Exploring the Potential of Participatory Theatre to Reduce Stigma and Promote Health Equity for Lesbian, Gay, Bisexual, and Transgender (LGBT) People in Swaziland and Lesotho.
Exploring the Potential of Participatory Theatre to Reduce Stigma and Promote Health Equity for Lesbian, Gay, Bisexual, and Transgender (LGBT) People in Swaziland and Lesotho.
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DOI：
10.1177/1090198118760682
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发表时间：
2019-03
期刊：
影响因子：
--
通讯作者：
Baral SD
中科院分区：
文献类型：
--
作者：
Logie CH;Dias LV;Jenkinson J;Newman PA;MacKenzie RK;Mothopeng T;Madau V;Ranotsi A;Nhlengethwa W;Baral SD
影响女同性恋、男同性恋、双性恋和变性人（LGBT）的污名和歧视损害了健康和人权，并加剧了艾滋病毒的流行。在低收入和中等收入国家，很少有研究探讨有效减少LGBT耻辱的策略。我们在斯威士兰和莱索托这两个世界上艾滋病流行率最高的国家开发并试点了参与式剧场干预（PTI），以减少对同性恋者的歧视。我们从莱索托和斯威士兰对LGBT人群的深度访谈中收集了初步数据，以加深对LGBT污名的理解。当地的LGBT和戏剧团体利用这些数据制作了一个2小时的PTI，由3个小品组成，讲述了斯威士兰（曼齐尼）和莱索托（马塞卢、马波滕）在医疗、家庭和社区环境中对LGBT的歧视。参与者（n=106）（护理学生、医疗保健提供者、教育工作者、社区成员）在PTI之后完成了12个焦点小组。我们进行了专题分析，以了解人们对PTI的反应。焦点小组显示，PTI增加了对LGBT人群和问题的理解，增加了同理心，并培养了对个人偏见的自我反思。了解的增加包括对LGBT耻辱的负面影响以及LGBT人群的生活经历和问题的认识的提高。与会者通过自我反思和学习，讨论了态度和观点的变化。戏剧表演的形式被描述为有利于学习，比更传统的教育方法更受欢迎。调查结果表明，斯威士兰和莱索托的同性恋行为检出案改变了人们对同性恋者和同性恋问题的态度和认识。减少耻辱感的干预措施可能有助于减轻这些艾滋病毒高负担环境中艾滋病毒预防、治疗和护理方面的障碍。
Stigma and discrimination affecting lesbian, gay, bisexual and transgender (LGBT) people compromise health and human rights, and exacerbate the HIV epidemic. Scant research has explored effective LGBT stigma reduction strategies in low and middle-income countries. We developed and pilot-tested a participatory theatre intervention (PTI) to reduce LGBT stigma in Swaziland and Lesotho, countries with the world’s highest HIV prevalence. We collected preliminary data from in-depth interviews with LGBT people in Lesotho and Swaziland to enhance understanding of LGBT stigma. Local LGBT and theatre groups worked with this data to create a 2-hour PTI comprised of 3 skits on LGBT stigma in healthcare, family, and community settings in Swaziland (Manzini) and Lesotho (Maseru, Mapoteng). Participants (n=106) (nursing students, healthcare providers, educators, community members) completed 12 focus groups following the PTI. We conducted thematic analysis to understand reactions to the PTI. Focus groups revealed the PTI increased understanding of LGBT persons and issues, increased empathy, and fostered self-reflection of personal biases. Increased understanding included enhanced awareness of the negative impacts of LGBT stigma, and of LGBT people’s lived experiences and issues. Participants discussed changes in attitude and perspective through self-reflection and learning. The format of the theatre performance was described as conducive to learning and preferred over more conventional educational methods. Findings indicate changed attitudes and awareness towards LGBT persons and issues following a PTI in Swaziland and Lesotho. Stigma reduction interventions may help to mitigate barriers to HIV prevention, treatment and care in these settings with a high burden of HIV.
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影响因子：
1.7
作者：
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通讯作者：
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影响因子：
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影响因子：
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通讯作者：
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