Scott Judith C, Rocco Melanie, Kitchen Madison, Solomon-Brimage Natalie A, Chen Clara A, Latimer Jennifer M, Davies Gwen, Wheeler Jakevia, Furton Lindsey, Sprague Martinez Linda, Rajabiun Serena, Umrigar Ayesha, Walter Angela Wangari
Judith C. Scott is with the School of Social Work, Boston University, Boston, MA. Melanie Rocco and Linda Sprague Martinez are with the Health Disparities Institute, UConn Health, Hartford, CT. Madison Kitchen is with the Silver School of Social Work, New York University, New York, NY. Natalie A. Solomon-Brimage is with the Division of Policy and Data, HIV/AIDS Bureau, Clinical and Quality Branch, Health Resources and Services Administration, Rockville, MD. Clara A. Chen and Lindsey Furton are with Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, MA. Jennifer M. Latimer, Jakevia Wheeler, and Ayesha Umrigar are with the Institute of Women and Ethnic Studies, New Orleans, LA. Gwen Davies is with Positive Impact Health Centers, Decatur, GA. Serena Rajabiun and Angela Wangari Walter are with the Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell.
Am J Public Health. 2025 Apr;115(S1):S75-S84. doi: 10.2105/AJPH.2025.308037.
To explore intersectional stigma and sociodemographic characteristics, with consideration of US regional differences, among Black women with HIV enrolled in the Black Women First (BWF) initiative. In this prospective, nonrandomized study, participants' stigma scale responses and sociodemographic data were collected between May 2021 and August 2023. Participants participated in bundled interventions tailored to Black women's needs and local contexts during this time. Repeated measure models, adjusted for site clustering, were conducted with consideration of regional differences. There were significant sociodemographic and baseline stigma differences between Black women residing in the US South and other regions. By the 12-month follow-up timepoint, because of bundled interventions, stigma significantly reduced among Black women, especially women in the South and transgender women. Bundled interventions with stigma-reduction approaches that address intersectional stigma and consider geography may be an effective way to reduce and eliminate stigma for Black women with HIV. BWF aligns with the National HIV/AIDS Strategy (2022-2025), promoting the development and expansion of culturally sensitive, evidence-informed interventions to improve Black women's health outcomes. (. 2025;115(S1):S75-S84. https://doi.org/10.2105/AJPH.2025.308037).
为了探究交叉污名和社会人口学特征，并考虑美国地区差异，研究对象为参与“黑人女性优先”（BWF）倡议的感染艾滋病毒的黑人女性。在这项前瞻性、非随机研究中，于2021年5月至2023年8月期间收集了参与者的污名量表反应和社会人口学数据。在此期间，参与者参与了根据黑人女性需求和当地情况量身定制的综合干预措施。考虑到地区差异，采用了针对地点聚类进行调整的重复测量模型。居住在美国南部和其他地区的黑人女性在社会人口学和基线污名方面存在显著差异。到12个月的随访时间点，由于综合干预措施，黑人女性中的污名显著减少，尤其是南部的女性和跨性别女性。采用减少污名方法的综合干预措施，若能解决交叉污名并考虑地域因素，可能是减少和消除感染艾滋病毒的黑人女性污名的有效途径。BWF与《国家艾滋病毒/艾滋病战略（2022 - 2025年）》相一致，促进制定和扩大具有文化敏感性、基于证据的干预措施，以改善黑人女性的健康结果。（. 2025;115(S1):S75 - S84. https://doi.org/10.2105/AJPH.2025.308037）
