Abstract
The burden of HIV and sexually transmitted infections (STIs) is disproportionate for the African-American community. The Project GRACE (Growing, Reaching, Advocating for Change and Empowerment) Consortium is an ongoing community–academic partnership based in eastern North Carolina that was established to address the disproportionately high rates of HIV among the African-American/black population in two eastern North Carolina counties. In this chapter, we explore the impact that the HIV and STI epidemics have had on African-American communities in the southeastern USA in general and within rural communities in North Carolina specifically. We highlight the unique ways in which community members were engaged in the formation of the Project GRACE Consortium; the development, implementation, and evaluation of the multigenerational HIV-prevention intervention known as Teach One Reach One (TORO) that was born out of this community–academic partnership; the lessons learned throughout the community engagement process; and recommendations for future research. We also describe research needs and priorities in terms of prevention and community engagement.
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References
Collins C, Diallo DD. A prevention response that fits America’s epidemic: community perspectives on the status of HIV prevention in the United States. J Acquir Immune Defic Syndr. 2010;55(Suppl 2):S148–50.
Kippax S. Effective HIV prevention. The indispensable role of social science. J Int AIDS Soc. 2012;15(2):17357.
Kippax S, Stephenson N. Beyond the distinction between biomedical and social dimensions of HIV prevention through the lens of a social public health. Am J Public Health. 2012;102(5):789–99.
Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice-Hall; 1986.
Fredriksen-Goldsen KI. Multigenerational health, development, and equality. Gerontologist. 2005;45(1):125–30.
Centers for Disease Control and Prevention. HIV Surveillance Report, 2011. Atlanta, GA: US Department of Health and Human Services, 2013. Accessed 21 May 2014.
Centers for Disease Control and Prevention. HIV among African Americans. Atlanta: U.S. Department of Health and Human Services; 2013.
US Census Bureau. http://www.census.gov/ (2010). Accessed 21 May 2014.
Southern AIDS Coalition. Southern States manifesto: update 2012. Policy brief and recommendations. Birmingham, AL: Southern AIDS Coalition; 2012.
Southern State Directors Work Group. Southern States manifesto: update 2008. HIV/AIDS and sexually transmitted diseases in the south. Birmingham, AL: southern AIDS coalition; 2008.
Rural Center for AIDS/STD Prevention. Tearing down fences: HIV/STD prevention in rural America [Electronic book]. Bloomington, IN; 2009.
Adimora AA, Schoenbach VJ, Martinson FE, Donaldson KH, Fullilove RE, Aral SO. Social context of sexual relationships among rural African Americans. Sex Transm Dis. 2001;28(2):69–76.
Thomas JC, Clark M, Robinson J, Monnett M, Kilmarx PH, Peterman TA. The social ecology of syphilis. Soc Sci Med. 1999;48(8):1081–94.
Akers AY, Muhammad MR, Corbie-Smith G. When you got nothing to do, you do somebody: a community’s perceptions of neighborhood effects on adolescent sexual behaviors. Soc Sci Med. 2011;72(1):91–9.
Corbie-Smith G, Adimora AA, Youmans S, Muhammad M, Blumenthal C, Ellison A, et al. Project GRACE: a staged approach to development of a community-academic partnership to address HIV in rural African American communities. Health Promot Pract. 2011;12(2):293–302.
Corbie-Smith G, Akers A, Blumenthal C, Council B, Wynn M, Muhammad M, et al. Intervention mapping as a participatory approach to developing an HIV prevention intervention in rural African American communities. AIDS Educ Prev. 2010;22(3):184–202.
Corbie-Smith G, Odeneye E, Banks B, Shandor Miles M, Roman Isler M. Development of a multilevel intervention to increase HIV clinical trial participation among rural minorities. Health Educ Behav. 2012;40(3)274–85.
Rhodes SD, Hergenrather KC, Bloom FR, Leichliter JS, Montaño J. Outcomes from a community-based, participatory lay health advisor HIV/STD prevention intervention for recently arrived immigrant Latino men in rural North Carolina, USA. AIDS Educ Prev. 2009;21(Suppl 1):104–9.
Williams M, Bowen A, Ei S. An evaluation of the experiences of rural MSM who accessed an online HIV/AIDS health promotion intervention. Health Promot Pract. 2010;11(4):474–82.
