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Journal of Religion and Health

, Volume 58, Issue 5, pp 1857–1871 | Cite as

“Not in My House”: Perspectives on HIV/AIDS of Afro-Caribbean Adolescents Living in South Florida

  • Cynthia M. ArchibaldEmail author
  • Corinne I. Barnes
  • Rupert Rhodd
  • Elizabeth O. Adenmosun
Original Paper
  • 66 Downloads

Abstract

Florida has the highest number of PLWH in the USA, with the highest incidence being among young African-Americans. The purpose of this qualitative inquiry was to gain an understanding of the knowledge and attitudes to HIV/AIDS among Afro-Caribbean adolescents. Using a faith-based community, we conducted four focus group sessions with 40 Afro-Caribbean teens. Descriptive content and thematic analyses were used to examine the data. Themes identified include awareness gap, temptation everywhere, testing anxiety and stigma. Recommendations include continued exploration and interventions to address stigma in faith-based communities. Implications are discussed.

Keywords

Afro-Caribbean Adolescents HIV/AIDS prevention Faith-based 

Notes

Funding

This project was supported by the Christine E. Lynn College of Nursing.

Compliance with Ethical Standards

Conflict of interest

The authors report no real or perceived vested interests that relate to this article (including relationships with pharmaceutical companies, biomedical device manufacturers, grantors, or other entities whose products or services are related to topics covered in this manuscript) that could be construed as a conflict of interest.

Ethical Approval

We received permission from the IRB at Florida Atlantic University before the recruitment and data collection began. We also received parental permission and adolescent assents for participation.

