Effects of a Pilot Church-Based Intervention to Reduce HIV Stigma and Promote HIV Testing Among African Americans and Latinos.
Effects of a Pilot Church-Based Intervention to Reduce HIV Stigma and Promote HIV Testing Among African Americans and Latinos.
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基于试点教会的干预措施减少艾滋病毒污名并促进非裔美国人和拉丁美洲人的艾滋病毒测试的影响。
DOI：
10.1007/s10461-015-1280-y
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发表时间：
2016-08
影响因子：
4.4
通讯作者：
Stucky BD
中科院分区：
文献类型：
--
作者：
Derose KP;Griffin BA;Kanouse DE;Bogart LM;Williams MV;Haas AC;Flórez KR;Collins DO;Hawes-Dawson J;Mata MA;Oden CW;Stucky BD
与艾滋病毒有关的耻辱和不信任加剧了艾滋病毒方面的差距。与信仰伙伴一起解决污名化问题可能是有效的，但很少有基于教会的减少污名化干预措施得到测试。我们在洛杉矶县艾滋病毒高流行地区的3个拉丁裔和2个非洲裔美国人教会（4个配对）实施了一项试点干预措施，以减少艾滋病毒的耻辱感和不信任感，并增加艾滋病毒检测。干预措施包括艾滋病毒教育和同侪领导人讲习班，牧师就艾滋病毒问题进行布道，并设想接触情景，以及艾滋病毒检测活动。我们在基线和6个月随访时对会众进行了调查（n=1235），发现拉丁美洲干预教会的艾滋病毒耻辱感和不信任感在统计学上显著减少（p<0.05），但在非洲裔美国人干预教会中没有，在匹配的非洲裔美国人和拉丁美洲人对中也没有。然而，在配对中，干预教会的艾滋病毒检测率要高得多（p< .001）。减少耻辱和艾滋病毒检测可能在社区环境中产生协同效应。
HIV-related stigma and mistrust contribute to HIV disparities. Addressing stigma with faith partners may be effective, but few church-based stigma reduction interventions have been tested. We implemented a pilot intervention with 3 Latino and 2 African American churches (4 in matched pairs) in high HIV prevalence areas of Los Angeles County to reduce HIV stigma and mistrust and increase HIV testing. The intervention included HIV education and peer leader workshops, pastor-delivered sermons on HIV with imagined contact scenarios, and HIV testing events. We surveyed congregants at baseline and 6 month follow-up (n=1235) and found statistically significant (p<.05) reductions in HIV stigma and mistrust in the Latino intervention churches but not in the African American intervention church nor overall across matched African American and Latino pairs. However, within matched pairs, intervention churches had much higher rates of HIV testing (p< .001). Stigma reduction and HIV testing may have synergistic effects in community settings.