Department of Global and Community Health, George Mason University, Fairfax, VA, USA.
Department of Social Medicine, University of North Carolina Chapel Hill, NC, USA.
Am J Health Promot. 2022 Jan;36(1):155-164. doi: 10.1177/08901171211041097. Epub 2021 Aug 19.
The incidence of new HIV infections is disproportionately high among Black men who have sex with men (BMSM) in Mississippi. Community-based organizations received funding through the ACCELERATE! initiative to implement interventions aimed at increasing BMSM's access to HIV prevention, treatment and care interventions.
We conducted a mixed methods evaluation of the ACCELERATE! initiative to assess its impact. We also explored factors that act as barriers to and facilitators of BMSM's engagement in HIV prevention interventions.
Interviews were conducted between July 2018 and February 2020.
Thirty-six BMSM and 13 non-grantee key informants who worked in the field of HIV in Mississippi participated.
The qualitative data from the interview transcripts was analyzed using an iterative, inductive coding process.
We identified 10 key recommendations that were most common across all participants and that were aligned with UNAIDS Global AIDS Strategy strategic priorities. Several recommendations address the reduction of HIV- and LGBT-stigma. Two of the most common recommendations were to increase representation of the target population in health promotion program leadership and to include HIV with other Black health issues in community-based health education programs rather than singling it out. Another recommendation called for programs aimed at addressing underlying factors associated with HIV-risk behaviors, such as mental illness.
Our results indicate that HIV education interventions in the Deep South need to be revitalized to enhance their reach and effectiveness.
在密西西比州，与男性发生性关系的黑人男性（BMSM）中新感染艾滋病毒的比例过高。社区组织通过“加速！”倡议获得资金，以实施旨在增加 BMSM 获得艾滋病毒预防、治疗和护理干预的干预措施。
我们对“加速！”倡议进行了混合方法评估，以评估其影响。我们还探讨了阻碍和促进 BMSM 参与艾滋病毒预防干预措施的因素。
36 名 BMSM 和 13 名在密西西比州从事艾滋病毒领域工作的非受赠方主要信息提供者参加了此次评估。
我们确定了 10 项最常见的建议，这些建议在所有参与者中都很常见，并且符合联合国艾滋病规划署全球艾滋病战略战略重点。一些建议旨在减少艾滋病毒和 LGBT 污名化。两个最常见的建议是增加目标人群在健康促进计划领导中的代表性，并将艾滋病毒与其他黑人健康问题纳入社区健康教育计划中，而不是将其单独列出。另一个建议是针对与艾滋病毒风险行为相关的潜在因素的方案，如精神疾病。
我们的研究结果表明，需要振兴南部地区的艾滋病毒教育干预措施，以提高其覆盖面和有效性。
