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Current HIV/AIDS Reports
Published in: Current HIV/AIDS Reports 4/2010

Open Access 01-11-2010

The Four Cs of HIV Prevention with African Americans: Crisis, Condoms, Culture, and Community

Authors: John K. Williams, Gail E. Wyatt, Gina Wingood

Published in: Current HIV/AIDS Reports | Issue 4/2010

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Abstract

HIV/AIDS continues to be a devastating epidemic with African American communities carrying the brunt of the impact. Despite extensive biobehavioral research, current strategies have not resulted in significantly decreasing HIV/AIDS cases among African Americans. The next generation of HIV prevention and risk reduction interventions must move beyond basic sex education and condom use and availability. Successful interventions targeting African Americans must optimize strategies that integrate socio-cultural factors and address institutional and historical barriers that hinder or support HIV risk reduction behaviors. Community-based participatory research to decrease the HIV/AIDS disparity by building community capacity and infrastructure and advocating for and distributing equitably, power and resources, must be promoted. Recommendations for paradigm shifts in using innovative theories and conceptual frameworks and for training researchers, clinicians, grant and journal reviewers, and community members are made so that culturally congruent interventions may be tested and implemented at the community level.
Literature
1.
Centers for Disease Control and Prevention: Updates to racial/ethnic disparities in diagnosis of HIV/AIDS—33 states, 2001–2005. MMWR 2007, 56:189–193.
2.
3.
4.
Coates TJ, Stall RD, Catania JA, Kegeles SM: Behavioral factors in the spread of HIV infection. AIDS 1988, 2(Suppl 1):239–246.CrossRef
5.
Des Jarlais DC, Friedman SR: HIV infection among intravenous drug users: epidemiology and risk reductions. AIDS 1987, 1:67–76.PubMed
6.
Centers for Disease Control and Prevention: HIV/AIDS surveillance report, 2006. US Department of Health and Human Services 2008, 18.
7.
Calsyn DA, Meinecke C, Saxon AJ, Stanton V: Risk reduction in sexual behavior: a condom giveaway program in a drug abuse treatment clinic. Am J Public Health 1992, 82:1536–1538.CrossRefPubMed
8.
Prochaska JO: What causes people to change from unhealthy to health enhancing behavior? Cancer Prevention 1990, 1:38–42.
9.
Pequegnat W, Stover E: Behavioral prevention is today’s AIDS vaccine! AIDS 2000, 14:51–57.CrossRef
10.
Darbes L, Crepaz N, Lyles C, et al.: The efficacy of behavioral interventions in reducing HIV risk behaviors and incident sexually transmitted diseases in heterosexual African Americans. AIDS 2008, 22:1177–1194.CrossRefPubMed
11.
Veniegas R, Kao UY, Rosales R: Adapting HIV prevention evidence-based interventions in practice settings: an interview study. Implement Sci 2009, 4:76–84.CrossRefPubMed
12.
• Wyatt GE: Enhancing cultural and contextual intervention strategies to reduce HIV/AIDS among African Americans. Am J Public Health 2009, 99:1941–1945. This article describes four protective strategies that may be useful for African Americans and describes the Sexual Health Model. The Sexual Health Model is a culturally congruent model that incorporates established adaptive coping strategies. Importantly, it promotes sexual connectedness, sexual ownership, and body awareness within an African American sociocultural context. CrossRefPubMed
13.
Airhihenbuwa C, DiClemente R, Wingood G, Lowe A: HIV/AIDS education and prevention among African Americans: a focus on culture. AIDS Educ Prev 1992, 4:267–276.PubMed
14.
Wingood G, Hunter-Gamble D, DiClemente R: A pilot study of sexual communication and negotiation among young African American women: implications for HIV prevention. J Black Psychol 1993, 19:190–203.CrossRef
15.
Wyatt GE: The sociocultural relevance of sex research: challenges for the 1990’s and beyond. Am Psychol 1994, 49:748–754.CrossRefPubMed
16.
Wilson BDM, Miller RL: Examining strategies for culturally grounded HIV prevention: a review. AIDS Educ Prev 2003, 15:184–202.CrossRefPubMed
17.
El-Bassel N, Jemmott JB, Wingood GM, et al.: NIMH multisite HIV/STD prevention trial for African American couples group: a cluster randomized trial. Arch Intern Med 2010, In press.
18.
Adimora AA, Schoenbach VJ, Martinson FEA, et al.: Heterosexually transmitted HIV infection among African Americans in North Carolina. J Acquired Immune Defic Syndr 2006, 41:616–623.CrossRef
19.
Adimora AA, Schoenbach VJ, Doherty I: Concurrent sexual partnerships among men in the United States. Am J Public Health 2007, 97:2230–2237.CrossRefPubMed
20.
