Project Salud: Efficacy of a Community-Based HIV Prevention Intervention for Hispanic Migrant Workers in South Florida

Abstract

Project Salud evaluates the efficacy of a community-based intervention to reduce risk behaviors and enhance factors for HIV-preventative behaviors. A randomized controlled trial of 278 high risk Latino migrant workers was conducted between 2008 and 2010. Participants completed an audio computer-assisted self-interview questionnaire at baseline and 3- and 9-month post-intervention follow-ups. Participants were randomly assigned to the community-based intervention (A-SEMI) or the health promotion condition (HPC). Both interventions consisted of four 2.5–hour interactive sessions and were structurally equivalent in administration and format. Relative to the comparison condition, A-SEMI participants reported more consistent condom use, were less likely to report never having used condoms, and were more likely to have used condoms at last sexual encounter during the past 90 and 30 days. A-SEMI participants also experienced a positive change in regard to factors for HIV-preventive behaviors over the entire 9-month period. Our results support the implementation of community-based, culturally tailored interventions among Latino migrant workers.

HIV Prevention Among Mexican Migrants at Different Migration Phases: Exposure to Prevention Messages and Association With Testing Behaviors

“…Our findings supported this prediction. Previous studies have shown that interventions that rely on peer counseling, lay health advisors, and population opinion leaders, such as HoMBReS-2 (Rhodes et al, 2011) and A-SEMI (Sánchez, De La Rosa, & Serna, 2013), are effective to reach, and reduce risk behaviors, among low-acculturated Latino im/migrants in the U.S. (Rhodes, Hergenrather, Bloom, Leichliter, & Montaño, 2009; Somerville, Diaz, Davis, Coleman, & Taveras, 2006; Vissman et al, 2009). In contrast, and as predicted by our second study hypothesis, exposure through mass media (e.g.…”

Self‐reported factors associated with dental care utilization among Hispanic migrant farmworkers in South Florida

“…The present cross-sectional study is part of a larger study funded by the National Institutes of Health (NIH) entitled "HIV Risk Reduction among Hispanic Migrant Workers in South Florida," which employed an interventional design. 17 From June 2008 through June 2011, outreach workers screened 407 Hispanic farmworkers who were recruited by means of a stratified network-based (snowball) sampling design from neighborhoods and migrant camps in the Homestead/Florida City area in South Florida, which is known for its high concentration of Hispanic farmworkers. 18 The present investigation is based on 278 study participants out of the 290 potential participants that met eligibility criteria.…”

Migrant Workers and Physical Health: an Umbrella Review

“…In the second trial concerning sexually transmitted diseases [49], a community-based participatory research project, the "Project Salud", was presented with the aim of involving the Latin American community in Florida for the prevention of HIV. The main objective of the "Salud Project" is to compare and evaluate the effectiveness of 2 different methods: the so-called "Adapted Stage-Enhanced Motivational Interviewing (A-SEMI), divided into 4 group sessions to prevent HIV and encourage safe sexual behavior, and the "Health Promotion Condition" (HPC), aimed at promoting public health strategies, such as hygiene and first aid.…”