Skip to main content

Advertisement

Log in

Readiness to Implement HIV Testing in African-American Church Settings

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

HIV and AIDS continue to impact Black Americans at disproportionately high rates. Promotion of HIV testing and linkage to care is a national health imperative for this population. As a pillar in the Black community, the Black Church could have a significant impact on the promotion of HIV testing within their churches and surrounding communities. Churches, however, have varied levels of involvement in testing. Furthermore, little is known about how to assess a church’s readiness to integrate HIV testing strategies into its mission, much less how to promote this practice among churches. This qualitative study used interviews and focus groups with pastors and church leaders from four churches with varying levels of involvement in HIV testing to identify key stages in the progression of toward church-based HIV testing and linkage to care. Findings showed that churches progressed through levels of readiness, from refusal of the possibility of HIV interventions to full integration of HIV testing and linkage to care within the church.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Berkley-Patton, J., Bowe-Thompson, C., Bradley-Ewing, A., et al. (2010). Taking it to the pews: A CBPR-guided HIV awareness and screening project with black churches. AIDS Education and Prevention, 22(3), 218–237.

    Article  PubMed  PubMed Central  Google Scholar 

  • Berkley-Patton, J., Moore, E. W., Hawes, S. M., Thompson, C. B., & Bohn, A. (2012). Factors related to HIV testing among an African American church-affiliated population. AIDS Education and Prevention: Official Publication of the International Society for AIDS Education, 24(2), 148–162.

    Article  Google Scholar 

  • Berkley-Patton, J., Thompson, C. B., Martinez, D. A., et al. (2013). Examining church capacity to develop and disseminate a religiously appropriate HIV tool kit with African American Churches. Journal of Urban Health, 90(3), 482–499.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brown, L., Macintyre, K., & Trujillo, L. (2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15(1), 49–69.

    Article  PubMed  Google Scholar 

  • Brown, E. J., & Williams, S. E. (2005). Southern rural African American faith communities’ role in STI/HIV prevention within two counties: An exploration. Journal of HIV/AIDS and Social Services, 4(3), 47–62.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2011). HIV among African Americans. Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention. http://www.cdc.gov/hiv/topics/aa/index.htm. Accessed 20 March 2012.

  • Centers for Disease Control and Prevention. (2012). Estimated HIV incidence among adults and adolescents in the United States, 2007–2010. HIV Surveillance Supplemental Report, 17, 4.

    Google Scholar 

  • Chatters, L. M., Taylor, R. J., & Lincoln, K. D. (1999). African American religious participation: A multi-sample comparison. Journal for the Scientific Study of Religion, 38(1), 132–145.

    Article  Google Scholar 

  • Cohen, M. S., Gay, C. L., Busch, M. P., & Hecht, F. M. (2010). The detection of acute HIV infection. Journal of Infectious Diseases, 202(Suppl. 2), S270–S277.

  • Dorell, C. G., Sutton, M. Y., Oster, A. M., et al. (2011). Missed opportunities for HIV testing in health care settings among young African American men who have sex with men: Implications for the HIV epidemic. AIDS Patient Care and STDs, 25, 657–664.

    Article  PubMed  Google Scholar 

  • Griffith, D. M., Campbell, B., Allen, J. O., Robinson, K. J., & Stewart, S. K. (2010). YOUR blessed health: An HIV-prevention program bridging faith and public health communities. Public Health Reports, 125(Suppl. 1), 4–11.

    PubMed  PubMed Central  Google Scholar 

  • Halkitis, P., Kupprat, S., McCree, D., et al. (2011). Evaluation of the relative effectiveness of three HIV testing strategies targeting African American men who have sex with men (MSM) in New York City. Annals of Behavioral Medicine, 42, 361–369.

    Article  PubMed  Google Scholar 

  • Hicks, K. E., Allen, J. A., & Wright, E. M. (2005). Building holistic HIV/AIDS responses in African American urban faith communities: A qualitative, multiple case study analysis. Fam Community Health, 28(2), 184–205.

    Article  PubMed  Google Scholar 

  • Holt, C. L., & McClure, S. M. (2006). Perceptions of the religion-health connection among African American church members. Qualitative Health Research, 16(2), 268–281.

