1
|
Cianelli R, De Santis JP, De Oliveira GC, Castro JG, Iriarte E, Baeza MJ, Thomas SO, Villegas N, Peragallo-Montano N. Feasibility and acceptability of SEPA+PrEP: An HIV prevention intervention to increase PrEP knowledge, initiation, and persistence among cisgender heterosexual Hispanic women. PLoS One 2024; 19:e0296080. [PMID: 38165906 PMCID: PMC10760780 DOI: 10.1371/journal.pone.0296080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 12/05/2023] [Indexed: 01/04/2024] Open
Abstract
The HIV epidemic disproportionately affects Hispanics in the U.S., with Hispanic women (HW) accounting for 18% of new HIV diagnoses in 2019 despite comprising only 16% of the female population. The imbalance of power related to cultural values and HW's lack of knowledge and low perception of risk for HIV interferes with prevention efforts (e.g., condom use, HIV testing, and Pre-Exposure Prophylaxis [PrEP]). It is estimated that in 2019, only 10% of women in the U.S. who could benefit from PrEP were given prescriptions for it. This number is estimated to be significantly lower among HW. PrEP is highly effective for preventing HIV, reducing the risk of acquiring HIV from sexual activity by about 99%. To respond to this need, we developed SEPA+PrEP, a biobehavioral HIV prevention intervention that adapted and integrated SEPA (Salud/Health, Educación/Education, Prevención/Prevention, Autocuidado/Self-Care), an empirically validated behavioral HIV prevention intervention, with the evidence-based biomedical strategy of PrEP. This study aimed to investigate the feasibility and acceptability of SEPA+PrEP among cisgender heterosexual Hispanic women (HW). We used a mixed methods approach to gather data from 44 HW living in the City of Homestead and its surrounding communities in Miami-Dade County, Florida. None of the participants knew about PrEP prior to participating in the study, and the majority (70.5%, n = 23) had not used condoms when engaging in vaginal sex during the previous three months. Overall, study results suggest that SEPA+PrEP is an acceptable and feasible intervention to prevent HIV among HW, with a focus on PrEP knowledge, initiation, and maintenance.
Collapse
Affiliation(s)
- Rosina Cianelli
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America
- Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Joseph P. De Santis
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America
| | - Giovanna C. De Oliveira
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America
| | - Jose G. Castro
- Miller School of Medicine, University of Miami, Miami, Florida, United States of America
| | - Evelyn Iriarte
- Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile
- College of Nursing, University of Colorado, Aurora, Colorado, United States of America
| | - María José Baeza
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America
- Escuela de Enfermería, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Sophia O. Thomas
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America
| | - Natalia Villegas
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| | - Nilda Peragallo-Montano
- School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America
| |
Collapse
|
2
|
Villegas N, Norris AE, Cianelli R, Fernandez-Pineda M, Toledo C. Infección de Amor (Infectious Love): Development and Acceptability of a Telenovela/Soap Opera Intervention for HIV Prevention For Latinas. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2023; 35:421-438. [PMID: 38096456 DOI: 10.1521/aeap.2023.35.6.421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Latinas continue to be disproportionately affected by HIV in the United States. Effective interventions to address HIV-related disparities among Latinas are available; however, they have not achieved widespread dissemination due to implementation challenges for real-world settings. A culturally tailored intervention that increases access to HIV prevention is urgently needed. The objective of this study was to develop a culturally tailored telenovela (i.e., a soap opera) to promote HIV prevention behaviors (condom use; HIV testing; and pre-exposure prophylaxis awareness, access, and use) among Latinas. The study was conducted in community organizations throughout South Florida. A total of 44 Spanish-speaking Latinas, 18-35 years old, and sexually active with a man in the past 6 months participated in the study. The final product was an HIV prevention telenovela that incorporated Latinas' ideas and feedback and was produced as four 10-minute filmed episodes. This study aimed to develop innovative approaches to reduce HIV-related disparities for Latinas.
