Evaluation of a Community Health Worker Intervention to Reduce HIV/AIDS Stigma and Increase HIV Testing among Underserved Latinos in the Southwestern U.S
| Autor: | Ana Carricchi, Melawhy L. Garcia, Lilia Espinoza, Gaby Diaz, Selena T. Nguyen-Rodriguez, Davida Becker, Gino Galvez, Britt Rios-Ellis |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Gerontology Health Knowledge Attitudes Practice Adolescent Social stigma Sexual Behavior Social Stigma Stigma (botany) HIV Infections California Young Adult Acquired immunodeficiency syndrome (AIDS) Intervention (counseling) Environmental health Humans Mass Screening Medicine Sex Distribution Young adult Health Education Mass screening Community Health Workers business.industry Public Health Environmental and Occupational Health AIDS Serodiagnosis virus diseases Hispanic or Latino Middle Aged Patient Acceptance of Health Care medicine.disease Los Angeles Texas Community-Institutional Relations Sexual Partners Community health Female Public Health Evaluation Health education business Program Evaluation |
| Zdroj: | Public Health Reports. 130:458-467 |
| ISSN: | 1468-2877 0033-3549 |
| DOI: | 10.1177/003335491513000509 |
| Popis: | Objectives. Latinos are at an elevated risk for HIV infection. Continued HIV/AIDS stigma presents barriers to HIV testing and affects the quality of life of HIV-positive individuals, yet few interventions addressing HIV/AIDS stigma have been developed for Latinos. Methods. An intervention led by community health workers ( promotores de salud, or promotores) targeting underserved Latinos in three southwestern U.S. communities was developed to decrease HIV/AIDS stigma and increase HIV knowledge and perception of risk. The intervention was led by HIV-positive and HIV-affected (i.e., those who have, or have had, a close family member or friend with HIV/AIDS) promotores, who delivered interactive group-based educational sessions to groups of Latinos in Spanish and English. To decrease stigma and motivate behavioral and attitudinal change, the educational sessions emphasized positive Latino cultural values and community assets. The participant pool comprised 579 Latino adults recruited in El Paso, Texas ( n=204); San Ysidro, California ( n=175); and Los Angeles, California ( n=200). Results. From pretest to posttest, HIV/AIDS stigma scores decreased significantly ( pConclusion. Promotores interventions to reduce HIV/AIDS stigma and increase HIV-related knowledge, perception of risk, and willingness to discuss sexual risk with partners show promise in reaching underserved Latino communities. |
| Databáze: | OpenAIRE |
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