Abara Winston, Coleman Jason D, Fairchild Amanda, Gaddist Bambi, White Jacob
Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA, 30310, USA,
J Relig Health. 2015 Feb;54(1):122-33. doi: 10.1007/s10943-013-9789-8.
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.
尽管种族和地区本身并非艾滋病毒感染的风险因素,但美国艾滋病毒/艾滋病负担存在地区和种族差异。具体而言,美国南部的非裔美国人似乎首当其冲地承受了这一负担,这是由于一系列复杂的上游因素,如结构和文化影响,这些因素不利于提高对艾滋病毒/艾滋病的认识、进行艾滋病毒检测或采取降低性风险的技巧,同时使与艾滋病毒/艾滋病相关的耻辱感长期存在。为减轻这一人群负担而提出的策略包括与非传统实体建立伙伴关系与合作,如非裔美国人教会和其他基于信仰的组织。尽管与非裔美国人教会合作的努力并非新鲜事,但大多数此类努力并未提供一个专注于建设非裔美国人教会应对这些上游因素及维持这些干预措施能力的模式。本文将介绍“促进治愈艾滋病倡议项目”(F.A.I.T.H),这是一个基于信仰的模式,用于在南卡罗来纳州的非裔美国人教会成功开展、实施和维持当地制定的艾滋病毒/艾滋病预防干预措施。这是通过让信仰团体参与以及为项目人员提供技术援助、赠款资金和培训来实现的。在此过程中取得成功的要素、面临的挑战以及吸取的经验教训也将予以讨论。