title: Increasing access to preventive health care through cultural adaptation of effective HIV prevention interventions: a brief report from the HIV prevention in Haitian youths study.
abstract: This article describes an HIV prevention study among Haitian youths, based on the cultural adaptation of a cognitive behavioral HIV risk reduction intervention entitled "Becoming a Responsible Teen." The aim of the parent study is to evaluate whether the BART intervention is more effective than a control condition in reducing HIV risk behavior in the target population. The project explores how self-efficacy, behavioral intentions, social factors and acculturation influence the risk behavior of Haitian American adolescents. This community based translation of a risk reduction intervention, previously found to be effective in other populations, can serve as a model for reducing health disparities in a vulnerable adolescent population that lacks access to preventive health care. The purpose of this paper is to present preliminary data from the pre-assessment phase of the intervention, which enabled the project to incorporate health disparity issues with this population and address barriers to health care access.
authors.affiliation: Florida International University, AIDS Prevention Program, Florida, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Malow
authors.forename: Michele M
authors.initials: MM
authors.lastname: Jean-Gilles
authors.forename: Jessy G
authors.initials: JG
authors.lastname: Devieux
authors.forename: Rhonda
authors.initials: R
authors.lastname: Rosenberg
authors.forename: Angela
authors.initials: A
authors.lastname: Russell
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000208:ethnology; D016497:Adolescent Health Services / Q000458:organization & administration*; D015928:Cognitive Behavioral Therapy / Q000458:organization & administration; D054521:Cultural Competency / Q000458:organization & administration*; D005260:Female; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control; D006205:Haiti / Q000208:ethnology; D019538:Health Care Surveys; D006266:Health Education / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration*; D054625:Healthcare Disparities / Q000458:organization & administration; D006801:Humans; D008297:Male; D019303:Multilingualism; D010290:Parents / Q000193:education / Q000523:psychology; D011314:Preventive Health Services / Q000458:organization & administration*; D015397:Program Evaluation; D000297:Psychology, Adolescent; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires