University of Missouri-Kansas City, Kansas City, MO, USA.
J Urban Health. 2013 Jun;90(3):482-99. doi: 10.1007/s11524-012-9740-4.
Increasingly, African American churches have been called upon to assist in efforts to address HIV/AIDS in underserved communities. African Americans churches may be well-positioned to provide HIV education, screening, and support services, particularly if they are equipped with church-appropriate, easy-to-deliver HIV tools that can be implemented through the naturalistic church environment. To inform the development of a church-based HIV tool kit, we examined church capacity with African American church leaders (N = 124 participants; n = 58 churches represented by senior pastors). Nearly all participants (96%) wanted to learn more about HIV and how to discuss it with their parishioners. Regarding church capacity, most of their representative churches held three regular services each week, facilitated various inreach and community outreach ministries, and had paid staff and computers. Also, many of their churches facilitated HIV/AIDS education/prevention and adolescent sex education activities. Guided by church capacity findings, an ecological framework, and a CBPR approach, we describe the resulting church-based HIV Tool Kit that "fits" naturalistically within a multilevel church infrastructure, builds upon churches' HIV-related experience, and equips faith leaders to efficiently promote HIV services with the communities they serve.
越来越多的非裔美国教堂被呼吁协助解决服务不足社区的艾滋病毒/艾滋病问题。非裔美国教堂可能非常适合提供艾滋病毒教育、筛查和支持服务,特别是如果他们配备了适合教堂、易于提供的艾滋病毒工具,并且可以通过自然的教堂环境来实施这些工具。为了为基于教堂的艾滋病毒工具包的开发提供信息,我们与非裔美国教堂领袖(N=124 名参与者;n=58 名由高级牧师代表的教堂)一起检查了教堂的能力。几乎所有的参与者(96%)都希望更多地了解艾滋病毒以及如何与他们的教友讨论艾滋病毒。关于教堂的能力,他们大多数代表性的教堂每周举行三次常规礼拜,促进各种内部和社区外联事工,并拥有带薪员工和计算机。此外,他们的许多教堂还促进了艾滋病毒/艾滋病教育/预防和青少年性教育活动。根据教堂能力的调查结果、生态框架和 CBPR 方法,我们描述了由此产生的基于教堂的艾滋病毒工具包,该工具包“自然地”适合多层次的教堂基础设施,建立在教堂与艾滋病毒相关的经验基础上,并使信仰领袖能够有效地与他们所服务的社区一起促进艾滋病毒服务。