Journal of Religion and Health

, Volume 55, Issue 5, pp 1700–1716 | Cite as

The Influence of Pastors’ Ideologies of Homosexuality on HIV Prevention in the Black Church

  • Katherine Quinn
  • Julia Dickson-Gomez
  • Staci Young
Original Paper


Young, Black men who have sex with men (YBMSM) are disproportionately affected by HIV, and Black Churches may be a source of stigma which can exacerbate HIV risk and contribute to negative health and psychosocial outcomes. Findings from this study are based on 21 semi-structured interviews with pastors and ethnographic observation in six Black Churches. Interview transcripts and field notes were analyzed in MAXQDA using thematic content analysis. Although pastors espoused messages of love and acceptance, they overwhelmingly believed homosexuality was a sin and had difficulty accepting YBMSM into their churches. The tension around homosexuality limited pastors’ involvement in HIV prevention efforts, although there still may be opportunities for some churches.


HIV Homosexuality Black MSM Black Church Stigma 


  1. Anderson, P. L., Glidden, D. V., Liu, A., Buchbinder, S., Lama, J. R., Guanira, J. V., & iPrEx Study Team. (2012). Emtricitabine-tenofovir concentrations and pre-exposure prophylaxis efficacy in men who have sex with men. Science Translational Medicine, 4(151), 151ra125.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Balsam, K. F., Molina, Y., Beadnell, B., Simoni, J., & Walters, K. (2011). Measuring multiple minority stress: the LGBT people of color microaggressions scale. Cultural Diversity and Ethnic Minority Psychology, 17(2), 163.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Barnes, S. L. (2009). The influence of black church culture: How black church leaders frame the HIV/AIDS discourse. Journal of Interreligious Dialogue, 2, 65–84.Google Scholar
  4. Bernard, H. R. (2011). Research methods in anthropology: Qualitative and quantitative approaches (5th ed.). Lanham: Altamira Press.Google Scholar
  5. Bierman, A. (2006). Does religion buffer the effects of discrimination on mental health? differing effects by race. Journal for the Scientific Study of Religion, 45(4), 551–565.CrossRefGoogle Scholar
  6. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Burn, S. M., Kadlec, K., & Rexer, R. (2005). Effects of subtle heterosexism on gays, lesbians, and bisexuals. Journal of Homosexuality, 49(2), 23–38.CrossRefPubMedGoogle Scholar
  8. 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 of Public Health, 28, 213–234.CrossRefPubMedGoogle Scholar
  9. Centers for Disease Control and Prevention. (2007). A heightened national response to the HIV/AIDS crisis among african americans. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.Google Scholar
  10. Centers for Disease Control and Prevention. (2011). CDC fact sheet. HIV among gay, bisexual, and other men who have sex with men. Retrieved from
  11. Centers for Disease Control and Prevention (CDC). (1986). Epidemiologic notes and reports: Acquired immunodeficiency syndrome (AIDS) among blacks and hispanics-united states. (No. 35(42)).MMWR morbidity mortality weekly report.Google Scholar
  12. Centers for Disease Control and Prevention (CDC). (2010). Prevalence and awareness of HIV infection among men who have sex with men—21 Cities, united states, 2008. MMWR. Morbidity and Mortality Weekly Report, 59(37), 1201–1207.Google Scholar
  13. Chatters, L. M., Bullard, K. M., Taylor, R. J., Woodward, A. T., Neighbors, H. W., & Jackson, J. S. (2008). Religious participation and DSM-IV disorders among older african americans: findings from the national survey of american life. The American Journal of Geriatric Psychiatry, 16(12), 957–965.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Coleman, J., Lindley, L. L., Annang, L., Saunders, R. P., & Gaddist, B. (2012). Development of a framework for HIV/AIDS prevention programs in african american churches. AIDS Patient Care and STDs, 26, 116–124.CrossRefPubMedGoogle Scholar
  15. Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks: Sage.CrossRefGoogle Scholar
  16. Coyne-Beasley, T., & Schoenbach, V. J. (2000). The african-american church: a potential forum for adolescent comprehensive sexuality education. Journal of Adolescent Health, 26, 289–294.CrossRefPubMedGoogle Scholar
