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Learning Objective 1: The learner will be able to use the metodology of promotion of sexually transmitted diseases in housewives using the principles of Community-Based Participatory Research
Learning Objective 2: The learner will be able to follow the the principles of Community-Based Participatory Research steps to improve the practice.
In Mexico, sexually transmitted diseases are public health problems that mainly affect the population aged 18 to 44. Although the CDC reports a stable rate of new HIV cases, the number of heterosexual women who are infected by their partners continues to grow (CDC, 2007), so housewives are a vulnerable group. In Mexico, the gap between men and women infected are in the ratio of 3.5, (Magis, 2008) where there are different factors that influence housewife sexual risk taking such as, cultural issues, educational level, lack of communication, power of man against woman, and ignorance about condom use for preventing STD-HIV/AIDS (Brooks, 2010; Moore, 2008; Parada, 2010). In response to this situation, there have been different approaches to promote responsible sexuality in this population group, but they have focused only on one member of the couple, achieving promising results in the short term. In counterpart, there is evidence that interventions that have addressed conjointly both members of the couple have reported stronger self-efficacy for condom use, better negotiation abilities and/or increased communication about sex (El-Bassel, 2005; Lin, 2008). In addition, Community-Based Participatory Research is a useful resource for researchers because it closes the bridge between research and practice and recognizes participants as the main agents of change. It also provides a framework in the process of transfer nursing knowledge to effective adaptation and adoption of evidence-based programs (Horowitz, 2009; Willaerstein, 2010). Therefore, this paper aims to present a proposal to transform the promotion of responsible sexuality in housewives using the principles of Community-Based Participatory Research with heterosexual couples in urban agencies in Monterrey, Mexico.