HIV prevention intervention to reduce HIV-related stigma: evidence from China.
HIV prevention intervention to reduce HIV-related stigma: evidence from China.
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DOI：
10.1097/qad.0b013e3283313e83
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发表时间：
2010-01-02
期刊：
影响因子：
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通讯作者：
NIMH Collaborative HIV/STD Prevention Trial Group
中科院分区：
文献类型：
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作者：
Li L;Liang LJ;Lin C;Wu Z;Rotheram-Borus MJ;NIMH Collaborative HIV/STD Prevention Trial Group
国家心理健康研究所艾滋病毒/性传播疾病预防合作试验提供了一个独特的机会，以检验在社区传播艾滋病毒/性传播疾病预防信息和提高对艾滋病毒的认识后，社区对艾滋病毒/艾滋病感染者的轻蔑态度是否会减少。共有4510名市场工作者在福州，中国，参加了这项研究，纵向分析包括研究样本的3785名参与者在12个月的随访和3716名参与者在24个月的随访。我们使用箱形图和核密度估计，以图形方式检查了控制组和干预组之间艾滋病毒相关污名指标随时间的变化。采用比例优势模型进行Logistic回归分析，探讨干预对艾滋病相关污名化态度的影响。与对照组随时间无变化相比，干预措施在12个月随访时成功降低了目标人群中与艾滋病毒相关的污名化态度水平，在24个月随访时效果增加了两倍（相对于比值比）。干预表明，积极的态度变化与艾滋病毒相关的耻辱。我们的研究结果表明，社会规范的重要性，而不是简单的个人行为，在制定和实施减少耻辱运动。
The National Institute of Mental Health Collaborative HIV/Sexually Transmitted Disease Prevention Trial provided a unique opportunity to test whether, with the community-based diffusion of HIV/sexually transmitted disease prevention information and an elevated understanding of HIV, the level of stigmatizing attitudes toward people living with HIV/AIDS in the community would be reduced. A total of 4510 market workers in Fuzhou, China, participated in the study, and longitudinal analyses included study samples of 3785 participants in the 12-month follow-up and 3716 participants in the 24-month follow-up. We graphically examined the change in HIV-related stigma indicators over time between control and intervention groups using boxplot and kernel density estimation. A logistic regression analysis with proportional odds model was further used to examine the intervention effect on HIV-related stigmatizing attitudes. Compared with no change over time for the control group, the intervention successfully reduced the level of HIV-related stigmatizing attitudes among the target population at the 12-month follow-up, and the effect increased by two-fold (with respect to odds ratios) at the 24-month follow-up. The intervention demonstrated positive attitude changes associated with HIV-related stigma. Our results show the importance of social norms, rather than simply individual behaviors, in developing and implementing stigma reduction campaigns.