From Sculpting an Intervention to Healing in Action.
From Sculpting an Intervention to Healing in Action.
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DOI：
10.1080/01609513.2020.1757923
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发表时间：
2021
影响因子：
--
通讯作者：
Caliste S
中科院分区：
文献类型：
--
作者：
Jemal A;Urmey LS;Caliste S
黑人/非裔美国人在美国所有种族/族裔群体中有最严重和不成比例的艾滋病毒负担。压迫（即，社会结构（宏观）、体制（外在）、社区（中观）和人际（微观）），作为四个相互关联的分支运作，使艾滋病毒在黑人/非裔美国人社区中长期流行。压迫性（即，通过社区、家庭和人际关系传递给个人的（种族主义和性别歧视）文化脚本可能在艾滋病毒/性传播感染风险中发挥作用。然而，社会行为健康干预措施或行为风险降低干预措施传统上只关注个人层面的健康风险行为，允许无形的，不公平的社会结构因素继续不受挑战。一个新的干预措施，黑人男子和妇女：增强自我，关系和社区，是从两个现有的干预措施社区智慧和非裔美国人的遗产增强自我（MAALES）的男子雕刻发展的压迫性文化脚本在人际和个人层面上运作的认识，并采取行动反对这些压迫性的信息，以收回身份，恢复关系，并建立社区。本文总结了理论和选定的社会戏剧性的干预措施，促进愈合的行动，以减少艾滋病毒/性传播感染的风险，异性恋识别，低收入的非洲裔美国男性和女性与多个性伴侣。还讨论了在理论、研究和实践方面的经验教训。
Blacks/African Americans have the most severe and disproportionate burden of HIV of all racial/ethnic groups in the United States. Oppression (i.e., socio-structural (macro), institutional (exo), community (meso), and interpersonal (micro)), operates as four interrelated prongs that perpetuate the HIV epidemic in Black/ African American communities. Oppressive (i.e., racist and sexist) cultural scripts transferred to individuals through community, family and interpersonal relationships may play a role in HIV/STI risk. However, socio-behavioral health interventions or behavioral risk reduction interventions have traditionally focused solely on individual-level health risk behaviors allowing invisible, inequitable socio-structural factors to continue unchallenged. A new intervention, Black Men and Women: Empowering Self, Relationships and Community, was sculpted from two existing interventions Community Wise and Men of African American Legacy Empowering Self (MAALES) to develop awareness of oppressive cultural scripts operating on interpersonal and intrapersonal levels and to take action against these oppressive messages to reclaim identity, restore relationships, and build community. This paper summarizes the theory and selected sociodramatic components of the intervention that promote healing in action to reduce HIV/STI risk among heterosexually identified, low-income African American men and women with multiple sex partners. Lessons learned in theory, research and practice are also discussed.