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

项目总结 这一K01奖项的指导、培训和研究相结合将支持候选人的长期 制定影响大、社区参与的艾滋病毒健康差距和以社交媒体为基础的目标 研究的重点是南方有色人种的性和性别少数民族青年(SGMY)。艾滋病毒仍然是一个 南方黑人SGMY潜在的公共卫生问题。诊断是人类社会的四大支柱之一 结束艾滋病毒流行(EHE)倡议和常规检测显然是这一人群的优先事项。 很少或从未进行艾滋病毒检测与黑人SGMY的高感染率有关。例程 艾滋病毒检测可以为高危人群或早期人群提供与艾滋病毒预防服务相联系的中心通道 获得对那些不知道自己状况的人的护理；然而，与耻辱相关的检测障碍依然存在(例如， 内在化的同性恋恐惧症、艾滋病毒相关的耻辱)。被污名化的黑色SGMY可能更孤立和许多 求助于社交媒体。利用社交网络，例如通过大众舆论领袖(POL)，通过 社交媒体可以增加社会支持，使常规艾滋病毒检测不受歧视并正常化。尽管它的 尽管Instagram很受欢迎，但尚未被用于针对艾滋病毒的干预措施，包括在黑人SGMY中。 影响Instagram的人是真实可信的社交媒体用户，本质上是政客。这个项目 建议加强EHE建议的POL干预，促进黑人常规艾滋病毒检测 新奥尔良的SGMY。该项目将雇佣8名黑人SGMY Instagram影响者来实施一部小说， 向他们的追随者发送有说服力的艾滋病毒检测信息的理论上的方法。对这件事 最后，应聘者将：1)探索艾滋病毒检测的态度和经验以及非污名化的使用 Instagram消息将增加新奥尔良黑人SGMY的常规艾滋病毒检测；2)识别、招募 并培训黑人SGMY Instagram影响者有关艾滋病毒知识和基于社交媒体的消息 使用新的说服性消息传递框架的策略；3)共同开发和提供说服性例程 与黑人SGMY Instagram影响者一起测试Instagram消息。一支经验丰富的导师团队 拥有黑人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)将指导应聘者通过 这项研究。多样化的培训计划将包括多学科、个性化的教学课程 培训研讨会和指导会议，这将使应聘者：1)了解 多种污名化身份(即种族、性别和性)和相关经历的交集 在黑人SGMY中造成与艾滋病毒相关的差异；2)培养具有说服力的社交能力 以媒体为基础的健康传播战略；3)获得发展/适应的技能， 利用CBPR实施和评估干预措施。这一K01奖项将给予候选人 获得研究独立性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.