In this intervention, participants design and implement an HIV/AIDS prevention project for Mexican homosexual men. The intervention is consistent with, and contributes to, empowerment theory because it enhances collective action, provides opportunities to develop knowledge and skills, creates needed resources, and includes shared control with professionals and among participants. The intervention described provides an illustration of an empowering process and distinguishes itself from empowerment outcomes. An evaluation of the project is also described, but the outcomes were HIV/AIDS-related behaviors rather than psychological empowerment of the participants. The results suggest that the participants' HIV/AIDS knowledge and preventive behavior improved when compared to individuals who did not participate in the intervention. In addition, the intervention generated community change initiated by participants. Implications for designing interventions using an empowerment approach are discussed.
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References
1.
1. Strecher VJ, DeVellis BM, Becker MH, Rosenstock IM: The role of self-efficacy in achieving health behavior change. Health Educ Q13:73-92, 1986.
2.
2. Hibbard JH: Social ties and health status: An examination of moderating factors. Health Educ Q12:23-34, 1985.
3.
3. Seeman M, Seeman T, Sayles M: Social networks and health status: A longitudinal analysis. Soc Psychol Q48:237-248, 1985.
4.
4. Seeman M, Seeman T: Health behavior and personal autonomy: A longitudinal study of the sense of control in illness. J Health Soc Behav24:144-160, 1983.
5.
5. Rakowski W: Personal health practices, health status, and expected control over future health. J Community Health11:189-203, 1986.
6.
6. Zimmerman MA, Janz NK, Wren P: Factors influencing the success of AIDS prevention efforts, in Freudenberg N, Zimmerman MA (eds.): AIDS Prevention in the Community: Lessons From the First Decade. Washington, DC, American Public Health Association, 1995.
7.
7. Rappaport J: The power of empowerment language. Soc Policy16:15-21, 1985.
8.
8. Wallerstein N, Bernstein E: Empowerment education: Freire's ideas adapted to health education. Health Educ Q15:379-394, 1988.
9.
9. Levine AG: Love Canal: Science, Politics, and People. Lexington, MA, Lexington Books, 1982.
10.
10. Freudenberg N, Golub M: Health education, public policy, and disease prevention: A case history of the New York City Coalition to End Lead Poisoning. Health Educ Q14:387-401, 1987.
11.
11. Rody N: Empowerment as organizational policy in nutrition intervention programs: A case study from the Pacific Islands. J Nutr Educ20:133-141, 1988.
12.
12. Wallerstein N: Powerlessness, empowerment, and health: Implications for health promotion programs. Am J Health Promotion6:197-205, 1992.
13.
13. Checkoway B: The empire strikes back: More lessons for health care consumers. J Health Polit Policy Law7:111-124, 1982.
14.
14. Gallant RV, Cohen C, Wolff T: Change of older persons' image, impact on public policy result from Highland Valley Empowerment Plan. Perspect Aging14:9-13, 1985.
15.
15. Minkler M: Building supportive ties and sense of community among inner-city elderly: The Tenderloin Senior Outreach Project. Health Educ Q12:303-314, 1985.
16.
16. Ovrebo B, Ryan M, Jackson K, Hutchinson K: The homeless prenatal program: A model for empowering homeless pregnant women. Health Educ Q21:187-198, 1994.
17.
17. Gruber J, Trickett EJ: Can we empower others? The paradox of empowerment in the governing of an alternative public school. Am J Community Psychol15:353-371, 1987.
18.
18. Balcazar FE, Seekins T, Fawcett SB, Hopkins BL: Empowering people with physical disabilities through advocacy skills training. Am J Community Psychol18:281-296, 1990.
19.
19. Fawcett SB, White GW, Balcazar FE, Suarez-Balcazar Y, Mathews RM, Paine AL, Seekins T, Smith JF: A contextual-behavioral model of empowerment: Case studies involving people with physical disabilities. Am J Community Psychol, in press.
20.
20. Freire P: Pedagogy of the Oppressed. New York, Seabury, 1970.
21.
21. Rappaport J: Studies in empowerment: Introduction to the issue. Prev Hum Servs3:1-7, 1984.
22.
22. Zimmerman MA: Empowerment Theory: Where Do We Go From Here? Invited address at the Midwest Psychological Association annual meeting, Chicago, April 1993.
23.
23. Zimmerman MA: Empowerment theory: Psychological, organizational, and community levels of analysis, in Rappaport J, Seidman E (eds.): The Handbook of Community Psychology. New York, Plenum, in press.
24.
