Health Promotion and Behavioral Sciences, School of Public Health and Information Sciences, University of Louisville, Louisville, KY, USA.
Women's Health in Women's Hands Community Health Centre, Toronto, Canada.
AIDS Care. 2021 Dec;33(12):1636-1641. doi: 10.1080/09540121.2021.1871723. Epub 2021 Jan 14.
HIV-related stigma impedes adoption and implementation of effective HIV prevention and treatment strategies. It may also exacerbate racial/ethnic HIV disparities. Given high levels of religious observance within African, Caribbean, and Black (ACB) communities and the social capital that faith-based organizations hold, these entities may be promising venues for stigma-remediation and effective partners in community-based, HIV-focused programing. However, more research is needed to understand HIV-related stigma in these institutions. This study examines HIV-related stigma among six ACB churches in Ontario, Canada. Surveys were distributed to ACB attendees ( = 316) and linear regressions determined relationships between HIV-related stigma and stigma subdomains with demographics, greater disagreement with same-sex relationships, HIV knowledge, and religiosity. Greater disagreement with same-sex relationships was the only variable associated with the HIV-related stigma scale and all of its subscales. Age, gender, HIV knowledge, religiosity, contact with persons living with HIV, and length of time in Canada were associated with varying aspects of HIV-related stigma. Findings can inform the development of HIV-related stigma interventions and the characteristics of individuals these efforts should target to achieve maximum impact.
艾滋病毒相关耻辱感阻碍了有效的艾滋病毒预防和治疗策略的采用和实施。它也可能加剧种族/族裔艾滋病毒差距。鉴于非洲、加勒比和黑人(ACB)社区内的宗教信仰程度很高,以及信仰组织拥有的社会资本,这些实体可能是消除耻辱感和在以社区为基础、以艾滋病毒为重点的方案中成为有效伙伴的有希望的场所。然而,需要进行更多的研究,以了解这些机构中的艾滋病毒相关耻辱感。本研究考察了加拿大安大略省六所 ACB 教堂中的艾滋病毒相关耻辱感。向 ACB 与会者( = 316)分发了调查,并进行线性回归,以确定艾滋病毒相关耻辱感与耻辱感亚领域与人口统计学、与同性关系的更大分歧、艾滋病毒知识和宗教信仰之间的关系。与同性关系的更大分歧是与艾滋病毒相关耻辱感量表及其所有子量表相关的唯一变量。年龄、性别、艾滋病毒知识、宗教信仰、与艾滋病毒感染者的接触以及在加拿大的时间长短与艾滋病毒相关耻辱感的不同方面有关。研究结果可以为艾滋病毒相关耻辱感干预措施的制定以及这些努力应针对的个人特征提供信息,以实现最大影响。