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Testing the Efficacy of an HIV Prevention Intervention Among Latina Immigrants Living in Farmworker Communities in South Florida

  • Patria RojasEmail author
  • Daisy Ramírez-Ortiz
  • Weize Wang
  • E. Valerie Daniel
  • Mariana Sánchez
  • Miguel Ángel Cano
  • Gira J. Ravelo
  • Ronald Braithwaite
  • Nilda Peragallo Montano
  • Mario De La Rosa
Original Paper

Abstract

Latina immigrants living in farmworker communities are a population in need of HIV risk reduction interventions due to their high risk for HIV and their limited access to health care and prevention services. The present study is the first to evaluate the efficacy of SEPA intervention on a cohort of 234 pre-established Latina immigrants living in farmworker communities in South Florida. SEPA is a CDC evidenced-based and Latinx culturally tailored HIV risk reduction intervention. Data were collected through structured interviews at baseline and 6-months post intervention and were analyzed using generalized linear mixed modeling. Results showed that SEPA was effective on increasing condom use during vaginal and anal sex with male partners, self-efficacy for condom use, intentions to negotiate safe sex and HIV-related knowledge from baseline to 6-months post intervention. These findings contribute to the evidence supporting the efficacy of SEPA by confirming previous results and demonstrating the efficacy of this intervention for Latinas of diverse backgrounds.

Keywords

HIV/AIDS Intervention Latina/o Immigrant Farmworkers 

Notes

Acknowledgements

This research study was funded by the National Institute on Minority Health and Health Disparities (Grant No. NIMHD- P20 MD002288-10) and National Institute on Alcohol Abuse and Alcoholism (Grant No. K01 AA025992). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors would like to acknowledge Maria A. Khalona and all the interviewers for their work on data collection and management, Arnaldo Gonzalez for his editing assistance, the community partner MUJER, Inc. for their support and all women for their participation.

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflicts of interest and do not have any financial disclosures to report.

