Budhwani Henna, Hao Jiaying, Long Dustin M, Waters John, Varas-Díaz Nelson, Naar Sylvie, Nyblade Laura, Bond Christyenne L, Paulino-Ramirez Robert, Turan Janet M
Institute of Digital Health and Innovation, College of Nursing, Florida State University (FSU), Tallahassee, FL, USA.
Department of Biostatistics, University of Alabama at Birmingham (UAB), School of Public Health, Birmingham, AL, USA.
AIDS Care. 2025 Mar 26:1-9. doi: 10.1080/09540121.2025.2484311.
Eliminating stigmas that harm sexual and gender minorities (SGM) with HIV is necessary to end the epidemic; however, few validated stigma-reducing interventions for healthcare settings exist, and even fewer have been evaluated in Spanish-speaking contexts. Finding Respect and Ending Stigma around HIV (FRESH) is a healthcare setting stigma-reduction intervention that was adapted and tested to address HIV and intersectional stigmas that harm SGM with HIV in the Dominican Republic. Herein, we detail the intervention adaptation process and present feasibility, acceptability, and pre-post preliminary effectiveness results ascertained via paired t-tests. Twenty healthcare workers at HIV clinics and sixteen SGM with HIV received the intervention (N = 36). Among healthcare workers, intervention receipt was associated with reductions in negative opinions about people with HIV (PWH, < 0.05); among SGM PWH there were significant improvements in healthcare empowerment ( < 0.05) and awareness of clinic-based stigma ( < 0.05). Nearly 100% rated the intervention, content, or quality of information as excellent; 95% reported they would recommend FRESH to friends or colleagues. All participants felt the intervention helped them to "better understand and deal with stigma." The Spanish-language FRESH intervention is a promising stigma-reducing intervention for SGM PWH and healthcare workers. Future directions include intervention full-scale testing in Spanish-language settings.
消除对感染艾滋病毒的性少数群体和性别少数群体（SGM）造成伤害的污名，是终结这一流行病的必要条件；然而，针对医疗环境中减少污名的有效干预措施很少，在讲西班牙语的环境中进行评估的更少。“在艾滋病毒问题上寻求尊重并消除污名”（FRESH）是一种医疗环境中减少污名的干预措施，该措施经过调整和测试，以解决在多米尼加共和国伤害感染艾滋病毒的SGM的艾滋病毒和交叉污名问题。在此，我们详细介绍干预措施的调整过程，并展示通过配对t检验确定的可行性、可接受性以及前后初步有效性结果。20名艾滋病毒诊所的医护人员和16名感染艾滋病毒的SGM接受了该干预措施（N = 36）。在医护人员中，接受干预与对艾滋病毒感染者（PWH）负面看法的减少相关（P < 0.05）；在感染艾滋病毒的SGM中，医疗赋权（P < 0.05）和对基于诊所的污名的认识有显著改善（P < 0.05）。近100%的人将干预措施、信息内容或质量评为优秀；95%的人报告说他们会向朋友或同事推荐FRESH。所有参与者都认为该干预措施帮助他们“更好地理解和应对污名”。西班牙语的FRESH干预措施对于感染艾滋病毒的SGM和医护人员来说是一种有前景的减少污名的干预措施。未来的方向包括在讲西班牙语的环境中进行干预措施的全面测试。
