Ending the HIV and Stigma Syndemic: Re-framing Health Education Content for Southern Black Churches

结束艾滋病毒和耻辱综合症：重新构建南方黑人教会的健康教育内容

• 批准号: 10395913
• 负责人: LATRICE C. PICHON
• 金额: $ 34.89万
• 依托单位: UNIVERSITY OF MEMPHIS
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10395913
• 关键词: Ending; HIV; Stigma; Syndemic; Re

PROJECT SUMMARY In response to RFA-PS-21-001 Minority HIV Research Initiative (MARI), the goal of this application is to use community-based participatory research and intervention mapping to address priorities of Ending the HIV Epidemic (EHE): A Plan for America. We will use the 3-year period to leverage HIV surveillance data and photovoice narratives of internalizations of stigma experienced by PLWH to inform, implement, and evaluate a biblically-inspired, church-based intervention tailored for predominantly Black religious congregations located in the Memphis metropolitan area, which has been identified as a high burden EHE jurisdiction in the Deep South. In Phase 1, we will analyze community surveillance data to identify protective factors and behavioral risks which may facilitate and impede HIV prevention efforts, respectively. These data subsequently will inform the pilot intervention. In Phase 2, we will randomly assign N=10 churches to the HIV education + intervention and an additional N=10 churches to the standard HIV education intervention (control) arms. Within these churches, we will randomly select n=10 congregants per church (Total n=200 congregants) and administer a survey assessing a variety of health promoting behaviors, perceived HIV risk, knowledge of PrEP, HIV testing history, and HIV-related attitudes/beliefs (i.e., stigma). The unique cultural and contextual landscape of the Memphis urban/rural metropolitan area blends historical beliefs and perspectives that have indirectly attributed to HIV-related stigma. The proposed research will utilize the expertise of an established HIV coalition of LGBTQ+ gatekeepers, faith leaders, and academic researchers to disentangle some of the known and unknown determinants that may contribute to HIV racial inequities in the Deep South. Ultimately, we anticipate this research will inform a subsequent larger efficacy trial. The public health significance includes normalizing HIV prevention and testing behaviors, promoting stigma reduction, and garnering faith-based partnerships, which dovetail current priorities detailed in the Memphis EHE plan addressing both ‘diagnose’ and ‘treat’ pillars.

项目概要 为了响应 RFA-PS-21-001 少数群体艾滋病毒研究计划 (MARI)，该项目的目标 应用程序是使用基于社区的参与性研究和干预绘图 解决结束艾滋病毒流行（EHE）的优先事项：我们将使用三年期计划。 利用艾滋病毒监测数据和耻辱内化的照片语音叙述的时期 PLWH 在告知、实施和评估受圣经启发、以教会为基础的 为位于孟菲斯的主要黑人宗教团体量身定制的干预措施 大都市区，已被确定为深部 EHE 高负担辖区 在第一阶段，我们将分析社区监测数据，以确定保护因素和 可能分别促进和阻碍艾滋病毒预防工作的行为风险。 随后的数据将通知试点干预 在第 2 阶段，我们将随机分配 N=10。 教会进行艾滋病毒教育+干预，另外N=10个教会达到标准 在这些教会中，我们将随机选择 n=10。 每个教会的会众（总共 n=200 名会众）并进行一项评估各种情况的调查 健康促进行为、感知的 HIV 风险、PrEP 知识、HIV 检测历史以及 与艾滋病毒相关的态度/信仰（即耻辱）。独特的文化和背景景观。 孟菲斯城市/乡村大都市区融合了历史信仰和观点 间接归因于与艾滋病毒相关的耻辱。拟议的研究将利用专家的专业知识。 建立了由 LGBTQ+ 看门人、信仰领袖和学术研究人员组成的艾滋病毒联盟 理清一些可能导致艾滋病毒种族的已知和未知的决定因素 最终，我们预计这项研究将为后续研究提供信息。 更大规模的疗效试验对公共卫生的意义包括使艾滋病毒预防和治疗正常化。 测试行为，促进减少耻辱，并建立基于信仰的伙伴关系，这些 与孟菲斯 EHE 计划中详细说明的当前优先事项相吻合，解决“诊断”和 “治疗”支柱。