References

  1. 1.
    CDC: HIV among Latinos. 2019. https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/cdc-hiv-latinos-508.pdf. Accessed 20 May 2019.
  2. 2.
    CDC: HIV and Hispanics/Latinos. 2018. https://www.cdc.gov/hiv/pdf/group/racialethnic/hispaniclatinos/cdc-hiv-latinos.pdf. Accessed 20 May 2019.
  3. 3.
    CDC: HIV Among Hispanics/Latinos in the United States and Dependent Areas. 2013. http://www.hivlawandpolicy.org/sites/default/files/HIV Among Hispanics.pdf. Accessed 23 October 2018.
  4. 4.
    Lee J, Hahm HC. Acculturation and sexual risk behaviors among Latina adolescents transitioning to young adulthood. J Youth Adolesc. 2010;39(4):414–27.CrossRefGoogle Scholar
  5. 5.
    Rojas P, Huang H, Li T, Ravelo G, Sanchez M, Dawson C, Brook J, Kanamori M, De La Rosa M. Sociocultural determinants of risky sexual behaviors among adult Latinas: a longitudinal study of a community-based sample. Int J Environ Res Public Health. 2016;13(11):1164.CrossRefGoogle Scholar
  6. 6.
    Harawa NT, Bingham TA, Cochran SD, Greenland S, Cunningham WE. HIV prevalence among foreign-and US-born clients of public STD clinics. Am J Public Health. 2002;92(12):1958–63.CrossRefGoogle Scholar
  7. 7.
    Dennis AM, Wheeler JB, Valera E, Hightow-Weidman L, Napravnik S, Swygard H, Barrington C, Eron JJ. HIV risk behaviors and sociodemographic features of HIV-infected Latinos residing in a new Latino settlement area in the Southeastern United States. AIDS Care. 2013;25(10):1298–307.CrossRefGoogle Scholar
  8. 8.
    Organista KC, Organista PB. Migrant laborers and AIDS in the United States: a review of the literature. AIDS Educ and Prev. 1997;9(1):83–93.Google Scholar
  9. 9.
    CDC. HIV infection, syphilis, and tuberculosis screening among migrant farm workers–Florida, 1992. MMWR. 1992;41(39):723.Google Scholar
  10. 10.
    CDC. HIV seroprevalence in migrant and seasonal farmworkers–North Carolina, 1987. MMWR. 1988;37(34):517.Google Scholar
  11. 11.
    Shedlin MG, Decena CU, Oliver-Velez D. Initial acculturation and HIV risk among new Hispanic immigrants. J Natl Med Assoc. 2005;97(7 Suppl):32S.Google Scholar
  12. 12.
    González-Guarda RM, Peragallo N, Urrutia MT, Vasquez EP, Mitrani VB. HIV risks, substance abuse, and intimate partner violence among Hispanic women and their intimate partners. J Assoc Nurses AIDS Care. 2008;19(4):252–66.CrossRefGoogle Scholar
  13. 13.
    Sastre F, Sanchez M, De La Rosa M. Changes in pre-to post-immigration HIV risk behaviors among recent Latino immigrants. AIDS Educ and Prev. 2015;27(1):44–57.CrossRefGoogle Scholar
  14. 14.
    Marín BV. HIV prevention in the Hispanic community: sex, culture, and empowerment. J Transcult Nurs. 2003;14(3):186–92.CrossRefGoogle Scholar
  15. 15.
    Peragallo N, Gonzalez-Guarda RM, McCabe BE, Cianelli R. The efficacy of an HIV risk reduction intervention for Hispanic women. AIDS and Behav. 2012;16(5):1316–26.CrossRefGoogle Scholar
  16. 16.
    Sanchez M, Rojas P, Li T, Ravelo G, Cyrus E, Wang W, Kanamori NP, De La Rosa MR. Evaluating a culturally tailored HIV risk reduction intervention among Latina immigrants in the Farmworker community. World Med Health Policy. 2016;8(3):245–62.CrossRefGoogle Scholar
  17. 17.
    Arcury TA, Sandberg JC, Talton JW, Laurienti PJ, Daniel SS, Quandt SA. Mental health among Latina farmworkers and other employed Latinas in North Carolina. Rural Ment Health. 2018;42(2):89–101.CrossRefGoogle Scholar
  18. 18.
    Kim-Godwin YS, Maume MO, Fox JA. Depression, stress, and intimate partner violence among Latino migrant and seasonal farmworkers in rural Southeastern North Carolina. J Immigr Minor Health. 2014;16(6):1217–24.  https://doi.org/10.1007/s10903-014-0007-x.CrossRefGoogle Scholar
  19. 19.
    Blondell SJ, Kitter B, Griffin MP, Durham J. Barriers and facilitators to HIV testing in migrants in high-income countries: a systematic review. AIDS Behav. 2015;19(11):2012–24.CrossRefGoogle Scholar
  20. 20.
    Levy V, Prentiss D, Balmas G, Chen S, Israelski D, Katzenstein D, Page-Shafer K. Factors in the delayed HIV presentation of immigrants in Northern California: implications for voluntary counseling and testing programs. J Immigr Minor Health. 2007;9(1):49–54.CrossRefGoogle Scholar
  21. 21.
  22. 22.
    United States Census Bureau. QuickFacts Miami-Dade County, Florida. 2010. https://www.census.gov/quickfacts/fact/table/miamidadecountyflorida/POP645217#POP645217. Accessed 20 May 2019.
  23. 23.
    Safren SA, Traeger L, Skeer MR, O’Cleirigh C, Meade CS, Covahey C, Mayer KH. Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression. Health Psychol. 2010;29(2):215.CrossRefGoogle Scholar
  24. 24.
    Bandura A: Multidimensional scales of perceived academic efficacy. 1990. Unpublished Manuscript.Google Scholar
  25. 25.
    Bandura A. Self-efficacy in changing societies. New York: Cambridge University Press; 1995.CrossRefGoogle Scholar
  26. 26.
    Peragallo N, DeForge B, O’Campo P, Lee SM, Kim YJ, Cianelli R, Ferrer L. A randomized clinical trial of an HIV-risk-reduction intervention among low-income Latina women. Nurs Res. 2005;54(2):108–18.CrossRefGoogle Scholar
  27. 27.
    Sikkema KJ, Heckman TG, Kelly JA, Anderson ES, Winett RA, Solomon LJ, Wagstaff DA, Roffman RA, Perry MJ, Cargill V. HIV risk behaviors among women living in low-income, inner-city housing developments. Am J Public Health. 1996;86(8):1123–8.CrossRefGoogle Scholar
  28. 28.
    Heckman TG, Kelly JA, Sikkema K, Cargill V, Norman A, Fuqua W, Wagstaff D, Solomon L, Roffman R, Crumble D, Perry M, Winett R, Anderson E, Mercer MB, Hoffman R. HIV risk characteristics of young adult, adult, and older adult women who live in inner-city housing developments: implications for prevention. J Womens Health. 1995;4(4):397–406.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Patria Rojas
    • 1
    • 2
    • 6
    Email author
  • Daisy Ramírez-Ortiz
    • 3
  • Weize Wang
    • 1
  • E. Valerie Daniel
    • 2
  • Mariana Sánchez
    • 1
    • 2
  • Miguel Ángel Cano
    • 1
    • 3
  • Gira J. Ravelo
    • 1
  • Ronald Braithwaite
    • 4
  • Nilda Peragallo Montano
    • 5
  • Mario De La Rosa
    • 1
    • 2
  1. 1.Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel College of Public Health and Social Work, Florida International UniversityMiamiUSA
  2. 2.Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social WorkFlorida International UniversityMiamiUSA
  3. 3.Department of Epidemiology, Robert Stempel College of Public Health and Social WorkFlorida International UniversityMiamiUSA
  4. 4.Department of Community Health and Preventive Medicine, Department of Family Medicine and PsychiatryMorehouse School of MedicineAtlantaGeorgia
  5. 5.School of NursingUniversity of North Carolina at Chapel HillChapel HillUSA
  6. 6.Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel College of Public Health and Social Work, Florida International UniversityMiamiUSA

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