Panama and NYC. Continuation funding is required to sustain this work.