Abstract
This study examines African American faith based leaders’ attitudes and beliefs about providing HIV prevention education and services to adolescents. Using a convenience sample, we identified priority adolescent health issues, attitudes about abstinence messages, and willingness to provide and participate in HIV prevention. Leaders identified drugs, gangs, alcohol, sex, and pregnancy as priority health issues affecting youth in their institutions. Leaders’ strongly preferred to emphasize abstinence messages. Although leaders were willing to provide youth with health education, they were not willing to discuss specific behaviors associated with HIV transmission. African American churches provide a venue to reach African American youth; however, there are limitations to relying on faith-based HIV prevention services. HIV prevention education should continue to be supplemented via parents, schools, and public health agencies.
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Albert, B., Brown, S., Flanigan, C. M. (Eds.) (2003). 14 and younger: The sexual behaviors of young adolescents. Washington, DC: National Campaign to Prevent Teen Pregnancy.
APPCNC (2003). State stats. Adolescent Pregnancy Prevention Council of North Carolina.
Burgess, V., Dziegielewski, S. F., & Green, C. E. (2005). Improving comfort about sex communication between parents and their adolescents: Practice-based research within a teen sexuality group. Brief Treatment and Crisis Intervention, 5, 379–390.
CDC. HIV/AIDS among African Americans. www.cdc.gov/hiv/pubs/Facts/afam.htm. Accessed 26 Oct 2003.
Coyne-Beasley, T., & Schoenbach, V. (2000). The African American church: A potential forum for adolescent comprehensive sexuality education. Journal of Adolescent Health, 26, 289–294.
Faugier, J., & Sargeant, M. (1997). Sampling hard to reach populations. Journal of Advances in Nursing, 26, 790–797.
Flick, U. (2002). An introduction to qualitative research. Thousand Oaks, CA: Sage Publications.
Hatch, J., & Lovelace, K. (1980). Involving the southern rural church and students of the health professions in health education. Public Health Report, 95, 23–25.
Jacknik, M., Isberner, F., Gumerman, S. et al. (1984). OCTOPUS—a church-based sex education program for teens and parents. Adolescence, 19, 757–763.
Kaplan, C. D., Korf, D. et al. (1987). Temporal and social contexts of heroin-using populations. An illustration of the snowball sampling technique. Journal of Nervous Mental Disorder, 175, 566–574.
Lam, W. K., Cance, J. D., Eke, A. N. et al. (2007). Children of African-American mothers who use crack cocaine: Parenting influences on youth substance use. Journal of Pediatric Psychology, 32, 877–887.
Levin, J. (1984). The role of the black church in community medicine. Journal of the National Medical Association, 76, 477–483.
Lincoln, C. (1990). The black church in the African American experience. Durham, NC: Duke University Press.
MacMaster, S. A., Jones, J. L., Rasch, R. et al. (2007). Evaluation of a faith-based culturally relevant program for African American substance users at risk for HIV in the southern United States. Research on Social Work Practice, 17, 229–238.
Magnani, R., Sabin, K., Saidel, T. et al. (2005). Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS, 19, S67–S72.
Mertz, J. (1997). The role of churches in helping adolescents prevent HIV/AIDS. Journal of HIV AIDS Prevention in Children and Youth, 1, 45–55.
NCDHHS (2003). North Carolina 2002 HIV/STD surveillance report. Raleigh, NC: North Carolina, NC Department of Health and Human Services.
NPR, Kaiser Family Foundation & the Kennedy School of Government. (2007). Sex education in America. http://www.kff.org/newsmedia/upload/Sex-Education-in-America-Summary.pdf. Accessed 23 April 2007.
Religious Coalition for Reproductive Choice. (2007). Black church initiative. http://www.rcrc.org/programs/blackchurch.cfm. Accessed 6 Sept 2007.
Resnick, M., Bearman, P., Blum, R. W. et al. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278, 823–832.
Sanders, E. II (1997). New Insights and interventions: Churches uniting to reach the African American community with health information. Journal of Health Care for the Poor Underserved, 8, 373–376.
Smith, C. M., & Denton, M. L. (2005). Soul searching: The religious and spiritual lives of American teenagers. Oxford: Oxford University Press.
Smith, C. M., Denton, M. L., Faris, R. et al. (2002). Mapping American adolescent religious participation. Journal for the Scientific Study of Religion, 41, 597–612.
Somlai, A. M., Heckman, T. G., Kelly, J. A., Mulry, G. W., & Multhauf, K. E. (2006). The response of religious congregations to the spiritual needs of people living with HIV/AIDS. Journal of Pastoral Care, 51, 415–426.
Starkman, N., & Rajani, N. (2002). The case for comprehensive sex education. AIDS Patient Care and STDS, 16, 313–318.
Stolley, J., & Koenig, H. (1997). Religion/spirituality and health among elderly African American and Hispanics. Journal of Psychosocial Nursing and Mental Health Service, 35, 32–38.
The Surgeon General’s call to action to promote sexual health and responsible sexual behavior. www.surgeongeneral.gov/library/sexualhealth/call.pdf. Accessed 31 March 2002.
Thomas, S., Quinn, S. C., Billingsley, A. et al. (1994). The characteristics of northern black churches with community health outreach programs. American Journal of Public Health, 84, 575–579.
Wagener, L., Furrow, J. L, King, P. E. et al. (2003). Religious involvement and developmental resources in youth. Review of Religious Research, 44, 271–284.
Wallace, J., & Williams, J. (1997). Religion and adolescent health-compromising behaviors. In J. Schulenberg, J. L. Maggs, & K. Hurrelmann (Eds.) Health risks and developmental transitions during adolescence (pp. 444–471). New York: Cambridge Press.
Whitehead, B., Wilcox, B., & Rostosky, S. (2001). Keeping the faith: The role of religion and faith communities in preventing teen pregnancy. Washington, DC: National Campaign to Prevention Teen Pregnancy.
Wilson, D. K, Rodrigue, J. R., & Taylor, W. C. (Eds.) (1997). Health-promoting and health-compromising behaviors among minority adolescents. Washington, DC: American Psychological Association.
Acknowledgments
This research uses data from the Partnership for Adolescent Wellness Study (PAWS). PAWS was funded by a Centers for Disease Control and Prevention (CDC) cooperative agreement R18/CCR420942. The conclusions and interpretations presented do not necessarily reflect the views of CDC. The authors would like to thank John Wallace and Drs. Roland Thorpe and Scott H. Frank for editorial feedback, and Dr. Agatha Eke for her guidance throughout the study.
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Francis, S.A., Lam, W.K., Cance, J.D. et al. What’s the 411? Assessing the Feasibility of Providing African American Adolescents with HIV/AIDS Prevention Education in a Faith-Based Setting. J Relig Health 48, 164–177 (2009). https://doi.org/10.1007/s10943-008-9177-y
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DOI: https://doi.org/10.1007/s10943-008-9177-y