This article describes a quasi-experimental evaluation of a community-based, culturally and ecologically tailored HIV prevention intervention for Mexican American female adolescents grounded in the AIDS risk reduction model. A total of 378 Mexican American female adolescents (mean age = 15.2) participated in either the nine-session SHERO's (a female-gendered version of the word hero) intervention or a single session information-only HIV prevention intervention. Assessment data were collected at pretest, posttest, and 2-month follow up. Significant improvements across all time points were revealed on measures of self-esteem, condom attitudes, beliefs regarding a woman's control of her sexuality, beliefs regarding sexual assault, perceived peer norms, and HIV/AIDS and STI knowledge. At posttest SHERO's participants were more likely to carry condoms and to report abstaining from vaginal sex in the previous 2 months; and at 2-month follow up they reported using condoms more often in the preceding 2 months and planned on using them more frequently in the coming 2 months. Findings support the development of community-based adolescent HIV prevention interventions that address culturally specific ecological factors.Sexually transmitted infections (STIs), including HIV, continue to threaten the health of Latinas in the United States. Rates for chlamydia were three times higher and rates for primary and secondary syphilis were nearly two times higher among Latina females than Whites (Centers for Disease Control and Prevention [CDC], 2007). In 2006, Latinas made up 11% of the U.S. female population but accounted for 15% of females living with HIV/
The present study identified predictors of African American adolescent sexual activity. An ecological model of personal, familial, and extrafamilial risk factors was proposed. Forty-eight female and 53 male African American adolescents participated. Hierarchical logistic regression and structural equation modeling found some support for the model. Risk factors were found at each level of the adolescents'social ecology and explained over 80% of the variance in sexual activity. Being older, male, having low parental monitoring, using drugs, and having friends that used drugs decreased the probability of being a virgin. Virgins also expected to live 10 years longer than nonvirgins. It was suggested that fathers and community members should take a more active role in adolescents' lives to curb the threat of HIV/AIDS and other STDs in the African American community.
Although alliances between community-based organizations (CBOs) and university-based evaluators provide opportunities to enhance community-based interventions, such partnerships may be fraught with challenges and obstacles. This paper focuses on the "story" behind a collaborative partnership between a Latino-focused CBO and a team of university-based evaluators that was formed to evaluate HIV prevention interventions for Mexican American female adolescents and gay/bisexual/questioning (GBQ) Latino male adolescents. A developmental trajectory of the partnership is detailed, with a focus on the creation and enhancement of a reciprocal and mutually beneficial relationship. In tracing this history, the paper explores challenges that were faced and presents ways in which the partnership attempted to overcome obstacles. Recommendations are offered to assist in the formation and maintenance of collaborative partnerships between CBOs and university-based evaluators/researchers.
This study explores organizational and contextual factors impacting coalition functioning across 15 community-researcher coalitions. A mixed methods approach was administered across three time points to assess factors associated with coalition development.. Results indicate benefits and barriers to members’ participation; importance of a clear vision, mission and goals; clear member roles; and impact of historical collaborative efforts. Current findings specified factors in three primary areas that influenced coalition development and sustainability: relationships, infrastructure and processes, and context/environment.
Transdisciplinary research and evaluation projects provide valuable opportunities to collaborate on interventions to improve the health and well-being of individuals and communities. Given team members' diverse backgrounds and roles or responsibilities in such projects, members' perspectives are significant in strengthening a project's infrastructure and improving its organizational functioning. This article presents an evaluation mechanism that allows team members to express the successes and challenges incurred throughout their involvement in a multisite transdisciplinary research project. Furthermore, their feedback is used to promote future sustainability and growth. Guided by a framework known as organizational development, the evaluative process was conducted
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