Mexican women, particularly those who work in high-risk professions, are over represented in the number of reported cases of a variety of STDs. The dramatic increase in STDs among working women has occurred primarily in border cities. The development of risk reduction interventions tailored to women has become a priority, yet limited resources in the host country have prevented the funding of prevention programs. Over the past 18 months, researchers from the University of California, San Diego and the Universidad Autonoma de Baja California collaborated on a pilot study that examined the feasibility of delivering a cultural and population-sensitive counseling program to women attending a municipal health clinic specializing in STDs in Tijuana, Mexico. Findings from this pilot study suggest the feasibility of testing the effectiveness of our Spanish version STD risk reduction counseling program - with a broad based population of women who reside in border cities in Mexico. We have also added a team of well-established Latino researchers with expertise in Mexican origin/Latino health, specifically as it relates to behavioral health issues and the impact of Mexican origin/Latino identity formation and acculturation on health outcomes. The proposed five year study will utilize a four city design that includes two pairs of treatment-comparison cities ranging in size from 400,000 to 1.2 million. The four border cities include Tijuana, Ciudad Juarez, Mexicali, and Matamoros. Pairs of cities will be randomly assigned to a treatment or comparison condition. Our study design will compare the effects of our STD counseling program for in treatment cities (N=900) against a """"""""standard counseling"""""""" condition (N=900) in comparison cities. Behavior outcomes will be assessed over a six-month period. The design of the counseling program was guided by motivational interviewing, social cognitive theory, and the theory of reasoned action. Repeated measures analysis of variance will be used to evaluate the effectiveness of the intervention. Subgroup differences in the effectiveness of the intervention based on social, contextual, and interpersonal factors will be explored.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH065849-04
Application #
7149120
Study Section
Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
Program Officer
Pequegnat, Willo
Project Start
2003-12-19
Project End
2008-11-30
Budget Start
2006-12-01
Budget End
2007-11-30
Support Year
4
Fiscal Year
2007
Total Cost
$693,953
Indirect Cost
Name
University of California San Diego
Department
Psychiatry
Type
Schools of Medicine
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093
Patterson, Thomas L; Semple, Shirley J; Abramovitz, Daniela et al. (2018) Impact of time perspectives on texting intervention to reduce HIV/STI transmission among female sex workers in Tijuana and Ciudad Juarez, Mexico. J Behav Med :
Smith, Laramie R; Patterson, Thomas L; Magis-Rodriguez, Carlos et al. (2016) Engagement in the HIV Care Continuum among Key Populations in Tijuana, Mexico. AIDS Behav 20:1017-25
Burgos, Jose L; Patterson, Thomas L; Graff-Zivin, Joshua S et al. (2016) Cost-Effectiveness of Combined Sexual and Injection Risk Reduction Interventions among Female Sex Workers Who Inject Drugs in Two Very Distinct Mexican Border Cities. PLoS One 11:e0147719
Mehta, Sanjay R; Wertheim, Joel O; Brouwer, Kimberly C et al. (2015) HIV Transmission Networks in the San Diego-Tijuana Border Region. EBioMedicine 2:1456-63
Ulibarri, Monica D; Strathdee, Steffanie A; Lozada, Remedios et al. (2014) Prevalence and correlates of client-perpetrated abuse among female sex workers in two Mexico-U.S. border cities. Violence Against Women 20:427-45
Strathdee, Steffanie A; Magis-Rodriguez, Carlos; Mays, Vickie M et al. (2012) The emerging HIV epidemic on the Mexico-U.S. border: an international case study characterizing the role of epidemiology in surveillance and response. Ann Epidemiol 22:426-38
Ulibarri, M D; Strathdee, S A; Lozada, R et al. (2012) Condom use among female sex workers and their non-commercial partners: effects of a sexual risk intervention in two Mexican cities. Int J STD AIDS 23:229-34
Ulibarri, Monica D; Strathdee, Steffanie A; Ulloa, Emilio C et al. (2011) Injection drug use as a mediator between client-perpetrated abuse and HIV status among female sex workers in two Mexico-US border cities. AIDS Behav 15:179-85
Munoz, Fatima A; Pollini, Robin A; Zuniga, Maria Luisa et al. (2010) Condom access: Associations with consistent condom use among female sex workers in two northern border cities of Mexico. AIDS Educ Prev 22:455-65
Sirotin, Nicole; Strathdee, Steffanie A; Lozada, Remedios et al. (2010) A comparison of registered and unregistered female sex workers in Tijuana, Mexico. Public Health Rep 125 Suppl 4:101-9

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