Addressing Health Disparities in A South Florida Farm Working Community Using the HoMBRES de Familia Intervention

Abstract

Latino seasonal farmworkers (LSFWs) in South Florida are exposed to structural conditions that place them at risk for the intersecting conditions of substance abuse, HIV and family violence (the SAVA syndemic). The objective of this study was to adapt, implement, and evaluate the preliminary efficacy of an intervention titled HoMBRES de Familia (Hispanic Men Building Respect, Education and Safety for the Family). HoMBRES de Familia was adapted from an evidence-based intervention that leverages the use of peer educators to educate LSFW fathers about SAVA and improve communication with their sons about these issues. A two- arm randomized controlled trial (RCT) tested the efficacy of the intervention among 160 father-son dyads (N=320) in South Florida. Dyads were randomized into the intervention or control group and data was collected at baseline and at six-month follow ups. An educational model was created to facilitate the intervention using four interactive modules to build trust, rapport and promote group discussion among the LSFWS. Intent to treat analysis, t-tests, and chi-square testing will be employed to assess differences between the groups at baseline. At follow up, linear mixed models will be used to examine the individual outcomes while adjusting for baseline measures and cluster effect between groups. We expect the dyads exposed to the intervention to exhibit decreases in substance abuse, family violence, and sexual health risk behaviors. Findings from this study will be used to inform future risk reduction interventions targeting LSFWs.

Presenters

Vicky Vazquez-Barrios
NIH-NIAAA NRSA Research Fellow, Department of Health Promotion & Disease Prevention, Florida International University, Florida, United States

Details

Presentation Type

Paper Presentation in a Themed Session

Theme

2020 Special Focus—Advancing Health and Equity: Best Practices in an International Perspective

KEYWORDS

Disease Prevention, Rural Health, Race, Ethnicity, Community Health, Gender

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