Derose Kathryn P, Griffin Beth Ann, Kanouse David E, Bogart Laura M, Williams Malcolm V, Haas Ann C, Flórez Karen R, Collins Deborah Owens, Hawes-Dawson Jennifer, Mata Michael A, Oden Clyde W, Stucky Brian D
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407-2138, USA.
RAND Corporation, Arlington, VA, USA.
AIDS Behav. 2016 Aug;20(8):1692-705. doi: 10.1007/s10461-015-1280-y.
HIV-related stigma and mistrust contribute to HIV disparities. Addressing stigma with faith partners may be effective, but few church-based stigma reduction interventions have been tested. We implemented a pilot intervention with 3 Latino and 2 African American churches (4 in matched pairs) in high HIV prevalence areas of Los Angeles County to reduce HIV stigma and mistrust and increase HIV testing. The intervention included HIV education and peer leader workshops, pastor-delivered sermons on HIV with imagined contact scenarios, and HIV testing events. We surveyed congregants at baseline and 6 month follow-up (n = 1235) and found statistically significant (p < 0.05) reductions in HIV stigma and mistrust in the Latino intervention churches but not in the African American intervention church nor overall across matched African American and Latino pairs. However, within matched pairs, intervention churches had much higher rates of HIV testing (p < 0.001). Stigma reduction and HIV testing may have synergistic effects in community settings.
与艾滋病病毒相关的耻辱感和不信任加剧了艾滋病病毒感染方面的差异。与宗教伙伴共同应对耻辱感可能会有效果,但很少有基于教会的减少耻辱感干预措施经过检验。我们在洛杉矶县艾滋病病毒高流行地区对3个拉丁裔教会和2个非裔美国教会(4个为配对教会)实施了一项试点干预措施,以减少艾滋病病毒耻辱感和不信任,并增加艾滋病病毒检测。干预措施包括艾滋病病毒教育和同伴领袖研讨会、牧师关于艾滋病病毒的布道及想象接触情景,以及艾滋病病毒检测活动。我们在基线和6个月随访时对会众进行了调查(n = 1235),发现拉丁裔干预教会中艾滋病病毒耻辱感和不信任在统计学上有显著降低(p < 0.05),但在非裔美国干预教会中以及在配对的非裔美国教会和拉丁裔教会总体上没有降低。然而,在配对教会中,干预教会的艾滋病病毒检测率要高得多(p < 0.001)。减少耻辱感和艾滋病病毒检测在社区环境中可能具有协同效应。