基于信仰的多层次干预对与艾滋病毒相关的耻辱和艾滋病毒知识在非洲裔美国教会附属人口中的影响
Kathryn P Derose1,2, Jannette Berkley-Patton3, Carole Bowe Thompson3
1Department of Health Promotion & Policy, University of Massachusetts Amherst, 715 N. Pleasant St, Amherst, MA, 01003, USA. kpderose@umass.edu.
Journal of racial and ethnic health disparities
|April 25, 2025
概括
基于信仰的艾滋病毒干预措施没有减少耻辱,但增加了预期的耻辱. 与卫生专业人员和艾滋病毒感染者直接接触减少了教会环境中的耻辱感.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 传染病流行病学 传染病流行病学
背景情况:
- 与艾滋病毒相关的耻辱加剧了健康差距.
- 基于信仰的组织是艾滋病毒干预的潜在合作伙伴.
- 有限的研究存在于基于信仰的干预对艾滋病污名的影响.
研究的目的:
- 为了评估宗教定制的艾滋病毒预防干预 (Taking It to the Pews - TIPS) 对艾滋病毒污名化的影响.
- 评估TIPS对艾滋病毒不适,预期的耻辱和教会成员和社区成员的整体耻辱的影响.
主要方法:
- 一个集群随机对照试验,涉及14个主要是非裔美国教堂.
- 干预组接受了TIPS工具包;比较组接受了标准的艾滋病毒教育.
- 主要目标是增加艾滋病毒检测;耻辱是次要的结果措施.
主要成果:
- 与标准教育相比,TIPS干预措施并没有减少艾滋病毒的不适或整体耻辱感.
- 提示与预期的HIV污名的增加有关.
- 二次分析表明干预暴露与较低的耻辱和更高的艾滋病毒知识相关.
结论:
- 与医疗保健专业人员和艾滋病毒感染者直接接触可以减少基于信仰的环境中的耻辱.
- 需要更广泛的策略来解决会众层面的艾滋病毒污名.
- 减少耻辱和艾滋病毒检测可能在信仰社区具有协同效益.
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