Efficacy of a health educator-delivered HIV prevention intervention for Latina women: A randomized controlled trial
Article
Wingood, GM, Di Clemente, RJ, Villamizar, K et al. (2011). Efficacy of a health educator-delivered HIV prevention intervention for Latina women: A randomized controlled trial
. American Journal of Public Health, 101(12), 2245-2252. 10.2105/AJPH.2011.300340
Wingood, GM, Di Clemente, RJ, Villamizar, K et al. (2011). Efficacy of a health educator-delivered HIV prevention intervention for Latina women: A randomized controlled trial
. American Journal of Public Health, 101(12), 2245-2252. 10.2105/AJPH.2011.300340
Wingood, GM; Di Clemente, RJ; Villamizar, K; Er, DL; De Varona, M; Taveras, J; Painter, TM; Lang, DL; Hardin, JW; Ullah, E; Stallworth, J; Purcell, DW; Jean, R
abstract
Objectives: We developed and assessed AMIGAS (Amigas, Mujeres Latinas, Inform andonos, Gui andonos, y Apoy andonos contra el SIDA [friends, Latina women, informing each other, guiding each other, and supporting each other against AIDS]), a culturally congruent HIV prevention intervention for Latina women adapted from SiSTA (Sistas Informing Sistas about Topics on AIDS), an intervention for African American women. Methods: We recruited 252 Latina women aged 18 to 35 years in Miami, Florida, in 2008 to 2009 and randomized them to the 4-session AMIGAS intervention or a 1-session health intervention. Participants completed audio computer-assisted self-interviews at baseline and follow-up. Results: Over the 6-month follow-up, AMIGAS participants reported more consistent condom use during the past 90 (adjusted odds ratio [AOR]=4.81; P<.001) and 30 (AOR=3.14; P<.001) days and at last sexual encounter (AOR=2.76; P<.001), and a higher mean percentage condom use during the past 90 (relative change=55.7%; P<.001) and 30 (relative change=43.8%; P<.001) days than did comparison participants. AMIGAS participants reported fewer traditional views of gender roles (P=.008), greater self-efficacy for negotiating safer sex (P<.001), greater feelings of power in relationships (P=.02), greater self-efficacy for using condoms (P<.001), and greater HIV knowledge (P=.009) and perceived fewer barriers to using condoms (P<.001). Conclusions: Our results support the efficacy of this linguistically and culturally adapted HIV intervention among ethnically diverse, predominantly foreign-born Latina women.
