HoMBReS-2: results from a pilot small-group HIV prevention intervention for immigrant Latino men
S. Rhodes1, A. Vissman1, K. Hergenrather2, J. Montaño3, C. Miller1, S. Duck4, T. McCoy5, K. Foley6, R. DiClemente7, E. Eng8
1Wake Forest University Health Sciences, Medical Center, Social Sciences and Health Policy, Winston-Salem, United States, 2The George Washington University, Department of Counseling/Human Organizational Studies, Washington, DC, United States, 3Chatham Social Health Council, Latino Partnership, Siler City, United States, 4Chatham Social Health Council, Siler City, United States, 5Wake Forest University Health Sciences, Medical Center, Biostatistical Sciences, Winston-Salem, United States, 6Davidson College, Medical Humanities, Davidson, United States, 7Emory University, Behavioral Science and Health Education, Atlanta, United States, 8University of North Carolina, Department of Health Behavior, Chapel Hill, United States
Background: Immigrant Latinos in the US are disproportionately affected by HIV. The objective of this study was to refine, implement, and evaluate an intervention to reduce sexual risk among immigrant Latino men using community-based participatory research (CBPR).
Methods: A co-learning partnership of community members, organizational representatives, and academic researchers developed a multi-session, 6-hour small-group pilot intervention known as: HoMBReS-2. HoMBReS-2 was based on social cognitive theory and empowerment education.
Immigrant Latino men in rural NC were randomized to either the intervention condition or a cancer-education comparison condition. The interventions were delivered by 4 trained male Latino peer educators from the community.
Results: Of the 141 participants, mean age was 31.27 (range: 18- 66) years. About three-fourths reported being originally from rural Mexico; others reported being from El Salvador, Guatemala and Honduras. Over half reported 6 years of education or fewer. Acculturation was low. Knowledge of HIV transmission and prevention was low. The majority (95.7%) self-identified as heterosexual and 48.2% reported being partnered or married, and of these, 33.3% reported having multiple sexual partners. Nearly 15% reported sex with a female sex worker in the past 3 months.
Three-month follow-up data were collected from 139 (98.5%) participants. Relative to the comparison condition, participants in the intervention reported using condoms more consistently in the past 3 months (unadjusted analysis, intervention, 58.5% versus comparison, 31.3%; P< .004). Adjusting baseline behaviors, participants in the intervention were more likely to report condom use (adjusted odds ratio=3.3; 95% CI=1.3-8.9; P< .01).
Conclusions: An urgent need exists to address the health issues facing recently-arrived immigrants through authentic participatory approaches. Although further research is needed, interventions for Latino men that are developed in partnership with community members, are led by well trained community members, and are culturally congruent can enhance preventive behaviors and may reduce HIV infection.
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