Multi-media teacher training and HIV-related stigma among primary and secondary school teachers in Western Kenya.
Multi-media teacher training and HIV-related stigma among primary and secondary school teachers in Western Kenya.
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肯尼亚西部中小学教师的多媒体教师培训和与艾滋病毒相关的耻辱。
DOI：
10.1080/09540121.2022.2119473
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发表时间：
2023
期刊：
影响因子：
1.7
通讯作者：
Vreeman,Rachel
中科院分区：
文献类型：
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作者：
Nyandiko,Winstone;Chory,Ashley;Baum,Aaron;Aluoch,Josephine;Ashimosi,Celestine;Scanlon,Michael;Martin,Roxanne;Wachira,Juddy;Beigon,Whitney;Munyoro,Dennis;Apondi,Edith;Vreeman,Rachel
艾滋病毒污名与艾滋病毒感染者的延迟披露和更差的临床结果有关（ALWH）。教师对学校环境有着重要影响，但在艾滋病毒污名化方面却没有得到充分研究。我们实施了一个学校层面的，集群随机试验，以评估为期一天的多媒体培训的知识，态度和信念（K/A/B）的学校教师在肯尼亚西部的影响。在基线和6个月时评估教师的K/A/B。此外，我们评估了耻辱与ALWH就读于所包括的学校，以探讨培训的影响。教师（N = 311）和ALWH（N = 19）参加了10所小学和10所中学。干预组和对照组在总体耻辱感评分上没有显著差异6个月时（平均值1.83 vs. 1.84;校正差异，0.18 [95% CI，-0.082至0.045]）;但是，在此情况下，我们发现中学教师的总体耻辱得分有改善的趋势，社区歧视子量表有显着差异（平均值3.02 vs. 3.19;校正差异，−0.166 [95%CI，−0.310至−0.022]）。ALWH报告说，很少有歧视的经历，但强调要对自己的艾滋病毒状况保密（84%）。教师培训减少了中学教师对社区一级耻辱的看法，但并没有影响个人的态度或信仰。
HIV stigma is associated with delayed HIV disclosure and worse clinical outcomes for adolescents living with HIV (ALWH). Teachers critically influence school environments, but are understudied in terms of HIV stigma. We implemented a school-level, cluster-randomized trial to assess the impact of a one-day multi-media training on the knowledge, attitudes and beliefs (K/A/B) of school teachers in western Kenya. Teachers’ K/A/B were evaluated at baseline and six months. Additionally, we assessed stigma with ALWH enrolled in the included schools to explore the impact of the training. Teachers (N = 311) and ALWH (N = 19) were enrolled from 10 primary and 10 secondary schools. The intervention and control groups did not significantly differ in overall stigma score (mean 1.83 vs. 1.84; adjusted difference, 0.18 [95% CI, −0.082 to 0.045]) at six months; however, we found a trend towards improvement in overall stigma score and a significant difference in the community discrimination sub-scale among secondary school teachers (mean 3.02 vs. 3.19; adjusted difference, −0.166 [95% CI, −0.310 to −0.022]). ALWH reported few experiences of discrimination, but emphasized keeping their HIV status secret (84%). The teacher-training reduced secondary school teacher perceptions of community-level stigma, but did not impact individual attitudes or beliefs..