title: Qualitative analysis of an educational intervention with HIV-discordant heterosexual Latino couples.
abstract: OBJECTIVE
  This qualitative analysis elucidates the potential elements of the intervention that may be effective in terms of a) increasing knowledge about HIV/ AIDS in the members of this population; b) increasing the use of male condoms and the practice of mutual masturbation; and c) changing opinions toward male condom use and mutual masturbation.
  
  
  METHODS
  Five heterosexual HIV-discordant couples participated in the adapted intervention, which consisted of four three-hour-long sessions. One month after the intervention, we conducted a qualitative semi-structured interview with every participant to evaluate issues related to the process and content of the activities comprising the intervention, the impact of the intervention, logistics, and recruitment and retention as well as to make a more general evaluation. The information was submitted to qualitative content analysis.
  
  
  RESULTS
  After the intervention, participants reported having better attitudes regarding safer sex, particularly in terms of condom use. A reason given by the participants to feel more positive toward condom use and mutual masturbation was that these practices could prevent the infection of the HIV-negative partner.
  
  
  CONCLUSIONS
  This study provides important evidence of an intervention that promises to be efficacious in preventing some high-risk sexual behaviors among Latino HIV-discordant heterosexual couples. The evidence presented seems to suggest that an intervention that includes basic relevant information about HIV/AIDS, that explains the benefits of condom use and other safer sex options, and that provides effective negotiation and communication strategies could significantly reduce HIV transmission among these couples.
authors.affiliation: Institute for Psychological Research, University of Puerto Rico, Río Piedras, Puerto Rico. dperez@ipsi.uprrp.edu
authors.forename: David
authors.initials: D
authors.lastname: Pérez-Jiménez
authors.forename: Rosaura E
authors.initials: RE
authors.lastname: Orengo-Aguayo
mesh_terms: D000328:Adult; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission*; D006679:HIV Seropositivity / Q000635:transmission; D020010:Heterosexuality; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008418:Masturbation; D008875:Middle Aged; D010353:Patient Education as Topic