In 1996, nearly 60% of U.S. AIDS cases among Latinas were attributed to unprotected sex with men. Economic disadvantage, language barriers, and strong cultural gender norms regarding sex exacerbate the risk for HIV infection among Latina immigrant women. Through a collaboration among scientists and providers, this study was designed to evaluate the impact of a multifaceted empowerment program for Latina immigrant women on HIV risk behaviors. Women (N = 74) were followed for the first 6 months of their participation and attended up to nine distinct types of activities (e.g., information meetings, friendship circles, and workshops). Although the program was not developed to specifically target HIV risk behaviors, women showed significant increases in sexual communication comfort, were less likely to maintain traditional sexual gender norms, and reported changes in decision-making power. Targeting broader sociocultural issues may increase the necessary skills for Latina women to prevent HIV infection from their sexual partners. Successful collaborations between scientists and providers are critical in developing effective, community-relevant interventions.

CLINICAL TRIAL JOURNAL ARTICLE Adult Condoms/UTILIZATION Female Hispanic Americans/*PSYCHOLOGY Human HIV Infections/*PREVENTION & CONTROL *Internal-External Control Latin America/ETHNOLOGY Male Power (Psychology) Program Evaluation Prospective Studies Regression Analysis *Sex Behavior/PSYCHOLOGY Sexual Partners Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. United States *Women's Health

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