Early Results of a Statewide Initiative to Involve Faith Communities in HIV Prevention

Tyrell, Carol O.; Klein, Susan; Gieryic, Susan M.; Devore, Barbara S.; Cooper, Jay G.; Tesoriero, James M.

doi:10.1097/01.phh.0000333876.70819.14

Cited by 29 publications

(21 citation statements)

References 15 publications

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“…A number of studies have documented the role of RCs in health promotion and other health-related programming, including programs for HIV prevention and treatment (Crowther, Parker, Achenbaum, Larimore, & Koenig, 2002;Cunningham, Kerrigan, McNeely, & Ellen, 2009;Ellison, Lee, Benjamins, Krause, Ryan, & Marcum, 2008;Tyrell, Klein, Gieryic, Devore, Cooper, & Tesoriero, 2008;Waites & Urieta, 2008). It is important to note that many of these services are not HIV-specific, but meet the needs of many adults regardless of HIV status.…”

Section: Types Of Services Provided By Rcs To Older Adultsmentioning

confidence: 97%

Religious Congregations and the Growing Needs of Older Adults with HIV

Brennan

Strauß

Karpiak

2010

Journal of Religion, Spirituality & Aging

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By 2015, half of those with HIV will be over age 50. This group has a high level of needs, lacks social supports, and will need to access community services such as those provided by religious congregations. We examined whether disclosure to a congregation would pose a barrier to accessing congregational services among adults 50 and older with HIV (n = 819). Fifty-three percent had disclosed, but those who did not disclose generally remained engaged with their congregations. Findings suggest that congregations can be a feasible source of support for older adults with HIV.The population of older adults with HIV is growing due to the success of medical treatments. This has resulted in an emerging cohort of long-term survivors. We are only beginning to understand the implications of living with this chronic, but still serious condition. The level of need in this population is high, yet informal social supports from family, friends, and neighbors are fragile, signifying the need for formal community-based organizations, such as religious congregations (RCs), to fill this gap. Can RCs be a feasible source for needed

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Section: Types Of Services Provided By Rcs To Older Adultsmentioning

confidence: 97%

Religious Congregations and the Growing Needs of Older Adults with HIV

Brennan

Strauß

Karpiak

2010

Journal of Religion, Spirituality & Aging

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“…15–19 FBHP has demonstrated efficacy in screening and improving patient health outcomes for numerous medical conditions, 2 including cancer, 20 cardiovascular disease, 21 and HIV/AIDS. 22 African Americans have the highest rates of church attendance among all racial/ethnic groups in the U.S., 23,24 which makes churches viable catchment settings for depression screening. 25–27 African American clergy provide the primary source of mental health care for a socioeconomically diverse cohort of community members and are trusted “gatekeepers” for referrals to mental health specialists.…”

Section: Introductionmentioning

confidence: 99%

Screening for Depression in African-American Churches

Hankerson

Lee

Brawley

et al. 2015

American Journal of Preventive Medicine

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Introduction Substantial racial/ethnic disparities exist in the identification and management of major depression.1 Faith-Based Health Promotion interventions reduce disparities in health screenings for numerous medical conditions.2 However, the feasibility of systematically screening for depression in faith-based settings has not been investigated. The purpose of this study was to assess the feasibility of using a validated instrument to screen for depression in African American churches. Methods Participants were recruited between October and November 2012 at three predominantly African American churches in New York City. A participatory research approach was used to determine screening days. The Patient Health Questionnaire-9 (PHQ-9) was administered to 122 participants. Positive depression screen was defined as a PHQ-9 score ≥10. Descriptive statistics were used to report sample characteristics, prevalence of participants who screened positive, and history of help seeking. Logistic regression analyses were conducted to determine the association of positive depression screen and sociodemographic characteristics. Initial analyses were conducted in 2013, with additional analyses in 2014. Results The prevalence estimate for positive depression screen was 19.7%. More men (22.5%) screened positive than women (17.7%). Total household income was inversely related to positive depression screen. A similar percentage of respondents had previously sought help from primary care providers as from clergy. Conclusions It was feasible to screen for depression with the PHQ-9 in African American churches. The prevalence of positive depression screen was high, especially among black men. Churches may be an important setting in which to identify depressive symptoms in this underserved population.

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“…Recently, congregation-based HIV prevention interventions have appeared in the literature, almost exclusively focused on African American churches (Agate et al, 2005; Baldwin et al, 2008; Berkley-Patton et al, 2010; Berkley-Patton, Moore, Hawes, Thompson, & Bohn, 2012; Griffith, Pichon, Campbell, & Allen, 2010; MacMaster et al, 2007; Marcus et al, 2004; Tyrell et al, 2008; Wingood, Simpson-Robinson, Braxton, & Raiford, 2011). HIV-related stigma has been noted as a barrier to congregation-based efforts (Williams, Palar, & Derose, 2011), but few studies have measured HIV-related attitudes and stigma in a church-affiliated population (Berkley-Patton, Moore, et al, 2012; Bluthenthal et al, 2012; Lindley, Coleman, Gaddist, & White, 2010; Muturi & An, 2010) and none have reported on congregation-based interventions designed primarily to reduce stigma.…”

Section: Introductionmentioning

confidence: 99%

An Intervention to Reduce HIV-Related Stigma in Partnership With African American and Latino Churches

Derose¹,

Bogart²,

Kanouse³

et al. 2014

AIDS Education and Prevention

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HIV-related stigma negatively affects prevention and care, and community-based interventions are needed. Here we describe the development of a multi-ethnic, faith-based intervention to reduce HIV stigma that included: educational workshops on HIV, testing, and stigma; peer leader workshops using role plays and drawing on principles of motivational interviewing; a pastor-delivered sermon on HIV that incorporated theological reflection and an imagined contact scenario; and congregation-based HIV testing events. Lessons learned include: partnership development is essential and requires substantial investment; tailoring intervention components to single race-ethnic groups may not be preferable in diverse community settings; and adapting testing processes to be able to serve larger numbers of people in shorter time frames is needed for congregational settings. This development process successfully combined the rigorous application of social science theory and community engagement to yield a multifaceted HIV stigma reduction intervention appropriate for Protestant and Catholic churches in African American and Latino communities.

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Early Results of a Statewide Initiative to Involve Faith Communities in HIV Prevention

Cited by 29 publications

References 15 publications

Religious Congregations and the Growing Needs of Older Adults with HIV

Religious Congregations and the Growing Needs of Older Adults with HIV

Screening for Depression in African-American Churches

An Intervention to Reduce HIV-Related Stigma in Partnership With African American and Latino Churches

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