Reducing HIV Stigma to Improve Health Outcomes for African-American Women

减少艾滋病毒耻辱，改善非裔美国妇女的健康状况

• 批准号: 8551700
• 负责人: Deepa Rao
• 金额: $ 52.05万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-26 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8551700
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Adherence; African American; Age; Alabama; Anti-Retroviral Agents; Behavior Therapy; Caring; Cause of Death; Centers for Disease Control and Prevention (U.S.); Chicago; Clinic; Educational workshop; Effectiveness; Ethnic group; Feedback; Goals; HIV; Health; Health Personnel; Health Services Accessibility; Hour; Illinois; Individual; Institution; Intervention; Intervention Studies; Intervention Trial; Life; Link; Methods; Morbidity - disease rate; Multimedia; Names; Outcome; Participant; Pharmaceutical Preparations; Race; Randomized; Randomized Clinical Trials; Reporting; Research; Research Personnel; Resources; Review Literature; Testing; Universities; Viral Load result; Washington; Woman; Work; base; design; disorder prevention; effective intervention; expectation; improved; international center; literacy; medication compliance; mortality; multidisciplinary; peer; psychologic; public health relevance; social stigma; statistics; trend

DESCRIPTION (provided by applicant): The US Centers for Disease Control and Prevention presented alarming statistics demonstrating that for nearly a decade, HIV and AIDS had been the leading cause of death for African American women between the ages of 25 and 34. This trend has continued. A growing body of research has shown that the stigma internalized by people living with HIV (PLWH) undermines adherence to lifesaving antiretroviral medications, particularly for African Americans. Given the clear link between stigma and treatment utilization, it is clear that to improve engagement to care, we must provide proven, effective interventions to reduce HIV-related stigma. To begin to respond to this need, our research group has taken a well-utilized intervention, the International Center for Research on Women's HIV Stigma Toolkit, and converted it into a literacy-sensitive, multimedia, internalized stigma reduction intervention that can be implemented through an eight-hour workshop. Our approach makes use of Corrigan's best practices for 'Strategic Stigma Change,' and emphasizes making contact with PLWH through peer facilitation and active participation. In particular, we adapted the intervention for African American women living with HIV. A feasibility pilot test of the interventin (named the "Unity Workshop" based on participant feedback) in Seattle, Washington, produced encouraging results. As the next step, we propose to conduct a randomized clinical trial to establish effectiveness and to better understand barriers to, and facilitators of, stigma reduction Our study team is comprised of experts in stigma reduction, adherence, engagement in care, peer-led behavioral interventions, and intervention research. They are based at the University of Washington, University of Alabama, and Northwestern University (Chicago), institutions with extensive resources for HIV-related research. We expect that the Unity Workshop will demonstrate effectiveness in reducing internalized stigma through an easily-disseminated method, and that it will have a positive impact on adherence and engagement in care for African American women living with HIV.

描述（由申请人提供）：美国疾病控制与预防中心提供的令人震惊的统计数据表明，近十年来，艾滋病毒和艾滋病一直是 25 至 34 岁非裔美国女性死亡的主要原因。这一趋势仍在继续。越来越多的研究表明，艾滋病毒感染者（PLWH）内在的耻辱影响了人们对救生抗逆转录病毒药物的坚持，尤其是对非裔美国人而言。鉴于耻辱与治疗利用之间的明确联系，很明显，为了提高护理参与度，我们必须提供经过验证的有效干预措施，以减少与艾滋病毒相关的耻辱。为了开始满足这一需求，我们的研究小组采取了一种充分利用的干预措施，即国际妇女艾滋病毒耻辱研究中心工具包，并将其转变为一种识字敏感、多媒体、内化的减少耻辱干预措施，可以通过八小时的研讨会实施。我们的方法利用了 Corrigan 的“战略性耻辱改变”最佳实践，并强调通过同伴协助和积极参与与 PLWH 建立联系。我们特别调整了针对感染艾滋病毒的非裔美国妇女的干预措施。在华盛顿州西雅图进行的干预措施可行性试点测试（根据参与者的反馈被命名为“Unity Workshop”）取得了令人鼓舞的结果。下一步，我们建议进行一项随机临床试验，以确定有效性，并更好地了解减少耻辱的障碍和促进因素。我们的研究团队由减少耻辱、依从性、参与护理、同伴主导的行为干预和干预研究方面的专家组成。他们的总部设在华盛顿大学、阿拉巴马大学和西北大学（芝加哥），这些机构在艾滋病毒相关研究方面拥有广泛的资源。我们期望团结研讨会将通过易于传播的方法有效减少内在的耻辱，并将对感染艾滋病毒的非洲裔美国妇女的依从性和参与度产生积极影响。