Preventing HIV among Latino and African American gay and bisexual men in a context of HIV-related stigma, discrimination, and homophobia: Perspectives of providers
Preventing HIV among Latino and African American gay and bisexual men in a context of HIV-related stigma, discrimination, and homophobia: Perspectives of providers
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DOI：
10.1089/apc.2005.19.737
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发表时间：
2005-11-01
影响因子：
4.9
通讯作者：
Perez, M
中科院分区：
文献类型：
--
作者：
Brooks, RA;Etzel, MA;Perez, M
与艾滋病毒有关的耻辱，歧视和同性恋恐惧症阻碍了以社区为基础的努力，以打击拉丁美洲和非洲裔美国同性恋和双性恋男子艾滋病毒疾病。这篇评论从艾滋病预防项目工作人员的角度强调了解决加州洛杉矶有色人种社区这些社会偏见的方法。信息收集自参加为期2天的研讨会的艾滋病毒预防项目工作人员。研讨会的成果提供了为拉丁美洲和非洲裔美国男同性恋和双性恋男子制定和实施艾滋病毒预防服务的战略，其中包括：（1）解决社区中存在的社会偏见，这些偏见可能阻碍甚至禁止有效的艾滋病毒预防计划的利用;（2）在更广泛的社会或健康背景下重新塑造艾滋病毒预防信息;（3）制定文化上适当的艾滋病毒预防信息;（4）探索新的方式和途径，以提供适合有色人种男同性恋和双性恋男子及其所居住社区的艾滋病毒预防信息;及（5）扩大爱滋病预防服务的对象，以包括服务提供者、地方机构及社区。这些战略强调，在设计和实施艾滋病毒预防方案时，需要考虑社区的社会和环境因素。
HIV-related stigma, discrimination, and homophobia impede community-based efforts to combat HIV disease among Latino and African American gay and bisexual men. This commentary highlights ways to address these social biases in communities of color in Los Angeles, California, from the perspectives of staff from HIV prevention programs. Information was collected from HIV prevention program staff participating in a 2-day symposium. The outcomes from the symposium offer strategies for developing and implementing HIV prevention services for Latino and African American gay and bisexual men, which include: (1) addressing social biases present in a community that can hinder, and even prohibit, utilization of effective HIV prevention programs; (2) recasting HIV prevention messages in a broader social or health context; (3) developing culturally appropriate HIV prevention messages; (4) exploring new modalities and venues for delivering HIV prevention messages that are appropriate for gay and bisexual men of color and the communities in which they live; and (5) broadening the target of HIV prevention services to include service providers, local institutions and agencies, and the community at-large. These strategies underscore the need to consider the social and contextual factors of a community when designing and implementing HIV prevention programs.