Diffusing persuasive HIV testing messages: engaging Black sexual and gender minority youth social media influencers

项目摘要 在这个K 01奖项的指导，培训和研究相结合，将支持候选人的长期 目标是制定高影响力、社区参与的艾滋病毒健康差距和基于社会媒体的 研究重点是南方有色人种的性和性别少数青年（SGMY）。艾滋病毒仍然是 南方黑人SGMY中潜在的公共卫生问题。诊断是四大支柱之一， 结束艾滋病毒流行病倡议和常规检测是这一人群的明确优先事项。 很少或从不检测艾滋病毒与黑人SGMY的高感染率有关。常规 艾滋病毒检测可以为高危人群或早期感染者提供与艾滋病毒预防服务联系的中心网关 为那些不知道自己身份的人提供护理;然而，与耻辱有关的检测障碍仍然存在（例如， 内化的同性恋恐惧症，艾滋病毒相关的耻辱）。污名化的黑色SGMY可能更孤立，许多 转向社交媒体。利用社交网络，例如通过民意领袖（POL）， 社交媒体可以增加社会支持，消除污名，使常规艾滋病毒检测正常化。尽管 尽管Instagram很受欢迎，但在以艾滋病毒为重点的干预措施中尚未使用Instagram，包括在黑人SGMY中。 Instagram影响者是真实可信的社交媒体用户，他们本质上是POL。这个项目 建议加强EHE推荐的POL干预措施，促进黑人的常规艾滋病毒检测 SGMY在新奥尔良该项目将雇用8名黑人SGMY Instagram影响者来实现一部小说， 理论为基础的方法来制作有说服力的艾滋病毒检测信息给他们的追随者。本 1）探索艾滋病检测的态度和经验，以及使用非污名化的 Instagram消息传递，以增加新奥尔良黑人SGMY的常规艾滋病毒检测; 2）识别，招募 并对黑人SGMY Instagram影响者进行艾滋病毒知识和基于社交媒体的消息传递培训 使用新框架进行说服性信息传递的策略; 3）共同开发和提供说服性常规 HIV检测Instagram消息与黑色SGMY Instagram影响者。经验丰富的导师团队 具有黑人SGMY健康差距，艾滋病毒干预发展，说服理论，社会 媒体信息和基于社区的参与性研究（CBPR）将指导候选人通过 研究多样化的培训计划将包括多学科的教学课程，个性化的 培训研讨会和指导会议，这将使候选人：1）了解如何 多重污名化身份的交集（即，种族、性别和性）和相关经历 有助于黑人SGMY之间与艾滋病毒相关的差异; 2）发展说服性社会能力 基于媒体的健康传播战略; 3）获得发展/适应的技能， 利用CBPR实施和评价干预措施。这个K 01奖将给予候选人 获得独立研究所需的额外技能和经验。

PROJECT SUMMARY The combined mentorship, training and research in this K01 award will support the candidate’s long term goal of formulating high impact, community-engaged HIV health disparities and social media-based research focused on sexual and gender minority youth (SGMY) of color in the South. HIV remains an insidious public health concern among Black SGMY in the South. Diagnose is one of the 4 Pillars of the Ending the HIV Epidemic (EHE) Initiative and routine testing is a clear priority for this population. Infrequent or never testing for HIV has been associated with high rates of infection in Black SGMY. Routine HIV testing could provide a central gateway for linkage to HIV prevention services for those at risk or early access to care for those unaware of their status; however, stigma-related barriers to testing persist (e.g, internalized homophobia, HIV-related stigma). Stigmatized Black SGMY may be more isolated and many turn to social media. Leveraging social networks, such as through Popular Opinion Leaders (POLs), via social media can increase social support and destigmatize and normalize routine HIV testing. Despite its popularity, Instagram has not been utilized in HIV-focused interventions, including among Black SGMY. Instagram influencers are authentic and credible social media users who are, in essence, POLs. This project proposes to enhance the EHE-recommended POL intervention promoting routine HIV testing in Black SGMY in New Orleans. The project will employ 8 Black SGMY Instagram influencers to implement a novel, theoretically-grounded approach to crafting persuasive HIV testing messages to their followers. To this end, the candidate will: 1) Explore HIV testing attitudes and experiences and the use of non-stigmatizing Instagram messaging to increase routine HIV testing for Black SGMY in New Orleans; 2) Identify, recruit and train Black SGMY Instagram influencers on HIV knowledge and social-media based messaging strategies using a novel framework for persuasive messaging; 3) Co-develop and deliver persuasive routine HIV testing Instagram messages with Black SGMY Instagram influencers. A team of experienced mentors with expertise in Black SGMY health disparities, HIV intervention development, persuasion theory, social media messaging and community-based participatory research (CBPR) will guide the candidate through the research. The diverse training plan will consist of multidisciplinary didactic coursework, individualized training workshops and mentoring sessions, which will allow the candidate to: 1) Understand how the intersection of multiple stigmatized identities (i.e., racial, gender and sexual) and related experiences contribute to HIV-related disparities among Black SGMY; 2) Develop proficiency in persuasive social media-based health communication strategies; 3) Gain skills in the development/ adaptation, implementation and evaluation of interventions utilizing CBPR. This K01 award will give the candidate the additional skills and experience needed to achieve research independence.