“Wake Up! HIV is at Your Door”: African American Faith Leaders in the Rural South and HIV Perceptions: A Qualitative Analysis

Aholou, Tiffiany; Cooks, Eric J.; Murray, Ashley; Sutton, Madeline Y.; Gaul, Zaneta; Gaskins, Susan; Payne-Foster, Pamela

doi:10.1007/s10943-016-0193-z

Cited by 18 publications

(6 citation statements)

References 40 publications

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“…A particularly noteworthy finding is the disconnection between pastors' and church leaders' views of HIV associated risk. Previous literature has indicated that most pastors perceive their congregations as being at lower or no risk for HIV [23][24][25]. In contrast, the pastors in this sample reported that there was a high likelihood that members of their congregation, particularly young boys and men, were engaging in risk behaviors that may put them at risk for HIV.…”

Section: Discussioncontrasting

confidence: 64%

Strategies to Promote African-American Church Leadership Engagement in HIV Testing and Linkage to Care

Stewart

Hong

Powell

2018

J. Racial and Ethnic Health Disparities

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A vital piece in implementing and sustaining HIV testing and linkage-to-care within Black churches is the support of the pastors and church leadership. In order to promote church-based HIV testing and linkage-to-care, we explored pastor and church leaders' (1) HIV-related knowledge, (2) their perception of congregant and community engagement in HIV-related risks, and (3) the potential role of the church in HIV testing and linkage-to-care. We conducted focus groups with 57 church leaders and 8 interviews with pastors across 6 churches in Baltimore, MD, USA. Conventional content analysis was used to analyze the qualitative data. The leadership demonstrated different levels of knowledge of the need for confidentiality and the HIV testing process and reported that low levels of HIV knowledge among their congregants was related to low perceived risk of contracting HIV. Pastors and church leaders indicated that community members engaged in sexual risk and drug use but denied that any of their congregants engaged in such behaviors. Finally, pastors and church leaders as stated that churches were best suited as HIV service centers. These findings can be used to develop culturally appropriate interventions for pastors and church leaders to be better equipped and willing to incorporate HIV testing and linkage-to-care in their churches.

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Section: Discussioncontrasting

confidence: 64%

Strategies to Promote African-American Church Leadership Engagement in HIV Testing and Linkage to Care

Stewart

Hong

Powell

2018

J. Racial and Ethnic Health Disparities

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“…Faith communities have been intending and engaging in HIV preventive solutions, training to decrease stigma, and strengthen support for PLHIV (Aholou et al, 2016). There is a need to develop a therapy module that integrates spirituality, mental health, and biopsychological models (Amjad & Bokharey, 2015).…”

Section: Framework Of the Studymentioning

confidence: 99%

The Effect of Religiously Integrated Cognitive Behavioral Therapy on the Psycho-Spiritual Well-Being of People Living with HIV

Degillo¹,

Gayoles

2020

PSSJ

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This study determined the effect of Religiously Integrated Cognitive Behavioral Therapy (RCBT) on the psycho-spiritual well-being of people living with HIV (PLHIV). A one-group pretest-posttest design was employed to determine the effect of RCBT on the psycho-spiritual well-being of PLHIV. The Psychological General Well-Being Index (PGWBI) and the Spiritual Well-Being Questionnaire (SWBQ) were used to measure psychological well-being and spiritual well-being, respectively. The intervention was a single session RCBT. The participants were PLHIV from the Philippine Catholic HIV/AIDS Network (PhilCHAN) Western Visayas group. The results of the study revealed a statistically significant increase in the psychological well-being of the PLHIV before and after the RCBT. Although there was an increase in the spiritual well-being of the PLHIV after the RCBT, it was not statistically significant. The findings suggest implications for the inclusion of RCBT in the services provided for PLHIV to improve their psycho-spiritual well-being.

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“…We learned from the pastors that HIV stigma was prevalent, but the pastors believed that Black Churches have an important role to play in addressing HIV in the African American community. A more detailed account of the qualitative findings from the interviews is provided elsewhere (Aholou et al, 2016). Pastors also provided demographic information about their congregation and any HIV prevention activities conducted at their churches.…”

Section: Phase 1: Assessmentmentioning

confidence: 99%

Developing FAITHH: Methods to Develop a Faith-Based HIV Stigma-Reduction Intervention in the Rural South

Bradley

Sutton

Cooks

et al. 2018

Health Promotion Practice

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Human immunodeficiency virus (HIV) disproportionately affects Blacks/African Americans, particularly those residing in the southern United States. HIV-related stigma adversely affects strategies to successfully engage people in HIV education, prevention, and care. Interventions targeting stigma reduction are vital as additional tools to move toward improved outcomes with HIV prevention and care, consistent with national goals. Faith institutions in the South have been understudied as partners in HIV stigma-reduction efforts, and some at-risk, Black/African American communities are involved with southern faith institutions. We describe the collaborative effort with rural, southern faith leaders from various denominations to develop and pilot test Project Faith-based Anti-stigma Initiative Towards Healing HIV/AIDS (FAITHH), an HIV stigma-reduction intervention that built on strategies previously used with other nonrural, Black/African American faith communities. The eight-module intervention included educational materials, myth-busting exercises to increase accurate HIV knowledge, role-playing, activities to confront stigma, and opportunities to develop and practice delivering a sermon about HIV that included scripture-based content and guidance. Engaging faith leaders facilitated the successful tailoring of the intervention, and congregation members were willing participants in the research process in support of increased HIV awareness, prevention, and care.

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“Wake Up! HIV is at Your Door”: African American Faith Leaders in the Rural South and HIV Perceptions: A Qualitative Analysis

Cited by 18 publications

References 40 publications

Strategies to Promote African-American Church Leadership Engagement in HIV Testing and Linkage to Care

Strategies to Promote African-American Church Leadership Engagement in HIV Testing and Linkage to Care

The Effect of Religiously Integrated Cognitive Behavioral Therapy on the Psycho-Spiritual Well-Being of People Living with HIV

Developing FAITHH: Methods to Develop a Faith-Based HIV Stigma-Reduction Intervention in the Rural South

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