Skip to main content
Top
Published in: Journal of Religion and Health 2/2011

01-06-2011 | Original Paper

The Role of Structure Versus Individual Agency in Churches’ Responses to HIV/AIDS: A Case Study of Baltimore City Churches

Authors: Shayna D. Cunningham, Deanna L. Kerrigan, Clea A. McNeely, Jonathan M. Ellen

Published in: Journal of Religion and Health | Issue 2/2011

Login to get access

Abstract

This paper examines the activities of churches in Baltimore, Maryland, concerning the issues of sexuality, whether they potentially stigmatize persons with or at risk for HIV/AIDS, and to what extent individual agency versus institutional forces influence churches in this regard. In-depth interviews were conducted with 20 leaders from 16 churches and analyzed using a grounded theory methodology. Although many churches were involved in HIV/AIDS-related activities, the content of such initiatives was sometimes limited due to organizational constraints. Church leaders varied, however, in the extent to which they responded in accordance with or resisted these constraints, highlighting the importance of individual agency influencing churches’ responses to HIV/AIDS.
Footnotes
1
Examples of mainline Protestant denominations include: American Baptist Churches in the USA, Episcopal Church, Evangelical Lutheran Church in America, Presbyterian Church (USA), United Church of Christ, and United Methodist.
 
2
Examples of evangelical denominations include: Assemblies of God, Independent Baptists, Lutheran Church-Missouri Synod, Church of Christ, Pentecostal, Presbyterian Church in America, and Southern Baptists.
 
