title: Mechanisms of Partner Violence Reduction in a Group HIV-Risk Intervention for Hispanic Women.
abstract: The objective of this study was to test whether partner communication about HIV and/or alcohol intoxication mediated reductions in intimate partner violence (IPV) in SEPA (Salud [health], Educación [education], Promoción [promotion], y [and] Autocuidado [self-care]), a culturally specific, theoretically based group HIV-risk reduction intervention for Hispanic women. SEPA had five sessions covering sexually transmitted infection (STI)/HIV prevention, partner communication, condom negotiation and use, and IPV. SEPA reduced IPV and alcohol intoxication, and improved partner communication compared with controls in a randomized trial with 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. Parallel process latent growth curve models indicated that partner communication about HIV mediated the reduction in male-to-female IPV in SEPA, B = -0.78, SE = 0.14, p< .001, but alcohol intoxication did not, B = -0.15, SE = 0.19, p = .431. Male-to-female IPV mediated the intervention effect on female-to-male IPV, B = -1.21, SE = 0.24, p< .001. Skills building strategies originally designed to enhance women's communication with their partners about sexual risk behaviors also worked to reduce male-to-female IPV, which in turn reduced female-to-male IPV. These strategies could be integrated into other types of health promotion interventions.
authors: University of Miami, Coral Gables, FL, USA bmccabe@miami.edu.
authors: Brian E
authors: BE
authors: McCabe
authors: University of Miami, Coral Gables, FL, USA.
authors: Rosa M
authors: RM
authors: Gonzalez-Guarda
authors: University of Miami, Coral Gables, FL, USA.
authors: Nilda P
authors: NP
authors: Peragallo
authors: University of Miami, Coral Gables, FL, USA.
authors: Victoria B
authors: VB
authors: Mitrani
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006630:Hispanic or Latino; D006801:Humans; D007398:Interpersonal Relations; D000066511:Intimate Partner Violence / Q000517:prevention & control*; D008875:Middle Aged; D040242:Risk Reduction Behavior; D055815:Young Adult
keywords: HIV; Hispanics; intervention; intimate partner violence; mediation