Abstract
Though race and region are not by themselves risk factors for HIV infection, regional and racial disparities exist in the burden of HIV/AIDS in the US. Specifically, African Americans in the southern US appear to bear the brunt of this burden due to a complex set of upstream factors like structural and cultural influences that do not facilitate HIV/AIDS awareness, HIV testing, or sexual risk-reduction techniques while perpetuating HIV/AIDS-related stigma. Strategies proposed to mitigate the burden among this population have included establishing partnerships and collaborations with non-traditional entities like African American churches and other faith-based organizations. Though efforts to partner with the African American church are not necessarily novel, most of these efforts do not present a model that focuses on building the capacity of the African American church to address these upstream factors and sustain these interventions. This article will describe Project Fostering AIDS Initiatives That Heal (F.A.I.T.H), a faith-based model for successfully developing, implementing, and sustaining locally developed HIV/AIDS prevention interventions in African American churches in South Carolina. This was achieved by engaging the faith community and the provision of technical assistance, grant funding and training for project personnel. Elements of success, challenges, and lessons learned during this process will also be discussed.
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Adimora, A., Schoenbach, V. J., & Doherty, I. (2006). HIV and African Americans in the southern United States: Sexual networks and social context. Sexually Transmitted Disease, 33, S39–S45.
Beatty, L. A., Wheeler, D., & Gaiter, J. (2004). HIV prevention research for African Americans: Current and future directions. Journal of Black Psychology, 30, 40–58.
Billingsley, A., & Caldwell, C. H. (1991). The church, the family, and the school in the African American community. Journal of Negro Education, 60, 427–440.
Centers for Disease Control and Prevention (CDCa). (2013). HIV and AIDS in the United States by geographic distribution. Available at http://www.cdc.gov/hiv/resources/factsheets/PDF/geographic.pdf. Accessed April 5, 2013.
Centers for Disease Control and Prevention (CDCb). (2013). HIV among African Americans Available at http://www.cdc.gov/hiv/topics/aa/index.htm. Accessed April 5, 2013.
Centers for Disease Control and Prevention (CDCc). (2013). Highlights of CDC activities addressing HIV prevention among African American gay, bisexual, and other men who have sex with men. Available at http://www.cdc.gov/hiv/topics/surveillance/resources/factsheets/pdf/highlights_CDC_Activities_July_2011.pdf. Accessed April 5, 2013.
Centers for Disease Control and Prevention (CDCd). (2013). Morbidity and mortality weekly report 2003. HIPAA privacy rule and public health. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/m2e411a1.htm. Accessed July 12, 2013.
Coleman, J. D., Lindley, L. L., Annang, L., Saunders, R., & Gaddist, B. (2012). Development of a framework for HIV/AIDS prevention programs in African American churches. AIDS Patient Care & STDs, 26, 116–124.
Crepaz, N., Marshall, K. J., Aupont, L. W., et al. (2009). The efficacy of HIV/STI behavioral interventions for African American females in the United States: A meta-analysis. American Journal of Public Health, 99, 2069–2078.
Darbes, L., Crepaz, N., Lyles, C., Kennedy, G., & Rutherford, G. (2008). The efficacy of behavioral interventions in reducing HIV risk behaviors and incident sexually transmitted diseases in heterosexual African Americans. AIDS, 22, 1177–1194.
DiClemente, R. J., Salazar, L. F., Crosby, R. A., & Rosenthal, S. L. (2005). Prevention and control of sexually transmitted infections among adolescents: The importance of a socio-ecological perspective—a commentary. Public Health, 119, 825–836.
Dworkin, S. L., Pinto, R. M., Hunter, J., Rapkin, B., & Remien, R. H. (2008). Keeping the spirit of community partnerships alive in the scale up of HIV/AIDS prevention: Critical reflections on the roll out of DEBI (diffusion of effective behavioral interventions). American Journal of Community Psychology, 42, 51–59.
Effective Interventions. (2013a). Effective interventions. Available at http://www.effectiveinterventions.org/en/HighImpactPrevention/Interventions.aspx. Accessed July 12, 2013.
Effective Interventions. (2013b). Safety counts. Available at http://www.effectiveinterventions.org/en/HighImpactPrevention/Interventions/SafetyCounts.aspx. Accessed July 12, 2013.
