Efficacy of SEPA Intervention in HIV Risk Reduction and Intimate Partner Violence

2.50
Hdl Handle:
http://hdl.handle.net/10755/304070
Category:
Abstract
Type:
Presentation
Title:
Efficacy of SEPA Intervention in HIV Risk Reduction and Intimate Partner Violence
Author(s):
Peragallo, Nilda (Nena); Villegas, Natalia; Cianelli, Rosina; Gonzalez, Rosa Maria
Lead Author STTI Affiliation:
Beta Tau
Author Details:
Nilda (Nena) Peragallo, DrPH, RN, FAAN, nperagallo@miami.edu; Natalia Villegas, PhD, MSN, RN; Rosina Cianelli, PhD, MPH, RN, FAAN; Rosa Maria Gonzalez, RN, MSN, MPH;
Abstract:

Session presented on: Friday, July 26, 2013

Purpose: Hispanic women in the U.S. are particularly at risk for HIV infection. Various factors increase HIV risk for Hispanic women creating a unique configuration for HIV risk among Hispanic women. Intimate partner violence (IPV) is a risk factor that it can be particularly devastating among Hispanic women lacking access to or knowledge of relevant social services. 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 that include IPV reduction and prevention. This study evaluates the efficacy of SEPA (Salud/Health, Educación/Education, Promoción/Promotion, y/and Autocuidado/Self-care), a culturally-specific HIV risk reduction intervention to reduce HIV infection rates among Hispanic women.

 

Methods: A randomized controlled trial with 548 Hispanic women (18 to 50 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 II has five group sessions of two hours each. One session was centered in IPV reduction. SEPA is based on input from Hispanic women, Bandura's Social Cognitive Theory, and Freire’s Pedagogy of the Oppressed. Each group had approximately 10-12 participants, a facilitator and co-facilitator. The groups were conducted in Spanish or English according to participants’ preference.

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

Conclusion: SEPA should be disseminated to community-based organizations for wide-scale use. SEPA reduced IPV, making it a culturally-specific HIV prevention program to reduce IPV. SEPA simultaneously addressed multiple and interrelated health disparities experienced by Hispanic women, which potentiates the public health significance of SEPA.

Keywords:
CULTURALLY-SPECIFIC INTERVENTIONS; HISPANIC WOMEN; HIV PREVENTION
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEfficacy of SEPA Intervention in HIV Risk Reduction and Intimate Partner Violenceen_GB
dc.contributor.authorPeragallo, Nilda (Nena)en_GB
dc.contributor.authorVillegas, Nataliaen_GB
dc.contributor.authorCianelli, Rosinaen_GB
dc.contributor.authorGonzalez, Rosa Mariaen_GB
dc.contributor.departmentBeta Tauen_GB
dc.author.detailsNilda (Nena) Peragallo, DrPH, RN, FAAN, nperagallo@miami.edu; Natalia Villegas, PhD, MSN, RN; Rosina Cianelli, PhD, MPH, RN, FAAN; Rosa Maria Gonzalez, RN, MSN, MPH;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304070-
dc.description.abstract<p>Session presented on: Friday, July 26, 2013</p><b><b>Purpose: </b> </b>Hispanic women in the U.S. are particularly at risk for HIV infection. Various factors increase HIV risk for Hispanic women creating a unique configuration for HIV risk among Hispanic women. Intimate partner violence (IPV) is a risk factor that it can be particularly devastating among Hispanic women lacking access to or knowledge of relevant social services. 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 that include IPV reduction and prevention. This study evaluates the efficacy of SEPA (<i>Salud</i>/Health, <i>Educación</i>/Education, <i>Promoción</i>/Promotion, <i>y/</i>and <i>Autocuidado</i>/Self-care), a culturally-specific HIV risk reduction intervention to reduce HIV infection rates among Hispanic women. <p><b> </b><p><b><b>Methods: </b></b> A randomized controlled trial with 548 Hispanic women (18 to 50 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 II has five group sessions of two hours each. One session was centered in IPV reduction. SEPA is based on input from Hispanic women, Bandura's Social Cognitive Theory, and Freire’s Pedagogy of the Oppressed. Each group had approximately 10-12 participants, a facilitator and co-facilitator. The groups were conducted in Spanish or English according to participants’ preference. <p><b><b>Results: </b></b> Intent-to-treat generalized estimating equations analyses indicated that compared to controls, SEPA women increased HIV knowledge, behavioral intentions for HIV prevention, partner communication, condom use, and community prevention. Also, SEPA women decreased the report of IPV. <p><b><b>Conclusion: </b></b> SEPA should be disseminated to community-based organizations for wide-scale use. SEPA reduced IPV, making it a culturally-specific HIV prevention program to reduce IPV. SEPA simultaneously addressed multiple and interrelated health disparities experienced by Hispanic women, which potentiates the public health significance of SEPA.en_GB
dc.subjectCULTURALLY-SPECIFIC INTERVENTIONSen_GB
dc.subjectHISPANIC WOMENen_GB
dc.subjectHIV PREVENTIONen_GB
dc.date.available2013-10-22T20:28:38Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:28:38Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.