Smith MU, DiClemente RJ. STAND: a peer educator training curriculum for sexual risk reduction in the rural South. Students together against negative decisions. Prev Med. 2000;30(6):441–9.
US Census Bureau. 2006–2010 American Community Survey 5-year estimates: fast facts for Congress: North Carolina fact sheet. http://www.censusgov/fastfacts/jsp/cws/CWSContentphp?_event=ChangeGeoContext&geo_id=0400000US37&_geoContext=0100000US%3AUnited+States%7C0400000US37s%3ANorth+Carolina&_street=&_county=&_cd=&_state=0400000US37&_zip=&_program=acs&_lang=en&_sse=on&pctxt=fph&pgsl=010&_industry=&currTab=factsheets&_leftNavId=1. Accessed 28 Feb 2012.
US Census Bureau. The black population: 2000. Census 2000 brief. http://www.censusgov/prod/2001pubs/c2kbr01-5pdf (2001). Accessed 29 March 2007.
Jemmott JB 3rd, Jemmott LS, Fong GT. Reductions in HIV risk-associated sexual behaviors among black male adolescents: effects of an AIDS prevention intervention. Am J Public Health. 1992;82(3):372–7.
Marcus MT, Walker T, Swint JM, Smith BP, Brown C, Busen N, et al. Community-based participatory research to prevent substance abuse and HIV/AIDS in African-American adolescents. J Interprof Care. 2004;18(4):347–59.
Clark LF, Rhodes SD, Rogers W, Liddon N. The context of sexual risk behavior. In: Raczynski JM, Leviton LC, editors. Handbook of clinical health psychology. Washington, DC: American Psychological Association; 2004. p. 121–46.
Clinical and Translational Science Awards Consortium Community Engagement Key Function Committee Task Force on the Principles of Community Engagement. Principles of community engagement. Second edition. ed: Washington Department of Health and Human Services; 2011.
Florin P, Mitchell R, Stevenson J. Identifying training and technical assistance needs in community coalitions: a developmental approach. Health Educ Res. 1993;8(3):417–32.
VanDevanter N, Hennessy M, Howard JM, Bleakley A, Peake M, Millet S, et al. Developing a collaborative community, academic, health department partnership for STD prevention: the Gonorrhea Community Action Project in Harlem. J Public Health Manag Pract. 2002;8(6):62–8.
Cene CW, Akers AY, Lloyd SW, Albritton T, Powell Hammond W, Corbie-Smith G. Understanding social capital and HIV risk in rural African American communities. J Gen Intern Med. 2011;26(7):737–44.
Coker-Appiah DS, Akers AY, Banks B, Albritton T, Leniek K, Wynn M, et al. In their own voices: rural African-American youth speak out about community-based HIV prevention interventions. Prog Community Health Partnersh. 2009;3(4):275–6.
Bartholomew LK, Parcel GS, Kok G. Intervention mapping: a process for developing theory- and evidence-based health education programs. Health Educ Behav. 1998;25(5):545–63.
National Cancer Insitute. Theory at a glance. Washington, D.C.: U.S. Government Printing Office; 2005.
Eng E, Rhodes SD, Parker EA. Natural helper models to enhance a community’s health and competence. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research. San Francisco: Jossey-Bass; 2009. p. 303–30.
DeVore ER, Ginsburg KR. The protective effects of good parenting on adolescents. Curr Opin Pediatr. 2005;17(4):460–5.
Meschke LL, Bartholomae S, Zentall SR. Adolescent sexuality and parent-adolescent processes: promoting healthy teen choices. Fam Relat. 2000;49(2):143–54.
Perrino T, Gonzalez-Soldevilla A, Pantin H, Szapocznik J. The role of families in adolescent HIV prevention: a review. Clin Child Fam Psychol Rev. 2000;3(2):81–96.
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351–77.
Coyle K, Kirby D, Parcel G, Basen-Engquist K, Banspach S, Rugg D, et al. Safer choices: a multicomponent school-based HIV/STD and pregnancy prevention program for adolescents. J Sch Health. 1996;66(3):89–94.
Kirby DB, Baumler E, Coyle KK, Basen-Engquist K, Parcel GS, Harrist R, et al. The “Safer Choices” intervention: its impact on the sexual behaviors of different subgroups of high school students. J Adolesc Health. 2004;35(6):442–52.
