Framing HIV Pre-Exposure Prophylaxis (PrEP) for the General Public: How Inclusive Messaging May Prevent Prejudice from Diminishing Public Support.

Framing HIV Pre-Exposure Prophylaxis (PrEP) for the General Public: How Inclusive Messaging May Prevent Prejudice from Diminishing Public Support.
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DOI:
10.1007/s10461-016-1318-9
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发表时间:
2016-07
期刊:
影响因子:
4.4
通讯作者:
Dovidio JF
Dovidio JF
中科院分区:
医学2区
文献类型:
--
作者:
Calabrese SK;Underhill K;Earnshaw VA;Hansen NB;Kershaw TS;Magnus M;Krakower DS;Mayer KH;Betancourt JR;Dovidio JF

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关于艾滋病毒暴露前预防(PrEP)的公共信息的战略框架可能会影响公众对影响获取的政策和计划的支持。这项调查研究探讨了公众对PrEP的态度如何根据PrEP被描述为受益(“受益者”)和偏见的调节作用而有所不同。在网上招募的普通公众(n = 154)被随机分配到三个受益条件:一般人群,男同性恋者,或黑人男同性恋者。所有参与者在完成PrEP态度(指定受益人),种族主义和异性恋的措施之前都收到了相同的PrEP背景信息。尽管预计同性恋者和黑人同性恋者之间的PrEP坚持性更高,并认为PrEP对后者特别有益,但参与者对使这些群体与普通人群相比负担得起PrEP的政策/计划的支持率较低。这种支持上的差异在报告偏见更大的参与者中更为明显。在公共话语中包容性地构建PrEP可以防止偏见破坏实施工作。
Strategic framing of public messages about HIV pre-exposure prophylaxis (PrEP) may influence public support for policies and programs affecting access. This survey study examined how public attitudes toward PrEP differed based on the social group PrEP was described as benefiting (“beneficiary”) and the moderating effect of prejudice. Members of the general public (n = 154) recruited online were randomly assigned to three beneficiary conditions: general population, gay men, or Black gay men. All participants received identical PrEP background information before completing measures of PrEP attitudes (specifying beneficiary), racism, and heterosexism. Despite anticipating greater PrEP adherence among gay men and Black gay men and perceiving PrEP as especially beneficial to the latter, participants expressed lower support for policies/programs making PrEP affordable for these groups vs. the general population. This disparity in support was stronger among participants reporting greater prejudice. Inclusive framing of PrEP in public discourse may prevent prejudice from undermining implementation efforts.