TY - JOUR
T1 - Mechanisms of Partner Violence Reduction in a Group HIV-Risk Intervention for Hispanic Women
AU - McCabe, Brian E.
AU - Gonzalez-Guarda, Rosa M.
AU - Peragallo, Nilda P.
AU - Mitrani, Victoria B.
N1 - Publisher Copyright:
© The Author(s) 2015.
Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - The objective of this study was to test whether partner communication about HIV and/or alcohol intoxication mediated reductions in intimate partner violence (IPV) in SEPA (Salud [health], Educación [education], Promoción [promotion], y [and] Autocuidado [self-care]), a culturally specific, theoretically based group HIV-risk reduction intervention for Hispanic women. SEPA had five sessions covering sexually transmitted infection (STI)/HIV prevention, partner communication, condom negotiation and use, and IPV. SEPA reduced IPV and alcohol intoxication, and improved partner communication compared with controls in a randomized trial with adult U.S. Hispanic women (SEPA, n = 274; delayed intervention control, n = 274) who completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Parallel process latent growth curve models indicated that partner communication about HIV mediated the reduction in male-to-female IPV in SEPA, B = −0.78, SE = 0.14, p<.001, but alcohol intoxication did not, B = −0.15, SE = 0.19, p =.431. Male-to-female IPV mediated the intervention effect on female-to-male IPV, B = −1.21, SE = 0.24, p<.001. Skills building strategies originally designed to enhance women’s communication with their partners about sexual risk behaviors also worked to reduce male-to-female IPV, which in turn reduced female-to-male IPV. These strategies could be integrated into other types of health promotion interventions.
AB - The objective of this study was to test whether partner communication about HIV and/or alcohol intoxication mediated reductions in intimate partner violence (IPV) in SEPA (Salud [health], Educación [education], Promoción [promotion], y [and] Autocuidado [self-care]), a culturally specific, theoretically based group HIV-risk reduction intervention for Hispanic women. SEPA had five sessions covering sexually transmitted infection (STI)/HIV prevention, partner communication, condom negotiation and use, and IPV. SEPA reduced IPV and alcohol intoxication, and improved partner communication compared with controls in a randomized trial with adult U.S. Hispanic women (SEPA, n = 274; delayed intervention control, n = 274) who completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Parallel process latent growth curve models indicated that partner communication about HIV mediated the reduction in male-to-female IPV in SEPA, B = −0.78, SE = 0.14, p<.001, but alcohol intoxication did not, B = −0.15, SE = 0.19, p =.431. Male-to-female IPV mediated the intervention effect on female-to-male IPV, B = −1.21, SE = 0.24, p<.001. Skills building strategies originally designed to enhance women’s communication with their partners about sexual risk behaviors also worked to reduce male-to-female IPV, which in turn reduced female-to-male IPV. These strategies could be integrated into other types of health promotion interventions.
KW - HIV
KW - Hispanics
KW - intervention
KW - intimate partner violence
KW - mediation
UR - http://www.scopus.com/inward/record.url?scp=84977575027&partnerID=8YFLogxK
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U2 - 10.1177/0886260515575608
DO - 10.1177/0886260515575608
M3 - Article
C2 - 25805845
AN - SCOPUS:84977575027
VL - 31
SP - 2316
EP - 2337
JO - Journal of Interpersonal Violence
JF - Journal of Interpersonal Violence
SN - 0886-2605
IS - 13
ER -