3
Congregational “adherents” include all full members, their children, and others who regularly attend services.
 
Literature
go back to reference AIDS Administration. (2005). The Maryland 2005 HIV/AIDS annual report. Baltimore, MD: Maryland Department of Health and Mental Hygiene. AIDS Administration. (2005). The Maryland 2005 HIV/AIDS annual report. Baltimore, MD: Maryland Department of Health and Mental Hygiene.
go back to reference Ayers, J. R. (1995). The quagmire of HIV/AIDS related issues which haunt the church. The Journal of Pastoral Care, 49(2), 201–210. Ayers, J. R. (1995). The quagmire of HIV/AIDS related issues which haunt the church. The Journal of Pastoral Care, 49(2), 201–210.
go back to reference Baldwin, J. A., Daley, E., Brown, E. J., August, E. M., Webb, E., Stern, R., et al. (2008). Knowledge and perception of STI/HIV risk among rural African-American youth: Lessons learned in a faith-based pilot program. Journal of HIV/AIDS Prevention in Children and Youth, 9(1), 97–114.CrossRef Baldwin, J. A., Daley, E., Brown, E. J., August, E. M., Webb, E., Stern, R., et al. (2008). Knowledge and perception of STI/HIV risk among rural African-American youth: Lessons learned in a faith-based pilot program. Journal of HIV/AIDS Prevention in Children and Youth, 9(1), 97–114.CrossRef
go back to reference Banerjee, N. (2006, May 5). Episcopalians divide again over electing gay bishop. The New York Times. Banerjee, N. (2006, May 5). Episcopalians divide again over electing gay bishop. The New York Times.
go back to reference Blankenship, K. M., Bray, S. J., & Merson, M. H. (2000). Structural interventions in public health. AIDS, 14(Suppl 1), S11–S21.PubMedCrossRef Blankenship, K. M., Bray, S. J., & Merson, M. H. (2000). Structural interventions in public health. AIDS, 14(Suppl 1), S11–S21.PubMedCrossRef
go back to reference Boyd-Franklin, N. (2003). Black families in therapy: Understanding the African American experience. New York, NY: The Guilford Press. Boyd-Franklin, N. (2003). Black families in therapy: Understanding the African American experience. New York, NY: The Guilford Press.
go back to reference Brown, L., Macintyre, K., & Trujillo, L. (2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15(1), 49–69.PubMedCrossRef Brown, L., Macintyre, K., & Trujillo, L. (2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15(1), 49–69.PubMedCrossRef
go back to reference Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: Evidence and lessons learned. Annual Review of Public Health, 28, 213–234.PubMedCrossRef Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: Evidence and lessons learned. Annual Review of Public Health, 28, 213–234.PubMedCrossRef
go back to reference Centers for Disease Control and Prevention (CDC). (2009). HIV/AIDS surveillance report, 2007. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention. Centers for Disease Control and Prevention (CDC). (2009). HIV/AIDS surveillance report, 2007. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention.
go back to reference Cohen, C. J. (1999). The boundaries of blackness: AIDS and the breakdown of black politics. Chicago, IL: The University of Chicago Press. Cohen, C. J. (1999). The boundaries of blackness: AIDS and the breakdown of black politics. Chicago, IL: The University of Chicago Press.
go back to reference Cohen, D. A., & Scribner, R. (2000). An STD/HIV prevention intervention framework. AIDS Patient Care and STDs, 14(1), 37–45.PubMedCrossRef Cohen, D. A., & Scribner, R. (2000). An STD/HIV prevention intervention framework. AIDS Patient Care and STDs, 14(1), 37–45.PubMedCrossRef
go back to reference Coyne-Beasley, T., & Schoenbach, V. J. (2000). The African-American church: A potential forum for adolescent comprehensive sexuality education. Journal of Adolescent Health, 26, 289–294.PubMedCrossRef Coyne-Beasley, T., & Schoenbach, V. J. (2000). The African-American church: A potential forum for adolescent comprehensive sexuality education. Journal of Adolescent Health, 26, 289–294.PubMedCrossRef
go back to reference Crawford, I., Allison, K. W., Robinson, W. L., Hughes, D., & Samaryk, M. (1992). Attitudes of African-American Baptist ministers toward AIDS. Journal of Community Psychology, 20, 304–308.CrossRef Crawford, I., Allison, K. W., Robinson, W. L., Hughes, D., & Samaryk, M. (1992). Attitudes of African-American Baptist ministers toward AIDS. Journal of Community Psychology, 20, 304–308.CrossRef
go back to reference Crocker, J., Major, B., & Steele, C. (1998). Social stigma. In D. T. Gilbert & S. T. Fiske (Eds.), The handbook of social psychology. Boston, MA: McGraw-Hill. Crocker, J., Major, B., & Steele, C. (1998). Social stigma. In D. T. Gilbert & S. T. Fiske (Eds.), The handbook of social psychology. Boston, MA: McGraw-Hill.
