Abstract：
HIV-related stigma is a primary barrier to seeking HIV care. Online social media interventions utilizing peer-led approaches provide an opportunity to revolutionize HIV health behavior change. Secondary analysis of the UCLA HOPE Study (6 waves) was done to examine the effectiveness of an online peer-led intervention in reducing HIV-related internalized stigma (IS), association between IS and sexual risk behaviors (SRB), and associated costs for changing the likelihood of HIV testing. Among 897 participants, an inverse relationship between IS (Discomfort with people with HIV, Stereotypes, Moral Judgment) and SRB (Number of Sexual Partners, Sexual Encounters) factors was identified over time (p < .05). Engagement in stigma conversations increased participant likelihood to request HIV tests (B = 0.02, Wald = 8.10, p = .004) when made in group versus one-on-one contact. Innovative technology has potential to improve HIV-care efforts through expanded reach to at-risk populations, improved communication maintenance, ease of accessibility, and user anonymity.
摘要：
与艾滋病毒相关的污名化是寻求艾滋病毒护理的主要障碍。利用同伴主导的方法进行在线社交媒体干预为彻底改变HIV健康行为改变提供了机会。对UCLAHOPE研究（6波）进行了二次分析，以检查在线同伴主导的干预措施在减少与HIV相关的内在化污名（IS）方面的有效性。IS与性危险行为(SRB)之间的关联，以及改变艾滋病毒检测可能性的相关成本。在897名参与者中，IS(对艾滋病毒感染者的不适，刻板印象,道德判断)和SRB(性伴侣的数量，性接触)因素随着时间的推移而被识别(p<.05)。参与污名对话增加了参与者要求进行HIV检测的可能性（B=0.02，Wald=8.10，p=.004），而不是一对一联系。创新技术有可能通过扩大接触高危人群来改善艾滋病毒护理工作，改善通信维护，易于访问，和用户匿名。
