Designing a culturally based intervention to reduce HIV sexual risk for Latino adolescents

Abstract

There is a pressing need to develop effective interventions to prevent sexually transmitted HIV infection among Latino adolescents. Although there have been few models to direct the design of culturally effective interventions, the processes of recognizing the influence of specific cultural and contextual variables, building on "what works," and integrating community perspectives are important elements. These processes were used in the development of a Latino culturally based curriculum designed to reduce the risk of sexually transmitted HIV among Latino youth. Specific examples are provided to illustrate how these processes were used and how the curriculum evolved.

A Systematic Review and Meta-Analysis of Behavioral Interventions to Reduce HIV Risk Behaviors of Hispanics in the United States and Puerto Rico

“…First, studies reporting the use of ethnographic formative research methods for intervention development (e.g., interviews with the target population) reduced the odds of risky sex behavior more than studies not reporting these methods. The use of ethnographic research methods, in developing intervention content indicates that these interventions were tailored to meet the needs of the Hispanic target population (Villarruel, Jemmott, & Jemmott, 2005). Researchers and prevention providers are strongly encouraged to conduct ethnographic and formative research to strengthen the cultural sensitivity and ecologic validity of HIV prevention interventions (Bernal, Bonilla, & Bellido, 1995;Resnicow, Baranowski, Ahluwalia, & Braithwaite, 1999).…”

Intervención para reducir riesgo en conductas sexuales de adolescentes: un ensayo aleatorizado y controlado

“…15,16 La adaptación del currículo consistió en eliminar componentes únicos para latinos de Estados Unidos, así como haciendo condón como medios para evitar embarazos no planeados e ITS. Todas estas adaptaciones se llevaron a cabo considerando información cualitativa obtenida de adolescentes e investigadores mexicanos.…”

“…11 Las -ría Social Cognitiva, 12 la teoría de la Acción Razonada 13 y su extensión, la teoría de la Conducta Planeada. [14][15][16] Según esta última, las intenciones de los adolescentes de usar condón y anticonceptivos son determinantes de la conducta. A su vez, las intenciones son determinadas por las creencias conductuales, normas subjetivas y el control percibido sobre la conducta.…”

“…The six hour intervention used active learning strategies, and was delivered in two sessions on two consecutive Saturdays. The study was carried out in Monterrey, Mexico, 2002-2005. Results.…”

Pilot Testing HIV and Intimate Partner Violence Prevention Modules Among Spanish-Speaking Latinas

“…and ''Mantenerse sana y segura'' (Keeping yourself healthy and safe). The curriculum for this study was adapted from !Cuidate!, an HIV risk-reduction intervention for Latino adolescents (Villarruel, Jemmott, & Jemmott, 2005). Integrated within the Entre Amigas curriculum were relevant cultural aspects, such as the gender role norms marianismo (subordination of women) and familismo (the importance of family).…”