    Article  PubMed  Google Scholar 

  • Kahn, R. H., Moseley, K. E., Thilges, J. N., Johnson, G., & Farley, T. A. (2003). Community-based screening and treatment for STDs: Results from a mobile clinic initiative. Sexually Transmitted Diseases, 30(8), 654–658.

    Article  PubMed  Google Scholar 

  • LaVeist, T. A., Nickerson, K. J., & Bowie, J. V. (2000). Attitudes about racism medical mistrust, and satisfaction with care among African American and White Cardiac Patients. Medical Care Research and Review, 2000(57), 141–162.

    Google Scholar 

  • Lincoln, E. C., & Lawrence, M. H. (1990). The black church in the African American experience. Durham, NC: Duke University Press.

    Book  Google Scholar 

  • Lindley, L. L., Coleman, J. D., Gaddist, B. W., & White, J. (2010). Informing faith-based HIV/AIDS interventions: HIV-related knowledge and stigmatizing attitudes at project F.A.I.T.H. churches in south Carolina. Public Health Reports, 125(Suppl. 1), 12–20.

    PubMed  PubMed Central  Google Scholar 

  • Marks, G., Crepaz, N., & Janssen, R. S. (2006). Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA. Aids, 20, 1447–1450.

    Article  PubMed  Google Scholar 

  • Marks, G., Crepaz, N., Senterfitt, J. W., & Janssen, R. S. (2005). Implications for HIV prevention programs. Journal of Acquired Immune Deficiency Syndromes (1999), 39(4), 446–453.

    Article  Google Scholar 

  • Mayring, P. (2000). Qualitative content analysis. Forum: Qualitative Social Research, 1, 2.

    Google Scholar 

  • McKoy, J., & Petersen, R. (2006). Reducing African American women’s sexual risk: Can churches play a role? Journal of the National Medical Association, 98(7), 8.

    Google Scholar 

  • NAACP. (2012). About the black church and HIV: The social justice imperative. http://www.theblackchurchandhiv.org. Accessed 20 march 2012.

  • Nunn, A., Zaller, N., Cornwall, A., et al. (2011). Low perceived risk and high HIV prevalence among a predominantly African American population participating in Philadelphia’s rapid HIV testing program. AIDS Patient Care and STDs, 25, 229–235.

    Article  PubMed  PubMed Central  Google Scholar 

  • NVivo qualitative data analysis software (2012) QSR International Pty Ltd. Version 10.

  • Pew Forum On Religion and Public Life. (2008). U.S. religious landscape survey—Religious affiliation: Diverse and dynamic. Washington, DC: Pew Forum Web Publishing and Communications.

    Google Scholar 

  • Philadelphia Department of Public Health AIDS Activities Coordinating Office Surveillance Unit. (2012). HIV and AIDS in the City of Philadelphia: Annual surveillance report. Philadelphia, PA: Philadelphia Department of Public Health.

    Google Scholar 

  • Pichon, L. C., Griffith, D. M., Campbell, B., Allen, J. O., Williams, T. T., & Addo, A. Y. (2012). Faith leaders’ comfort implementing an HIV prevention curriculum in a faith setting. Journal of Health Care for the Poor and Underserved, 23(3), 1253–1265.

    Article  PubMed  Google Scholar 

  • Smith, J., Simmons, E., & Mayer, K. (2005). HIV/AIDS and the Black Church: what are the barriers to prevention services? Journal of the National Medical Association, 97(12), 1682–1685.

    PubMed  PubMed Central  Google Scholar 

  • Stewart, J. M., & Dancy, B. L. (2012). Factors contributing to the development of an HIV ministry within an African American church. Journal of the Association of Nurses in AIDS Care, 23(5), 419–430.

    Article  PubMed  PubMed Central  Google Scholar 

  • The National HIV/AIDS Strategy for the United States, 2010. (Accessed 27 June 2012, at http://aids.gov/federal-resources/national-hiv-aids-strategy/nhas.pdf).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Keitra Thompson.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Stewart, J.M., Thompson, K. Readiness to Implement HIV Testing in African-American Church Settings. J Relig Health 55, 631–640 (2016). https://doi.org/10.1007/s10943-015-0068-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-015-0068-8

Keywords

Navigation