Community collaborative youth-focused HIV/AIDS prevention in South Africa and Trinidad: preliminary findings.
BACKGROUND
South Africa and Trinidad and Tobago are disproportionately impacted by high rates of HIV/AIDS among adolescents.


OBJECTIVE
The article describes the HIV crises in these countries; outlines a community participatory research framework to adapt and deliver family-based prevention; and presents preliminary data from intervention pilots in each setting.


METHODS
Adapted interventions were piloted with N = 140 families in South Africa and N=16 families in Trinidad and Tobago to refine recruitment and retention efforts and to assess the adapted interventions' impact on family and risk-related constructs.


RESULTS
Both settings reported promising results including high recruitment and retention and favourable pre to post changes in parent/youth frequency and comfort in talking about sensitive subjects, HIV transmission knowledge and attitudes about persons with HIV/AIDS.


CONCLUSIONS
International HIV-prevention alliances are increasing. Such alliances are challenged by trust issues, power-differentials and ideological differences. Recommendations are provided on how some challenges can be overcome.
Baptiste
Donna R
DR
Department of Psychiatry, Institute for Juvenile Research, University of Illinois at Chicago, 1747 West Roosevelt Road, Chicago, Illinois 60608, USA. dbaptiste@psych.uic.edu
Bhana
Arvin
A
Petersen
Inge
I
McKay
Mary
M
Voisin
Dexter
D
Bell
Carl
C
Martinez
Dona D
DD
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control; D000293:Adolescent; D000294:Adolescent Behavior; D016497:Adolescent Health Services / Q000458:organization & administration*; D002648:Child; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010865:Pilot Projects; D013019:South Africa / Q000453:epidemiology; D014300:Trinidad and Tobago / Q000453:epidemiology; D035502:Trust