黑人妇女之间的交叉艾滋病污名:来自黑人妇女第一倡议的区域差异和影响
Judith C Scott1, Melanie Rocco1, Madison Kitchen1
1Judith C. Scott is with the School of Social Work, Boston University, Boston, MA. Melanie Rocco and Linda Sprague Martinez are with the Health Disparities Institute, UConn Health, Hartford, CT. Madison Kitchen is with the Silver School of Social Work, New York University, New York, NY. Natalie A. Solomon-Brimage is with the Division of Policy and Data, HIV/AIDS Bureau, Clinical and Quality Branch, Health Resources and Services Administration, Rockville, MD. Clara A. Chen and Lindsey Furton are with Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, MA. Jennifer M. Latimer, Jakevia Wheeler, and Ayesha Umrigar are with the Institute of Women and Ethnic Studies, New Orleans, LA. Gwen Davies is with Positive Impact Health Centers, Decatur, GA. Serena Rajabiun and Angela Wangari Walter are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell.
综合干预措施显著减少了黑人艾滋病毒感染女性的耻辱感,特别是在美国南部和跨性别女性. 文化敏感的方法解决交叉耻辱是改善健康结果的关键.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 艾滋病毒/艾滋病研究研究
背景情况:
- 交叉耻辱不成比例地影响着艾滋病毒感染的黑人妇女.
- 了解社会人口结构因素和区域差异对于有效的干预至关重要.
- 黑人女性第一 (BWF) 倡议旨在解决这些差异.
研究的目的:
- 检查艾滋病毒感染黑人妇女之间的交叉耻辱和社会人口统计特征.
- 评估捆绑干预措施对耻辱的影响,考虑到美国的区域差异.
- 为文化敏感的公共卫生战略提供信息.
主要方法:
- 前性,非随机研究设计.
- 收集污名度表反应和社会人口统计数据 (2021年5月至2023年8月).
- 使用重复测量模型进行分析,这些模型经过调整以考虑地点聚类和区域差异.
主要成果:
- 在美国南部和其他地区的黑人妇女之间观察到社会人口结构和耻辱的显著基线差异.
- 在12个月的随访后,捆绑干预导致了对耻辱的显著减少.
- 耻辱的减少在南方妇女和跨性别妇女中尤为明显.
结论:
- 综合干预,包括减少耻辱的策略,有效地减少了HIV感染黑人妇女的耻辱.
- 解决跨界的耻辱和地理因素对于消除耻辱至关重要.
- 美国BWF倡议的方法与改善黑人妇女健康状况的国家战略保持一致.
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