Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 5/2008

01-10-2008 | Original Paper

Addressing the Need for Access to Culturally and Linguistically Appropriate HIV/AIDS Prevention for Latinos

Authors: Britt Rios-Ellis, Janice Frates, Laura Hoyt D’Anna, Maura Dwyer, Javier Lopez-Zetina, Carlos Ugarte

Published in: Journal of Immigrant and Minority Health | Issue 5/2008

Login to get access

Abstract

This article reports a comprehensive national needs assessment of Latinos’ access to HIV/AIDS prevention and education services in 14 cities throughout the United States and Puerto Rico. Interviews and focus groups were conducted with Latinos who were HIV-positive and at risk for HIV infection. The study explored risk behaviors, access to health care services, and exposure to HIV prevention messages. Differences in predictors of risk behaviors were noted by sex. For women, increased age, being married, foreign-born, and a U.S. resident, and having tested for HIV previously, were associated with reduced HIV/AIDS risk. Thematic analysis of qualitative findings revealed limited awareness of risk factors, and a need for culturally and linguistically appropriate, family-centered HIV/AIDS education incorporating Latino values. Findings were incorporated into culturally relevant brochures featuring vignettes and quotes. Brochures were distributed and evaluated by 71 community-based organizations (CBOs) in the U.S. and Latin America. Evaluators responded positively to the brochures, and Latino-serving organizations in 48 states now use them for HIV/AIDS prevention outreach and education.
Literature
5.
go back to reference Rios-Ellis B, Gutierrez JA. Latinas and deadly sex: The politics of HIV/AIDS reporting. Submitted to the Journal of Latino/a Studies 2007. (Manuscript accepted for publication). Rios-Ellis B, Gutierrez JA. Latinas and deadly sex: The politics of HIV/AIDS reporting. Submitted to the Journal of Latino/a Studies 2007. (Manuscript accepted for publication).
9.
go back to reference Rios-Ellis B, Gutierrez JA. Latinas and deadly sex: the politics of HIV/AIDS reporting. Submitted to the Journal of Latino/a Studies 2007. (Manuscript accepted for publication). Rios-Ellis B, Gutierrez JA. Latinas and deadly sex: the politics of HIV/AIDS reporting. Submitted to the Journal of Latino/a Studies 2007. (Manuscript accepted for publication).
10.
go back to reference National Commission on AIDS. The challenge of HIV/AIDS in communities of color. Washington: Author; 1992. National Commission on AIDS. The challenge of HIV/AIDS in communities of color. Washington: Author; 1992.
15.
go back to reference Frasca T. AIDS in Latin America. New York: Palgrave MacMillan; 2005. Frasca T. AIDS in Latin America. New York: Palgrave MacMillan; 2005.
16.
go back to reference Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. Am J Public Health. 2002;9:1227–37. Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: marital infidelity and sexually transmitted disease-HIV risk in a Mexican migrant community. Am J Public Health. 2002;9:1227–37.
17.
go back to reference Castañeda D. The close relationship context and HIV/AIDS risk reduction among Latinas/os. Sex Roles 2000;42:551–80.CrossRef Castañeda D. The close relationship context and HIV/AIDS risk reduction among Latinas/os. Sex Roles 2000;42:551–80.CrossRef
20.
go back to reference Maldonado M. State of emergency: HIV/AIDS among African-Americans. Washington: National Minority AIDS Council; 1998. Maldonado M. State of emergency: HIV/AIDS among African-Americans. Washington: National Minority AIDS Council; 1998.
21.
go back to reference Miller JE, Guarnaccia PJ, Fasina A. AIDS knowledge among Latinos: the roles of language, culture and socioeconomic status. J Immigr Health 2002;4:63–72.PubMedCrossRef Miller JE, Guarnaccia PJ, Fasina A. AIDS knowledge among Latinos: the roles of language, culture and socioeconomic status. J Immigr Health 2002;4:63–72.PubMedCrossRef
