Developing a community-level anti-HIV/AIDS stigma and homophobia intervention in new York city: The project CHHANGE model
Developing a community-level anti-HIV/AIDS stigma and homophobia intervention in new York city: The project CHHANGE model
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DOI：
10.1016/j.evalprogplan.2017.03.004
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发表时间：
2017-08-01
影响因子：
1.6
通讯作者：
Taylor-Akutagawa, Vaughn
中科院分区：
文献类型：
--
作者：
Frye, Victoria;Paige, Mark Q.;Taylor-Akutagawa, Vaughn
艾滋病毒/艾滋病污名化和仇视同性恋与艾滋病毒/艾滋病感染者和有感染风险者的健康和社会后果严重不良有关。减少艾滋病毒污名化的干预措施侧重于提供信息和教育，改变态度和价值观，增加与艾滋病毒/艾滋病感染者的接触，开展活动以减少陈规定型观念和偏见以及歧视行为。大多数反对仇视同性恋的干预措施都侧重于减少欺凌行为，并已在中学和中学后教育层面实施。很少有干预措施处理艾滋病毒污名化和仇视同性恋问题，并在社区一级运作。CHHANGE项目“挑战艾滋病毒污名化和仇视同性恋现象，增强权能”是一个社区一级的多组成部分反艾滋病毒/艾滋病污名化和仇视同性恋干预措施，旨在减少艾滋病毒污名化和仇视同性恋现象，从而增加获得艾滋病毒预防和治疗的机会。基于理论的干预包括三个主要组成部分：与当地居民，企业和社区组织（CBO）的讲习班和培训;在CBO合作伙伴的店面和“弹出式”街头活动和外联活动的空间为基础的活动;和公共汽车候车亭广告活动。本文介绍了干预设计过程，最终的干预和研究小组的经验与社区工作。我们的结论是，CHHANGE是可行的，并为社会所接受。促进将同性恋和/或艾滋病毒相关“空间”标记为非污名化的社区资源，以及为居民提供与目标群体接触的机会，并了解艾滋病毒污名化和仇视同性恋与其社区艾滋病毒/艾滋病流行率的关系，可能是成功的反污名化和歧视方案的关键组成部分。(C)2017由Elsevier Ltd.出版
HIV/AIDS stigma and homophobia are associated with significant negative health and social outcomes among people living with HIV/AIDS (PLWHA) and those at risk of infection. Intervedtions to decrease HIV stigma have focused on providing information and education, changing attitudes and values, and increasing contact with people living with HIV/AIDS (PLWHA), activities that act to reduce stereotyped beliefs and prejudice, as well as acts of discrimination. Most anti-homophobia interventions have focused on bullying reduction and have been implemented at the secondary and post-secondary education levels. Few interventions address HIV stigma and homophobia and operate at the community level. Project CHHANGE, Challenge HIV Stigma and Homophobia and Gain Empowerment, was a community-level, multi component anti-HIV/AIDS stigma and homophobia intervention designed to reduce HIV stigma and homophobia thus increasing access to HIV prevention and treatment access. The theory-based intervention included three primary components: workshops and trainings with local residents, businesses and community-based organizations (CBO); space-based events at a CBO-partner drop-in storefront and "pop-up" street-based events and outreach; and a bus shelter ad campaign. This paper describes the intervention design process, resultant intervention and the study team's experiences working with the community. We conclude that CHHANGE was feasible and acceptable to the community. Promoting the labeling of gay and/or HIV-related "space" as a non-stigmatized, community resource, as well as providing opportunities for residents to have contact with targeted groups and to understand how HIV stigma and homophobia relate to HIV/AIDS prevalence in their neighborhood may be crucial components of successful anti-stigma and discrimination programming. (C) 2017 Published by Elsevier Ltd.