“Wake Up! HIV is at Your Door”: African American Faith Leaders in the Rural South and HIV Perceptions: A Qualitative Analysis
- 1.2k Downloads
In Alabama, 70 % of new HIV cases are among African Americans. Because the Black Church plays an important role for many African Americans in the south, we conducted qualitative interviews with 10 African American pastors recruited for an HIV intervention study in rural Alabama. Two main themes emerged: (1) HIV stigma is prevalent and (2) the role of the Black Church in addressing HIV in the African American community. Our data suggest that pastors in rural Alabama are willing to be engaged in HIV prevention solutions; more formalized training is needed to decrease stigma, strengthen HIV prevention and support persons living with HIV/AIDS.
KeywordsBlack Church African Americans HIV Stigma Rural south
This study was funded in part by the Centers for Disease Control and Prevention, Program Announcement PS11-003; 5U01PS003320. We thank all of the ministerial liaisons and pastors who participated in this study.
Compliance with Ethical Standards
Conflicts of interest
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. The authors have no financial conflicts of interest relevant to this study.
- Berkley-Patton, J., Bowe-Thompson, C., Bradley-Ewing, A., Hawes, S., Moore, E., Williams, E., & Goggin, K. (2010). Taking it to the pews: A CBPR-guided HIV awareness and screening project with black churches. AIDS Education and Prevention, 22(3), 218. doi: 10.1521/aeap.2010.22.3.218.CrossRefPubMedPubMedCentralGoogle Scholar
- Berkley-Patton, J. Y., Moore, E., Berman, M., Simon, S. D., Thompson, C. B., Schleicher, T., & Hawes, S. M. (2013). Assessment of HIV-related stigma in a US faith-based HIV education and testing intervention. Journal of the International AIDS Society, 16(3 Suppl 2), 18644. doi: 10.7448/IAS.16.3.18644.PubMedPubMedCentralGoogle Scholar
- Bluthenthal, R. N., Palar, K., Mendel, P., Kanouse, D. E., Corbin, D. E., & Derose, K. P. (2012). Attitudes and beliefs related to HIV/AIDS in urban religious congregations: Barriers and opportunities for HIV-related interventions. Social Science and Medicine, 74(10), 1520–1527. doi: 10.1016/j.socscimed.2012.01.020.CrossRefPubMedPubMedCentralGoogle Scholar
- Centers for Disease Control and Prevention. (2014). Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas—2012. HIV surveillance supplemental report 2014, Vol. 19, No. 3. http://www.cdc.gov/hiv/library/reports/surveillance/. Accessed 26 March 2015.
- Centers for Disease Control and Prevention. (2015). HIV surveillance report 2013, Vol. 25. http://www.cdc.gov/hiv/library/reports/surveillance/. Accessed 26 March 2015.
- Division of HIV/AIDS Prevention and Control, Alabama Department of Public Health. (2011). HIV/AIDS Integrated Epidemiological Profile. https://www.adph.org/aids/assets/IntegratedEpiProfile2011.pdf. Accessed 28 January 2015.
- Division of HIV/AIDS Prevention and Control, Alabama Department of Public Health. (2014). HIV 4th Quarter. http://adph.org/aids/assets/HIV4thQuarter2014(Demo).pdf. Accessed 28 January 2015.
- Eke, A. N., Wilkes, A. L., & Gaiter, J. (2010). Organized religion and the fight against HIV/AIDS in the black community: The role of the Black Church. In D. H. McCree, M. Kenneth Terrill Jones, & A. O’Leary (Eds.), African Americans and HIV/AIDS: Understanding and addressing the epidemic (pp. 53–68). New York, NY: Springer.CrossRefGoogle Scholar
- Foster, P. P., Cooper, K., Parton, J. M., & Meeks, J. O. (2011). Assessment of HIV/AIDS prevention of rural African American Baptist leaders: Implications for effective partnerships for capacity building in American communities. Journal of the National Medical Association, 103(4), 323–331.CrossRefPubMedGoogle Scholar
- Goffman, E. (1963). Stigma. notes on the management of spoiled identity. New York: Simon and Shuster.Google Scholar
- Guest, G., MacQueen, K. M., & Namey, E. E. (2011). Applied thematic analysis. Thousand Oaks: Sage.Google Scholar
- Ironson, G., Stuetzle, R., & Fletcher, M. A. (2006). An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV. Journal of General Internal Medicine, 21(S5), S62–S68. doi: 10.1111/j.1525-1497.2006.00648.x.CrossRefPubMedPubMedCentralGoogle Scholar
- Jeffries, W. L, I. V., Townsend, E. S., Gelaude, D. J., Torrone, E. A., Gasiorowicz, M., & Bertolli, J. (2015). HIV stigma experienced by young men who have sex with men (MSM) living with HIV infection. AIDS Education and Prevention, 27(1), 58–71. doi: 10.1521/aeap.2015.27.1.58.CrossRefPubMedGoogle 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 FAITH churches in South Carolina. Public Health Reports, 125(Suppl 1), 12. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2788404/.
