HIV and Sexuality Stigma Reduction Through Engagement in Online Forums: Results from the HealthMPowerment Intervention.
HIV and Sexuality Stigma Reduction Through Engagement in Online Forums: Results from the HealthMPowerment Intervention.
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DOI：
10.1007/s10461-018-2256-5
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发表时间：
2019-03
影响因子：
4.4
通讯作者：
Hightow-Weidman LB
中科院分区：
文献类型：
--
作者：
Bauermeister JA;Muessig KE;LeGrand S;Flores DD;Choi SK;Dong W;Sallabank G;Hightow-Weidman LB
艾滋病毒和性污名阻碍了艾滋病毒的预防和护理工作。HealthMPowerment.org(HMP)是一种基于手机和网络的互动艾滋病毒预防和护理干预措施，适用于美国男性行为者(YBMSM；18-30岁)的年轻黑人男性。氟氯烃管理计划包括三个论坛，与会者可以在这些论坛上分享他们的经验。在这项研究中，我们探索了在整个试验过程中，参与与污名相关的讨论是否与YBMSM的污名相关分数的变化有关。参加氟氯烃淘汰管理计划的YBMSM(18-30岁；N=238)在基线时完成了调查，并进行了为期3个月和6个月的跟踪调查，其中包括一系列侧重于艾滋病毒和性(内在性恐同；性偏见)污名的量表。62名与会者为论坛作出了贡献(1 497个帖子)。我们编码了YBMSM的对话与污名相关的实例(915个帖子，61.1%)，包括关于性和HIV的预期(74/915，8.1%)、经历(125/915，13.7%)、内在化(410/915，44.8%)和/或挑战(639/915，69.8%)污名的讨论。使用混合方法，我们检查了YBMSM污名得分的变化是否与论坛内与污名相关的讨论有关。在这些多变量模型中，我们控制了年龄、艾滋病毒感染状况、收入和教育程度。在论坛上讨论艾滋病毒污名的青年男同性恋者报告说，随着时间的推移，感觉到的艾滋病毒污名的减少(b=−.37，p≤.05)。其论坛帖子表明预期的艾滋病毒污名的青年男性行为者报告了随着时间的推移艾滋病毒污名的增加(b=.46，p≤.01)。在论坛上挑战与性有关的污名的参与者在基线时内在化的同性恋恐惧症较低(b=−.68，p≤.01)。讨论集中于经验性相关污名的青年男同性恋者报告说，随着时间的推移，内在化的同性恋恐惧症(b=.39，p≤.01)和性偏见(b=.87，p≤.05)增加。制定打击耻辱的战略仍然是一个关键优先事项。HMP创建了一个在线空间，在那里YBMSM可以讨论艾滋病毒和性耻辱。尽管有限数量的HMP参与者撰写了这些论坛的大部分讨论，但这些讨论与样本的污名得分随时间的变化有关。在线干预措施(例如，社交媒体、应用程序)应考虑纳入论坛，以解决耻辱问题，并测试论坛的有效性，以改善青年男性接触者的艾滋病毒预防和护理连续成果。
HIV and sexuality stigma impede HIV prevention and care efforts. HealthMpowerment.org (HMP) is an interactive mobile phone- and web-based HIV prevention and care intervention for young Black men who have sex with men (YBMSM; ages 18–30) in the United States. HMP included three forums where participants could share their experiences. In this study, we explored whether engaging in stigma-related discussions was associated with changes in YBMSM’s stigma-related scores throughout the trial. YBMSM (ages 18–30; N=238) participating in HMP completed surveys at baseline, and three- and six-month follow-ups that included a series of scales focused on HIV and sexuality (internalized homophobia; sexual prejudice) stigma. Sixty-two participants contributed to the forums (1,497 posts). We coded instances where YBMSM’s conversations were stigma related (915 posts, 61.1%), including discussions of anticipated (74/915, 8.1%), experienced (125/915, 13.7%), internalized (410/915, 44.8%), and/or challenged (639/915, 69.8%) stigma regarding sexuality and HIV. Using a mixed methods approach, we examined whether changes in YBMSM’s stigma scores were associated with stigma-related discussions within the forum. We controlled for age, HIV status, income, and educational attainment in these multivariable models. YBMSM who discussed experiencing HIV stigma in the forums reported decreases in perceived HIV stigma over time (b=−.37, p≤.05). YBMSM whose forum posts indicated anticipated HIV stigma reported increases in HIV stigma over time (b=.46, p≤.01). Participants who challenged sexuality-related stigma in forums had lower internalized homophobia (b=−.68, p≤.01) at baseline. YBMSM whose discussions focused on experiencing sexuality-related stigma reported increases in internalized homophobia (b=.39, p≤.01) and sexual prejudice (b=.87, p≤.05) over time. Developing strategies to combat stigma remains a key priority. HMP created an online space where YBMSM could discuss HIV and sexuality stigma. Although a limited number of HMP participants authored the majority of these forum discussions, the discussions were associated with changes in the sample’s stigma scores over time. Online interventions (e.g., social media, apps) should consider the inclusion of forums to address stigma and test the efficacy of forums to improve YBMSM’s HIV prevention and care continuum outcomes.
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影响因子：
12.7
作者：
Eaton LA;Driffin DD;Kegler C;Smith H;Conway-Washington C;White D;Cherry C
通讯作者：
Cherry C
DOI：
10.1080/13691058.2014.905706
发表时间：
2014-06
期刊：
Culture, health & sexuality
影响因子：
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作者：
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通讯作者：
Kegeles SM
DOI：
10.1080/09540121.2016.1220479
发表时间：
2017-01-01
影响因子：
1.7
作者：
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通讯作者：
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影响因子：
3.6
作者：
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通讯作者：
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影响因子：
5.4
作者：
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通讯作者：
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