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Factors Influencing Black Churches’ Readiness to Address HIV

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Abstract

This study employed a community-based participatory research approach to understand factors that influence church readiness to engage in HIV prevention and treatment activities. A convenience sample of twenty-six Black faith leaders participated in four focus groups. Data analysis was done through qualitative content analysis. Three themes emerged. First, the pastor’s blessing and authority as the church’s decision-maker determines readiness to engage in HIV prevention. Second, the church’s purview of sexual health as part of a holistic ministry facilitates faith leader’s readiness. Lastly, securing financial and human resources makes it feasible for faith leaders to implement activities. Findings suggest HIV-related stigma alone does not explain readiness to address HIV. Participants also discussed activities their churches are equipped to handle, including HIV testing events and health fairs.

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References

  • Berkley-Patton, J., Thompson, C. B., Martinez, D. A., Hawes, S. M., Moore, E., Williams, E., & Wainright, C. (2013). Examining church capacity to develop and disseminate a religiously appropriate HIV tool kit with African American churches. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 90(3), 482–499. doi:10.1007/s11524-012-9740-4.

    Article  Google Scholar 

  • 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. doi:10.1146/annurev.publhealth.28.021406.144016.

    Article  PubMed  Google Scholar 

  • Catanzaro, A., Meador, K. G., Koenig, H. G., Kuchibhatla, M., & Clipp, E. C. (2006). Congregational health ministries: A national study of pastors’ views. Public Health Nursing, 24, 6–17. doi:10.1111/j.1525-1446.2.

    Article  Google Scholar 

  • Chilenski, S. M., Greenberg, M. T., & Feinberg, M. E. (2007). Community readiness as a multidimensional construct. Journal of Community Psychology, 35(3), 347–365. doi:10.1002/jcop.20152.

    Article  PubMed  PubMed Central  Google Scholar 

  • Coyne-Beasley, T., & Schoenbach, V. J. (2000). The African–American church: A potential forum for adolescent comprehensive sexuality education. Journal of Adolescent Health, 26(4), 289–294.

    Article  CAS  PubMed  Google Scholar 

  • Creswell, J. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd ed.). Thousand Oaks, CA: Sage Publications Inc.

    Google Scholar 

  • 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(2), 407–421.

    Article  PubMed  Google Scholar 

  • De Marco, M., Weiner, B., Meade, S. A., Hadley, M., Boyd, C., Goldmon, M., & Corbie-Smith, G. (2011). Assessing the readiness of black churches to engage in health disparities research. Journal of the National Medical Association, 103(9–10), 960–967.

    Article  PubMed  PubMed Central  Google Scholar 

  • Donnermeyer, J. F., Plested, B. A., Edwards, R. W., Oetting, E. R., & Littlethunder, L. (1997). Community readiness and prevention programs. Journal of Community Development Society, 28(1), 65–83.

    Article  Google Scholar 

  • Edwards, R. W., Jumper-Thurman, P., Plested, B. A., Oetting, E. R., & Swanson, L. (2000). Community readiness: Research to practice. Journal of Community Psychology, 28(3), 291–307.

    Article  Google Scholar 

  • Grayman-Simpson, N., & Mattis, J. (2013). “If it wasn’t for the church…:” Organizational religiosity and informal community helping among African American adults. Journal of African American Studies, 17(3), 243–252.

    Article  Google Scholar 

  • Griffith, D. M., Pichon, L. C., Campbell, B., & Allen, J. O. (2010). YOUR blessed health: A faith-based CBPR approach to addressing HIV/AIDS among African Americans. AIDS Education and Prevention: Official Publication of the International Society for AIDS Education, 22(3), 203–217.

    Article  Google Scholar 

  • Hicks, K. E., Allen, J. A., & Wright, E. M. (2005). Building holistic HIV/AIDS responses in African American urban faith communities: A qualitative, multiple case study analysis. Family and Community Health, 28(2), 184–205.

    Article  PubMed  Google Scholar 

  • Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173–202. doi:10.1146/annurev.publhealth.19.1.173.

    Article  CAS  PubMed  Google Scholar 

  • Lincoln, C., & Mamiya, L. (1990). The black church in the African–American experience. Durham, NC: Duke University.

