Drug-involved Mexican-origin girls’ HIV prevention needs: A pilot study

ABSTRACT

The purpose of this pilot study was to collect data to inform the development of an HIV prevention program for drug-involved Mexican-origin (MO) adolescent girls. Eighteen in-depth semi-structured interviews were conducted with drug-involved MO girls in addition to focus group discussions with nineteen other drug-involved MO girls and eight clinical service providers in 2009–2010. Emergent themes indicated that HIV prevention programs for drug-involved MO girls should be girl-centered, focused on relationship development, and include trained peer facilitators who share the same cultural and “street” background as the girls. The program should omit scare tactics associated with risky sexual behaviors and emphasize individual empowerment skills useful to negotiate sexual decisions successfully. In addition, a girl-centered intervention for MO girls should address important concerns for this group, including resistance skills and strategies regarding relationships with older men, teenage motherhood, sexual infidelity, sexual coercion, and dating violence. Intervention activities should also be interactive with an emphasis on guiding girls as they learn to critically assess personal risk while at the same time learning skills and resources to address these issues in real life.

KEYWORDS:

• drug use
• Latina
• high-risk
• HIV/AIDS
• sexually transmitted infections

Additional information

Funding

Research assistance for manuscript development was supported by training funds from the National Institute on Minority Health and Health Disparities of the National Institutes of Health (NIMHD/NIH), award P20 MD002316 (F. Marsiglia, P.I.). This research was supported by an ASU Subcontract from Columbia University, National Institute of Mental Health, R25 MH080665 (N. El-Bassel, P.I.; Lopez, Subcontract P.I.) to support the development of HIV intervention programs for ethnic and racial minority populations.