Suchergebnisse

AbstractIn this paper, we assessed the preliminary efficacy and acceptability of a quasi-experimental, clinic-based sexual risk reduction pilot intervention for pre-exposure prophylaxis (PrEP)-initiated, alcohol- and other drug-using women of color and explored their self-reported barriers to, and facilitators of, PrEP use. Using a mixed methods design, analyses incorporated pre- and post-intervention study assessment data from 38 women and semi-structured process evaluations using a subsample of 25. The intervention administered over an 8-week period consisted of 4 one-on-one in person educational sessions, a process evaluation, and study assessments conducted at baseline and 3 and 6 months. Post intervention, statistically significant changes in sexual risk scores were not observed; however, we found significant decreases in alcohol use (Z =  − 3.02, p = .003, η2 = .41). Process evaluation data revealed interpersonal relationships as a key motivator for PrEP initiation as well as a prominent barrier to PrEP use; these relationships rarely facilitated adherence. Overall, women found the intervention to be acceptable and reported a wide range of benefits of participation—most notably its therapeutic benefits. Findings from this study provide preliminary evidence of the potential for the Talking PrEP with Women of Color intervention to improve risky behaviors, knowledge, and attitudes related to sexual risk taking. Furthermore, findings suggest that interventions to increase PrEP uptake and adherence in at-risk women may benefit from supporting them in accurately estimating their risk for HIV and increasing their sense of social support.

In general Latinos hold more conservative attitudes regarding gender roles when compared to Whites. However, Latinos born in the United States with higher education are more likely to have egalitarian gender role attitudes compared to Latino immigrants. The aim of this study was to analyze the relationship between gender role attitudes and acculturation, marianismo, and relationship control, among Latina immigrants living in the United States. A hierarchical regression and correlation analysis were used to measure the outcome of this study. A total of 234 women were included in the study with a mean age of 34 years old. The education level was less than high school (53 percent), with the majority employed (54 percent). The average time living in the United States was 8 years (SD = 2.0). Acculturation, marianismo, and relationship control were significantly associated with gender‐role, R2 = .207, F (3, 95) = 11.3, p = 0.001. The correlation analysis showed an inverse relationship between egalitarian attitudes and marianismo (r = −.304, p < .0005) and a positive relationship with acculturation (r = .295, p < .0005). Egalitarian gender role attitudes were observed with an inverse bidirectional relationship between marianismo and acculturation among Latino immigrant women living in the United States.