A Community-Based Approach to HIV Prevention

Engaging Mayan Young Adults in Rural Guatemala

Victoria Dunleavy, Jasmine R. Phillips, Elena V. Chudnovskaya

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Guatemala has an accelerating HIV rate, where prevalence is three times higher among indigenous than nonindigenous people. Vulnerability is exacerbated by high poverty, low literacy, and poor access to prevention messaging, testing, and treatment options. This study develops a community-engaged HIV prevention campaign plan for the underserved Mayan town Santiago Atitlán. Guided by the community-based participatory research approach and the Health Belief Model, we identify barriers to and facilitators of HIV testing and condom use. METHODS: Formative data were collected from 50 Mayan heterosexual adults (18-25 years old) and community informants using in-depth interviews and a focus group. RESULTS: Data identified high susceptibility and severity, low rates of condom use, high rates of stigma and low testing rates. DISCUSSION: This research informs the development of a theoretically driven and culturally specific intervention that prioritizes an indigenous population. We highlight how collaboration with community partners enhances positive health promotion.

Original languageEnglish (US)
Pages (from-to)1001-1023
Number of pages23
JournalJournal of health care for the poor and underserved
Volume30
Issue number3
DOIs
StatePublished - Jan 1 2019

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Guatemala
Young Adult
Condoms
HIV
Community-Based Participatory Research
Heterosexuality
Poverty
Health Promotion
Focus Groups
Population Groups
Interviews
Health
Research
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

A Community-Based Approach to HIV Prevention : Engaging Mayan Young Adults in Rural Guatemala. / Dunleavy, Victoria; Phillips, Jasmine R.; Chudnovskaya, Elena V.

In: Journal of health care for the poor and underserved, Vol. 30, No. 3, 01.01.2019, p. 1001-1023.

Research output: Contribution to journalArticle

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