Efficacy of SEPA II: An HIV Risk Reduction Program Among Hispanic Women in Florida

2.50
Hdl Handle:
http://hdl.handle.net/10755/243296
Category:
Abstract
Type:
Presentation
Title:
Efficacy of SEPA II: An HIV Risk Reduction Program Among Hispanic Women in Florida
Author(s):
Peragallo, Nilda (Nena); Cianelli, Rosina; Villegas, Natalia; Gonzalez-Guarda, Rosa Maria
Author Details:
Peragallo, Nilda (Nena), RN, DrPH, FAAN, nperagallo@miami.edu; Cianelli, Rosina, PhD, MPH, RN, FAAN; Villegas, Natalia, MSN, RN; Gonzalez-Guarda, Rosa Maria , PhD, MPH, RN, CPH;
Abstract:
Purpose : Although the U.S. is less affected from the feminization of HIV than other regions in the world (e.g., Africa and India), the incidence of HIV has remained relatively stable over the past 10 years among women, indicating little progress in curbing the epidemic among this population. Hispanic women in the U.S. are particularly at risk for HIV infection, with heterosexual intercourse the most common mode of transmission. HIV rates for Hispanics are 3.5 times as high as those of Caucasians. The feminization of HIV infection and the diversification of women in the U.S. have led to a call for the development and evaluation of gender and culturally specific HIV prevention strategies. This study evaluates the efficacy of SEPA (Salud/Health, Educación/Education, Promoción/Promotion, y/and Autocuidado/Self-care), a culturally-specific HIV risk reduction group education intervention for Hispanic women in the U.S.

Methods: A randomized controlled trial with 548 Hispanic women (18 to50 years old) was conducted. Women completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Women were assigned to SEPA (n = 274) or to a delayed-intervention control group (n = 274). SEPA is based on input from Hispanic women, Bandura's Social Cognitive Theory, and Freire’s Pedagogy of the Oppressed. SEPA II has five group sessions of two hours each. Each group had approximately 10-12 participants, a facilitator and co-facilitator. The groups were conducted in Spanish or English according to the preference of the participants.

 Results: Intent-to-treat generalized estimating equations analyses indicated that compared to controls, SEPA women increased condom use, HIV knowledge, behavioral intentions for HIV prevention, partner communication and community prevention. Also, SEPA women decreased Chlamydia rates and intimate partner violence.

Conclusion: Culturally-specific interventions have promise in preventing HIV for Hispanic women in the U.S. SEPA should be disseminated to community-based organizations for wide-scale use.

Keywords:
Culturally-specific interventions; Hispanic women; HIV prevention
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEfficacy of SEPA II: An HIV Risk Reduction Program Among Hispanic Women in Floridaen_GB
dc.contributor.authorPeragallo, Nilda (Nena)en_GB
dc.contributor.authorCianelli, Rosinaen_GB
dc.contributor.authorVillegas, Nataliaen_GB
dc.contributor.authorGonzalez-Guarda, Rosa Mariaen_GB
dc.author.detailsPeragallo, Nilda (Nena), RN, DrPH, FAAN, nperagallo@miami.edu; Cianelli, Rosina, PhD, MPH, RN, FAAN; Villegas, Natalia, MSN, RN; Gonzalez-Guarda, Rosa Maria , PhD, MPH, RN, CPH;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243296-
dc.description.abstract<b><b>Purpose</b> </b><b>:</b> Although the U.S. is less affected from the feminization of HIV than other regions in the world (e.g., Africa and India), the incidence of HIV has remained relatively stable over the past 10 years among women, indicating little progress in curbing the epidemic among this population. Hispanic women in the U.S. are particularly at risk for HIV infection, with heterosexual intercourse the most common mode of transmission. HIV rates for Hispanics are 3.5 times as high as those of Caucasians. The feminization of HIV infection and the diversification of women in the U.S. have led to a call for the development and evaluation of gender and culturally specific HIV prevention strategies. This study evaluates the efficacy of SEPA (<i>Salud</i>/Health, <i>Educaci&oacute;n</i>/Education, <i>Promoci&oacute;n</i>/Promotion, <i>y/</i>and <i>Autocuidado</i>/Self-care), a culturally-specific HIV risk reduction group education intervention for Hispanic women in the U.S. <p><b><b>Methods: </b></b> A randomized controlled trial with 548 Hispanic women (18 to50 years old) was conducted. Women completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Women were assigned to SEPA (n = 274) or to a delayed-intervention control group (n = 274). SEPA is based on input from Hispanic women, Bandura's Social Cognitive Theory, and Freire&rsquo;s Pedagogy of the Oppressed. SEPA II has five group sessions of two hours each. Each group had approximately 10-12 participants, a facilitator and co-facilitator. The groups were conducted in Spanish or English according to the preference of the participants. <p>&nbsp;<b><b>Results: </b></b> Intent-to-treat generalized estimating equations analyses indicated that compared to controls, SEPA women increased condom use, HIV knowledge, behavioral intentions for HIV prevention, partner communication and community prevention. Also, SEPA women decreased Chlamydia rates and intimate partner violence. <p><b><b>Conclusion: </b></b> Culturally-specific interventions have promise in preventing HIV for Hispanic women in the U.S. SEPA should be disseminated to community-based organizations for wide-scale use.en_GB
dc.subjectCulturally-specific interventionsen_GB
dc.subjectHispanic womenen_GB
dc.subjectHIV preventionen_GB
dc.date.available2012-09-12T09:20:16Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:16Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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