在黑人性少数群体男性中测量交叉耻辱的几何方法:在艾滋病毒预防背景下可靠性和有效性
Seth C Kalichman1, Bruno Shkembi1, Renee El-Krab1
1Institute for Collaboration on Health, Intervention and Policy (InCHIP), University of Connecticut, 2006 Hillside Road, Storrs, CT 06269, USA.
Sexual health
|June 21, 2023
概括
新的尺度有效地测量了黑人性少数群体男性的交叉耻辱,识别了预防艾滋病毒和获得医疗保健的障碍. 这些工具增强了对多重耻辱如何影响健康结果的理解.
科学领域:
- 公共卫生 公共卫生
- 心理测量 心理测量 心理测量
- 健康差异 在健康上的差异
背景情况:
- 交叉的耻辱,源于多个身份,阻碍了医疗保健的获取,特别是艾滋病毒预防.
- 现有的心理测量工具不足以捕捉多重同时发生的耻辱的复杂性.
- 了解交叉的耻辱的理论进步需要强大的测量仪器.
研究的目的:
- 开发和验证用于评估交叉耻辱的心理测量尺度.
- 测量艾滋病毒风险的黑人性少数群体男性的实施和预期的耻辱.
- 探索交叉性耻辱和与健康相关的因素之间的关系.
主要方法:
- 制定了已颁布的 (24项) 和预期的 (17项) 耻辱评分表.
- 通过社交媒体招募了422名黑人性少数群体男性.
- 利用几何概念来定义和评分交叉的耻辱尺寸.
主要成果:
- 开发的尺度表现出可靠性和构造有效性,用于测量已实施和预期的交叉污名.
- 颁布的耻辱表与医疗不信任相关.
- 预期的污名度表预测了对暴露前预防 (PrEP) 使用的感知障碍.
结论:
- 新的交叉污名度表提供了与种族和性少数群体身份相关的污名的具体测量.
- 这些尺度为理解多个身份的交叉点上的耻辱提供了增强的特异性.
- 调查结果强调了这些尺度在解决健康差异和改善艾滋病毒预防策略方面的有用性.
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