探索种族和差异性物品对PrEP耻辱体验的作用:在种族和性别多样化的人口中测量潜在的耻辱的影响
Allysha C Maragh-Bass1,2, Aaron J Siegler3, Kenneth H Mayer4,5
1Evidence and Research for Action, FHI 360, Durham, NC, USA. AMaraghBass@fhi360.org.
AIDS and behavior
|October 1, 2024
概括
测量与暴露前预防 (PrEP) 相关的耻辱感对于艾滋病毒预防研究至关重要. 这项研究发现与白人MSM相比,与男性发生性关系的黑人男性 (MSM) 之间的PrEP耻辱感更高,突出了测量挑战.
科学领域:
- 公共卫生 公共卫生
- 心理测量 心理测量 心理测量
- 艾滋病毒预防研究 预防研究
背景情况:
- 与暴露前预防 (PrEP) 相关的耻辱挑战了艾滋病毒预防研究的准确性.
- 不准确的耻辱测量可以扭曲PrEP耻辱和PrEP持续性和护理保留等结果之间的关系,特别是在弱势群体中.
研究的目的:
- 评估一种新的PrEP污名度表的心理测量特性.
- 评估与男性发生性关系的黑人和白人男性 (MSM) 之间的差异物品功能 (DIF).
- 在DIF调整后,将黑人和白人MSM之间的隐藏PrEP耻辱水平进行比较.
主要方法:
- 利用物件响应理论和机器学习方法来分析PrEP污名度量数据.
- 在黑人和白人受访者之间的规模项目中对DIF进行评估.
- 种族群体之间的隐性耻辱评分进行了比较,并对已确定的DIF进行了调整.
主要成果:
- 在黑人受访者中确定了13项中4项具有DIF高概率的项目.
- 与DIF调整后的分析显示,与白人MSM相比,黑人PrEP隐性污名显著更高 (不同). : 1.05 +/- 0.19). 这是一个很好的方法.
结论:
- 开发的PrEP污名度表表显示出有希望的结果,但由于DIF,需要仔细应用.
- 调查结果强调了在耻辱研究中评估测量误差的必要性,特别是在面临多层次和交叉耻辱的人群中.
- 解决PrEP耻辱问题对于MSM中有效的HIV预防策略至关重要.
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