A Community-Based Approach to HIV Prevention in Rural Guatemala

Victoria Dunleavy, Elena Chudnovskaya, Jazmyne Vanecia Simmons

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. HIV is one of the primary causes of death in Guatemala, and during the period 2005 to 2013, Guatemala exhibited a 95% increase in such deaths. HIV transmission rates are nearly 3 times higher among the indigenous Mayan population than nonindigenous Guatemalans. Guided by the community-based participatory research approach, this article demonstrates the iterative formative research process necessary to develop a deeper and more informed understanding of HIV prevention attitudes and behaviors in the priority population. This project extends preliminary formative research that demonstrated the applicability of the health belief model (HBM) in examining risk, stigma, and barriers and facilitators to condom use and HIV testing. Method. Using an integrated mixed-method design, data were collected from heterosexual adults 18- to 25 years old (N = 250), including 50 in-depth interviews and 200 rapid assessment surveys. Results. HBM concepts of risk and stigma were confirmed. Data also revealed low rates of condom negotiation and high embarrassment in purchasing and discussing condom use. Furthermore, data yielded very low uptake rates and reduced levels of comfort with getting tested. Conclusion. This research informs refinement of a culture-specific intervention prioritizing indigenous Mayans. We highlight how community-based research and engagement enhance community health promotion.

Original languageEnglish (US)
JournalHealth Promotion Practice
DOIs
StateAccepted/In press - Apr 1 2018

Fingerprint

Guatemala
Condoms
HIV
Research
Community-Based Participatory Research
Heterosexuality
Negotiating
Health
Health Promotion
Population Groups
Cause of Death
Interviews
Population

Keywords

  • community-based participatory research
  • health belief model
  • HIV prevention
  • indigenous health
  • Mayan health
  • rural health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing (miscellaneous)

Cite this

A Community-Based Approach to HIV Prevention in Rural Guatemala. / Dunleavy, Victoria; Chudnovskaya, Elena; Simmons, Jazmyne Vanecia.

In: Health Promotion Practice, 01.04.2018.

Research output: Contribution to journalArticle

@article{2a4b396540a94f3cb70d9fe5be04c543,
title = "A Community-Based Approach to HIV Prevention in Rural Guatemala",
abstract = "Background. HIV is one of the primary causes of death in Guatemala, and during the period 2005 to 2013, Guatemala exhibited a 95{\%} increase in such deaths. HIV transmission rates are nearly 3 times higher among the indigenous Mayan population than nonindigenous Guatemalans. Guided by the community-based participatory research approach, this article demonstrates the iterative formative research process necessary to develop a deeper and more informed understanding of HIV prevention attitudes and behaviors in the priority population. This project extends preliminary formative research that demonstrated the applicability of the health belief model (HBM) in examining risk, stigma, and barriers and facilitators to condom use and HIV testing. Method. Using an integrated mixed-method design, data were collected from heterosexual adults 18- to 25 years old (N = 250), including 50 in-depth interviews and 200 rapid assessment surveys. Results. HBM concepts of risk and stigma were confirmed. Data also revealed low rates of condom negotiation and high embarrassment in purchasing and discussing condom use. Furthermore, data yielded very low uptake rates and reduced levels of comfort with getting tested. Conclusion. This research informs refinement of a culture-specific intervention prioritizing indigenous Mayans. We highlight how community-based research and engagement enhance community health promotion.",
keywords = "community-based participatory research, health belief model, HIV prevention, indigenous health, Mayan health, rural health",
author = "Victoria Dunleavy and Elena Chudnovskaya and Simmons, {Jazmyne Vanecia}",
year = "2018",
month = "4",
day = "1",
doi = "10.1177/1524839918770205",
language = "English (US)",
journal = "Health Promotion Practice",
issn = "1524-8399",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - A Community-Based Approach to HIV Prevention in Rural Guatemala

AU - Dunleavy, Victoria

AU - Chudnovskaya, Elena

AU - Simmons, Jazmyne Vanecia

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Background. HIV is one of the primary causes of death in Guatemala, and during the period 2005 to 2013, Guatemala exhibited a 95% increase in such deaths. HIV transmission rates are nearly 3 times higher among the indigenous Mayan population than nonindigenous Guatemalans. Guided by the community-based participatory research approach, this article demonstrates the iterative formative research process necessary to develop a deeper and more informed understanding of HIV prevention attitudes and behaviors in the priority population. This project extends preliminary formative research that demonstrated the applicability of the health belief model (HBM) in examining risk, stigma, and barriers and facilitators to condom use and HIV testing. Method. Using an integrated mixed-method design, data were collected from heterosexual adults 18- to 25 years old (N = 250), including 50 in-depth interviews and 200 rapid assessment surveys. Results. HBM concepts of risk and stigma were confirmed. Data also revealed low rates of condom negotiation and high embarrassment in purchasing and discussing condom use. Furthermore, data yielded very low uptake rates and reduced levels of comfort with getting tested. Conclusion. This research informs refinement of a culture-specific intervention prioritizing indigenous Mayans. We highlight how community-based research and engagement enhance community health promotion.

AB - Background. HIV is one of the primary causes of death in Guatemala, and during the period 2005 to 2013, Guatemala exhibited a 95% increase in such deaths. HIV transmission rates are nearly 3 times higher among the indigenous Mayan population than nonindigenous Guatemalans. Guided by the community-based participatory research approach, this article demonstrates the iterative formative research process necessary to develop a deeper and more informed understanding of HIV prevention attitudes and behaviors in the priority population. This project extends preliminary formative research that demonstrated the applicability of the health belief model (HBM) in examining risk, stigma, and barriers and facilitators to condom use and HIV testing. Method. Using an integrated mixed-method design, data were collected from heterosexual adults 18- to 25 years old (N = 250), including 50 in-depth interviews and 200 rapid assessment surveys. Results. HBM concepts of risk and stigma were confirmed. Data also revealed low rates of condom negotiation and high embarrassment in purchasing and discussing condom use. Furthermore, data yielded very low uptake rates and reduced levels of comfort with getting tested. Conclusion. This research informs refinement of a culture-specific intervention prioritizing indigenous Mayans. We highlight how community-based research and engagement enhance community health promotion.

KW - community-based participatory research

KW - health belief model

KW - HIV prevention

KW - indigenous health

KW - Mayan health

KW - rural health

UR - http://www.scopus.com/inward/record.url?scp=85045683594&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045683594&partnerID=8YFLogxK

U2 - 10.1177/1524839918770205

DO - 10.1177/1524839918770205

M3 - Article

JO - Health Promotion Practice

JF - Health Promotion Practice

SN - 1524-8399

ER -