24. Cornell Empowerment Group: Empowerment and family support. Networking Bull1:1-23, 1989.
25.
25. Mechanic D: Adolescents at Risk: New Directions. Paper presented at the Seventh Annual Conference on Health Policy, Cornell University Medical College, February 1991.
26.
26. Maton KI, Salem DA: Organizational characteristics of empowering community settings: A multiple case study approach. Am J Community Psychol, in press.
27.
27. Zimmerman MA: Psychological empowerment: Issues and illustrations. Am J Community Psychol, 23:581-599, 1995.
28.
28. Robertson A, Minkler M: New health promotion movement: A critical examination. Health Educ Q21:293-312, 1994.
29.
29. Airhihenbuwa CO: Health promotion and the discourse on culture: Implications for empowerment. Health Educ Q21:345-353, 1994.
30.
30. PAHO: Las condiciones de salud en las Americas, Vol. 1. Washington, DC, Oficina Panamericana de la Salud, 1992.
31.
31. Doll L, Byers R, Bolan G, Douglas J, Moss P, Weller P, Joy D, Barthlow B, Harrison J: Homosexual men who engage in high risk sexual behavior. J Sexually Transmitted Dis18:170-175, 1991.
32.
32. Linn LS, Spiegel SS, Mathews WC, Leake B, Lien R, Brook S: Recent sexual behaviors among homosexual men seeking primary medical care. Arch Intern Med142:2685-2690, 1989.
33.
33. Jimenez D, Mckirnan DJ, LaBoy F: Social settings and AIDS-risk sexual behavior among inner-city minority [Abstract]. VII International Conference on AIDS6:258, 1990.
34.
34. Singer M, Flores C, Davison L, Burke G, Castillo Z, Scalon K, Rivera M: SIDA: The economic, social, and cultural context of AIDS among Latinos. Med Anthropol Q4:72-114, 1990.
35.
35. EPI-CONASIDA: SIDA/ETS Boletin Mensual. Mexico City, Sistema Nacional de Salud, May 1992.
36.
36. Magana JR, Carrier JM: Mexican and Mexican American male sexual behavior and spread of AIDS in California. J Sexual Res28:425-441, 1991.
37.
37. Caceres C, Gotuzzo E, Wignall S, Campos M: Sexual behavior and frequency of antibodies to Type 1 human immunodeficiency virus (HIV-1) in a group of Peruvian male homosexuals. Bull Panamerican Health25:306-311, 1991.
38.
38. Guerena-Burgueno F, Benenson A, Sepulveda J: HIV-1 prevalence in selected Tijuana subpopulations. Am J Public Health81:623-625, 1991.
39.
39. Izazola-Licea J, Valdespino-Gomez J, Gortmaker S, Townsend J, Becker J, Palacios-Martinez M, Mueller N, Sepulveda J: HIV-1 seropositivity and behavioral sociological risks among homosexual and bisexual men in six Mexican cities. J Acquir Immune Defic Syndr4:614-622, 1991.
40.
40. Mott L, Moreira E, Ribeiro T, Badaro R, Johnson W: Impact of condom use to prevent HIV transmission among male homosexuals in Bahia, Brazil (Abstract No. 3075). AIDS Int Conf Abstracts 6, June 1990.
41.
41. Lumsden I: Homosexualidad, sociedad, y Estado en Mexico (Zapata L, trans.). Mexico, D.F., Soledicionas colectivo sol, 1991.
42.
42. Fineberg HV: Education to prevent AIDS: Prospects and obstacles. Science239:592-596, 1988.
43.
43. Levine C: AIDS prevention and education: Reframing the message. AIDS Educ Prev3:147-163, 1991.
44.
44. Ramirez J, Suarez E, de la Rosa G, Castro MA, Zimmerman MA: AIDS knowledge and sexual behavior among Mexican gay and bisexual men. AIDS Educ Prev6:163-174, 1994.
45.
45. Swift C, Levine G: Empowerment: An emerging mental health technology. J Primary Prev8:71-94, 1987.
46.
46. Zimmerman MA: Taking aim on empowerment research: On the distinction between psychological and individual conceptions. Am J Community Psychol18:169-177, 1990.
47.
47. Zimmerman MA, Israel BA, Schulz A, Checkoway B: Further explorations in empowerment theory: An empirical analysis of psychological empowerment. Am J Community Psychol20:707-727, 1992.
48.
48. Zimmerman MA, Rappaport J: Citizen participation, perceived control, and psychological empowerment. Am J Community Psychol16:725-750, 1988.