Collapse
Affiliation(s)
- Natalia Villegas
- School of Nursing, University of North Carolina at Chapel Hill, North Carolina
| | - Anne E Norris
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida
| | - Rosina Cianelli
- School of Nursing and Health Studies, University of Miami, Coral Gables, Florida
| | | | - Christine Toledo
- College of Nursing, Florida Atlantic University, Boca Raton, Florida
| |
Collapse
|
3
|
Factors Related to Multidimensional Frailty Among Hispanic People Living With HIV Aged 50 Years and Above: A Cross-sectional Study. J Assoc Nurses AIDS Care 2023; 34:259-269. [PMID: 36917646 DOI: 10.1097/jnc.0000000000000398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/15/2023]
Abstract
ABSTRACT Among Hispanics, frailty has been extensively studied as a physical syndrome associated with an increased risk for adverse outcomes. Because of additional barriers to accessing care, the impact of frailty may be even more significant for people living with HIV (PLWH). Multidimensional frailty among Hispanic PLWH has not been studied. This study aimed to examine the factors related to multidimensional frailty among Hispanic PLWH aged 50 years and above. A cross-sectional design with 120 participants was used. Hypothesized factors related to multidimensional frailty were sociodemographic and psychosocial variables. Multidimensional frailty was measured with the Tilburg Frailty Indicator. We found that 45.83% of the participants were frail ( n = 55), and multidimensional frailty was significantly associated with higher depressive symptoms ( b = .26, p < .001) and a higher number of comorbidities ( b = .71, p < .001). This study identified factors that clinicians should be aware of when caring for Hispanic PLWH to prevent or manage frailty-related complications.
Collapse
|
4
|
Carey JW, Courtenay-Quirk C, Carnes N, Wilkes AL, Schoua-Glusberg A, Tesfaye C, Betley V, Pedersen S, Randall LA, Frew PM. HIV Testing Program Activities and Challenges in Four U.S. Urban Areas. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2022; 34:99-115. [PMID: 35438537 PMCID: PMC10953676 DOI: 10.1521/aeap.2022.34.2.99] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The national "Ending the HIV Epidemic: A Plan for America" supports expanded testing in jurisdictions and groups with disproportionate HIV burden. Public health planners benefit from learning HIV testing service (HTS) strengths, challenges, and innovations. We conducted semistructured interviews with 120 HTS staff from local health departments, community-based organizations, and community members in Houston, Texas; Miami, Florida; New Orleans, Louisiana; and Washington, DC. We coded interview transcripts using qualitative methods to identify themes. Program strengths include HIV testing integration with other client services; prioritized testing and tailored incentives; multiple advertising methods; and partnerships among HTS providers. Challenges include stigma, fear, and disparities; funding requirements that create competition between providers; and service accessibility, unnecessary repeat testing, and insufficient innovation. The four jurisdictions addressed some, but not all, of these challenges. Cross-jurisdictional collaboration, together with state and federal partners plus program data may help identify additional strategies for strengthening HTS.
Collapse
Affiliation(s)
- James W Carey
- Division of HIV Prevention, at the Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Cari Courtenay-Quirk
- HIV Research Branch within the Division of HIV Prevention, at the Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Neal Carnes
- HIV Prevention Capacity Development Branch within the Division of HIV Prevention, at the Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Aisha L Wilkes
- Prevention Research Branch within the Division of HIV Prevention, at the Centers for Disease Control and Prevention, Atlanta, Georgia; currently she is with the National Center for Injury Prevention and Control at CDC
| | | | - Casey Tesfaye
- Research Support Services Inc. in Evanston, Illinois
| | | | | | | | - Paula M Frew
- UNLV Population Health & Health Equity Initiative, Las Vegas, Nevada at the time of the study; currently she is with Merck & Co., Inc., Kenilworth, New Jersey
| |
Collapse
|