References

  1. Archibald, C. (2007). Knowledge and attitudes toward HIV–AIDS and risky sexual behaviors among Caribbean African American female adolescents. Journal of the Association of Nurses in AIDS Care, 4, 64.CrossRefGoogle Scholar
  2. Archibald, C. (2011). Cultural tailoring for an Afro Caribbean community: A naturalistic approach. Journal of Cultural Diversity, 18(4), 114–119.PubMedPubMedCentralGoogle Scholar
  3. Archibald, C. M., & Newman, D. (2015). Pilot testing HIV prevention in an Afro Caribbean faith-based community. ABNF Journal, 26(2), 43–49.PubMedGoogle Scholar
  4. Ashraf, K., Wylene, S., & Bantjes, J. (2017). Distress, depression and anxiety among Persons seeking HIV testing. AIDS Care, 29(3), 280–284.CrossRefGoogle Scholar
  5. Avent, J. R., & Cashwell, C. S. (2015). The black church: Theology and implications for counseling African Americans. Professional Counselor, 5(1), 81–90.CrossRefGoogle Scholar
  6. Aycock, D. W., Kirkendoll, K. D., & Gordon, P. M. (2013). Hypertension education and screen in African American Churches. Journal of Community Health Nursing, 30(1), 16–27.CrossRefPubMedGoogle Scholar
  7. Bangurah, S. S., Vardaman, S. A., & Cleveland, K. K. (2017). Hypertension in the faith community: A four-week, nurse led, diet/exercise intervention. Journal of Christian Nursing, 34(4), 225–231.  https://doi.org/10.1097/CNJ.0000000000000420.CrossRefPubMedGoogle Scholar
  8. Barnes, C., Archibald, C., & Marshall, J. (2016). Intergenerational priorities of the church and the implications for communication, education, and health. International Journal of Social Sciences and Educational Studies, 3(1), 4–13.Google Scholar
  9. Berkley-Patton, J., Bowe-Thompson, C., Bradley-Ewen, A., Hawes, S., Moore, E., Williams, E., 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.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Boyatzis, C. J. (2003). Religious and spiritual development: An introduction. Review of Religious Research, 44(3), 213–219.CrossRefGoogle Scholar
  11. Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church based health promotion interventions: Evidence and lessons learned. Annual Review Public Health, 28, 213–234.CrossRefGoogle Scholar
  12. Catona, D., Green, K., Magsamen-Conrad, K., & Carpenter, A., (2016). Perceived and experienced stigma among people living with HIV: Examining the role of prior stigmatization for and against disclosure. Journal of Applied Communication Research, 44(2). Retrieved from http://www.tandfonline.com.ezproxy.fau.edu/doi/full/10.1080/00909882.2016.1155726?scroll=top&needAccess=true.
  13. Centers for Disease Control and Prevention. (2011). HIV among youth. Retrieved February 2014 from http://www.cdc.gov/hiv/youth/index.htm.
  14. Centers for Disease Control and Prevention. (2014). HIV in the United States: At a glance. Retrieved May 14, 2013 from https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/archive/cdc-youth-aas-508.pdf.
  15. Center for Disease Control. (2015). Sexually transmitted diseases treatment guidelines. Retrieved July 15, 2018 from https://www.cdc.gov/std/tg2015/tg-2015-print.pdf.
  16. Centers for Disease Control and Prevention. (2018). Diagnoses of HIV infection in the United States and dependent areas, 2017. HIV Surveillance Report, 29. Retrieved from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Accessed 28 December 2018.
  17. Chen, H., Hailey, D., Wang, N., & Yu, P. (2014). A review of data quality assessment methods for public health information systems. International Journal of Environmental Research and Public Health, 11(5), 5170–5207.  https://doi.org/10.3390/ijerph110505170.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Choi, H. (2001). Cultural marginality: A concept analysis with implications for immigrant adolescents. Issues in Comprehensive Pédiatric Nursing, 24, 193–206.CrossRefPubMedGoogle Scholar
  19. Dijker, A. J., & Koomen, W. (2003). Extending Weiner’s attribution–emotion model of stigmatization of ill persons. Basic and Applied Social Psychology, 25(1), 51–68.CrossRefGoogle Scholar
  20. Erikson, E. H. (1968). Identity, youth and crisis. New York: Norton.Google Scholar
  21. Ewens, B., Chapman, R., Tulloch, A., & Hendricks, J. M. (2014). ICU survivors’ utilization of diaries post discharge: A qualitative descriptive study. Australian Critical Care, 27(1), 28–35.CrossRefPubMedGoogle Scholar
  22. Francis, S., & Liverpool, J. (2009). A review of HIV prevention programs. Journal of Religion and Health, 48, 6–15.CrossRefPubMedGoogle Scholar
  23. Harris, A. C. (2010). Sex, stigma, and the Holy Ghost: The Black Church and the construction of AIDS in New York City. Journal of African American Studies, 14(1), 21–43.CrossRefGoogle Scholar
  24. Hart, W., Albarracín, D., Eagly, A. H., Brechan, I., Lindberg, M. J., & Merrill, L. (2009). Feeling validated versus being correct: A meta-analysis of selective exposure to information. Psychological Bulletin. American Psychological Association, 135(4), 555–588.Google Scholar
  25. Hutchinson, M. K., Kalwha, E., Waldron, N., Brown, C., Hamilton, P. I., Hewitt, H. H., et al. (2012). Jamaican mothers’ influences of adolescent girls’ sexual beliefs and behaviors. Nursing Scholarship, 44(1), 27–35.CrossRefGoogle Scholar