go back to reference Ellingson, S., Tebbe, N., Van Haitsma, M., & Laumann, E. O. (2001). Religion and the politics of sexuality. Journal of Contemporary Ethnography, 30(1), 3–55.CrossRef Ellingson, S., Tebbe, N., Van Haitsma, M., & Laumann, E. O. (2001). Religion and the politics of sexuality. Journal of Contemporary Ethnography, 30(1), 3–55.CrossRef
go back to reference Francis, S. A., & Liverpool, J. (2008). A review of faith-based HIV prevention programs. Journal of Religion and Health, 48, 6–15.PubMedCrossRef Francis, S. A., & Liverpool, J. (2008). A review of faith-based HIV prevention programs. Journal of Religion and Health, 48, 6–15.PubMedCrossRef
go back to reference Fullilove, M. T., & Fullilove, R. E. (1999). Stigma as an obstacle to AIDS action: The case of the African American community. American Behavioral Scientist, 42(7), 1113–1125.CrossRef Fullilove, M. T., & Fullilove, R. E. (1999). Stigma as an obstacle to AIDS action: The case of the African American community. American Behavioral Scientist, 42(7), 1113–1125.CrossRef
go back to reference Genrich, G. L., & Brathwaite, B. A. (2005). Response of religious groups to HIV/AIDS as a sexually transmitted infection in Trinidad. BMC Public Health, 5, 121.PubMedCrossRef Genrich, G. L., & Brathwaite, B. A. (2005). Response of religious groups to HIV/AIDS as a sexually transmitted infection in Trinidad. BMC Public Health, 5, 121.PubMedCrossRef
go back to reference Giddens, A. (1976). New rules of sociological method. London: Hutchinson. Giddens, A. (1976). New rules of sociological method. London: Hutchinson.
go back to reference Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago, IL: Aldine. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago, IL: Aldine.
go back to reference Goffman, E. (1963). Stigma: Notes on the management of a spoiled identity. Englewood Cliffs, NJ: Prentice-Hall. Goffman, E. (1963). Stigma: Notes on the management of a spoiled identity. Englewood Cliffs, NJ: Prentice-Hall.
go back to reference Goodstein, L. (2003, November 3). Openly gay man is made a bishop. The New York Times. Goodstein, L. (2003, November 3). Openly gay man is made a bishop. The New York Times.
go back to reference Herek, G. M. (1999). AIDS and stigma. American Behavioral Scientist, 42(7), 1106–1116. Herek, G. M. (1999). AIDS and stigma. American Behavioral Scientist, 42(7), 1106–1116.
go back to reference Herek, G. M., Capitanio, J. P., & Widaman, K. F. (2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991–1999. American Journal of Public Health, 92(3), 371–377.PubMedCrossRef Herek, G. M., Capitanio, J. P., & Widaman, K. F. (2002). HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991–1999. American Journal of Public Health, 92(3), 371–377.PubMedCrossRef
go back to reference Jones, E. E., Farina, A., Hastorf, A. H., Markus, H., Miller, D. T., & Scott, R. A. (1984). Social stigma: The psychology of marked relationships. New York, NY: W.H. Freeman. Jones, E. E., Farina, A., Hastorf, A. H., Markus, H., Miller, D. T., & Scott, R. A. (1984). Social stigma: The psychology of marked relationships. New York, NY: W.H. Freeman.
go back to reference Klein, S. J., Karchner, W. D., & O’Connell, D. A. (2002). Interventions to prevent HIV-related stigma and discrimination: Findings and recommendations for public health practice. Journal of Public Health Management Practice, 8(6), 44–53. Klein, S. J., Karchner, W. D., & O’Connell, D. A. (2002). Interventions to prevent HIV-related stigma and discrimination: Findings and recommendations for public health practice. Journal of Public Health Management Practice, 8(6), 44–53.
go back to reference Kosmin, B. A., Mayer, E., & Keysar, A. (2001). American religious identification survey, 2001. New York, NY: The Graduate Center of the City University of New York, NY. Kosmin, B. A., Mayer, E., & Keysar, A. (2001). American religious identification survey, 2001. New York, NY: The Graduate Center of the City University of New York, NY.
go back to reference Lincoln, C. E., & Mamiya, L. (1990). The Black church in the African-American experience. Durham, NC: Duke University. Lincoln, C. E., & Mamiya, L. (1990). The Black church in the African-American experience. Durham, NC: Duke University.
go back to reference Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.CrossRef Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385.CrossRef
