Learning Objective 1: The learner will be able to identify the efficacy of SEPA II intervention in reducing HIV risk among Hispanic women in Florida.
Learning Objective 2: The learner will be able to identify and understand the importance of implementing culture-specific interventions that target populations at high risk of acquiring HIV.
Methods: A randomized controlled trial with 548 Hispanic women (18 to50 years old) was conducted. Women completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Women were assigned to SEPA (n = 274) or to a delayed-intervention control group (n = 274). SEPA is based on input from Hispanic women, Bandura's Social Cognitive Theory, and Freire’s Pedagogy of the Oppressed. SEPA II has five group sessions of two hours each. Each group had approximately 10-12 participants, a facilitator and co-facilitator. The groups were conducted in Spanish or English according to the preference of the participants.
Results: Intent-to-treat generalized estimating equations analyses indicated that compared to controls, SEPA women increased condom use, HIV knowledge, behavioral intentions for HIV prevention, partner communication and community prevention. Also, SEPA women decreased Chlamydia rates and intimate partner violence.
Conclusion: Culturally-specific interventions have promise in preventing HIV for Hispanic women in the U.S. SEPA should be disseminated to community-based organizations for wide-scale use.
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