University of Massachusetts Amherst, Department of Health Promotion and Policy and the RAND Corporation.
University of Missouri-Kansas City, School of Medicine.
AIDS Educ Prev. 2023 Feb;35(1):54-68. doi: 10.1521/aeap.2023.35.1.54.
HIV-related stigmas contribute to disparities, and contact with HIV-positive individuals has been suggested to reduce stigma. Faith-based organizations have been recognized as important to stigma reduction efforts among African American populations; however, relatively few church-based studies have measured HIV-related stigma. This study uses baseline data ( = 1,448) from a study with 14 African American churches in Kansas City, Missouri and Kansas, to examine correlates of HIV-related stigmas among church members and community members accessing church social services using two previously validated scales that measure discomfort interacting with individuals with HIV and anticipated stigma or rejection. Knowing someone with HIV was associated with lower discomfort, even after adjusting for sociodemographic characteristics and sexual risk, HIV knowledge, previous communication about HIV at church, and mean drug and homosexuality stigmas. Knowing someone with HIV was not associated with anticipated stigma or rejection after adjustment. Contact-based interventions hold promise for reducing discomfort around people with HIV among church-affiliated populations.
HIV 相关污名导致了差异,与 HIV 阳性个体接触被认为可以减少污名。信仰组织已被公认为减少非裔美国人中污名的重要力量;然而,相对较少的教会研究测量了与 HIV 相关的污名。本研究使用密苏里州堪萨斯城和堪萨斯州的 14 个非裔美国教堂的一项研究的基线数据(n=1448),使用两个先前验证的量表来测量教堂成员和社区成员在使用教会社会服务时与 HIV 相关的污名,这两个量表衡量与 HIV 感染者互动时的不适以及对预期的污名或拒绝的恐惧。即使在调整了社会人口特征和性行为风险、HIV 知识、在教堂进行的 HIV 相关沟通以及平均药物和同性恋污名后,认识 HIV 感染者也与较低的不适相关。调整后,认识 HIV 感染者与预期的污名或拒绝无关。基于接触的干预措施有望减少与教会相关人群中对 HIV 感染者的不适。