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Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers
- Source :
- International Journal of Environmental Research and Public Health, Volume 16, Issue 22, International Journal of Environmental Research and Public Health, Vol 16, Iss 22, p 4530 (2019)
- Publication Year :
- 2019
- Publisher :
- MDPI AG, 2019.
-
Abstract
- Background: Miami-Dade County, where many Latina seasonal workers reside and work, has the highest incidence of the human immunodeficiency virus (HIV) in the US: a rate four times the national average. Despite this disproportionate risk for HIV, there are no HIV prevention interventions that aim to decrease HIV among Latina seasonal workers. Methods: The PROGRESO EN SALUD study compared the outcomes of two interventions adapted to include a social network component (VOICES and HEALTHY). Recruitment used a social network respondent-driven sampling design in which each seed was asked to recruit three friends, and those friends were asked to recruit three friends, for a total of twenty groups of 13 friends. We collected data at baseline, and 6 months and 12 months post intervention completion. We used generalized estimating equation models, properly adjusted for non-independent contributions of both social network interventions, to estimate the effects. Gaussian family multivariate models were calculated, addressing exchangeable working correlations, including both individual-level and cluster-level covariates in these models. Results: A total of 261 Latina seasonal workers participated in either the HEALTHY or the VOICES intervention. There were significant changes over time in cognitive factors (HIV knowledge, condom use self-efficacy, and adequate knowledge of condom use), behavioral factors (condom use, female condom use, and HIV testing), and communication factors (talking with friends about HIV prevention and intention to negotiate safe sex with male partners). Discussion: This study supports the literature suggesting that interventions incorporating social networks can have positive effects on HIV prevention and treatment outcomes, including sustained benefits beyond study periods.
- Subjects :
- Adult
Safe Sex
Health Knowledge, Attitudes, Practice
social network analysis
Sexual Behavior
Health, Toxicology and Mutagenesis
Psychological intervention
lcsh:Medicine
HIV Infections
prevention science
Article
law.invention
Condoms
intervention development
Prevention science
03 medical and health sciences
0302 clinical medicine
Acquired immunodeficiency syndrome (AIDS)
Condom
law
Intervention (counseling)
medicine
Humans
Longitudinal Studies
030212 general & internal medicine
Health Education
Generalized estimating equation
030505 public health
Social network
business.industry
Communication
Incidence (epidemiology)
lcsh:R
Public Health, Environmental and Occupational Health
Hispanic or Latino
Middle Aged
medicine.disease
Self Efficacy
3. Good health
Florida
HIV/AIDS
Female
Hispanic Americans
0305 other medical science
business
Psychology
Risk Reduction Behavior
Demography
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....7b7a3e1d917e7371fe448d29f9121aa2
- Full Text :
- https://doi.org/10.3390/ijerph16224530