Rapid Ethnographic Assessment of HIV/Aids among Garífuna Communities in Honduras

Informing HIV Surveillance among Garífuna Women

Dados Bibliográficos

ID2168148
AutoresMiriam Sabin (0000-0003-1315-5151), Miriam Lewis Sabin (0000-0002-7758-8338), George Luber, Keith Sabin (0000-0002-2290-8621), Mayte Paredes (0000-0002-1032-1356), Edgar Monterroso
Ano2008
Volume17
Fascículo3-4
Páginas237-257
Data de publicação2008-09-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoJournal of Human Behavior in the Social Environment (JOURNAL)
Identificadores do periódicoISSN: 1091-1359 • E-ISSN: 1540-3556
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10911350802067773
OpenAlexW2017565205
IdiomaEN
Citações recebidas5
Referências citadas7

Garífuna, an Afro-Caribbean ethnic group in Honduras, have among the highest HIV prevalence rates in Central America; 15- to 49-year-old Garífuna have HIV rates comparable to heterosexual transmission rates in regions of sub-Saharan Africa. The heightened rates in this age range pose a significant risk of vertical transmission from woman to child at birth. In 2006, a Behavioral Surveillance Survey plus Biomarkers (BSS+) reexamined seroprevalence of HIV, sexually transmitted infections, and HIV-related risk behaviors among Garífuna to inform HIV prevention activities and monitor trends in HIV transmission over time. To inform the BSS+ survey protocol, we conducted a rapid ethnographic assessment (REA) in Garífuna communities to specifically examine acceptability among Garífuna to be surveyed, suggest ways to minimize HIV-testing related stigma, and determine female gender-specific concerns among BSS+ respondents. Data were collected in 2 weeks in November, 2004, using a semi-structured interview guide for key informant interviews and focus groups. Seventeen key informant interviews and three focus groups were conducted; participant observation and 11 site visits were also conducted. Major findings included high Garífuna acceptability to participate in the BSS+ with key member involvement and incentives. Maintaining confidentiality at HIV testing sites is required to minimize Garífuna women's risk of intimate partner violence. Recommendations to BSS+ partners from this REA informed the BSS+ study protocol and was expected to increase participation and validity and decrease potential risks associated with women's survey participation

Ethnic group · Family medicine · Focus group · Human immunodeficiency virus (HIV · Psychiatry · Stigma (botany · Census and Population Estimation · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Demography · Gerontology