  17. Cunningham, S. D., Kerrigan, D. L., McNeely, C. A., & Ellen, J. M. (2011). The role of structure versus individual agency in churches’ responses to HIV/AIDS: a case study of baltimore city churches. Journal of Religion and Health, 50, 407–421.CrossRefPubMedGoogle Scholar
  18. Donnell, D., Baeten, J. M., Bumpus, N. N., Brantley, J., Bangsberg, D. R., Haberer, J. E., & Celum, C. (1999). HIV protective efficacy and correlates of tenofovir blood concentrations in a clinical trial of PrEP for HIV prevention. Journal of Acquired Immune Deficiency Syndromes, 66(3), 340–348. doi: 10.1097/QAI.0000000000000172.CrossRefGoogle Scholar
  19. Ellison, C. G. (1995). Race, religious involvement and depressive symptomatology in a southeastern US community. Social Science and Medicine, 40(11), 1561–1572.CrossRefPubMedGoogle Scholar
  20. Ellison, C. G., Boardman, J. D., Williams, D. R., & Jackson, J. S. (2001). Religious involvement, stress, and mental health: findings from the 1995 detroit area study. Social Forces, 80(1), 215–249.CrossRefGoogle Scholar
  21. Ellison, C. G., & Flannelly, K. J. (2009). Religious involvement and risk of major depression in a prospective nationwide study of african american adults. The Journal of Nervous and Mental Disease, 197(8), 568–573. doi: 10.1097/NMD.0b013e3181b08f45.CrossRefPubMedGoogle Scholar
  22. Ellison, C. G., & Gay, D. A. (1990). Region, religious commitment, and life satisfaction among black americans. The Sociological Quarterly, 31(1), 123–147.CrossRefGoogle Scholar
  23. Ellison, C. G., Hummer, R. A., Cormier, S., & Rogers, R. G. (2000). Religious involvement and mortality risk among african american adults. Research on Aging, 22(6), 630–667.CrossRefGoogle Scholar
  24. Felix Aaron, K., Levine, D., & Burstin, H. R. (2003). African american church participation and health care practices. Journal of General Internal Medicine, 18(11), 908–913.CrossRefPubMedGoogle Scholar
  25. Foster, M. L., Arnold, E., Rebchook, G., & Kegeles, S. M. (2011). ‘It’s my inner strength’: Spirituality, religion and HIV in the lives of young african american men who have sex with men. Culture, Health, and Sexuality, 13(9), 1103–1117.CrossRefGoogle Scholar
  26. Fullilove, M. T., & Fullilove, R. E. (1999). Stigma as an obstacle to AIDS action: The case of the african american community. American Behavioral Scientist, 42, 1117–1129.CrossRefGoogle Scholar
  27. Glaser, B., & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Aldine De Gruyter.Google Scholar
  28. Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. Garden City: Anchor Books.Google Scholar
  29. 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(21), 21–43.CrossRefGoogle Scholar
  30. Herek, G. M. (2007). Confronting sexual stigma and prejudice: Theory and practice. Journal of Social Issues, 63(4), 905–925.CrossRefGoogle Scholar
  31. Herek, G. M., Gillis, J. R., & Cogan, J. C. (2009). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Journal of Counseling Psychology, 56(1), 32.CrossRefGoogle Scholar
  32. Holt-Lunstad, J., Steffen, P. R., Sandberg, J., & Jensen, B. (2011). Understanding the connection between spiritual well-being and physical health: An examination of ambulatory blood pressure, inflammation, blood lipids and fasting glucose. Journal of Behavioral Medicine, 34(6), 477–488.CrossRefPubMedGoogle Scholar
  33. Krause, N. (2004). Common facets of religion, unique facets of religion, and life satisfaction among older african americans. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 59(2), S109–S117.CrossRefPubMedGoogle Scholar
  34. Lewis, N. M. (2009). Mental health in sexual minorities: Recent indicators, trends, and their relationships to place in north america and europe. Health and Place, 15(4), 1029–1045.CrossRefPubMedGoogle Scholar
  35. Matthews, A. K., Berrios, N., Darnell, J. S., & Calhoun, E. (2006). A qualitative evaluation of a faith-based breast and cervical cancer screening intervention for african american women. Health Education and Behavior, 33(5), 643–663.CrossRefPubMedGoogle Scholar
  36. McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, H. G., & Thoresen, C. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 19(3), 211.CrossRefPubMedGoogle Scholar
  37. McNeal, S., & Perkins, I. (2007). Potential roles of black churches in HIV/AIDS prevention. Journal of Human Behavior in the Social Environment, 15(2), 219–232.CrossRefGoogle Scholar
  38. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.CrossRefPubMedPubMedCentralGoogle Scholar
