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Rodriguez E, Boga DJ, Shrader CH, Arroyo-Flores J, Rosas Y, Kanamori M. PROGRESO-II: Developing Culturally Tailored Materials for a Social Network-Based Intervention to Promote HIV Pre-Exposure Prophylaxis Initiation Among Latina Seasonal Farmworkers. AIDS Patient Care STDS 2024; 38:134-143. [PMID: 38471094 PMCID: PMC10951438 DOI: 10.1089/apc.2023.0228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2024] Open
Abstract
Latina Seasonal Farmworkers (LSFW) in South Florida are a community affected by human immunodeficiency virus (HIV) due to cultural barriers, stigma, and lack of awareness of pre-exposure prophylaxis (PrEP). Building on the PROGRESO study, this study sought to: (1) develop and pre-test scientifically supported and culturally tailored PrEP materials for PROGRESO and (2) assess the acceptability of these PrEP materials by LSFW who use alcohol and/or drugs. PrEP messages were selected based on a literature review, feedback from experts working on PrEP programs, and recommendations from a four-member scientific expert panel through a two-level Delphi method. A culturally tailored PrEP presentation was developed and presented to sixteen LSFW, who engaged in four focus groups. Materials were modified based on participants' suggestions. Thematic analysis was used to assess the acceptability and usability of these materials in the LSFW community. Participants responded positively to the PrEP messages and understood their importance for Latinx communities. Participants felt empowered and comfortable enough with the information to distribute the messages to partners, children, and friends with the aid of a physical pamphlet or flyer. A strong cultural context of familialismo and confianza was present in comments made by our participants. This study has the potential to increase LSFW's PrEP awareness and initiation. Future studies may implement a hybrid-interview approach, allowing individuals to self-select into a virtual or in-person focus group. Such flexibility may increase participation and discussion by allowing participants to attend in a format they are most comfortable with, as noted by participants in this study.
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Affiliation(s)
- Edda Rodriguez
- Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA
| | - Devina J. Boga
- Department of Psychology, College of Arts and Sciences, University of Miami, Miami, Florida, USA
| | - Cho Hee Shrader
- College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA
| | | | - Yesenia Rosas
- Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA
| | - Mariano Kanamori
- Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA
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Kanamori M, Castaneda D, Self KJ, Sanchez L, Rosas Y, Rodriguez E, Shrader CH, Arroyo-Flores J, Johnson A, Skvoretz J, Gomez D, Williams M. Why Re-Invent the Wheel? Social Network Approaches Can Be Used to Mitigate SARS-CoV-2 Related Disparities in Latinx Seasonal Farmworkers. Int J Environ Res Public Health 2021; 18:12709. [PMID: 34886433 PMCID: PMC8656650 DOI: 10.3390/ijerph182312709] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 11/17/2021] [Accepted: 11/25/2021] [Indexed: 11/29/2022]
Abstract
Latinx seasonal farmworkers are essential workers and are at elevated risk for SARS-CoV-2 in the United States. Risk factors for SARS-CoV-2 are unique to this population and include crowded living conditions, isolated social networks, and exploitative working environments. The circumstances and cultural values of Latinx seasonal farmworkers pose a unique challenge to public health authorities working to contain the spread of SARS-CoV-2. This community is in dire need of urgent public health research to identify opportunities to prevent SARS-CoV-2 transmission: social network methods could be the solution. Using previously collected and new information provided by a team of experts, this commentary provides a brief description of Latinx seasonal farmworker disparities that affect tracking and treating SARS-CoV-2 in this important group, the challenges introduced by SARS-CoV-2, and how social network approaches learned from other infectious disease prevention strategies can address these disparities.
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Affiliation(s)
- Mariano Kanamori
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
| | - Daniel Castaneda
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
- Department of Medicine, School of Medicine, University of Miami Miller, Miami, FL 33136, USA;
| | - Kyle J. Self
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
- Department of Educational and Psychological Studies, University of Miami, Miami, FL 33136, USA
| | - Lucy Sanchez
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
| | - Yesenia Rosas
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
| | - Edda Rodriguez
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
| | - Cho-Hee Shrader
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
| | - Juan Arroyo-Flores
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
| | - Ariana Johnson
- Department of Public Health Science, School of Medicine, University of Miami Miller, Miami, FL 33136, USA; (M.K.); (D.C.); (L.S.); (Y.R.); (E.R.); (C.-H.S.); (J.A.-F.); (A.J.)
| | - John Skvoretz
- Department of Sociology, University of South Florida, Tampa, FL 33620, USA;
| | - Daniel Gomez
- Department of Medicine, School of Medicine, University of Miami Miller, Miami, FL 33136, USA;
| | - Mark Williams
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA;
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