PS11-003 Minority AIDS Research Initiative

PS11-003 少数民族艾滋病研究计划

• 批准号: 8213269
• 负责人: PAMELA H FOSTER
• 金额: $ 13.26万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8213269
• 关键词: PS11; 003; Minority; AIDS; Research

DESCRIPTION (provided by applicant): Most of the literature in HIV/AIDS related anti-stigma interventions have focused on strategies to decrease stigma in those living with HIV. Very few have targeted community-based, HIV/AIDS-related stigma and most of the studies have been conducted internationally. This is especially true for the rural Deep South in the United States, where the epidemic is steadily increasing among African Americans. There is some literature that suggests that one of the major sources of HIV/AIDS-related stigma in the African American community is the organized church. This study proposes conducting and evaluating a faith-based, HIV/AIDS-related anti- stigma intervention in 10 African American churches in rural Alabama with the overall goal of decreasing HIV/AIDS-related stigma in church participants. It is believed that reaching this short-term goal could eventually decrease HIV rates in this population. The intervention is multifaceted in its approach and includes HIV/AIDS education, a seven-week training program developed by the Council of Churches in Ghana, and encouragement of participating congregations to conduct HIV/AIDS prevention activities within their congregation, as well as to welcome HIV+ persons into their congregations. We propose to decrease stigma in individual church members as well as congregational stigma through a variety of measures including: 1) increases in affiliation of HIV+ persons with participating congregations via pre- and post-surveys of members of the statewide AIDS consumer organization; 2) decreases in individual stigma through pre- and post-test written assessment using a tool developed by Herek et. al., 2001; 3) increases in HIV/AIDS knowledge through pre- and post-test written assessment; and 4) increases in HIV/AIDS prevention activities within participating congregations through pre- and post-pastor interviews. The proposed pilot study has great potential for an enormous public health impact as a model for similar geographic areas where the epidemic is growing disproportionately in African Americans. PUBLIC HEALTH RELEVANCE: It is believed that this pilot study has great relevance in public health for a number of reasons. First, it addresses a major health disparity in the United States, where African Americans are disproportionately affected by HIV/AIDS than any other ethnic/racial group, more prominently in this geographic area of the United States, the rural Deep South. It is also relevant because it targets the Black church, which could play an influential role in decreasing community stigma as well as provide more opportunities to support the needs of those infected with the disease.

描述(由申请人提供)：与艾滋病毒/艾滋病相关的反耻辱干预措施的大部分文献都侧重于减少艾滋病毒携带者的耻辱的战略。很少有人针对以社区为基础的、与艾滋病毒/艾滋病相关的耻辱，而且大多数研究都是在国际上进行的。在美国南方腹地的农村地区尤其如此，那里的非裔美国人中的疫情正在稳步上升。有一些文献表明，非裔美国人社区中与艾滋病毒/艾滋病有关的耻辱的主要来源之一是有组织的教会。这项研究建议在阿拉巴马州农村的10个非裔美国人教堂中开展和评估基于信仰的艾滋病毒/艾滋病相关反耻辱干预措施，总体目标是减少教会参与者中与艾滋病毒/艾滋病相关的耻辱。人们认为，实现这一短期目标最终可能会降低这一人群中的艾滋病毒感染率。干预的方法是多方面的，包括艾滋病毒/艾滋病教育，加纳教会理事会制定的为期七周的培训计划，以及鼓励参与的会众在其会众内开展艾滋病毒/艾滋病预防活动，以及欢迎艾滋病毒+者加入他们的会众。我们建议通过各种措施减少个人教会成员的耻辱以及会众的耻辱，包括：1)通过对全州范围的艾滋病消费者组织成员进行前后调查，增加参与会众的艾滋病毒携带者的从属关系；2)通过使用Herek et开发的工具进行测试前和测试后的书面评估，减少个人耻辱。(3)通过测试前和测试后的书面评估增加艾滋病毒/艾滋病知识；和(4)通过牧师前后面谈增加参与会众内的艾滋病毒/艾滋病预防活动。拟议的试点研究具有极大的潜力，可能会对公共卫生产生巨大影响，作为类似地理区域的模式，在这些地区，非裔美国人的疫情正在不成比例地增长。 公共卫生相关性：人们认为这项先导研究在公共卫生方面有很大的相关性，原因有很多。首先，它解决了美国的一个重大健康差距，在那里，非裔美国人受到艾滋病毒/艾滋病的影响比任何其他族裔/种族群体都不成比例，在美国的这个地理区域--南方腹地的农村地区尤为突出。它还具有相关性，因为它针对的是黑人教会，它可以在减少社区耻辱方面发挥有影响力的作用，并提供更多机会来支持感染该疾病的人的需求。