go back to reference Mahajan, A. P., Sayles, J. N., Patel, V. A., Remien, R. H., Sawires, S. R., Ortiz, D. J., et al. (2008). Stigma in the HIV/AIDS epidemic: A review of the literature and recommendations for the way forward. AIDS, 2(suppl 2), S67–S79. Mahajan, A. P., Sayles, J. N., Patel, V. A., Remien, R. H., Sawires, S. R., Ortiz, D. J., et al. (2008). Stigma in the HIV/AIDS epidemic: A review of the literature and recommendations for the way forward. AIDS, 2(suppl 2), S67–S79.
go back to reference Merz, J. P. (1997). The role of churches in helping adolescents prevent HIV/AIDS. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 1(2), 45–55. Merz, J. P. (1997). The role of churches in helping adolescents prevent HIV/AIDS. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 1(2), 45–55.
go back to reference Nyblade, L., Pande, R., Mathur, S., MacQuarrie, K., Kidd, R., Banteyerga, H., et al. (2003). Disentangling HIV and AIDS stigma in Ethiopia, Tanzania and Zambia. Washington, DC: The International Center for Research on Women. Nyblade, L., Pande, R., Mathur, S., MacQuarrie, K., Kidd, R., Banteyerga, H., et al. (2003). Disentangling HIV and AIDS stigma in Ethiopia, Tanzania and Zambia. Washington, DC: The International Center for Research on Women.
go back to reference Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science and Medicine, 57, 13–24.PubMedCrossRef Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science and Medicine, 57, 13–24.PubMedCrossRef
go back to reference Patton, M. Q. (2001). Qualitative evaluation and research methods. Newbury Park, CA: Sage. Patton, M. Q. (2001). Qualitative evaluation and research methods. Newbury Park, CA: Sage.
go back to reference Piot, P. (2006). AIDS: From crisis management to sustained strategic response. Lancet, 368, 526–530.PubMedCrossRef Piot, P. (2006). AIDS: From crisis management to sustained strategic response. Lancet, 368, 526–530.PubMedCrossRef
go back to reference Rubin, R. H., & Billingsley, A. (1994). The role of the black church in working with black adolescents. Adolescence, 29(114), 251–266.PubMed Rubin, R. H., & Billingsley, A. (1994). The role of the black church in working with black adolescents. Adolescence, 29(114), 251–266.PubMed
go back to reference Sumartojo, E. (2000). Structural factors for HIV prevention: Concepts, examples, and implications for research. AIDS, 14(Suppl 1), S3–S10.PubMedCrossRef Sumartojo, E. (2000). Structural factors for HIV prevention: Concepts, examples, and implications for research. AIDS, 14(Suppl 1), S3–S10.PubMedCrossRef
go back to reference Taylor, R. J., Chatters, L. M., & Levin, J. (2004). Religion in the lives of African Americans: Social, psychological, and health perspectives. Thousand Oaks, CA: Sage. Taylor, R. J., Chatters, L. M., & Levin, J. (2004). Religion in the lives of African Americans: Social, psychological, and health perspectives. Thousand Oaks, CA: Sage.
go back to reference Tesoriero, J. M., Parisi, D. M., Sampson, S., Foster, J., Klein, S., & Ellemberg, C. (2000). Faith communities and HIV/AIDS Prevention in New York State: Results of a statewide survey. Public Health Reports, 15, 544–556.CrossRef Tesoriero, J. M., Parisi, D. M., Sampson, S., Foster, J., Klein, S., & Ellemberg, C. (2000). Faith communities and HIV/AIDS Prevention in New York State: Results of a statewide survey. Public Health Reports, 15, 544–556.CrossRef
go back to reference Thomas, S. B., Quinn, S. C., Billingsley, A., & Caldwell, C. (1994). The characteristics of northern black churches with community outreach programs. American Journal of Public Health, 84(4), 575–579.PubMedCrossRef Thomas, S. B., Quinn, S. C., Billingsley, A., & Caldwell, C. (1994). The characteristics of northern black churches with community outreach programs. American Journal of Public Health, 84(4), 575–579.PubMedCrossRef
go back to reference Tyrell, C. O., Klein, S. J., Gieryic, S. M., Devore, B. S., Cooper, J. G., & Tesoriero, J. M. (2008). Early results of a statewide initiative to involve faith communities in HIV prevention. Journal of Public Health Management and Practice, 14(5), 429–436.PubMed Tyrell, C. O., Klein, S. J., Gieryic, S. M., Devore, B. S., Cooper, J. G., & Tesoriero, J. M. (2008). Early results of a statewide initiative to involve faith communities in HIV prevention. Journal of Public Health Management and Practice, 14(5), 429–436.PubMed
Metadata
Title
The Role of Structure Versus Individual Agency in Churches’ Responses to HIV/AIDS: A Case Study of Baltimore City Churches
Authors
Shayna D. Cunningham
Deanna L. Kerrigan
Clea A. McNeely
Jonathan M. Ellen
Publication date
01-06-2011
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 2/2011
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-009-9281-7

Other articles of this Issue 2/2011

Journal of Religion and Health 2/2011 Go to the issue

Editorial

Editorial