Document 2276
 DOCN  M94A2276
 TI    The challenge of HIV prevention among migrants in Canada: a public
       health intervention model.
 DT    9412
 AU    Adrien A; Leaune V; Centre for AIDS Studies, Montreal General Hospital
       PHU, Quebec,; Canada.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):340 (abstract no. PC0297). Unique
       Identifier : AIDSLINE ICA10/94370299
 AB    OBJECTIVE: To develop a strategy for HIV prevention among migrants in
       Canada. METHODS: We used a four-step intervention model: 1) selection of
       migrant populations according to pre-established criteria; 2)
       involvement of community leaders and negotiation of the terms of
       collaboration; 3) evaluation of available information on HIV-related
       knowledge, attitudes, beliefs and practices in the community and
       assessment of data needs; 4) development of the intervention and
       research plan. RESULTS: Step 1: For certain communities such as
       Quebecers of Haitian origin, the HIV prevalence (3-5%) was sufficient to
       justify intervention. We selected other communities based on demographic
       criteria, estimation of HIV risk and the level of community
       organization. Step 2: In communities such as the Latin-American and the
       Arabic-speaking community who previously did not perceive HIV as a
       problem, we involved local leaders in a participatory research process
       and raised their awareness about HIV. An advisory committee was created;
       we established with these committees guiding principles including
       equity, cultural sensitivity and community relevance. Step 3: Given the
       lack of community specific information on attitudes and behaviours
       related to HIV transmission, we conducted qualitative studies and
       surveys to collect this information. Step 4: For Quebecers of Haitian
       origin, youth and inequality in male-female relations were selected as a
       priority for intervention and HIV prevalence and incidence studies as a
       priority for research. For the others, the intervention plans are under
       development. CONCLUSION: Migrant communities have become involved in,
       and committed to, HIV prevention and research as a result of our
       intervention. The application of this model elsewhere depends on the
       characteristics of the target populations, the acceptance of HIV as a
       problem by the community and the organizational infrastructure of the
       community.
 DE    *Communicable Disease Control  *Emigration and Immigration  Ethnic
       Groups/*EDUCATION  Haiti/ETHNOLOGY  *Health Education  Human  HIV
       Infections/ETHNOLOGY/*PREVENTION & CONTROL/TRANSMISSION  HIV
       Seroprevalence/TRENDS  Knowledge, Attitudes, Practice
       Quebec/EPIDEMIOLOGY  Risk Factors  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).