Semaan S, Lauby J, O’Connell AA, Cohen A. Factors associated with perceptions of, and decisional balance for, condom use with main partner among women at risk for HIV infection. Women Health. 2003;37(3):53–69.
St Lawrence JS, Crosby RA, Brasfield TL, O’Bannon RE, 3rd. Reducing STD and HIV risk behavior of substance-dependent adolescents: a randomized controlled trial. J Consult Clin Psychol. 2002;70(4):1010–21.
Stanton BF, Li X, Ricardo I, Galbraith J, Feigelman S, Kaljee L. A randomized, controlled effectiveness trial of an AIDS prevention program for low-income African-American youths. Arch Pediatr Adolesc Med. 1996;150(4):363–72.
Rhodes SD, Foley KL, Zometa CS, Bloom FR. Lay health advisor interventions among Hispanics/Latinos: a qualitative systematic review. Am J Prev Med. 2007;33(5):418–27.
Ferguson YO. Making healthy change happen. [Curriculum]. In press 2010.
Higgins DL, Metzler M. Implementing community-based participatory research centers in diverse urban settings. J Urban Health. 2001;78(3):488–94.
Israel BA, Schulz AJ, Parker EA, Becker AB. Community-based participatory research: policy recommendations for promoting a partnership approach in health research. Educ Health (Abingdon). 2001;14(2):182–97.
Merzel C, Burrus G, Davis J, Moses N, Rumley S, Walters D. Developing and sustaining community-academic partnerships: lessons from downstate New York healthy start. Health Promot Pract. 2007;8(4):375–83.
Kim KH, Linnan L, Campbell MK, Brooks C, Koenig HG, Wiesen C. The WORD (wholeness, oneness, righteousness, deliverance): a faith-based weight-loss program utilizing a community-based participatory research approach. Health Educ Behav. 2008;35(5):634–50.
Rhodes SD, Hergenrather KC, Montano J, Remnitz IM, Arceo R, Bloom FR, et al. Using community-based participatory research to develop an intervention to reduce HIV and STD infections among Latino men. AIDS Educ Prev. 2006;18(5):375–89.
Romero L, Wallerstein N, Lucero J, Fredine HG, Keefe J, O’Connell J. Woman to woman: coming together for positive change-using empowerment and popular education to prevent HIV in women. AIDS Educ Prev. 2006;18(5):390–405.
Cashman SB, Adeky S, Allen AJ, Corburn J, Israel BA, Montaño J, et al. The power and the promise: working with communities to analyze data, interpret findings, and get to outcomes. Am J Public Health. 2008;98(8):1407–17.
Rhodes SD. Demonstrated effectiveness and potential of CBPR for preventing HIV in Latino populations. In: Organista KC, editor. HIV Prevention with Latinos: theory, research, and practice. New York: Oxford University Press; 2012. p. 83–102.
Robinson RG. Community development model for public health applications: overview of a model to eliminate population disparities. Health Promot Pract. 2005;6(3):338–46.
King W, Nu’Man J, Fuller TR, Brown M, Smith S, Howell AV, et al. The diffusion of a community-level HIV intervention for women: lessons learned and best practices. J Womens Health (Larchmt). 2008;17(7):1055–66.
Thomas JC. From slavery to incarceration: social forces affecting the epidemiology of sexually transmitted diseases in the rural South. Sex Transm Dis. 2006;33(7 Suppl):S6–10.
The White Office of National AIDS Policy. National HIV/AIDS strategy for the United States; 2010. p. 60.
Centers for Disease Control and Prevention. The care and prevention in the United States (CAPUS) demonstration project. U.S. Department of Health and Human Services; 2012.
Centers for Disease Control and Prevention. High impact HIV prevention: CDC’s approach to reducing HIV infections in the United States. Atlanta, GA: U.S. Department of Health and Human Services; 2011.
Acknowledgment
The authors would like to acknowledge and thank all members of the Project GRACE Consortium, past and present, for their contributions to the development and implementation of this intervention.
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Ellison, A. et al. (2014). HIV Prevention in a Rural Community: Project GRACE—A Multigenerational Approach to Community Engagement. In: Rhodes, S. (eds) Innovations in HIV Prevention Research and Practice through Community Engagement. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0900-1_2
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