title: The HoMBReS and HoMBReS Por un Cambio Interventions to Reduce HIV Disparities Among Immigrant Hispanic/Latino Men.
abstract: Hispanics/Latinos in the United States are affected disproportionately by human immunodeficiency virus (HIV) infection, acquired immunodeficiency syndrome (AIDS), and other sexually transmitted diseases (STDs); however, few effective evidence-based prevention interventions for this population exist. This report describes the Hombres Manteniendo Bienestar y Relaciones Saludables (Men Maintaining Wellbeing and Healthy Relationships) (HoMBReS) intervention, which was developed by a community-based, participatory research partnership in North Carolina and initially implemented during 2005-2009. HoMBReS is an example of an effective intervention that uses lay health advisors (known as Navegantes [navigators]) in the context of existing social networks (i.e., recreational soccer teams) to promote consistent condom use and HIV and STD testing among Hispanic/Latino men. In 2012, HoMBReS was classified as a best-evidence community-level HIV prevention intervention (CDC. Compendium of evidence-based behavioral interventions and best practices for HIV prevention. Atlanta, GA: US Department of Health and Human Services, CDC; 2015). The intervention has been implemented elsewhere, enhanced, and further evaluated in longitudinal intervention and implementation studies. HoMBReS has been adapted for other populations, including men who have sex with men and transgender persons. Additional evaluation has found that Navegantes continue in their roles as health advisors, opinion leaders, and community advocates after study support ends. Hispanic/Latino men's social networks can be leveraged to promote sexual health within the community by decreasing HIV risk behaviors among Hispanics/Latinos in the United States.
authors.affiliation: Wake Forest School of Medicine, Winston-Salem, North Carolina.
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
authors.forename: Jami S
authors.initials: JS
authors.lastname: Leichliter
authors.forename: Christina J
authors.initials: CJ
authors.lastname: Sun
authors.forename: Fred R
authors.initials: FR
authors.lastname: Bloom
mesh_terms: D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S.; D055812:Community-Based Participatory Research; D017280:Condoms / Q000706:statistics & numerical data; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data; D055317:Evidence-Based Practice; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods*; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000208:ethnology; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D009657:North Carolina / Q000453:epidemiology; D015397:Program Evaluation; D012309:Risk-Taking; D012944:Social Support; D014481:United States / Q000453:epidemiology; D055815:Young Adult