Adams Brian, Krier Sarah, Netto Jess, Feliz Nayck, Friedman M Reuel
Department of Infectious Diseases and Microbiology and the Center for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Community Human Services, Inc., Pittsburgh.
AIDS Educ Prev. 2018 Aug;30(4):309-321. doi: 10.1521/aeap.2018.30.4.309.
Young Black men who have sex with men (MSM) and transgender people experience disparities in HIV incidence and HIV outcomes. To effectively engage these communities in HIV-related programming, we developed a recreation-based community health space. We sought to examine the challenges and successes in implementing this program. Qualitative data were collected from federal progress reports and by a process evaluator who recorded interviews with staff, stakeholders, and participants. These data were coded for themes related to barriers and successes. We consolidated themes into four key domains: community engagement, service provision, stigma, and violence. Each of these domains was determined to significantly affect programmatic success during the implementation period. Young Black MSM and transgender people experience stigmas that pose challenges to effective engagement in HIV-related programming. These lessons learned offer strategies for community engagement and for addressing violence and stigma to maximize programmatic effectiveness.
与男性发生性关系的年轻黑人男性（男男性行为者）和跨性别者在艾滋病毒感染率和艾滋病毒治疗结果方面存在差异。为了有效地让这些社区参与与艾滋病毒相关的项目，我们开发了一个以娱乐为基础的社区健康空间。我们试图研究实施该项目过程中的挑战和成功之处。定性数据来自联邦进展报告，以及由一名过程评估员收集，该评估员记录了对工作人员、利益相关者和参与者的访谈。这些数据针对与障碍和成功相关的主题进行了编码。我们将主题整合为四个关键领域：社区参与、服务提供、耻辱感和暴力。在实施期间，确定这些领域中的每一个都会对项目的成功产生重大影响。年轻的黑人男男性行为者和跨性别者面临耻辱感，这对有效参与与艾滋病毒相关的项目构成挑战。这些经验教训提供了社区参与策略，以及应对暴力和耻辱感的策略，以最大限度地提高项目成效。
