This presentation was given at the conference entitled, "15th Annual Rural Multiracial and Multicultural Health Conference" in Memphis, Tennessee on December 9-11, 2009.

Faculty

Needs Statement

Depression is one of the most common psychological outcomes of HIV disease, particularly among rural African-American women. Although overt forms of HIV-related stigma have reduced considerably over time, covert forms are still persistent in rural communities. Social support has been consistently shown to minimize psychological stress associated with chronic diseases. This session will present the results of a study designed to examine the relationships between HIV-related stigma, social support, and depression in a sample of rural African-American women with HIV disease living in the Southeastern United States. In particular, the session will discuss possible mediating effects of HIV-related perceived stigma and internalized stigma on depression. The session will also discuss implications of the findings in management of depression as well as for designing and implementing interventions to increase social support and decrease HIV-related stigma; thus, decreasing depression and improving quality of life among African-American women with HIV disease.

HIV and AIDS disproportionately affect Latinos, thus the Center for Disease Control and Prevention (CDC) has approved Effective Behavioral Interventions (EBIs) to address this issue; however the increasing trend of Latino settlements in the rural Midwest has limited the dispersal of these programs, as identifying these populations, effectively disseminating and sustaining HIV-related messages, becomes increasingly difficult once environmental and cultural differences are considered. This session discusses strategies and tools utilized by Proyecto IDEAS from JSI Research & Training Institute (JSI) to overcome these barriers and provide successful HIV prevention interventions and public health strategies to Latino communities in the State of Missouri. The collaborative framework of Proyecto IDEAS consists of: (1) identifying organizational needs; (2) developing a tailored capacity building assistance plan; (3) executing the plan; and (4) assessing and sustaining the intervention.

Target Audience

Designed to benefit those who are dedicated to bringing quality healthcare and healthcare services to this underserved and often under-represented portion of the rural population.

Objectives

1. Describe the problem of depression among rural African-American (AA) women with HIV disease;
2. Describe associations between:
    a. Social support & depression
    b. HIV-related stigma & depression;
3. Describe role of HIV-related stigma as possible mediator between social support & depression;
4. Discuss practice implications of the findings in management of depression among target population;
5. Discuss the IDEAS framework;
6. Describe the strategy used by JSI to reach rural Latino communities in Missouri;
7. Be able to conceptualize how to apply similar strategies to promote HIV prevention efforts in your rural communities.

Accreditation

CME
The University of Kentucky College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

CPE
The University of Kentucky College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

This knowledge-based activity has been assigned ACPE # 022-000-10-024-H01-P and will award 1.00 contact hour (0.1 CEU) of continuing pharmacy education credit in states that recognize ACPE providers.

Statements of credit will indicate hours and CEUs based on participation and will be issued online at the conclusion of the activity. Successful completion includes completing the activity, its accompanying evaluation and/or posttest (score 70% or higher) and requesting credit online at the conclusion of the activity. The College complies with the Accreditation Standards for Continuing Pharmacy Education.

CNE

The University of Kentucky, College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation (ANCC).

This educational activity is offered for a maximum of 1.00 ANCC contact hours.

The Kentucky Board of Nursing (KBN) approves The University of Kentucky, College of Nursing (UKCON) as a provider as well. ANCC and KBN approval of a continuing nursing education provider does not constitute endorsement of program content nor commercial sponsors. The University of Kentucky does not approve commercial products. This educational activity is offered for a maximum of 1.2 KBN contact hours. Provider #: 3-0008-01-13- 223. In order to receive credit, participants complete CNE activity, complete the evaluation form and submit a credit application online. Certificates may be printed once the evaluation is completed.

Faculty Disclosure

Sara Corwin and Alexia Eslan report no relevant financial relationships with commercial interests of healthcare products or services related to this activity.