Poster Presentation
Sunday, November 4, 2007
10:30 AM - 11:45 AM
Sunday, November 4, 2007
1:30 PM - 2:45 PM
Culturally Tailored Intervention Using the Promotora Approach for STD Risk-Reducing Behaviors in Condom Use among Hispanic/Latino Women
Shirley Ann Levenson, MSN, Doctorate Program, Texas Woman's University, Houston, TX, USA
| Learning Objective #1: examine the usefulness of promotoras in healthcare clinic settings |
| Learning Objective #2: increase self-efficacy in condom use in Hispanic/Latino women to reduce STD's |
Effective and culturally appropriate strategies for promoting condom use within the Hispanic/Latino community are spotlighted because of high prevalence of HIV and STD infections and unwanted pregnancies. This study examines both the usefulness of promotoras (community healthcare workers) to teach Hispanic/Latino women in the community how STDs are transmitted and how using a male condom can reduce morbidity. The setting was a family practice clinic in a Southwest metropolitan city serving a Hispanic/Latino community. Ten promotoras were recruited and taught from an approved promotora curriculum. Based on Leininger’s Sunrise Model, the promotora curriculum used culturally appropriate activities designed to increase self-efficacy in using condoms. Sample size was supported based on a review of the literature that included studies using promotoras for health screening and teaching groups of six through 10 women. Promotoras received four two-hour training sessions. Promotoras were given the CUSES at pre-test, post-test and at six weeks using the Condom Use Self-Efficacy Scale (CUSES) a 28-item self-report questionnaire The higher the score, the greater the understanding of condom use self-efficacy. Data analyses used one-way repeated measures ANOVA.