  39. Miller, R. L. (2007). Legacy denied: African American gay men, AIDS and the black church. National Association of Social Workers, 52(1), 51–61.Google Scholar
  40. Nadal, K. L., Issa, M., Leon, J., Meterko, V., Wideman, M., & Wong, Y. (2011). Sexual orientation microaggressions:“Death by a thousand cuts” for lesbian, gay, and bisexual youth. Journal of LGBT Youth, 8(3), 234–259.CrossRefGoogle Scholar
  41. Platt, L. F., & Lenzen, A. L. (2013). Sexual orientation microaggressions and the experience of sexual minorities. Journal of Homosexuality, 60(7), 1011–1034.CrossRefPubMedGoogle Scholar
  42. Prejean, J., Song, R., Hernandez, A., Ziebell, R., Green, T., Walker, F., & HIV Incidence 0urveillance Group. (2011). Estimated HIV incidence in the united states, 2006–2009. PloS One, 6(8), e17502. doi: 10.1371/journal.pone.0017502.CrossRefPubMedPubMedCentralGoogle Scholar
  43. Quinn, K., & Dickson-Gomez, J. (2016). Homonegativity, religiosity, and the intersecting identities of young black men who have sex with men. AIDS and Behavior, 22(1), 51–64.CrossRefGoogle Scholar
  44. Samuel-Hodge, C. D., Keyserling, T. C., France, R., Ingram, A. F., Johnston, L. F., Davis, L. P., et al. (2006). Peer reviewed: A church-based diabetes self-management education program for African Americans with type 2 diabetes. Preventing Chronic Disease, 3(3), A93.PubMedPubMedCentralGoogle Scholar
  45. Shulden, J. D., Song, B., Barros, A., Mares-DelGrasso, A., Martin, C. W., & Ramirez, R. (2008). Rapid HIV testing in transgender communities by community-based organizations in three cities. Public Health Reports, 123(Suppl. 3), 101–114.Google Scholar
  46. Smith, J., Simmons, E., & Mayer, K. H. (2005). HIV/AIDS and the black church: What are the barriers to prevention services? Journal of the National Medical Association, 97(12), 1682–1685.PubMedPubMedCentralGoogle Scholar
  47. Stall, R., Duran, L., Wisniewski, S. R., Friedman, M. S., Marshal, M. P., McFarland, W., & Mills, T. C. (2009). Running in place: Implications of HIV incidence estimates among urban men who have sex with men in the united states and other industrialized countries. AIDS Behavior, 13(4), 615–629.CrossRefPubMedPubMedCentralGoogle Scholar
  48. Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. Hoboken: Wiley.Google Scholar
  49. Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271.CrossRefPubMedGoogle Scholar
  50. Tyrell, C. O., Klein, S. J., Gieryic, S. M., Devore, B. S., Cooper, J. G., & Tesoriero, J. M. (2008). Early results of a statewide initiative to involve faith communities in HIV prevention. Journal of Public Health Management and Practice, 14(5), 429–436.CrossRefPubMedGoogle Scholar
  51. Ward, E. G. (2005). Homophobia, hypermasculinity and the US black church. Culture, Health and Sexuality, 7(5), 493–504. doi: 10.1080/13691050500151248.CrossRefPubMedGoogle Scholar
  52. White House Office of National AIDS Policy. (2015). National HIV/AIDS strategy for the united states Updated to 2020. Washington, DC: The White House.Google Scholar
  53. Wilcox, S., Laken, M., Bopp, M., Gethers, O., Huang, P., McClorin, L., & Yancey, A. (2007). Increasing physical activity among church members: Community-based participatory research. American Journal of Preventive Medicine, 32(2), 131–138.CrossRefPubMedGoogle Scholar
  54. Williams, M. V., Palar, K., & Derose, K. P. (2011). Congregation-based programs to address HIV/AIDS: Elements of successful implementation. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 88(3), 517–532.CrossRefGoogle Scholar
  55. Wilson, P. A., Wittlin, N. M., Munoz-Laboy, M., & Parker, R. G. (2011). Ideologies of black churches in new york city and the public health crisis of HIV among black men who have sex with men. Global Public Health, 6(Suppl 2), S227–S242.CrossRefPubMedPubMedCentralGoogle Scholar
  56. Wright, A. J., & Wegner, R. T. (2012). Homonegative microaggressions and their impact on LGB individuals: A measure validity study. Journal of LGBT Issues in Counseling, 6(1), 34–54.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Katherine Quinn
    • 1
  • Julia Dickson-Gomez
    • 1
  • Staci Young
    • 2
  1. 1.Center for AIDS Intervention Research, Department of Psychiatry and Behavioral MedicineMedical College of WisconsinMilwaukeeUSA
  2. 2.Department of Family and Community Medicine, Institute for Health and SocietyMedical College of WisconsinMilwaukeeUSA

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