    Book  Google Scholar 

  • Millett, G. A., Jefferies, W. L., Peterson, J. L., Malebranche, D. J., Lane, T., Flores, S. A., & Heilig, C. M. (2012). Common roots: A contextual review of HIV epidemics in black men who have sex with men across the African diaspora. Lancet, 380, 411–423.

    Article  PubMed  Google Scholar 

  • NAACP. (2014). The black church & HIV: The social justice imperative. Retrieved July 1, 2015, from http://theblackchurchandhiv.org/.

  • 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Oetting, E. R., Donnermeyer, J. F., Plested, B. A., Edwards, R. W., Kelly, K., & Beauvais, F. (1995). Assessing community readiness for prevention. The International Journal of the Addictions, 30(6), 659–683.

    Article  CAS  PubMed  Google Scholar 

  • Padgett, D. (2012). Data analysis and interpretation (1st ed.). Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Patton, M. Q. (2002). Qualitative research & evaluation methods. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Pichon, L. C., Griffith, D. M., Campbell, B., Allen, J. O., Williams, T. T., & Addo, A. Y. (2012). Faith leaders’ comfort implementing an HIV prevention curriculum in a faith setting. Journal of Health Care for the Poor and Underserved, 23(3), 1253–1265. doi:10.1353/hpu.2012.0108.

    Article  PubMed  Google Scholar 

  • Pichon, L. C., Williams, T. T., & Campbell, B. (2013). An exploration of faith leaders’ beliefs concerning HIV prevention: Thirty years into the epidemic. Family and Community Health, 36(3), 260–268. doi:10.1097/FCH.0b013e318292eb10.

    PubMed  Google Scholar 

  • 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.

    PubMed  PubMed Central  Google Scholar 

  • Stewart, J. M., & Dancy, B. L. (2012). Factors contributing to the development of an HIV ministry within an African American church. The Journal of the Association of Nurses in AIDS Care: JANAC, 23(5), 419–430. doi:10.1016/j.jana.2011.09.008.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stewart, J. M., & Thompson, K. (2015). Readiness to implement HIV testing in African–American church settings. Journal of Religion and Health,. doi:10.1007/s10943-015-0068-8.

    PubMed  Google Scholar 

  • Tesoriero, J. M., Parisi, D. M., Sampson, S., Foster, J., Klein, S., & Ellemberg, C. (2000). Faith communities and HIV/AIDS prevention in New York State: Results of a statewide survey. Public Health Reports, 115(6), 544–556.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Thomas, S. B., Quinn, S. C., Billingsley, A., & Caldwell, C. (1994). The characteristics of northern black churches with community health outreach programs. American Journal of Public Health, 84(4), 575–579.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Washington, R. (2008). The relationship between African American clergy and lay leaders’ beliefs, knowledge, and behavioral intentions on HIV/AIDS prevention program resources. Minneapolis: Capella University.

    Google Scholar 

  • Werber, L., Derose, K. P., Dominguez, B. X., & Mata, M. A. (2012). Religious congregations’ collaborations: with whom do they work and what resources do they share in addressing HIV and other health issues? Health Education & Behavior: The official Publication of the Society for Public Health Education, 39(6), 777–788. doi:10.1177/1090198111434595.

    Article  Google Scholar 

  • Williams, T., Pichon, L. C., Latkin, C. A., & Davey-Rothwell, M. (2014). Practicing what is preached: Congregational characteristics related to HIV testing behaviors and HIV discussions among black women. Journal of Community Psychology, 42(30), 365–378.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This study was supported by research funds provided by the University of Memphis Benjamin L. Hooks Institute for Social Change and the American Psychological Association Cyber Mentors Program (in part). LCP was the recipient of these funds. We are grateful to the 26 faith leaders for sharing their experiences. Patrick Denning, MPH, is acknowledged for assistance in study preparation. We thank April Nellum, MS, for assistance with data entry. We thank Joel Sims, Jr., for his insight on leadership structures in African-American churches. We thank Lisa Krull for her support in reviewing and editing this manuscript. Finally, Diane Binson, Ph.D., is acknowledged for her continuous support, mentorship, and review of earlier drafts.

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Correspondence to Latrice C. Pichon.

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Pichon, L.C., Powell, T.W., Ogg, S.A. et al. Factors Influencing Black Churches’ Readiness to Address HIV. J Relig Health 55, 918–927 (2016). https://doi.org/10.1007/s10943-015-0117-3

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