Abstract
Aim
The aim of this study was to implement a HIV stigma reduction/health literacy educational program to investigate HIV stigma reduction and HIV knowledge and health literacy expansion within a cross-generational African American faith center on the west side of Chicago.
Subject and methods
The study included a community-based mixed method design, enveloped with elements of “stigma reduction, intergroup contact and religious social capital” theories, analyzed a sample size of fourteen (N = 14) faith center participants’ pre- and post-assessment scores and their direct quotes gathered from focused observations.
Results
The study presented significant difference found in HIV knowledge (p = .007), and (HIV) health literacy (p = .041). Additionally, significant difference was found in four out of fifteen HIV stereotypes subscales scores on the Stereotype About AIDS Questionnaire.
Conclusion
The study suggests that HIV stigma has potentiality to reduce within the African American faith center population contrary to previous studies where HIV stigma reduction was not evident. The intervention model provided a protocol for partnership development between this faith center and the local community hospital infectious disease program to address HIV stigma, HIV knowledge and health literacy (HIV health literacy).
Similar content being viewed by others
References
Agate LL, Cato-Watson D, Mullins JM, Scott GS, Rolle V, Markland D, Roach DL (2005) Churches united to stop HIV (CUSH): a faith-based prevention initiative. J Natl Med Assoc 97(7 Suppl):60S–63S PMC2640644
Agency for Healthcare Research and Quality (2015) Use the teach-Back method: tool #5. http://www.ahrq.gov/professionals/quality-patient-safety-/quality-resources/tools/literacy-toolkit/healthlittookit2-tool5/html Assessed 16 Oct 2017
Agency for Healthcare Research and Quality, Rockville, MD (2016) Health Literacy Measurement Tools (Revised). Content last reviewed February 2016. https://www.ahrq.gov/health-literacy/quality resources/tools/literacy/index.html. Assessed 16 Oct 2017
AIDSinfo. (2017). HIV Overview. https://aidsinfo.nih.gov/understanding-hiv-aids/fact-sheets/print/19/0/1. Assessed 20 Oct 2017
Baptist Church Facebook” (2018) http://m.facebook.com/pg/grmbchurch/about/?ref=page.internal&mt_nav=1. Assessed 7 January 2018
Bauer E (2013) Enacting support within church communities for people living with HIV or AIDS. Ment Health Relig Cult 16:1–19. https://doi.org/10.1080/13674676.2011.645801
Berkley-Patton JY, Moore E, Berman M, Simon SD, Thompson CB, Schleicher T, Hawes SM (2013) Assessment of HIV-related stigma in a US faith-based HIV education and testing intervention. J Int AIDS Soc 16(3Suppl 2):1–8. https://doi.org/10.7448/IAS.16.3.18644
Berkley-Patton JY, Bowe-Thompson C, Moore E, Hawes S, Simon S, Goggin K, Martinez D, Berman M, Booker A (2016) An HIV testing intervention in African American churches: pilot study findings. Ann Behav Med 50(3):480–485. https://doi.org/10.1007/s12160-015-9758-4
Carey MP, Schroder KE (2002) Development and psychometric evaluation of the brief HIV knowledge questionnaire. AIDS Educ Prev 14(2):172–182. https://doi.org/10.1521/aeap.14.2.172.23902
Casillas O, Ramirez M, (2009) North Lawndale churches: are they causing more harm than good. http://articles.chicagotribune.com/2009-05-17/news/0905160012_1_storefront-churches-dozen-pastors-entities Assessed 12 Dec 2017
Centers for Disease Control and Prevention (2016) Stigma and discrimination. https://www.cdc.gov/msmhealth/stigma-and-discrimination.htm Assessed 21 Oct 2017
Centers for Disease Control and Prevention (2017a) HIV Care Continuum. https://www.cdc.gov/hiv/pdf/library/factsheets/cdc-hiv-care-continuum.pdf Assessed 20 Oct 2017