- Moore, D., Onsomu, E. O., Timmons, S. M., Abuya, B. A., & Moore, C. (2012). Communicating HIV/AIDS through African American churches in North Carolina: Implications and recommendations for HIV/AIDS faith-based programs. Journal of Religion and Health, 51(3), 865–878. doi: 10.1007/s10943-010-9396-x.CrossRefPubMedGoogle Scholar
- National Association for the Advancement of Colored People (NAACP). (2014). The Black Church and HIV: The social justice imperative. http://www.theblackchurchandHIV.org. Accessed 28 January 2015.
- Nunn, A., Cornwall, A., Chute, N., Sanders, J., Thomas, G., James, G., & Flanigan, T. (2012). Keeping the faith: African American faith leaders’ perspectives and recommendations for reducing racial disparities in HIV/AIDS infection. PLoS One, 7(5), e36172. doi: 10.1371/journal.pone.0036172.CrossRefPubMedPubMedCentralGoogle Scholar
- Nunn, A., Cornwall, A., Thomas, G., Callahan, P. L., Waller, P. A., Friend, R., & Flanigan, T. (2013). What’s God got to do with it? Engaging African-American faith-based institutions in HIV prevention. Global Public Health, 8(3), 258–269. doi: 10.1080/17441692.2012.759608.CrossRefPubMedPubMedCentralGoogle Scholar
- Stall, R., Hoff, C., Coates, T. J., Paul, J., Phillips, K. A., Ekstrand, M., & Diaz, R. (1996). Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: Implications for secondary prevention efforts. JAIDS Journal of Acquired Immune Deficiency Syndromes, 11(2), 151–160. doi: 10.1097/00042560-199602010-00006.CrossRefGoogle Scholar
- Sutton, M. Y., & Parks, C. P. (2013). HIV/AIDS prevention, faith, and spirituality among Black/African American and Latino Communities in the United States: Strengthening scientific faith-based efforts to shift the course of the epidemic and reduce HIV-related health disparities. Journal of Religion and Health, 52(2), 514–530. doi: 10.1007/s10943-011-9499-z.CrossRefPubMedGoogle Scholar
- The White House Office of National AIDS Policy. (2010). National HIV/AIDS strategy for the United States. Retrieved from http://www.whitehouse.gov/sites/default/files/uploads/NHAS.pdf.
- Tullos, A. (2004). The Black Belt. Retrieved April 3, 2015, from http://southernspaces.org/2004/black-belt.
- U.S. Census Bureau. (2013). United States Census Bureau State & county quick facts: Alabama. United States Census Bureau. http://quickfacts.census.gov/qfd/states/01000.html.
- Vyavaharkar, M., Moneyham, L., Corwin, S., Saunders, R., Annang, L., & Tavakoli, A. (2010). Relationships between stigma, social support, and depression in HIV-infected African American women living in the rural southeastern united states. Journal of the Association of Nurses in AIDS Care, 21(2), 144–152. doi: 10.1016/j.jana.2009.07.008.CrossRefPubMedGoogle Scholar
- Wooster, J., Eshel, A., Moore, A., Mishra, M., Toledo, C., Uhl, G., & Aguero, L. W. (2011). Opening up their doors: Perspectives on the involvement of the African American faith community in HIV prevention in four communities. Health Promotion Practice, 12(5), 769–778. doi: 10.1177/1524839910362313.CrossRefPubMedGoogle Scholar