Development and preliminary evaluation of a behavioural HIV-prevention programme for teenage girls of Latino descent in the USA

Davidson, Tatiana M.; López, Cristina M.; Saulson, Raelle; Borkman, April L.; Soltis, Kathryn E.; Ruggiero, Kenneth J.; Arellano, Michael de; Wingood, Gina M.; DiClemente, Ralph J.; Danielson, Carla Kmett

doi:10.1080/13691058.2014.891049

Cited by 16 publications

(13 citation statements)

References 37 publications

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“…A series of clinic-based sexual health interventions developed by DiClemente and colleagues have emphasized issues of gender, empowerment and healthy relationships, with evidence supporting their impact on both psychosocial mediators and behavioral outcomes for sexually active African American adolescent girls [ 30 , 46 ]. A similar intervention for Hispanic adolescent girls is under development [ 47 ]. The preliminary findings from the present SEI evaluation trial lend further support to the potential of rights-based approaches.…”

Section: Discussionmentioning

confidence: 99%

Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

et al. 2015

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BackgroundAn emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.MethodsA cluster-randomized trial was conducted with ninth-grade students at 10 high schools in Los Angeles. Classrooms at each school were randomized to receive either a rights-based curriculum or basic sex education (control) curriculum. Surveys were completed by 1,750 students (N = 934 intervention, N = 816 control) at pretest and immediate posttest. Multilevel regression models examined the short-term effects of the intervention on nine psychosocial outcomes, which were hypothesized to be mediators of students’ sexual behaviors.ResultsCompared with students who received the control curriculum, students receiving the rights-based curriculum demonstrated significantly greater knowledge about sexual health and sexual health services, more positive attitudes about sexual relationship rights, greater communication about sex and relationships with parents, and greater self-efficacy to manage risky situations at immediate posttest. There were no significant differences between the two groups for two outcomes, communication with sexual partners and intentions to use condoms.ConclusionsParticipation in the rights-based classroom curriculum resulted in positive, statistically significant effects on seven of nine psychosocial outcomes, relative to a basic sex education curriculum. Longer-term effects on students’ sexual behaviors will be tested in subsequent analyses.Trial registrationClinicalTrials.gov NCT02009046 [http://www.advocatesforyouth.org/the-3rs].

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Section: Discussionmentioning

confidence: 99%

Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

et al. 2015

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“…Although culturally-focused interventions for Latino youth in the USA are rare, programmes that incorporate cultural sensitivity have been endorsed by young people (Davidson et al 2014) and found to reduce risky behaviours and increase testing rates (Añez et al 2008;Crepaz et al 2007;Fisher et al 2011). Interventions to promote HIV testing among Latino young people would be likely to benefit from a better understanding of the influence of culture on testing behaviours.…”

mentioning

confidence: 97%

Cultural influences on HIV testing among Latino youth

Malcolm

2015

Culture, Health & Sexuality

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Young Latinos aged 13-24 years in the USA are disproportionately impacted upon by HIV. Despite the elevated risk, lower rates of HIV testing have been documented among Latino youth relative to other racial/ethnic groups. The objective of the current study was to examine the influence of acculturation and cultural values on HIV testing among Latino youth. The study consisted of 51 sexually experienced young Latinos aged 13-16 years from a major city in the Southeastern USA. Participants completed a survey on HIV testing history, cultural orientation and Latino cultural values. Results indicate that 21.6% of the young people had been tested for HIV. The number of times tested ranged from one to four (M = 1.9 ± 1.0). HIV testing was associated with US American cultural orientation and familism (and emphasis on strong family commitment, family support and emotional closeness). Participants with greater orientation to US American culture were more likely, whereas those who endorsed higher familism value were less likely, to have had an HIV test. For participants scoring high on familism, the desire to maintain family honour may serve as a deterrent to testing. Incorporating culturally relevant strategies, such as promoting sexual communication and conversations on HIV prevention within the family, may enhance testing and narrow the gap in HIV infection between Latino youth and other ethnic groups.

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“…Therefore, current tobacco use prevention efforts mainly implemented through public schools are likely to be applicable to Latinx youth with varying personal and family migration histories. Nonetheless, there may be benefits to certain cultural adaptations of generally applicable prevention programs, such as those used for HIV-prevention and alcohol abuse programs among Latinxs [ 34 , 35 ]. Our findings raise questions about the immigrant paradox as it applies to tobacco use for Latinx adolescents.…”

Section: Discussionmentioning

confidence: 99%

Tobacco use among Latinx adolescents: exploring the immigrant paradox

et al. 2018

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BackgroundResearch suggests that an immigrant paradox exists where those who were not born in the United States (1st generation) have significantly better health than those who were born in the U.S. (2nd generation or more). The aim of the current study was to examine the immigrant paradox with respect to tobacco-related perceptions and parenting influences in smoking initiation among Latinx adolescents.MethodsData came from the 7th and 10th grade Healthy Passages™ assessments of Latinx participants in three U.S. urban areas (N = 1536) who were first (18%), second (60%), and third (22%) generation. In addition to demographics, measures included perceived cigarette availability and peer smoking, intentions and willingness to smoke, and general monitoring by parents. Parents reported on generational status and their own tobacco use. The primary outcome was participant’s reported use of cigarettes.ResultsBy 10th grade, 31% of Latinx youth had tried a cigarette, compared to 8% in 7th grade. After controlling for age, gender, and socioeconomic status, regression analyses indicated that there were no significant differences related to generational status in cigarette smoking initiation in either 7th or 10th grade. Youth tobacco-related perceptions, general parental monitoring, and parental tobacco use predicted Latinx adolescent cigarette use initiation by 10th grade.ConclusionsLatinx adolescents might not have deferential smoking rates based on generation status, suggesting that the immigrant paradox concept may not hold for smoking initiation among Latinx adolescents. Rather, factors influencing cigarette initiation generally in adolescents as a group appear to apply to Latinxs as well.

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Development and preliminary evaluation of a behavioural HIV-prevention programme for teenage girls of Latino descent in the USA

Cited by 16 publications

References 37 publications

Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

Cultural influences on HIV testing among Latino youth

Tobacco use among Latinx adolescents: exploring the immigrant paradox

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