title: Reducing cultural and psychological barriers to Latino enrollment in HIV-prevention counseling: initial data on an enrollment meta-intervention.
abstract: Aspects of Latino culture (e.g., machismo, marianism) can act as barriers to enrollment in HIV-prevention programs. To lift these barriers, a culturally appropriate meta-intervention was designed to increase intentions to enroll in HIV-prevention counseling by Latinos. Latino participants (N=41) were recruited from the community and randomly assigned to either an experimental or control meta-intervention condition that varied the introduction to a HIV-prevention counseling program. Following the meta-intervention, participants were issued an invitation to take part in HIV-prevention counseling. The outcome measure was the intention to enroll in a HIV-prevention counseling session. Findings indicated that enrollment intentions were higher in the experimental meta-intervention condition (96%) than in the control meta-intervention condition (53%). In addition, the effects of the meta-intervention were comparable across genders and participant ages. Findings suggest that the use of a culturally appropriate meta-intervention may be an effective strategy for increasing Latino enrollment in HIV-prevention programs. These promising findings warrant further investigation into the efficacy and effectiveness of this meta-intervention.
authors: Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, USA. kwilson@asc.upenn.edu
authors: Kristina
authors: K
authors: Wilson
authors: Marta R
authors: MR
authors: Durantini
authors: Julia
authors: J
authors: Albarracín
authors: Candi
authors: C
authors: Crause
authors: Dolores
authors: D
authors: Albarracín
mesh_terms: D000293:Adolescent; D000328:Adult; D003376:Counseling; D003469:Culture; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000523:psychology; D010865:Pilot Projects; D011584:Psychology; D055815:Young Adult
references: Gend Dev. 2000 Mar;8(1):89-99
references: 12349643
references: West J Nurs Res. 2008 Oct;30(6):724-42
references: 18359923
references: PLoS One. 2011;6(8):e17502
references: 21826193
references: Health Educ Behav. 2001 Feb;28(1):65-80
references: 11213143
references: AIDS Behav. 2008 May;12(3):354-62
references: 17985230
references: AIDS Care. 1998 Jun;10(3):283-95
references: 9828972
references: Health Educ Q. 1984 Spring;11(1):1-47
references: 6392204
references: Br J Soc Psychol. 2001 Dec;40(Pt 4):471-99
references: 11795063
references: AIDS Patient Care STDS. 2005 Nov;19(11):737-44
references: 16283834
references: J Natl Med Assoc. 2006 Apr;98(4):564-73
references: 16623070
references: AIDS Behav. 2008 Jul;12(4):521-43
references: 17265011
references: Psychol Bull. 2007 Nov;133(6):955-75
references: 17967090
references: Cultur Divers Ethnic Minor Psychol. 2004 Aug;10(3):255-67
references: 15311978
references: Public Health Rep. 1989 Sep-Oct;104(5):411-5
references: 2508169
references: AIDS Behav. 2007 Jan;11(1):25-47
references: 16917668
references: Fam Plann Perspect. 1993 Jul-Aug;25(4):170-4
references: 8405343
references: Psychol Bull. 2005 Nov;131(6):856-97
references: 16351327
references: Health Psychol. 2008 Sep;27(5):638-44
references: 18823190
references: J Transcult Nurs. 2003 Jul;14(3):186-92
references: 12861921
references: Am J Public Health. 1990 Dec;80 Suppl:11-9
references: 9187576
references: J Acquir Immune Defic Syndr. 2004 Nov 1;37 Suppl 4:S240-51
references: 15722866