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Article

Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers

1
Department of Public Health Sciences, University of Miami School of Medicine, Miami, FL 33136, USA
2
Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL 33199, USA
3
Centro Nacional De Epidemiología, Prevención y Control de Enfermedades, Ministerio de Salud, Lima 15072, PERU
4
Department of Medicine, University of Miami School of Medicine, Miami, FL 33136, USA
5
Department of Psychology, University of Miami School of Medicine, Miami, FL 33136, USA
6
Department of Health Promotion & Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(22), 4530; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16224530
Received: 27 September 2019 / Revised: 31 October 2019 / Accepted: 6 November 2019 / Published: 15 November 2019
(This article belongs to the Special Issue Complex Interventions for Public Health Improvement)
Background: Miami-Dade County, where many Latina seasonal workers reside and work, has the highest incidence of the human immunodeficiency virus (HIV) in the US: a rate four times the national average. Despite this disproportionate risk for HIV, there are no HIV prevention interventions that aim to decrease HIV among Latina seasonal workers. Methods: The PROGRESO EN SALUD study compared the outcomes of two interventions adapted to include a social network component (VOICES and HEALTHY). Recruitment used a social network respondent-driven sampling design in which each seed was asked to recruit three friends, and those friends were asked to recruit three friends, for a total of twenty groups of 13 friends. We collected data at baseline, and 6 months and 12 months post intervention completion. We used generalized estimating equation models, properly adjusted for non-independent contributions of both social network interventions, to estimate the effects. Gaussian family multivariate models were calculated, addressing exchangeable working correlations, including both individual-level and cluster-level covariates in these models. Results: A total of 261 Latina seasonal workers participated in either the HEALTHY or the VOICES intervention. There were significant changes over time in cognitive factors (HIV knowledge, condom use self-efficacy, and adequate knowledge of condom use), behavioral factors (condom use, female condom use, and HIV testing), and communication factors (talking with friends about HIV prevention and intention to negotiate safe sex with male partners). Discussion: This study supports the literature suggesting that interventions incorporating social networks can have positive effects on HIV prevention and treatment outcomes, including sustained benefits beyond study periods. View Full-Text
Keywords: prevention science; intervention development; social network analysis; Hispanic Americans; HIV/AIDS prevention science; intervention development; social network analysis; Hispanic Americans; HIV/AIDS
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MDPI and ACS Style

Kanamori, M.; De La Rosa, M.; Shrader, C.-H.; Munayco, C.; Doblecki-Lewis, S.; Prado, G.; Safren, S.; Trepka, M.J.; Fujimoto, K. Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers. Int. J. Environ. Res. Public Health 2019, 16, 4530. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16224530

AMA Style

Kanamori M, De La Rosa M, Shrader C-H, Munayco C, Doblecki-Lewis S, Prado G, Safren S, Trepka MJ, Fujimoto K. Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers. International Journal of Environmental Research and Public Health. 2019; 16(22):4530. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16224530

Chicago/Turabian Style

Kanamori, Mariano, Mario De La Rosa, Cho-Hee Shrader, Cesar Munayco, Susanne Doblecki-Lewis, Guillermo Prado, Steven Safren, Mary J. Trepka, and Kayo Fujimoto. 2019. "Progreso en Salud: Findings from Two Adapted Social Network HIV Risk Reduction Interventions for Latina Seasonal Workers" International Journal of Environmental Research and Public Health 16, no. 22: 4530. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16224530

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