title: Behavioral HIV Prevention Interventions Among Latinas in the US: A Systematic Review of the Evidence.
abstract: Compared to White women, Latinas are 4 times more likely to contract HIV. In an effort to determine the overall state of the science meant to address this disparity, we reviewed the current HIV prevention intervention literature for U.S. Latinas. We searched 5 online electronic databases from their inception through July, 2014, for HIV prevention interventions including a majority sample of Latinas. Of 1041 articles identified, 20 studies met inclusion criteria. We documented study designs, participant characteristics, outcomes, theories used, and other intervention characteristics. Overall, HIV knowledge and attitudes were the predominant outcome; a small minority of studies included self-reported condom use or STD incidence. Strategies used to address cultural factors specific to Latinas and HIV included; lay health advisors, using ethnographic narratives, or using the Theory of Gender and Power, however few of the interventions adopted these strategies. This study identified several gaps in the intervention literature that need to be addressed. In addition to including more direct measures of decreased HIV risk (ex. condom use), more systematic use of strategies meant to address gender and cultural factors that may place Latinas at increased risk (e.g., gender inequity, traditional gender role norms such as machismo and marianismo, and relationship power dynamics).
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, University of Iowa, CPHB, CBH N436, 145 Riverside Dr, Iowa City, IA, 52242, USA. jason-daniel-ulloa@uiowa.edu.|University of Iowa, Prevention Research Center, Iowa City, IA, USA. jason-daniel-ulloa@uiowa.edu.|Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA. jason-daniel-ulloa@uiowa.edu.
authors.forename: Jason
authors.identifier: 0000-0003-0904-4774
authors.initials: J
authors.lastname: Daniel-Ulloa
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: M
authors.initials: M
authors.lastname: Ulibarri
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, University of Iowa, CPHB, CBH N436, 145 Riverside Dr, Iowa City, IA, 52242, USA.|University of Iowa, Prevention Research Center, Iowa City, IA, USA.
authors.forename: B
authors.initials: B
authors.lastname: Baquero
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, University of Iowa, CPHB, CBH N436, 145 Riverside Dr, Iowa City, IA, 52242, USA.|University of Arizona College of Medicine, Tucson, AZ, USA.
authors.forename: C
authors.initials: C
authors.lastname: Sleeth
authors.affiliation: University of Iowa, Prevention Research Center, Iowa City, IA, USA.
authors.forename: H
authors.initials: H
authors.lastname: Harig
authors.affiliation: Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: S D
authors.initials: SD
authors.lastname: Rhodes
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000208:ethnology / Q000517:prevention & control; D017280:Condoms / Q000706:statistics & numerical data; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D005783:Gender Identity; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control*; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D066270:Social Capital; D014481:United States
keywords: HIV; Hispanic; Latina; Prevention; Review