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A Novel Intersectional HIV Stigma Measure in South Africa

南非一项新的跨艾滋病毒耻辱衡量标准

基本信息

批准号：
10402635
负责人：
Renee El-krab
金额：
$ 4.3万
依托单位：
UNIVERSITY OF CONNECTICUT STORRS
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-01-26 至 2025-01-25
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10402635
关键词：
AIDS prevention Address Adherence Africa South of the Sahara Behavior Therapy Black race Caring Clinic Clinical Continuity of Patient Care Country Data Dimensions Drug usage Environment Epidemic Failure Feedback Fellowship Funding Gender HIV HIV Infections HIV Seropositivity HIV therapy Health Heterosexuals Homophobia Income Individual International Intervention Interview Joints Measurement Measures Mentors National Institute of Mental Health Outcome Participant Patients Performance Persons Phase Population Poverty Prevalence Prospective Studies Psychometrics Reporting Research Research Infrastructure Research Personnel Research Project Grants Resources Sampling Sex Orientation Sexism South Africa South African Stigmatization Testing Time Traction Treatment Failure United States United States National Institutes of Health Validity and Reliability Viral Woman alcohol and other drug antiretroviral therapy base doctoral student experience falls forging high risk men improved insight interest intersectionality knowledge base low income country men novel novel strategies pre-doctoral recruit response sexual minority men social social health determinants social stigma sound therapy adherence training project transmission process treatment adherence treatment research uptake

项目摘要

The social stigmatization of HIV impedes every step along the HIV continuum of care, including accessing HIV care, adhering to antiretroviral therapy (ART), and sustaining HIV viral suppression. HIV stigma also intersects with other stigmatized identities, such as gender and sexual orientation, with intersectional stigma creating unique experiences and barriers to HIV care. Research investigating intersectional stigma is gaining traction in high-income countries, however, studies of intersectional stigma across internalized, enacted, and anticipated stigma mechanisms remains limited, and has not yet been reported in the low-income countries of sub- Saharan Africa. Thus, while behavioral interventions to reduce the effects of HIV stigma are essential to ending HIV epidemics, studies have not yet identified intersecting stigmatized identities and their impacts on ART adherence in countries with high-HIV prevalence, such as South Africa. The absence of empirically validated psychometric measures of intersectional HIV stigma is hampering research and interventions in places with the greatest need. The proposed fellowship leverages an existing research infrastructure and project resources in South Africa to conduct two-phases of intersectional stigma research. Phase 1 will conduct elicitation interviews with women, sexual minority men, and heterosexual men receiving ART from an HIV clinic in Cape Town, South Africa. The interviews will probe participants’ experiences with respect to intersecting stigmatized identities. Insights gained from the interviews will inform the selection and tailoring of stigma scale items. An independent sample of clinic patients will provide feedback on the items and the identified stigmatized identities will be implemented in a novel approach to assessing intersectional stigma using a geometric conceptualization of intersectionality grounded in the HIV Stigma Framework to assess intersectional internalized, enacted, and anticipated stigma. In Phase 2, the newly developed intersectional stigma scales will be tested for reliability, construct validity, and predictive validity in a short-term prospective study of women, sexual minority men, and heterosexual men in HIV care and receiving ART. The completion of the study aims will offer a novel approach to assessing intersectional HIV stigma in South Africa that will inform behavioral interventions to promote ART uptake and adherence.

对艾滋病毒的社会污名化阻碍了艾滋病毒连续治疗的每一步，包括获得艾滋病毒