22.
go back to reference Carter-Pokras O, Zambrana RE. Latino health status: framework for knowledge building. In: Aguirre-Molina M, et al. editors. Health issues in the Latino community. San Francisco: Jossey-Bass; 2002. p. 23–54. Carter-Pokras O, Zambrana RE. Latino health status: framework for knowledge building. In: Aguirre-Molina M, et al. editors. Health issues in the Latino community. San Francisco: Jossey-Bass; 2002. p. 23–54.
24.
go back to reference Zambrana R, Cornelius LJ, Sims Boykin S, Salas Lopez D. Latinas and HIV/AIDS risk factors: implications for harm reduction strategies. Am J Public Health. 2004;94(7):1152–58.PubMedCrossRef Zambrana R, Cornelius LJ, Sims Boykin S, Salas Lopez D. Latinas and HIV/AIDS risk factors: implications for harm reduction strategies. Am J Public Health. 2004;94(7):1152–58.PubMedCrossRef
25.
go back to reference Amaro H, Raj A. On the margin: power and women’s HIV risk reduction strategies. Sex Roles. 2000; 42:723–49.CrossRef Amaro H, Raj A. On the margin: power and women’s HIV risk reduction strategies. Sex Roles. 2000; 42:723–49.CrossRef
26.
go back to reference Gomez CA, Marin BV. Gender, culture and power: barriers to HIV prevention strategies for women. J Sex Res 1996;3:355–62.CrossRef Gomez CA, Marin BV. Gender, culture and power: barriers to HIV prevention strategies for women. J Sex Res 1996;3:355–62.CrossRef
27.
go back to reference Crepaz N, Lyles C, Wolitski RJ, Passin WF, Rama SM, Herbst JH, Purcell DW, Malow RM, Stall R. HIV/AIDS Prevention Research Synthesis (PRS) Team. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS 2006;20:143–57.PubMedCrossRef Crepaz N, Lyles C, Wolitski RJ, Passin WF, Rama SM, Herbst JH, Purcell DW, Malow RM, Stall R. HIV/AIDS Prevention Research Synthesis (PRS) Team. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS 2006;20:143–57.PubMedCrossRef
29.
go back to reference Jamner MS, Corby NH, Wolitski RJ. Bleaching injection equipment: influencing factors among IDUs who share. Subst Use Misuse 1996;31(14):1973–93.PubMedCrossRef Jamner MS, Corby NH, Wolitski RJ. Bleaching injection equipment: influencing factors among IDUs who share. Subst Use Misuse 1996;31(14):1973–93.PubMedCrossRef
30.
go back to reference South Carolina Department of Health and Environmental Control (SCDHEC). SC HIV prevention plan 2005–2008. Columbia:Author; 2005. South Carolina Department of Health and Environmental Control (SCDHEC). SC HIV prevention plan 2005–2008. Columbia:Author; 2005.
32.
go back to reference Moriarty L. HIV prevention education: reaching farmworker women. Washington: HIV Infected Women Conference; 1995. Moriarty L. HIV prevention education: reaching farmworker women. Washington: HIV Infected Women Conference; 1995.
34.
go back to reference Organista KC, Carrillo H, Ayala G. HIV prevention with Mexican migrants: review, critique, and recommendations. J Acquir Immune Defic Syndr. 2004;37(Supplement 41):S227–39.PubMed Organista KC, Carrillo H, Ayala G. HIV prevention with Mexican migrants: review, critique, and recommendations. J Acquir Immune Defic Syndr. 2004;37(Supplement 41):S227–39.PubMed
35.
go back to reference Barker G, Rich S. Influences on adolescent sexuality in Nigeria and Kenya: findings from recent focus-group discussions. Stud Fam Plann. 1992;23:199–210.PubMedCrossRef Barker G, Rich S. Influences on adolescent sexuality in Nigeria and Kenya: findings from recent focus-group discussions. Stud Fam Plann. 1992;23:199–210.PubMedCrossRef
36.
go back to reference Portes A, Rumbaut R. Legacies: the story of the immigrant second generation. Berkeley: The Regents of the University of California; 2001. Portes A, Rumbaut R. Legacies: the story of the immigrant second generation. Berkeley: The Regents of the University of California; 2001.
