Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Health Educ Res. 2011 Jun;26(3):456-65. doi: 10.1093/her/cyr012. Epub 2011 Mar 10.
HIV-related stigma has been recognized as a significant public health issue, yet gaps remain in development and evaluation of mass media interventions to reduce stigma. The Malawi 'Radio Diaries' (RD) program features people with HIV telling stories about their everyday lives. This study evaluates the program's effects on stigma and the additional effects of group discussion. Thirty villages with 10 participants each were randomized to listen to RD only, to the program followed by group discussion or to a control program. Post-intervention surveys assessed four stigma outcomes: fear of casual contact, shame, blame and judgment and willingness to disclose HIV status. Regression analyses indicated that fear of casual contact was reduced by the intervention. Shame was reduced by the radio program, but only for those reporting prior exposure to the radio program and for those who did not have a close friend or relative with HIV. Shame was not reduced when the radio program was followed by discussion. The intervention reduced blame for men and not women and for younger participants but not older participants. Including people with HIV/AIDS in mass media interventions has potential to reduce stigma.
艾滋病毒相关的耻辱感已被确认为一个重大的公共卫生问题，但在开发和评估大众媒体干预措施以减少耻辱感方面仍存在差距。马拉维的“广播日记”（RD）项目以艾滋病毒感染者讲述他们日常生活中的故事为特色。本研究评估了该项目对耻辱感的影响，以及小组讨论的额外影响。将 30 个村庄的 10 名参与者随机分配到仅收听 RD、收听节目后参加小组讨论或收听对照组。干预后的调查评估了四个耻辱感结果：偶然接触的恐惧、羞耻、责备和判断以及透露艾滋病毒状况的意愿。回归分析表明，接触的恐惧因干预而减少。羞耻感因广播节目而减少，但仅针对那些之前接触过广播节目的人和那些没有亲密朋友或亲属感染艾滋病毒的人。当广播节目后进行讨论时，羞耻感并没有减少。该干预措施减少了对男性而非女性、对年轻参与者而非老年参与者的责备。让艾滋病毒/艾滋病感染者参与大众媒体干预措施有可能减少耻辱感。
