Summative evaluation of a community mobilization program to eliminate racial and ethnic disparities in HIV disease
Book Chapter
Darrow, WW, Kim, S, Montanea, JE et al. (2012). Summative evaluation of a community mobilization program to eliminate racial and ethnic disparities in HIV disease
. 47-64.
Darrow, WW, Kim, S, Montanea, JE et al. (2012). Summative evaluation of a community mobilization program to eliminate racial and ethnic disparities in HIV disease
. 47-64.
Darrow, WW; Kim, S; Montanea, JE; Uribe, CL; Sánchez-Braña, E; Gladwin, H
abstract
We developed, implemented, and evaluated a community mobilization program to eliminate racial and ethnic disparities in HIV disease. Process evaluation was accomplished through frequent site visits; reviews of reports, schedules, and field notes; personal interviews and participant observation. Computer-assisted telephone-interview surveys were conducted with a cohort of 18-39 year-old residents of 12 high AIDSincidence ZIP-code areas to assess impact. Race-specific HIV-infection reports and mid-year population estimates were used to calculate HIVincidence rates and assess trends. Educational outreach to young adults was emphasized by African-American and Afro-Caribbean communitybased organizations while the Hispanic agency focused on developing and conducting ?train-the-trainer? programs. Increases in awareness, HIV-antibody testing, and actions to address the AIDS problem in Broward County were observed. HIV-incidence rates among the Black population decreased by 60.5%. Reductions in HIV disease were greater among Blacks living in the south Florida media market than elsewhere in Florida. Community mobilization appears to be a promising strategy for reaching non-Hispanic Black young adults in south Florida. Disparities in HIV disease should be eliminated in Broward County by 2010. Further research should be conducted to determine the magnitude of impact that can be attributed to interventions used in our demonstration project.
