245540 What do Latino male health advisors do? Findings from the Latino Partnership Study

Monday, October 31, 2011: 3:30 PM

Scott Rhodes, PhD, MPH, CHES , Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC
Mario Downs , Latino Partnership, AIDS Care Service, Winston-Salem, NC
Jorge Alonzo, JD , Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC
Manuel Garcia , Chatham Social Health Council, Siler City, NC
Stacy Duck, BA , 401B North Ivey Ave, 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
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Eugenia Eng, MPH, DrPH , Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC
Background: With pilot data suggesting the potential effectiveness of a lay health advisor (LHA) intervention to increase condom use and HIV testing among heterosexually active immigrant Latino men, we explored process data collected from LHAs to characterize their work.

Methods: Ten immigrant Latino men from 10 separate soccer teams were trained in the 3 roles of LHAs: health advisors, opinion leaders, and community advocates. They were trained to utilize the “ask-assist-advice” model and work within the existing social network of their soccer teams. Low-literacy Activity Logs completed monthly by each LHA documented their formal and informal activities. They held monthly meetings to share experiences and problem solve during implementation.

Results: The mean age of the 10 LHAs was 33 (range: 28-42) years. LHAs reported a mean number of 10 activities/month. Mean number of attendees at each activity was 4 (range: 1-40). Of the total 1,200 activities that the LHAs reported engaging in during the 12-month implementation period, 58% included individuals outside their soccer teams. Of the activities identified, nearly 80% of activities included condom distribution; 40% included sexual risk reduction; 33% correct condom use; and 25% included help with sexual problems. Referrals to health departments, community-based organizations, and other providers were infrequent. Most activities targeted other men although 11% of activities included women.

Conclusions: Latino male LHAs can be an effective strategy to reach other men for condom distribution and to teach them the correct use of condoms. Further training may be warranted to increase LHA impact.

Learning Areas:
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
By the conclusion of the presentation, the participant will be able to: (1) Describe the roles and responsibilities of Latino men who served as lay health advisors in an intervention designed to reduce HIV risk among heterosexually active Latino men; (2) List the activities that the LHAs performed; and (3) Apply findings to future research and intervention development to reduce risk among immigrant Latinos.

Keywords: Latino, Lay Health Workers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: PhD researcher with NIH reserach funding
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.