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Published on: January 12, 2018
Improving HIV Prevention Among Hispanic Women Through a Community-Researcher Partnership: Florida, 2020-2023
Rosina Cianelli1, Joseph P De Santis1, Giovanna C De Oliveira1
1Rosina Cianelli, Joseph P. De Santis, Giovanna C. De Oliveira, Evelyn Iriarte, and María José Baeza Robba were with the School of Nursing and Health Studies, University of Miami, Coral Gables, FL, when the research was conducted. José G. Castro is with the Miller School of Medicine, University of Miami, Miami, FL. Natalia Villegas and Nilda Peragallo Montano are with the School of Nursing, University of North Carolina at Chapel Hill. Susan Rubio Rivera is with MUJER (Mujeres Unidas en Justicia, Educación y Reforma/Women United in Justice, Education and Reform), Florida City, FL.
Culturally tailored HIV prevention for Hispanic women was improved by adapting the SEPA intervention into SEPA+PrEP. This biobehavioral intervention showed high acceptability and feasibility, demonstrating successful community-informed adaptation for pre-exposure prophylaxis (PrEP) and HIV testing.
Area of Science:
- Public Health
- Health Behavior
- HIV Prevention
Background:
- Hispanic women face unique challenges requiring culturally grounded HIV prevention strategies.
- Existing evidence-based interventions need adaptation to effectively incorporate pre-exposure prophylaxis (PrEP) and HIV testing.
- Community engagement is crucial for developing acceptable and feasible public health interventions.
Purpose of the Study:
- To adapt the evidence-based SEPA (Salud/Health, Educación/Education, Prevención/Prevention, Autocuidado/Self-Care) intervention for Hispanic women.
- To integrate pre-exposure prophylaxis (PrEP) and HIV testing into the adapted intervention, creating SEPA+PrEP.
- To evaluate the acceptability and feasibility of the adapted SEPA+PrEP intervention.
Main Methods:
- Collaboration with community-based organizations and a community advisory board for intervention adaptation.
- Implementation of the adapted SEPA+PrEP intervention with 44 Hispanic women.
- Assessment of intervention acceptability and feasibility through participant satisfaction, engagement, retention, and completion rates.
Main Results:
- The SEPA+PrEP intervention was successfully adapted through a community-informed process.
- High levels of participant satisfaction, engagement, retention, and completion indicated intervention feasibility.
- The adapted intervention demonstrated acceptability as a biobehavioral approach for HIV prevention.
Conclusions:
- The SEPA+PrEP intervention represents a successful, community-driven adaptation for HIV prevention among Hispanic women.
- This biobehavioral intervention is acceptable and feasible, supporting its use for promoting PrEP uptake and HIV testing.
- Culturally tailored interventions are essential for addressing health disparities in HIV prevention for diverse populations.
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