Using Community-Based Participatory Research to Develop an Intervention to Reduce HIV and STD Infections Among Latino Men

Abstract

Although the Latino community living in the United States has been disproportionately affected by the intersecting epidemics of HIV and sexually transmitted diseases (STDs), the development, implementation, and evaluation of HIV and STD prevention interventions designed to reduce infection among Latinos lags behind prevention efforts targeting other communities. HoMBReS: Hombres Manteniendo Bienestar y Relaciones Saludables is a sexual risk reduction intervention designed to reduce HIV and STD infection among recently arrived, non-English-speaking Latino men who are members of a multicounty Latino soccer league in central North Carolina, a region of the United States with both the fastest growing Latino population and disproportionate HIV and STD infection rates. HoMBReS was developed in partnership with the local Latino community using community-based participatory research (CBPR). We describe (a) the CBPR partnership history and further expansion; (b) the development of the intervention through the integration of collected formative data, theoretical considerations, and findings from the scientific literature; and (c) lessons learned while using a CBPR approach to develop HoMBReS.

Alcohol use among immigrant Latino farmworkers in North Carolina

“…These results suggest that outreach workers from migrant health clinics could be invaluable in reducing problem drinking among farmworkers. Research in other behavioral domains suggests that direct involvement of the farmworker community in the design and delivery of the intervention, such as the use of lay health promoters [Quandt et al, 2001;Rhodes et al, 2006] may be useful in reducing heavy drinking among immigrant farmworkers. Regardless of the approach taken, cultural sensitivity in the design and implementation of the intervention will play a vital role in success.…”

Studying and Addressing Urban Immigrant Restaurant Worker Health and Safety in San Francisco’s Chinatown District: A CBPR Case Study

“…[1][2][3][4][5][6] An orientation to research, rather than a particular research method, CBPR is concisely defined as "systematic inquiry, with the participation of those affected by the problem, for the purposes of education and action or effecting change". 7 Unlike most investigatordriven approaches, CBPR emphasizes equitable engagement of all partners throughout the research process, from problem definition through data collection and analysis, to dissemination and use of findings to help effect change.…”

Documentation Status as a Contextual Determinant of HIV Risk Among Young Transgender Latinas

“…21 Although studies have included African American and Latina TW in their samples, 2,15,22,23 few have assessed contextual determinants of HIV specific to these groups. 24,25 Documentation status (legal authorization to live in the United States) is sometimes mentioned as a limitation for recruiting or retaining immigrant (noncitizen who lives in the United States) Latino/a sexual minorities in prevention and treatment, [26][27][28][29] but not as a contextual determinant of the HIV-related syndemic among transgender immigrant Latinas. For example, a prior study showed higher depressive symptoms and needs for social support among transgender Latinas compared to African Americans and Whites.…”