Reducing HIV Stigma to Improve Health Outcomes for African-American Women

减少艾滋病毒耻辱，改善非裔美国妇女的健康状况

基本信息

批准号：
8725736
负责人：
Deepa Rao
金额：
$ 52.62万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-26 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8725736
关键词：
AIDS/HIV problem Acquired Immunodeficiency Syndrome Adherence African American Age Alabama Anti-Retroviral Agents Behavior Therapy Caring Cause of Death Centers for Disease Control and Prevention (U.S.)Chicago Clinic Educational workshop Effectiveness Ethnic group Feedback Goals HIV Health Health Personnel Health Services Accessibility Hour Illinois Individual Institution Intervention Intervention Studies Intervention Trial Life Link Methods Morbidity - disease rate Multimedia Names Outcome Participant Pharmaceutical Preparations Race Randomized Randomized Clinical Trials Reporting Research Research Personnel Resources Review Literature Testing Universities Viral Load result Washington Woman Work base design disorder prevention effective intervention expectation improved international center literacy medication compliance mortality multidisciplinary peer psychologic public health relevance social stigma statistics trend

项目摘要

DESCRIPTION (provided by applicant): The US Centers for Disease Control and Prevention presented alarming statistics demonstrating that for nearly a decade, HIV and AIDS had been the leading cause of death for African American women between the ages of 25 and 34. This trend has continued. A growing body of research has shown that the stigma internalized by people living with HIV (PLWH) undermines adherence to lifesaving antiretroviral medications, particularly for African Americans. Given the clear link between stigma and treatment utilization, it is clear that to improve engagement to care, we must provide proven, effective interventions to reduce HIV-related stigma. To begin to respond to this need, our research group has taken a well-utilized intervention, the International Center for Research on Women's HIV Stigma Toolkit, and converted it into a literacy-sensitive, multimedia, internalized stigma reduction intervention that can be implemented through an eight-hour workshop. Our approach makes use of Corrigan's best practices for 'Strategic Stigma Change,' and emphasizes making contact with PLWH through peer facilitation and active participation. In particular, we adapted the intervention for African American women living with HIV. A feasibility pilot test of the interventin (named the "Unity Workshop" based on participant feedback) in Seattle, Washington, produced encouraging results. As the next step, we propose to conduct a randomized clinical trial to establish effectiveness and to better understand barriers to, and facilitators of, stigma reduction Our study team is comprised of experts in stigma reduction, adherence, engagement in care, peer-led behavioral interventions, and intervention research. They are based at the University of Washington, University of Alabama, and Northwestern University (Chicago), institutions with extensive resources for HIV-related research. We expect that the Unity Workshop will demonstrate effectiveness in reducing internalized stigma through an easily-disseminated method, and that it will have a positive impact on adherence and engagement in care for African American women living with HIV.

描述（由申请人提供）：美国疾病控制和预防中心提出了令人震惊的统计数据，表明近十年来，艾滋病毒和艾滋病一直是25至34岁之间非裔美国妇女的主要死亡原因。这一趋势一直在继续。越来越多的研究表明，患有艾滋病毒（PLWH）的人内在化的污名破坏了对救生抗逆转录病毒药物的遵守，尤其是对于非裔美国人。鉴于污名与治疗利用之间的明确联系，很明显，要改善护理的参与度，我们必须提供经过验证的有效干预措施，以减少与HIV相关的污名。为了开始满足这一需求，我们的研究小组采取了良好的干预措施，国际妇女艾滋病毒污名工具包的国际研究中心，并将其转化为对扫盲敏感的，多媒体的内部污名降低干预措施，该干预措施可以通过八小时的研讨会实施。我们的方法利用了Corrigan的“战略污名变化”的最佳实践，并强调通过同行促进和积极参与与PLWH接触。特别是，我们适应了艾滋病毒携带的非裔美国妇女的干预。华盛顿西雅图的干预蛋白的可行性试点测试（基于参与者的反馈为“ Unity Workshop”）产生了令人鼓舞的结果。作为下一步，我们建议进行一项随机临床试验，以建立有效性，并更好地了解污名化的障碍和促进者，我们的研究团队由降低污名，依从性，参与护理，同伴领导的行为干预措施和干预研究的专家组成。他们设在华盛顿大学，阿拉巴马大学和西北大学（芝加哥），该机构拥有广泛的与HIV相关研究的资源。我们预计，统一研讨会将通过一种易于触发的方法表现出有效性，可在减少内部化的污名方面，并将对遵守和照顾艾滋病毒的非洲裔美国妇女的依从性和敬业度产生积极影响。