PS11-003 Minority AIDS Research Initiative

项目摘要/摘要 与艾滋病毒/艾滋病相关的反耻辱干预的大部分文献都侧重于减少 艾滋病毒携带者的耻辱。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，大多数人 大多数研究都是在国际上进行的。对于南方腹地的农村来说，情况尤其如此 在美国，非裔美国人中的疫情正在稳步上升。有一些文学作品 这表明，非裔美国人社区中与艾滋病毒/艾滋病相关的耻辱的主要来源之一是 有组织的教会。本研究建议开展和评估以信仰为基础的、与艾滋病毒/艾滋病相关的 阿拉巴马州农村10个非裔美国人教堂的污名干预，总体目标是减少 教会参与者中与艾滋病毒/艾滋病相关的污名。人们认为，实现这一短期目标最终可能 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、为期七周的培训 由加纳教会理事会制定的计划，并鼓励参与会众 在其会众内开展艾滋病毒/艾滋病预防活动，并欢迎艾滋病毒感染者加入 他们的会众。我们建议减少个人教会成员以及会众的耻辱。 通过各种措施蒙受耻辱，包括：1)艾滋病毒感染者的从属关系增加 通过对全州艾滋病消费者组织成员进行事前和事后调查举行集会；2) 使用Herek开发的工具，通过测试前和测试后的书面评估减少个人耻辱 埃特。2001年；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) 通过牧师前和牧师后活动增加参与会众内的艾滋病毒/艾滋病预防活动 采访。 拟议的试点研究具有极大的潜力，将对公众健康产生巨大影响，作为类似 在非洲裔美国人中疫情增长不成比例的地理区域。

Project Summary/Abstract 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.