title: A snapshot of how latino heterosexual men promote sexual health within their social networks: process evaluation findings from an efficacious community-level intervention.
abstract: Hombres Manteniendo Bienestar y Relaciones Saludables (HoMBReS) was a community-level social network intervention designed to increase sexual health among Latino heterosexual men who were members of a multicounty soccer league. Process data were collected each month during 18 months of intervention implementation from each of 15 trained Latino male lay health advisors (known as Navegantes) to explore the activities that Navegantes conducted to increase condom and HIV testing among their social network members. The Navegantes reported conducting 2,364 activities, for a mean of 8.8 activities per Navegante per month. The most common activity was condom distribution. Most activities were conducted with men; about 2% were conducted with women. Among activities conducted with men, half were conducted with soccer teammates and half with nonteammates. Results suggest that Latino men's social networks can be leveraged to promote sexual health within the community. Innovative methods that reach large numbers of community members are needed given the lack of prevention resources for populations disproportionately impacted by HIV and STDs.
authors.affiliation: Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina 27157-1063, USA. srhodes@wakehealth.edu
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
authors.forename: Jason
authors.initials: J
authors.lastname: Daniel
authors.forename: Jorge
authors.initials: J
authors.lastname: Alonzo
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Vissman
authors.forename: Stacy
authors.initials: S
authors.lastname: Duck
authors.forename: Mario
authors.initials: M
authors.lastname: Downs
authors.forename: Paul A
authors.initials: PA
authors.lastname: Gilbert
mesh_terms: D000328:Adult; D003256:Community Participation; D055812:Community-Based Participatory Research; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D020010:Heterosexuality; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D054526:Men's Health; D009657:North Carolina; D060728:Reproductive Health; D012111:Residence Characteristics; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D012916:Soccer; D012944:Social Support