Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers

Mariano Kanamori, Mario De La Rosa, Cho-Hee Shrader, Cesar Munayco, Susanne Doblecki-Lewis, Guillermo Prado, Steven Safren, Mary Jo Trepka and Kayo Fujimoto
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Mariano Kanamori: Department of Public Health Sciences, University of Miami School of Medicine, Miami, FL 33136, USA
Mario De La Rosa: Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL 33199, USA
Cho-Hee Shrader: Department of Public Health Sciences, University of Miami School of Medicine, Miami, FL 33136, USA
Cesar Munayco: Centro Nacional De Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, PERU
Susanne Doblecki-Lewis: Department of Medicine, University of Miami School of Medicine, Miami, FL 33136, USA
Guillermo Prado: Department of Public Health Sciences, University of Miami School of Medicine, Miami, FL 33136, USA
Steven Safren: Department of Psychology, University of Miami School of Medicine, Miami, FL 33136, USA
Mary Jo Trepka: Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL 33199, USA
Kayo Fujimoto: Department of Health Promotion & Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA

IJERPH, 2019, vol. 16, issue 22, 1-13

Abstract: Background: Miami-Dade County, where many Latina seasonal workers reside and work, has the highest incidence of the human immunodeficiency virus (HIV) in the US: a rate four times the national average. Despite this disproportionate risk for HIV, there are no HIV prevention interventions that aim to decrease HIV among Latina seasonal workers. Methods: The PROGRESO EN SALUD study compared the outcomes of two interventions adapted to include a social network component (VOICES and HEALTHY). Recruitment used a social network respondent-driven sampling design in which each seed was asked to recruit three friends, and those friends were asked to recruit three friends, for a total of twenty groups of 13 friends. We collected data at baseline, and 6 months and 12 months post intervention completion. We used generalized estimating equation models, properly adjusted for non-independent contributions of both social network interventions, to estimate the effects. Gaussian family multivariate models were calculated, addressing exchangeable working correlations, including both individual-level and cluster-level covariates in these models. Results: A total of 261 Latina seasonal workers participated in either the HEALTHY or the VOICES intervention. There were significant changes over time in cognitive factors ( HIV knowledge, condom use self-efficacy , and adequate knowledge of condom use ), behavioral factors ( condom use, female condom use , and HIV testing ), and communication factors ( talking with friends about HIV prevention and intention to negotiate safe sex with male partners ). Discussion: This study supports the literature suggesting that interventions incorporating social networks can have positive effects on HIV prevention and treatment outcomes, including sustained benefits beyond study periods.

Keywords: prevention science; intervention development; social network analysis; Hispanic Americans; HIV/AIDS (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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