Derose Kathryn P, Berkley-Patton Jannette, Thompson Carole Bowe, Burgin Tacia, Hamilton-Burgess Chavon, Williams Eric, Wainright Cassandra, Simon Stephen, Allsworth Jenifer E
Department of Health Promotion & Policy, University of Massachusetts Amherst, 715 N. Pleasant St, Amherst, MA, 01003, USA.
Department of Behavioral and Policy Sciences, RAND, 1776 Main Street, Santa Monica, CA, USA.
J Racial Ethn Health Disparities. 2025 Apr 25. doi: 10.1007/s40615-025-02436-3.
HIV-related stigmas contribute to HIV disparities, which faith-based organizations could address, but few studies have measured faith-based HIV intervention effects on HIV-related stigmas.
Taking It to the Pews (TIPS) is a multilevel, religiously tailored HIV prevention intervention developed and implemented with faith leaders. Over 12 months, trained church health liaisons implemented the TIPS Toolkit (e.g., HIV sermon guides and responsive readings, testimonials) with the primary aim of increasing HIV testing. A cluster randomized controlled trial with 14 predominantly African American churches in Kansas City, MO, compared TIPS to a non-tailored, multilevel HIV education intervention; both intervention and comparison groups offered church-based HIV testing events with the local health department. We examined whether TIPS affected HIV stigma among congregants and community members, specifically, HIV discomfort (5-item scale), anticipated HIV stigma (4-item scale), and overall HIV stigma (11-item scale), while controlling for known correlates of HIV stigma.
We recruited 1491 church and community members at 14 churches. Compared to standard HIV education, TIPS did not decrease HIV discomfort or overall HIV stigma and did increase anticipated HIV stigma. A secondary analysis found that among intervention participants, intervention exposure was associated lower stigma and higher HIV knowledge, with HIV testing events and information from health professionals or HIV + people being particularly influential.
Direct contact with health professionals and HIV + people can help reduce stigma among church-affiliated populations, but broader exposure and strategies are needed for congregation-level stigma. Stigma reduction and HIV testing may have synergistic effects in faith-based settings.
与艾滋病病毒相关的污名化加剧了艾滋病病毒防治方面的差距，基于宗教的组织可以解决这一问题，但很少有研究衡量基于宗教的艾滋病病毒干预措施对与艾滋病病毒相关污名化的影响。
“带进教堂长椅”（TIPS）是一项多层次、根据宗教定制的艾滋病病毒预防干预措施，由宗教领袖参与制定和实施。在12个月的时间里，经过培训的教会健康联络人实施了TIPS工具包（如艾滋病病毒布道指南、回应式读物、见证），主要目的是增加艾滋病病毒检测。在密苏里州堪萨斯城对14所主要为非裔美国人的教会进行了一项整群随机对照试验，将TIPS与一项非定制的多层次艾滋病病毒教育干预措施进行比较；干预组和对照组都与当地卫生部门合作举办了基于教会的艾滋病病毒检测活动。我们研究了TIPS是否影响了会众和社区成员中的艾滋病病毒污名化，具体而言，即艾滋病病毒不适感（5项量表）、预期的艾滋病病毒污名化（4项量表）和总体艾滋病病毒污名化（11项量表），同时控制已知的艾滋病病毒污名化相关因素。
我们在14所教会招募了1491名教会和社区成员。与标准的艾滋病病毒教育相比，TIPS并没有降低艾滋病病毒不适感或总体艾滋病病毒污名化，反而增加了预期的艾滋病病毒污名化。一项二次分析发现，在干预参与者中，接触干预措施与较低的污名化和较高的艾滋病病毒知识相关，其中艾滋病病毒检测活动以及来自卫生专业人员或艾滋病病毒感染者的信息特别有影响力。
与卫生专业人员和艾滋病病毒感染者直接接触有助于减少教会附属人群中的污名化，但对于教会层面的污名化，需要更广泛的接触和策略。在基于宗教的环境中，减少污名化和艾滋病病毒检测可能具有协同效应。
