title: Impact of Mano a Mano-Mujer, an HIV prevention intervention, on depressive symptoms among Chilean women.
abstract: Worldwide, and in Chile, the number of women living with HIV is increasing. Depression is considered a factor that interferes with HIV prevention. Depression may reach 41% among low-income Chilean women. Depressed people are less willing to participate in behaviours that protect them against HIV. The aim of this study is to analyze the impact of Mano a Mano-Mujer (MM-M), and HIV prevention intervention, on depressive symptoms among Chilean women. A quasi-experimental design was used for this study. The research was conducted in Santiago, Chile; a total of 400 women participated in the study (intervention group, n=182; control group, n=218). The intervention was guided by the social-cognitive model and the primary health care model. The intervention consists of six 2-h sessions delivered in small groups. Sessions covered: HIV prevention, depression, partner's communication, and substance abuse. Face-to-face interviews were conducted at baseline and at 3-month follow-up. Chilean women who participated in MM-M significantly decreased, at 3 months follow up, their reported depressive symptoms. MM-M provided significant benefits for women's depression symptoms. In this study nurses participated as leaders for the screening of depressive symptoms and as facilitators of community interventions.
authors.affiliation: School of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USA. rcianelli@miami.edu
authors.forename: R
authors.initials: R
authors.lastname: Cianelli
authors.forename: L
authors.initials: L
authors.lastname: Lara
authors.forename: N
authors.initials: N
authors.lastname: Villegas
authors.forename: M
authors.initials: M
authors.lastname: Bernales
authors.forename: L
authors.initials: L
authors.lastname: Ferrer
authors.forename: L
authors.initials: L
authors.lastname: Kaelber
authors.forename: N
authors.initials: N
authors.lastname: Peragallo
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D002677:Chile; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000150:complications / Q000517:prevention & control* / Q000523:psychology; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D007406:Interview, Psychological / Q000379:methods; D011203:Poverty / Q000523:psychology; D011320:Primary Health Care / Q000379:methods; D015397:Program Evaluation / Q000379:methods; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology; D016896:Treatment Outcome; D055815:Young Adult