  26. Jemmott, J. B., Jemmott, L. S., & Fong, G. T. (2010). Efficacy of a theory-based abstinence-only intervention over 24 months. Archive of Pediatric and Adolescent Medicine, 164, 152–159.Google Scholar
  27. Kim, H., Sefeik, J., & Bradway, C. (2017). Characteristics of qualitative descriptive studies: A systematic review. Research in Nursing and Health, 40(1), 23–42.CrossRefPubMedGoogle Scholar
  28. King, P. E., & Boyatzis, C. J. (2004). Exploring adolescent spiritual and religious development: Current and future theoretical and empirical perspectives. Applied Developmental Science, 8(1), 2–6.CrossRefGoogle Scholar
  29. Li, A. T. W., Wong, J. P. H., Cain, R., & Fung, K. P. L. (2016). Engaging African–Caribbean, Asian, and Latino community leaders to address HIV stigma in Toronto. International Journal of Migration, Health & Social Care, 12(4), 288.CrossRefGoogle Scholar
  30. Lightfoot, A. F., Taggart, T., Briana, A., Woods-Jaeger, B. A., Riggins, L., Jackson, M., et al. (2014). Where is the faith? Using a CBPR approach to propose adaptations to an evidence-based HIV prevention intervention for adolescents in African American faith settings. Journal of Religion and Health, 53, 1223–1235.  https://doi.org/10.1007/s10943-014-9846-y.CrossRefPubMedPubMedCentralGoogle Scholar
  31. Lowe, J. (2011). Community partnership to affect substance abuse among Native American adolescents. The American Journal of Drug and Alcohol Abuse, Encompassing All Addictive Disorders, 38(5), 450–455.CrossRefGoogle Scholar
  32. Lowe, J., & Struthers, R. (2001). A conceptual framework of native American culture. Journal of Nursing Scholarship, 33(3), 278–283.CrossRefGoogle Scholar
  33. Marshall, J., & Archibald, C. (2015). The influence of spirituality on health behaviors in an Afro Caribbean population. ABNF Journal, 26(3), 57–62.PubMedGoogle Scholar
  34. Moore, E. W., Berkley-Patton, J. Y., Berman, M., Burleson, C., & Judah, A. (2016). Physical health screenings among African-American Church and community members. Journal of Religion and Health, 55, 1786–1799.  https://doi.org/10.1007/s10943-016-0264-1.CrossRefPubMedGoogle Scholar
  35. Mpofu, E., Nkomazana, F., Muchado, J. A., Togarasei, L., & Bart, J. (2014). Faith and HIV prevention: The conceptual framing of HIV prevention among Pentecostal Batswana teenagers. BMC Public Health, 14, 225.  https://doi.org/10.1186/1471-2458-14-225.CrossRefPubMedPubMedCentralGoogle Scholar
  36. Muturi, N. (2008). Faith-based initiatives in response to HIV/AIDS in Jamaica. International Journal of Communication, 2, 108–131.Google Scholar
  37. Nurse, K. (2004). Diaspora, migration and development in the Caribbean. Focal: Canadian Foundation for the Americas, FPP-04-6. Retrieved April 20, 2007 from http://www.focal.ca/pdf/migrationCaribbean.pdf.
  38. Ojukutu, B., Nnaji, C., Sithole-Berk, J., Bogart, L., & Gona, P. (2014). Barriers to HIV testing in Black immigrants to the US. Journal of Health Care for the Poor and Underserved, 24(3), 1052–1066.CrossRefGoogle Scholar
  39. Pew Forum on Religion and Public Life. (2009). A religious portrait of African Americans, US religious landscape survey. Washington: Pew Research Center.Google Scholar
  40. Smith, C., Denton, M. L., Faris, R., & Regnerus, M. (2002). Mapping American adolescent religious participation. Journal for the Scientific Study of Religion, 41(4), 597–612.CrossRefGoogle Scholar
  41. Strauss, A., & Corbin, J. (1998). Basics of qualitative research techniques. New York: Sage Publications.Google Scholar
  42. Struthers, R., Eschiti, V. S., & Patchell, B. (2008). The experience of being an Anishinabe man healer: Ancient healing in a modern world. Journal of Cultural Diversity, 15(2), 70–75.PubMedGoogle Scholar
  43. Tashakkori, A., & Teddlie, C. (2010). Mixed methods: Integrating quantitative and qualitative approaches to research. In B. McGaw, E. Baker, & P. P. Peterson (Eds.), International encyclopaedia of education (3rd ed., pp. 514–520). Oxford: Oxford University Press.CrossRefGoogle Scholar
  44. UNAIDS Data. (2017). Caribbean: Global Report. Retrieved June 30 from https://www.unaids.org/en/resources/documents/2017/2017_data_bookm.
  45. Williams, T. T., Pichon, L. C., Davey-Rothwell, M., & Latkin, C. A. (2016). Church attendance as a predictor of number of sexual health topics discussed among high-risk HIV-negative Black women. Archives of Sexual Behavior, 45(2), 451–458.CrossRefPubMedGoogle Scholar
  46. Wingood, G. M., Robinson, L. R., Braxton, N. D., Er, D. L., Conner, A. C., Renfros, T. L., et al. (2013). Comparative effectiveness of a faith-based HIV intervention for African American women: Importance of enhancing religious social capital. American Journal of Public Health, 103(12), 2226–2233.CrossRefPubMedPubMedCentralGoogle Scholar
  47. Zewczyk, L., & Weinmuller, E. (2006). Religious aspects of coping with stress among adolescents from families with alcohol problems. Mental Health, Religion and Culture, 9(4), 389–400.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Christine E. Lynn College of NursingFlorida Atlantic UniversityDavieUSA
  2. 2.University of the West IndiesKingstonJamaica
  3. 3.Florida Atlantic UniversityBoca RatonUSA

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