公共卫生与基于教会的艾滋病预防构想：黑人浸信会视角
Public health and church-based constructions of HIV prevention: black Baptist perspective.
作者信息
Roman Isler Malika, Eng Eugenia, Maman Susanne, Adimora Adaora, Weiner Bryan
机构信息
Department of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, CB# 7240, 342B MacNider Hall, Chapel Hill, NC, 27599 USA, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, CB# 7440, Rosenau Hall Chapel Hill, NC, USA, Department of Medicine, School of Medicine University of North Carolina at Chapel Hill, CB# 7030, Bioinformatics Building Chapel Hill, NC, 27599 USA and Department of Health Policy and Management, Gillings School of Global Public Health University of North Carolina at Chapel Hill, CB# 7411 MacGavran-Greenberg Hall Chapel Hill, NC, 27599 USA
Department of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, CB# 7240, 342B MacNider Hall, Chapel Hill, NC, 27599 USA, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, CB# 7440, Rosenau Hall Chapel Hill, NC, USA, Department of Medicine, School of Medicine University of North Carolina at Chapel Hill, CB# 7030, Bioinformatics Building Chapel Hill, NC, 27599 USA and Department of Health Policy and Management, Gillings School of Global Public Health University of North Carolina at Chapel Hill, CB# 7411 MacGavran-Greenberg Hall Chapel Hill, NC, 27599 USA.
出版信息
Health Educ Res. 2014 Jun;29(3):470-84. doi: 10.1093/her/cyu006. Epub 2014 Mar 17.
The black church is influential in shaping health behaviors within African-American communities, yet few use evidence-based strategies for HIV prevention (abstinence, monogamy, condoms, voluntary counseling and testing, and prevention with positives). Using principles of grounded theory and interpretive description, we explored the social construction of HIV prevention within black Baptist churches in North Carolina. Data collection included interviews with church leaders (n = 12) and focus groups with congregants (n = 7; 36 participants). Analytic tools included open coding and case-level comparisons. Social constructions of HIV/AIDS prevention were influenced by two worldviews: public health and church-based. Areas of compatibility and incompatibility exist between the two worldviews that inform acceptability and adaptability of current evidence-based strategies. These findings offer insight into ways to increase the compatibility of evidence-based HIV prevention strategies within the black Baptist church context.
黑人教会在塑造非裔美国人社区的健康行为方面具有影响力，但很少有人使用基于证据的艾滋病毒预防策略（禁欲、一夫一妻制、避孕套、自愿咨询和检测以及对艾滋病毒阳性者的预防）。运用扎根理论和解释性描述的原则，我们探讨了北卡罗来纳州黑人浸信会教堂内艾滋病毒预防的社会建构。数据收集包括对教会领袖的访谈（n = 12）以及与信徒的焦点小组讨论（n = 7；36名参与者）。分析工具包括开放编码和案例层面的比较。艾滋病毒/艾滋病预防的社会建构受到两种世界观的影响：公共卫生和基于教会的世界观。这两种世界观之间存在相容和不相容的领域，这些领域影响着当前基于证据的策略的可接受性和适应性。这些发现为提高基于证据的艾滋病毒预防策略在黑人浸信会教堂背景下的相容性提供了见解。
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