Elmore, K. A. (2006). Southern discomfort: AIDS stigmatization in Wilmington, North Carolina. Southeastern Geographer, 46, 215–230.
Francis, S. A., Lam, W. K., Cance, J. D., & Hogan, V. K. (2009). What’s the 411? Assessing the feasibility of providing African American adolescents with HIV/AIDS prevention education in a faith-based setting. Journal of Religion and Health, 48, 164–177.
Francis, A. S., & Liverpool, J. (2009). A review of faith-based HIV prevention programs. Journal of Religion and Health, 48, 6–15.
Kaplan, S. A., Calman, N. S., Golub, M., Ruddock, C., & Billings, J. (2006). The role of faith-based institutions in addressing health disparities: A case study of an initiative in the southwest Bronx. Journal of Healthcare for the Poor Underserved, 17, 9–19.
Lichtenstein, B. (2003). Stigma as a barrier to treatment of sexually transmitted infection in the American Deep South: Issues of race, gender and poverty. Social Science and Medicine, 57, 2435–2445.
Lindley, L. L., Coleman, J. D., Gaddist, B. W., & White, J. (2010). Informing faith-based HIV/AIDS interventions: HIV-related knowledge and stigmatizing attitudes at Project F.A.I.T.H churches in South Carolina. Public Health Reports, 125(S1), 12–20.
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 & Behavior, 33, 641–663.
McKnight, J., & Kretzmann, J. (1992). Mapping community capacity. Evanston, IL: Center for Urban Affairs and Policy, Northwestern University.
Nunn, A., Cornwall, A., Chute, N., Sanders, J., et al. (2012). Keeping the faith: African American faith leaders’ perspectives and recommendations for reducing racial disparities in HIV/AIDS infection. PLoS ONE, 7(5), e36172.
Purcell, D., & McCree, D. (2009). Recommendations from a research consultation to address intervention strategies for HIV/AIDS prevention focused on African Americans. American Journal of Public Health, 99, 1937–1940.
Reif, S., Geonnotti, K. L., & Whetten, K. (2006). HIV infection and AIDS in the Deep South. American Journal of Public Health, 96, 970–973.
Resnicow, K., Campbell, M. K., Carr, C., et al. (2004). Body and soul: A dietary intervention conducted through African-American churches. American Journal of Preventive Medicine, 27, 97–105.
Samuel-Hodge, C. D., Keyserling, T. C., France, R., et al. (2006). A church-based diabetes self-management education program for African Americans with type 2 diabetes. Preventing Chronic Disease, 3, A93.
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, 1682–1685.
Taylor, R. J., Thornton, M. C., & Chatters, L. M. (1987). Black Americans’ perceptions of the socio-historical role of the church. Journal of Black Studies, 18, 123–138.
US Census Bureau. (2012). The black population. Available at http://www.census.gov/prod/cen2010/briefs/c2010br-06.pdf. Accessed December 28, 2012.
US Department of Health and Human Services (USDHHS). Health Information Privacy. Available at http://www.hhs.gov/ocr/privacy/hipaa/administrative/index.html. Accessed July 12, 2013.
Wandersman, A. (2003). Community science: Bridging the gap between science and practice with community-centered models. American Journal of Community Psychology, 31, 227–242.
Wilcox, S., Laken, M., Bopp, M., et al. (2007). Increasing physical activity among church members. American Journal of Preventive Medicine, 32, 131–138.
Wilton, L., Herbst, J. H., Coury-Doniger, P., Painter, T. M., English, G., Alvarez, M. E., et al. (2009). Efficacy of an HIV/STI prevention intervention for black men who have sex with men: Findings from the Many Men, Many Voices (3MV) project. AIDS and Behavior, 13(3), 532–544.
Yanek, L. R., Becker, D. M., Moy, T. F., Gittelsohn, J., & Koffman, D. M. (2001). Project Joy: Faith based cardiovascular health promotion for African American women. Public Health Reports, 116(S1), 68–81.
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This study was based on a project funded by the South Carolina General Assembly.
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Abara, W., Coleman, J.D., Fairchild, A. et al. A Faith-Based Community Partnership to Address HIV/AIDS in the Southern United States: Implementation, Challenges, and Lessons Learned. J Relig Health 54, 122–133 (2015). https://doi.org/10.1007/s10943-013-9789-8
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DOI: https://doi.org/10.1007/s10943-013-9789-8