142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Vida PURA: A Cultural Adaptation of Screening and Brief Intervention to Reduce Unhealthy Drinking among Latino Day Laborers

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 3:30 PM - 3:50 PM

India J. Ornelas, PhD , Health Services, University of Washington, Seattle, WA
Claire Allen, MPH , Health Services, University of Washington, Seattle, WA
Catalina Vaughan , Health Services, University of Washington, Seattle, WA
Victor Rodriguez , Health Services, University of Washington, Seattle
Nalini Negi, Ph.D. , School of Social Work, University of Maryland, Baltimore, MD
Brief intervention is known to reduce drinking in primary care, however because health care access is limited for Latino immigrants, traditional brief interventions are unlikely to reach this population.  Using Barrera and Castro’s framework, our study aims to culturally adapt a screening and brief intervention program to reduce unhealthy alcohol use among Latino day laborers, a particularly vulnerable group of Latino immigrant men.  We conducted 18 interviews with Latino day laborers and 13 interviews with mental health and substance use providers that serve Latino immigrant men.   Themes from the interviews were used to identify sources of mismatch between traditional screening and brief intervention and our target population.  Unhealthy alcohol use was common and men had limited knowledge about how to change their behavior.  Men preferred to receive information from trusted providers in Spanish.  Men faced significant barriers to accessing health and social services, but were open to receiving brief interventions in community settings.  Findings were used to design Vida PURA, a preliminary adaptation design of brief intervention for Latino day laborers.  Key adaptations include providing brief intervention at a day labor worker center, by promotores trained to incorporate the social and cultural context of drinking for Latino immigrant men.  If proven effective, this adapted intervention could be disseminated to day labor worker centers and other community-based organizations.  Our adaption process may serve as a model for researchers and practitioners hoping to adapt interventions for similar populations.

Learning Areas:

Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify patterns and context of alcohol use among Latino day laborers Describe how an intervention to reduce unhealthy alcohol use was culturally adapted for Latino day laborers

Keyword(s): Alcohol Use, Latinos

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working for over 15 years conducting community-based health promotion and research in Latino communities.
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.