The Southeastern United States has the fastest growing Latino population in the country and carries a disproportionate HIV/AIDS disease burden. We propose a 5-year study (R24) to fully implement and rigorously evaluate a piloted lay health advisor (LHA) intervention designed to reduce risk of HIV infection among recently arrived, monolingual, less-acculturated Latino men who are settling in the Southeast. The intervention is based on social cognitive theory and the theory of empowerment education and was developed using community-based participatory research (CBPR). This study is a result of a long-term community-university partnership that has used and will continue to use CBPR throughout all phases of the research process. A total of 20 Latino soccer teams in rural NC will be randomized to an LHA-led HIV prevention intervention or a delayed-intervention comparison group. One man from each of the intervention teams (n=10) will be nominated by his teammates and selected as an LHA in Year 2. The delayed-intervention teams (n=10) will receive the same intervention in Year 3. Quantitative assessment data will be collected from each LHA and 12 of his teammates from each of the 20 teams at: (1) baseline, (2) immediate postintervention, and (3) 12-month follow-up. Participants in the HIV prevention intervention, relative to their peers in the delayed-intervention comparison group, are anticipated to demonstrate (1) increased self-reported use of condoms during sexual intercourse and (2) increased self-reported utilization of HIV and sexually transmitted disease (STD) counseling, testing, and treatment services. To further evaluate and explore the intervention, qualitative data will be collected using individual in-depth interviews with LHAs and their teammates. We also will evaluate the CBPR process, using direct observation of partnership meetings, in-depth interviews with partners, and partnership document review. Products from this study will include (1) a Spanish-language intervention that is ready for dissemination and adaptation, culturally relevant and gender-specific, and designed to reduce HIV risk among recently arrived, less-acculturated Latino men;(2) a deeper understanding of HIV risk and intervention among Latino men that will be reported through briefs, newspaper articles, local and national presentations, and manuscripts;and (3) insight into a research partnership process that includes lay community members, Latino soccer leagues and teams, AIDS service organizations, community-based organizations, 3 universities, and a broad spectrum of other partners.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Resource-Related Research Projects (R24)
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Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Goodwin, Paula
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Wake Forest University Health Sciences
Schools of Medicine
United States
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Rhodes, Scott D; Tanner, Amanda E; Mann-Jackson, Lilli et al. (2018) Community-Engaged Research as an Approach to Expedite Advances in HIV Prevention, Care, and Treatment: A Call to Action. AIDS Educ Prev 30:243-253
Rhodes, Scott D; Alonzo, Jorge; Mann-Jackson, Lilli et al. (2018) Selling the product: Strategies to increase recruitment and retention of Spanish-speaking Latinos in biomedical research. J Clin Transl Sci 2:147-155
Mann-Jackson, Lilli; Song, Eunyoung Y; Tanner, Amanda E et al. (2018) The Health Impact of Experiences of Discrimination, Violence, and Immigration Enforcement Among Latino Men in a New Settlement State. Am J Mens Health 12:1937-1947
Daniel-Ulloa, Jason; Sun, Christina; Rhodes, Scott D (2017) The intersection between masculinity and health among rural immigrant Latino men. Int J Mens Health 16:84-95
Rhodes, Scott D; Mann-Jackson, Lilli; Alonzo, Jorge et al. (2017) Engaged for Change: A Community-Engaged Process for Developing Interventions to Reduce Health Disparities. AIDS Educ Prev 29:491-502
Daniel-Ulloa, Jason; Ulibarri, M; Baquero, B et al. (2016) Behavioral HIV Prevention Interventions Among Latinas in the US: A Systematic Review of the Evidence. J Immigr Minor Health 18:1498-1521
Rhodes, Scott D; Leichliter, Jami S; Sun, Christina J et al. (2016) The HoMBReS and HoMBReS Por un Cambio Interventions to Reduce HIV Disparities Among Immigrant Hispanic/Latino Men. MMWR Suppl 65:51-6
Mann, Lilli; Tanner, Amanda E; Sun, Christina J et al. (2016) Listening to the voices of Latina women: Sexual and reproductive health intervention needs and priorities in a new settlement state in the United States. Health Care Women Int 37:979-994
Sun, Christina J; Mann, Lilli; Eng, Eugenia et al. (2015) Once a Navegante, Always a Navegante: Latino Men Sustain Their Roles as Lay Health Advisors to Promote General and Sexual Health to Their Social Network. AIDS Educ Prev 27:465-73
Wagoner, Kimberly G; Downs, Mario; Alonzo, Jorge et al. (2015) Latino men's qualitative perspectives on a lay health advisor intervention to promote their sexual health. Health Soc Care Community 23:304-12

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