PS11-003 Minority AIDS Research Initiative

PS11-003 少数民族艾滋病研究计划

• 批准号: 8213269
• 负责人: PAMELA H FOSTER
• 金额: $ 13.26万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8213269
• 关键词: PS11; 003; Minority; AIDS; Research

DESCRIPTION (provided by applicant): Most of the literature in HIV/AIDS related anti-stigma interventions have focused on strategies to decrease stigma in those living with HIV. Very few have targeted community-based, HIV/AIDS-related stigma and most of the studies have been conducted internationally. This is especially true for the rural Deep South in the United States, where the epidemic is steadily increasing among African Americans. There is some literature that suggests that one of the major sources of HIV/AIDS-related stigma in the African American community is the organized church. This study proposes conducting and evaluating a faith-based, HIV/AIDS-related anti- stigma intervention in 10 African American churches in rural Alabama with the overall goal of decreasing HIV/AIDS-related stigma in church participants. It is believed that reaching this short-term goal could eventually decrease HIV rates in this population. The intervention is multifaceted in its approach and includes HIV/AIDS education, a seven-week training program developed by the Council of Churches in Ghana, and encouragement of participating congregations to conduct HIV/AIDS prevention activities within their congregation, as well as to welcome HIV+ persons into their congregations. We propose to decrease stigma in individual church members as well as congregational stigma through a variety of measures including: 1) increases in affiliation of HIV+ persons with participating congregations via pre- and post-surveys of members of the statewide AIDS consumer organization; 2) decreases in individual stigma through pre- and post-test written assessment using a tool developed by Herek et. al., 2001; 3) increases in HIV/AIDS knowledge through pre- and post-test written assessment; and 4) increases in HIV/AIDS prevention activities within participating congregations through pre- and post-pastor interviews. The proposed pilot study has great potential for an enormous public health impact as a model for similar geographic areas where the epidemic is growing disproportionately in African Americans. PUBLIC HEALTH RELEVANCE: It is believed that this pilot study has great relevance in public health for a number of reasons. First, it addresses a major health disparity in the United States, where African Americans are disproportionately affected by HIV/AIDS than any other ethnic/racial group, more prominently in this geographic area of the United States, the rural Deep South. It is also relevant because it targets the Black church, which could play an influential role in decreasing community stigma as well as provide more opportunities to support the needs of those infected with the disease.

描述（由申请人提供）：大多数与艾滋病毒/艾滋病相关的反耻辱干预措施的文献都集中于减少艾滋病毒感染者的耻辱感的策略。很少有研究针对基于社区的、与艾滋病毒/艾滋病相关的耻辱，而且大多数研究都是在国际上进行的。对于美国南方腹地的农村地区尤其如此，那里的非洲裔美国人的疫情正在稳步增加。有一些文献表明，非裔美国人社区中与艾滋病毒/艾滋病相关的耻辱的主要来源之一是有组织的教会。本研究建议在阿拉巴马州农村地区的 10 个非裔美国教会中开展和评估一项基于信仰的、与艾滋病毒/艾滋病相关的反耻辱干预措施，总体目标是减少教会参与者与艾滋病毒/艾滋病相关的耻辱感。据信，实现这一短期目标最终可能会降低该人群的艾滋病毒感染率。干预措施的方法是多方面的，包括艾滋病毒/艾滋病教育、加纳基督教理事会制定的为期七周的培训计划，以及鼓励参与的教会在其教会内开展艾滋病毒/艾滋病预防活动，并欢迎艾滋病病毒感染者加入他们的会众。我们建议通过各种措施减少个别教会成员以及会众的耻辱，包括：1）通过对全州艾滋病消费者组织的成员进行事前和事后调查，增加艾滋病病毒感染者与参与教会的联系； 2) 通过使用 Herek 等人开发的工具进行测试前和测试后的书面评估，减少个人耻辱感。等，2001； 3) 通过测试前和测试后的书面评估增加艾滋病毒/艾滋病知识； 4) 通过牧师前后访谈，增加参与教会的艾滋病毒/艾滋病预防活动。拟议的试点研究具有巨大的潜力，可以作为类似地理区域的模型，对公共卫生产生巨大影响，这些地区的流行病在非裔美国人中不成比例地增长。 公共卫生相关性：由于多种原因，我们相信这项试点研究与公共卫生具有很大的相关性。首先，它解决了美国的一个重大健康差异，即非洲裔美国人比任何其他族裔/种族群体更容易受到艾滋病毒/艾滋病的影响，在美国的这一地理区域，即南方腹地农村地区，这种情况更为突出。它还具有相关性，因为它针对的是黑人教会，这可以在减少社区耻辱方面发挥有影响力的作用，并提供更多机会来支持感染该疾病的人的需求。