Centers for Disease Control and Prevention (2017b).Safer Sex. https://www.cdc.gov/hiv/pdf/library/factsheets/cdc-hiv-safer-sex-101.pdf Assessed 20 Oct 2017
Coleman JD, Lindley LL, Annang L, Saunders RP, Gaddist B (2012) Development of a framework for HIV/AIDS prevention programs in African American churches. AIDS Patient Care STDs 26(2):116–124. https://doi.org/10.1089/apc.2011.0163
Coleman JD, Tate AD, Gaddist B, White J (2016) Social determinant of HIV-related stigma in faith-based organizations. Am J Public Health 106(3):492–496. https://doi.org/10.2105/AJPH.2015.302985
Community Tool Box (2017) Section 2: Community-based participatory research. http://ctb.ku.edu/en/table-of-contents/evaluate/evaluation-research//. Assessed 10 Jan 2018
Department of Health and Human Services (2016) Quickquide to health literacy. https://health.gov/communication/literacy/quickguide/Quickguide.pdf Assessed 28 Oct 2017
Derose KP, Bogart LM, Kanouse DE, Felton A, Collins DO, Mata M, Williams MV (2014) An intervention to reduce HIV-related stigma in partnership with African American and Latino churches. AIDS Behav 26(1):28–42. https://doi.org/10.1521/aeap.2014.26.1.28
Derose KP, Griffin BA, Kanouse DE, Bogart LM, Williams MV, Haas AC, Flórez KR, Collins DO, Hawes-Dawson J, Mata MA, Oden CW, Stucky BD (2016) Effects of a pilot church-based intervention to reduce HIV stigma and promote HIV testing among African Americans and Latinos. AIDS Behav 20:1692–1705. https://doi.org/10.1007/s10461-015-1280-y
Florez KR, Payan DD, Derose KP, Aunon F, Bogart LM (2017) Process evaluation of a peer-driven HIV stigma reduction and HIV testing intervention in Latino and African American churches. Health Equity 1(1):109–117. https://doi.org/10.1089/heq.2017.0009
Glanton D (2017) Growing up with poverty and violence: a North Lawndale Teen’s story. https://www.chicagotribune.com/columns/dahleen-glanton/ct-poverty-violence-glanton-met-20170309-column.html Assessed 10 Jan 2018
Griffith DM, Campbell B, Allen JO, Robinson KJ, Stewart SK (2010) Your blessed health: An HIV-prevention program bridging faith and public health communities. Public Health Rep 125(Supp. 1):4–11. https://doi.org/10.1177/00333549101250S102
Health Literacy Measurement Tools (Revised). 2016 SAHL-E http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy/index.html. Assessed 1 Nov 2017
Heller J (2015) Rumors and realities: making sense of HIV/AIDS conspiracy narratives and contemporary legends. Am J Public Health 105(1):e43–e50. https://doi.org/10.2105/AJPH.2014.302284
Hicks G, Barragon M, Franco-Paredes C, Williams MV, Del Rio C (2006) The stereotypes about health literacy is a predictor of HIV/AIDS knowledge. Fam Med 38(10):717–723
HIV.GOV (2015) National HIV/AIDS Strategy for the United States: Updated to 2020 http://files.hiv.gov/s3fs-public/nhas-update.pdf. Assessed 22 Oct 2017
Holanda de Cunha G, Gimeniz Galvao MT, Neyva da Costa Pinheiro P, Cunha Vieira NF (2017) Health literacy for people living with HIV/aids: an integrative review. Rev Bras Enferm 70(1):180–188. https://doi.org/10.1590/0034-7167-2015-0052
Illinois Department of Public Health (2014) Overview of HIV disease in Illinois. http://www.dph.illinois.gov/sites/default/files/publications/1-27-16-OHP-HIVfactsheet-Overview.pdf Assessed 1 Nov 2017
Lee DS, Stucky BD, Lee JY, Rozier G, Bender DE (2010) Short assessment of health literacy – Spanish and English: a comparable test of health literacy for Spanish and English speakers. Health Serv Res 45(4):1105–1120. https://doi.org/10.1111/j.1475-6773.2010.01119.x
