Bradley/Hasbro Children's Research Center, Rhode Island Hospital, Coro West Building, Suite 204, One Hoppin Street, Providence, RI 02903, USA.
AIDS Behav. 2012 Apr;16(3):571-7. doi: 10.1007/s10461-011-0101-1.
HIV-related stigma has been shown to impede HIV-antibody testing and safer sexual practices in adults. Less is known about its effects on prevention programs among at-risk youth. This study examined the longitudinal relationships between HIV-stigma and HIV-knowledge following completion of a validated group-based intervention. Data were provided by 1,654 African-American adolescents who participated in a large multi-city prevention trial (Project iMPACCS). Participants were randomly assigned to an empirically-validated skill-based intervention or a general health promotion control group. Both stigma and knowledge were assessed at baseline and post-intervention. Results suggested that adolescents participating in the intervention showed improvements in knowledge and decreases in stigma when compared to controls. Improvements in stigma appeared to be partly driven by improvements in knowledge. Higher baseline stigma was shown to reduce gains in knowledge in both the treatment and control groups. Results suggest that HIV-stigma can interfere with how youth identify with and internalize messages from group-based prevention trials.
艾滋病毒相关的耻辱感已被证明会阻碍成年人进行艾滋病毒抗体检测和采取更安全的性行为。但人们对其在高危青年预防项目中的影响知之甚少。本研究考察了在完成一项经过验证的基于小组的干预措施后，艾滋病毒耻辱感与艾滋病毒知识之间的纵向关系。这项研究的数据来自于 1654 名参加大型多城市预防试验（Project iMPACCS）的非裔美国青少年。参与者被随机分配到基于经验的基于技能的干预组或一般健康促进对照组。在基线和干预后都评估了耻辱感和知识。结果表明，与对照组相比，参加干预的青少年在知识方面有所提高，耻辱感有所下降。耻辱感的改善似乎部分是由于知识的提高。较高的基线耻辱感表明，在治疗组和对照组中，知识的提高都会减少。结果表明，艾滋病毒耻辱感会干扰年轻人对基于小组的预防试验的认同和内化信息的方式。
