Facilitators and Barriers to HIV Activities in Religious Congregations: Perspectives of Clergy and Lay Leaders from a Diverse Urban Sample
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This paper examines facilitators and barriers to HIV activities within religious congregations, the relative internal or external sources of these influences, and suggestive differences across congregational types. Results are based on in-depth interviews with clergy and lay leaders (n = 57) from 14 congregations in Los Angeles County, California, purposively selected to reflect diversity in racial-ethnic composition, denomination, size, and HIV activity level. Many common facilitators and barriers were related to norms and attitudes, only a few of which appeared overtly associated with theological orientations. Clergy support was a facilitator particularly prevalent among congregations having higher HIV activity levels, indicating its importance in sustaining and expanding HIV programs. Resource issues were also prominent, with material resource barriers more frequently mentioned by smaller congregations and human resource barriers more among larger congregations. Organizational structure issues were mostly centered on external linkages with various social service, public health, and faith-based entities. Analysis of internal versus external sources highlights the roles of different stakeholders within and outside congregations in promoting HIV activities. Potential differences across congregational types represent fruitful areas for future research.
KeywordsReligious congregations HIV activities Facilitators Barriers
This study was supported by Grant Number 1 R01 HD050150 (Derose) from the Eunice Kennedy Shriver National Institute for Child Health and Human Development (NICHD). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NICHD. The authors thank the members of the study’s Community Advisory Board who have provided much-valued guidance and counsel throughout the study, in particular Rev. Dr. Clyde W. Oden, Delis Alejandro, Deborah Owens Collins, Keesha Johnson, Mario Pérez, Rev. Chris Ponnet, the Rt. Rev. Chester Talton, and Richard Zaldivar. We also thank the 14 case study congregations and their leaders, who for confidentiality reasons, are not named. Finally, we thank our other colleagues at RAND, Ricky Bluthenthal, Blanca Domínguez, and Jennifer Hawes-Dawson, who helped conceptualize and carry out the overall study.
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