Lightfoot AF, Taggart T, Woods-Jaeger A, Riggins L, Jackson MR, Eng E (2014) Where is the faith? Using a CBPR approach to propose adaptations to an evidence-based HIV prevention intervention for adoloscents in African American faith settings. J Relig Health 53(4):1223–1225. https://doi.org/10.1007/s10943-014-9846-y
Pettigrew TF, Tropp LR (2006) A meta-analytic test of intergroup contact theory. J Pers Soc Psychol 90(5):751–783. https://doi.org/10.1037/0022-3514.90.5.751
Sinai Health Systems (2017) Infectious disease. http://www.sinai.org/content/infectious-disease Assessed 5 Nov 2017
Snell W, Finney P, Godwin L (1997) AIDS questionnaire (SAAQ) http://www4.semo.edu/snell/scales/SAAQ.htm. Assessed 28 Oct 2017
Steilen M, Abshier P (2010) Health literacy & HIV/AIDS overview. https://aidsetc.org/sites/default/files/resources_files/Steilen_Health_Literacy_and_its_Impact_on_HIV_Care_1.ppt.Assessed 24 Oct 2017
Stewart JM (2015) A multi-level approach for promoting HIV testing within African American church settings. AIDS Patient Care STDs 29(2):69–76. https://doi.org/10.1089/apc.2014.0160
Target HIV (2016). In it together for community training https://targethiv.org/library/it-together-health-professionals-community-training. Assessed 5 Jan 2018
Williams MV, Palar K, Derose KP (2011) Congregation-based program to address HIV/AIDS: elements of successful implementation. J Urban Health 88(3):517–532. https://doi.org/10.1007/s11524-010-9526-5
Wingood GM, Robinson LR, Braxton ND, Deja EL, Connor AC, Renfro TL, Rubtsova AA, Hardin JW, DiClemente RJ (2013) Comparative effectiveness of a faith-based HIV intervention for African American women: importance of enhancing religious social capital. Am J Public Health 103(12):2226–2233. https://doi.org/10.2105/AJPH.2013.301386
World Health Organization (2004) Introduction of Stigma and Discrimination (Modified version of WHO and HHS/CDC Prevention of Mother-to-Child Transmission of HIV (PMTCT) Generic Training Package Components. http://applications.emro.who.int/aiecf/prevention_mother_Trainers_Manual.pdf. Assessed 1 Nov 2017
Acknowledgments
Thank you to my daughter, Cieyara Porch, who is the reason that I push diligently to be the best person that I can be in life. It is my hope that she will be inspired and be proud of my accomplishment to complete this level of education and to make life impact through public health work. Further, I like to dedicate this paper to the seniors, pregnancy and HIV counselees that I met while working at a federal qualified health center on the west side of Chicago that inspired my heart to want to pursue a doctorate degree that would allow me to make community-based impact for community wellness for individuals such as them.
I extend my thanks to every person who encouraged me along the journey, like my co-workers Lynn Williams and Denise Meginniss, and my friends, Annettia Davis-Cook and Cherese Morgan.
Further, I would like acknowledge my mentor, Dr. Oreta Samples and all of her support and encouragement throughout the capstone process. Equally, I would like to acknowledge each professor in my doctoral program at Capella University, and Dr. Edward Paluch, my Capstone committee member. Thanks to my Preceptor, Bijou Hunt who provided advisement and assistance with my research. Special thanks to my former co-worker, Nikiya Pruitt who contributed to my connection to Sinai Health Systems Infectious Disease program.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Cook, L. HIV stigma reduction and health literacy education program with a cross-generational populaton in an African American faith-based church. J Public Health (Berl.) 29, 1089–1106 (2021). https://doi.org/10.1007/s10389-020-01203-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10389-020-01203-4