37.
go back to reference Lara M, Gamboa C, Iya Kahramanian M, Morales LS, Hayes Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.PubMedCrossRef Lara M, Gamboa C, Iya Kahramanian M, Morales LS, Hayes Bautista DE. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.PubMedCrossRef
38.
go back to reference Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9:183–205.CrossRef Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9:183–205.CrossRef
39.
go back to reference Weber R. Basic content analysis. Thousand Oaks: Sage Publications; 1990. Weber R. Basic content analysis. Thousand Oaks: Sage Publications; 1990.
40.
go back to reference Varas-Diaz N, Serrano-Garcia I, Toro-Alfonso J. AIDS-related stigma and social interaction: Puerto Ricans living with HIV/AIDS. Qual Health Res. 2005;15(2):169–87.PubMedCrossRef Varas-Diaz N, Serrano-Garcia I, Toro-Alfonso J. AIDS-related stigma and social interaction: Puerto Ricans living with HIV/AIDS. Qual Health Res. 2005;15(2):169–87.PubMedCrossRef
41.
go back to reference Quinones S. Telenovela. In: True tales from another Mexico. Albuquerque: University of New Mexico Press; 2001. Quinones S. Telenovela. In: True tales from another Mexico. Albuquerque: University of New Mexico Press; 2001.
42.
go back to reference Gutmann M. The meanings of macho: being a man in Mexico City. Berkeley: University of California Press; 1996. Gutmann M. The meanings of macho: being a man in Mexico City. Berkeley: University of California Press; 1996.
43.
go back to reference Amaro H, Vega RR, Valencia D. Gender, context and HIV prevention among Latinos. In: Aguirre-Molina M, Molina CW, Zambrana RE, editors. Health Issues in the Latino Community. San Francisco: Jossey-Bass; 2001. p. 301–24. Amaro H, Vega RR, Valencia D. Gender, context and HIV prevention among Latinos. In: Aguirre-Molina M, Molina CW, Zambrana RE, editors. Health Issues in the Latino Community. San Francisco: Jossey-Bass; 2001. p. 301–24.
44.
go back to reference Zambrana R, Cornelius LJ, Sims Boykin S, Salas Lopez D. Latinas and HIV/AIDS risk factors: implications for harm reduction strategies. Am J Public Health. 2004;94(7):1152–8.PubMed Zambrana R, Cornelius LJ, Sims Boykin S, Salas Lopez D. Latinas and HIV/AIDS risk factors: implications for harm reduction strategies. Am J Public Health. 2004;94(7):1152–8.PubMed
45.
go back to reference Suro R. Strangers among us: Latino lives in a changing America. New York: Vintage Books; 1999. Suro R. Strangers among us: Latino lives in a changing America. New York: Vintage Books; 1999.
46.
go back to reference Sharpe PA, Greany ML, Lee PR, Royce SW. Assets-oriented community assessment. Public Health Rep 2000;115(2–3):205–11.PubMedCrossRef Sharpe PA, Greany ML, Lee PR, Royce SW. Assets-oriented community assessment. Public Health Rep 2000;115(2–3):205–11.PubMedCrossRef
48.
go back to reference Hurtado A. Variations, combinations, evolutions: Latino families in the United States. In: Zambrana R, editor. Understanding Latino families: Scholarship, policy and practice. Thousand Oaks: Sage Publications; 1995. p. 40–61. Hurtado A. Variations, combinations, evolutions: Latino families in the United States. In: Zambrana R, editor. Understanding Latino families: Scholarship, policy and practice. Thousand Oaks: Sage Publications; 1995. p. 40–61.
Metadata
Title
Addressing the Need for Access to Culturally and Linguistically Appropriate HIV/AIDS Prevention for Latinos
Authors
Britt Rios-Ellis
Janice Frates
Laura Hoyt D’Anna
Maura Dwyer
Javier Lopez-Zetina
Carlos Ugarte
Publication date
01-10-2008
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 5/2008
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-007-9105-3

Other articles of this Issue 5/2008

Journal of Immigrant and Minority Health 5/2008 Go to the issue