The impact of sex education on HIV knowledge and condom use among adolescent females in the Dominican Republic.

UNLABELLED: The Dominican Republic has witnessed a significant increase of HIV/AIDS in recent years, particularly among young women. Prior research suggested that sex education could be an effective tool in combating risky sexual behaviors in adolescents; yet, most of this research has been conducted with Caucasian study populations, resulting in limited generalizability to Latino populations. The present study sought to address this gap by examining the effects of sex education on HIV/AIDS knowledge and condom use among young women in the Dominican Republic. METHODS: Data were analyzed from 1,608 female adolescent and young adult respondents to the ENJOVEN survey. Logistic regression models were used to investigate the relation between exposure to sex education and HIV/AIDS knowledge, current and consistent condom use. RESULTS: Respondents who reported receiving sex education were 1.72 times more likely to have high HIV/AIDS knowledge than respondents who reported not receiving sex education (CI: 1.36-2.18, p = .000). Respondents who reported receiving sex education were 2.52 times more likely to report currently using condoms than respondents who reported not receiving sex education (CI: 1.65-3.85, p = .000). CONCLUSION: The results provide additional evidence that sex education programs are effective at increasing HIV/AIDS knowledge and condom use in young Dominican women.

Disparities in hypertension-related mortality among selected Hispanic subgroups and non-Hispanic White women ages 45 years and older--United States, 1995-1996 and 2001-2002.

OBJECTIVES: To compare hypertension-related mortality (HRM) age-standardized and age-specific rates for Hispanic subgroup and non-Hispanic White (NHW) women; to identify underlying causes of HRM by Hispanic subgroup and age; and to examine relative percent change in HRM among Hispanic subgroups and NHW women. DESIGN: Secondary data analyses of 1995-1996 and 2001-2002 national vital statistics multiple cause mortality files. SETTING: United States-50 states and District of Columbia. SUBJECTS: Mexican American (MA), Puerto Rican (PR), Cuban (CA) and NHW female decedents ages > or =45 years with hypertension listed as one of up to 20 conditions resulting in death. MAIN OUTCOME MEASURES: Age-standardized death rates (ASDR per 100,000) for HRM and relative percent change to examine trends (2-year intervals). RESULTS: During 1995-1996, the ASDR (per 100,000) for HRM was highest among PR (248.5) followed by NHW (188.7), MA (185.4), and CA women (139.7). During 2001-2002, PR (215.5) and MA (205.5) had higher ASDR for HRM than NHW (171.9) and CA women (104.6). The relative percent increase from 1995-1996 to 2001-2002 was 10.8% (P < .01) among MA, while CA (-25.1%, P < .01), PR (-13.3%, P < .01) and non-Hispanic Whites (-8.5%, P < .01) showed a decrease. CONCLUSIONS: HRM was highest among PR and MA women, increased significantly for MA women between 1995-1996 to 2001-2002, and declined for CA, PR and non-Hispanic White women. Public health efforts should focus on strengthening heart health protection communication and hypertension control programs for PR and MA women and their healthcare providers.

The evolution of the CDC HIV prevention capacity-building assistance initiative.

As the HIV/AIDS epidemic neared the end of its first decade in the late 1980s, the US Centers for Disease Control and Prevention (CDC) recognized the disparate impact on racial and ethnic minority communities. In response, a program was initiated to build capacity to prevent the further spread of HIV and other STDs in these communities. Since that time, the program has expanded in scope, intensity of efforts, and funding. Today, the CDC's Capacity Building Assistance (CBA) Initiative serves communities across the nation by building community, organizational, and HIV prevention program/intervention capacity designed to reduce the number of new HIV infections among at-risk populations. This article focuses on the history and evolution of these efforts, lessons learned, and how these were used to develop the current, more responsive system. A conceptual framework is presented that describes the taxonomy of CBA services designed to (1) enhance organizational infrastructure; (2) enhance HIV prevention interventions; (3) strengthen community capacity; and (4) strengthen community planning. It includes language and definitions, approaches and mechanisms for delivering capacity-building services, and a Web-based request-and-referral system that serves as the foundation for tracking, monitoring, and ensuring the delivery of appropriate, efficient, and culturally competent CBA.