title: The efficacy of an HIV risk reduction intervention for Hispanic women.
abstract: Culturally-specific HIV risk reduction interventions for Hispanic women are needed. SEPA (Salud/Health, Educación/Education, Promoción/Promotion, y/and Autocuidado/Self-care) is a culturally-specific and theoretically-based group intervention for Hispanic women. The SEPA intervention consists of five sessions covering STI and HIV prevention; communication, condom negotiation and condom use; and violence prevention. A randomized trial tested the efficacy of SEPA with 548 adult U.S. Hispanic women (SEPA n = 274; delayed intervention control n = 274) who completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Intent-to-treat analyses indicated that SEPA decreased positive urine samples for Chlamydia; improved condom use, decreased substance abuse and IPV; improved communication with partner, improved HIV-related knowledge, improved intentions to use condoms, decreased barriers to condom use, and increased community prevention attitudes. Culturally-specific interventions have promise for preventing HIV for Hispanic women in the U.S. The effectiveness of SEPA should be tested in a translational community trial.
authors.affiliation: Center of Excellence for Health Disparities Research: El Centro, School of Nursing and Health Studies, University of Miami, 5030 Brunson Drive, Coral Gables, FL 33124, USA.
authors.forename: Nilda
authors.initials: N
authors.lastname: Peragallo
authors.forename: Rosa M
authors.initials: RM
authors.lastname: Gonzalez-Guarda
authors.forename: Brian E
authors.initials: BE
authors.lastname: McCabe
authors.forename: Rosina
authors.initials: R
authors.lastname: Cianelli
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology* / Q000635:transmission; D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology*; D000554:Ambulatory Care Facilities; D003153:Community Health Services; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment; D010353:Patient Education as Topic; D040242:Risk Reduction Behavior; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D013179:Spouse Abuse / Q000523:psychology*; D014481:United States / Q000453:epidemiology; D055815:Young Adult