Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE Mailstop US8 - 5, Atlanta, GA, 30329, USA.
U.S. Public Health Service, Washington, D.C., USA.
AIDS Behav. 2022 Jan;26(Suppl 1):51-89. doi: 10.1007/s10461-021-03358-x. Epub 2021 Jul 14.
Stigma may contribute to HIV disparities for men who have sex with men (MSM). This systematic review quantified the effects of HIV stigma interventions for MSM on stigma and sex risk. We conducted a systematic search to identify US-based studies published between 2000 and June 2019 focused on HIV and MSM, and either measured stigma pre-post or included a stigma intervention component. Twenty-nine articles, representing 26 unique studies met inclusion criteria. Random effect models showed no intervention effect for reducing stigma and a non-significant increase in HIV testing. Significant decreases in condomless sex with males, condomless sex with females, and substance-influenced sex were found. Few intervention studies measured stigma pre-post. Findings suggest that including a stigma reduction component in interventions can improve HIV testing and reduce sex risk for MSM. Developing interventions to address stigma may be important in decreasing HIV infection among MSM and ending the HIV epidemic.
污名可能导致男男性行为者（MSM）中 HIV 之间的差异。本系统评价定量了针对 MSM 的 HIV 污名干预对污名和性风险的影响。我们进行了系统搜索，以确定 2000 年至 2019 年 6 月期间在美国发表的、以 HIV 和 MSM 为重点、测量污名前后变化或包含污名干预内容的研究。有 29 篇文章，代表 26 项独特的研究符合纳入标准。随机效应模型显示，干预措施对减少污名没有影响，HIV 检测也没有显著增加。发现与男性发生无保护性行为、与女性发生无保护性行为以及受物质影响的性行为显著减少。很少有干预研究测量污名前后变化。研究结果表明，在干预措施中纳入减少污名的内容可以改善 HIV 检测，并降低 MSM 的性风险。针对污名问题制定干预措施可能对减少 MSM 中的 HIV 感染和结束 HIV 疫情至关重要。
