Cody Shameka L, Paxton Raheem J, Woodard Hannah, Payne-Foster Pamela
Assistant Professor, Capstone College of Nursing, The University of Alabama, 650 University Blvd E., Tuscaloosa, AL, Tel: (205) 348-3374 , Email:
Associate Professor, College of Community Health Services, The University of Alabama School of Medicine, Northeast Medical Center, 211 Peter Bryce Boulevard, Tuscaloosa, AL 35487, Tel: (205) 348-6857, Email:
J Healthc Sci Humanit. 2021 Fall;11(1):259-274.
HIV incidence has shifted racially and geographically in the United States and now represents higher proportions of African Americans living in the Rural South. Lower levels of HIV knowledge may be the culprit behind the increasing HIV rates observed in the Rural South. The purpose of this study was to investigate the individual and joint correlates of HIV knowledge in a sample of rural African Americans. Baseline data from a faith-based anti-stigma intervention (Project FAITHH, N= 210) was used to assess associations between sociodemographic characteristics, spirituality, stigma, and HIV knowledge scores. Associations were examined with recursive partitioning. Statistical significance was determined at P< 0.05 with a two-sided test. Recursive partitioning revealed five distinct groups based on the data. HIV knowledge scores were highest among participants who attended some college (P < 0.001) with lower levels of individual stigma (P < 0.001). HIV knowledge scores were lowest among less educated individuals (P < 0.001) who had lower levels of perceived community stigma (P = 0.002). Future interventions designed to improve HIV knowledge in rural African Americans should consider tailoring content to those who have the greatest deficits in HIV knowledge, which may be based on perceived community stigma and education levels.
在美国，艾滋病毒感染率在种族和地理分布上发生了变化，目前在生活在南部农村地区的非裔美国人中占比更高。艾滋病毒知识水平较低可能是南部农村地区艾滋病毒感染率上升的原因。本研究的目的是调查农村非裔美国人样本中艾滋病毒知识的个体和联合相关因素。来自一项基于信仰的反耻辱干预项目（FAITHH项目，N = 210）的基线数据用于评估社会人口学特征、灵性、耻辱感和艾滋病毒知识得分之间的关联。通过递归划分来检验关联。双侧检验确定P < 0.05时具有统计学意义。递归划分根据数据揭示了五个不同的组。在接受过一些大学教育（P < 0.001）且个人耻辱感较低（P < 0.001）的参与者中，艾滋病毒知识得分最高。在受教育程度较低（P < 0.001）且社区耻辱感较低（P = 0.002）的个体中，艾滋病毒知识得分最低。未来旨在提高农村非裔美国人艾滋病毒知识的干预措施应考虑根据艾滋病毒知识缺陷最大的人群来调整内容，这可能基于社区耻辱感和教育水平。
