Foster Pamela Payne, Thomas Martina, Lewis Dwight
Department of Community and Rural Health, The University of Alabama School of Medicine, Tuscaloosa, Alabama, USA.
Institute for Rural Health Research, The University of Alabama, Tuscaloosa, Alabama, USA.
AIMS Public Health. 2016 Apr 25;3(2):242-254. doi: 10.3934/publichealth.2016.2.242. eCollection 2016.
The Black Church has long been purported as being strongly influential in the lives of Blacks in America. Recent U.S. census data trends highlight a "reverse migration" pattern where Blacks are moving back to the South from larger metropolitan areas in other U.S. geographical regions. This migration pattern parallels the increasing HIV/AIDS prevalence among Blacks in the Deep South. This paper reviews both the historical and current migration patterns among Blacks, as well as the current HIV/AIDS epidemic among Blacks in the Deep South. Thereafter, the authors discuss an existing framework for increasing HIV/AIDS prevention capacity through a conceptual connection of migration, religion and sexual health. The authors use case studies to support the proposed framework. It is hoped that the framework could be used to address HIV/AIDS health disparities and other chronic diseases affecting Blacks in America.
长期以来，黑人教会在美国黑人的生活中一直被认为具有强大的影响力。美国最近的人口普查数据趋势凸显了一种“逆向迁移”模式，即黑人正从美国其他地理区域的大城市地区回流到南方。这种迁移模式与美国南部黑人中不断上升的艾滋病毒/艾滋病患病率相平行。本文回顾了黑人的历史和当前迁移模式，以及美国南部黑人中当前的艾滋病毒/艾滋病疫情。此后，作者们讨论了一个现有的框架，该框架通过将迁移、宗教和性健康概念联系起来，以提高艾滋病毒/艾滋病预防能力。作者们使用案例研究来支持所提出的框架。希望该框架可用于解决影响美国黑人的艾滋病毒/艾滋病健康差距及其他慢性病问题。