•• Williams JK, Harawa NT, Ramamurthi HC, Manago C: Learning from successful interventions: a culturally congruent HIV risk-reduction intervention for African American men who have sex with men and women. Am J Public Health 2009, 99:1008–1012. This article discusses the importance of addressing historical, structural or institutional, and sociocultural factors that hinder or support HIV risk reduction in high-risk groups, such as African American men who have sex with men. It identifies key elements from successful interventions and discusses how they were incorporated into a community-based HIV risk reduction intervention for African American men who have sex with men and women. CrossRefPubMed
21.
Marín G, Burhansstipanov L, Connell CM, et al.: A research agenda for health education among underserved populations. Health Educ Q 1995, 22:346–363.PubMed
22.
Kreuter MW, Lukwago SN, Bucholtz RD, et al.: Achieving cultural appropriateness in health promotion programs: targeted and tailored approaches. Health Educ Behav 2003, 30:133–146.CrossRefPubMed
23.
Pasick RJ: Socioeconomic and cultural factors in the development and use of theory. In Health Behavior and Health Education: Theory, Research, and Practice. Edited by Glanz K, Lewis FM, Rimer BK. San Francisco, CA: Jossey-Bass Inc.; 1997:425–440.
24.
Johnson RL, Roter D, Powe NR, Cooper LA: Patient race/ethnicity and quality of patient-physician communication during medical visits. Am J Public Health 2004, 94:2084–2090.CrossRefPubMed
25.
Kreuter MW, McClure S: The role of culture in health communication. Ann Rev Public Health 2004, 25:439–455.CrossRef
26.
• Wyatt GE, Williams JK, Meyers HF: African American sexuality and HIV/AIDS: recommendations for future research. J Natl Med Assoc 2008, 100:44–51. This article discusses the importance of understanding African American sexuality within a culturally congruent and ethnocentric approach to facilitate the decrease of HIV infection and transmission rates among African Americans. It focuses on two major factors, confusion about race-based stereotypes and historical health disparities and mistrust, which have influenced the understanding of African American sexuality. Importantly, it discusses the limitations of what is known and makes recommendations for HIV/AIDS and sexuality research. PubMed
27.
Airhihenbuwa CO: Health promotion and disease prevention strategies for African Americans: a conceptual model. In Health Issues in the Black Community. Edited by Braithwaite RL, Taylor SE. San Francisco, CA: Jossey-Bass; 1992:267–280.
28.
Peterson JL, Bakeman R: AIDS and IV drug use among ethnic minorities. J Drug Issues 1989, 19:27–37.
29.
DiClemente RJ, Wingood GM: Randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA 1995, 274:1271–1276.CrossRefPubMed
30.
Herek G, Gillis JR, Glunt EK, et al.: Culturally sensitive AIDS educational videos for African American audiences: effects of source, message, receiver, and context. Am J Community Psychol 1998, 26:705–744.CrossRefPubMed
31.
Wyatt GE, Guthrie D, Notgrass CM: Differential effects of women’s child sexual abuse and subsequent sexual revictimization. J Consult Clin Psychol 1992, 60:167–173.CrossRefPubMed
32.
Freire P: Pedagogy of the Oppressed. New York, NY: Continuum; 1983.
33.
James SA, Hartnett SA, Kalsbeek WD: John Henryism and blood pressure differences among black men. J Behav Med 1983, 6:259–278.CrossRefPubMed
34.
Geronimus AT, Hicken M, Keene D, Bound J: “Weathering” and age patterns of allostatic load scores among Blacks and Whites in the United States. Am J Public Health 2006, 96:826–833.CrossRefPubMed
35.
Parrish DD, Kent CK: Access to care issues for African American communities: implications for STD disparities. Sex Transm Dis 2008, 35:S19–S22.PubMed
36.
Heslin KC, Andersen RM, Ettner SL, Cunningham WE: Racial and ethnic disparities in access to physicians with HIV-related expertise: findings from a nationally representative study. J Gen Intern Med 2005, 20:283–289.CrossRefPubMed
37.
38.
Taylor J, Moore C, Lezin N, et al.: Making Proud Choices Adaptation Kit. Santa Cruz, CA: ETR Associates; 2010.
39.
Wingood GM, DiClemente RJ: The ADAPT-ITT model: a model for adapting evidence-based HIV interventions. J Acquir Immune Defic Syndr 2008, 47(Suppl):S40–S46.CrossRefPubMed
40.
Greenhalgh T, Robert G, MacFarlane F, et al.: Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004, 82:581–629.CrossRefPubMed
41.
•• Proctor EK, Landsverk J, Aarons G, et al.: Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Adm Policy Ment Health 2009, 36:24–34. This article provides an overview for the newly emerging field of implementation science, which will be critical for translating HIV interventions into communities. Key terms and language are defined, conceptualizations and models are explained, and the implications for reseach and training are discussed. CrossRefPubMed
42.
Gandelman A, DeSantis L, Rietmeijer C: Assessing community needs and agency capacity—an integral part of implementing effective evidence-based interventions. AIDS Educ Prev 2006, 18(Suppl A):32–43.CrossRefPubMed
43.
Viswanathan M, Ammerman A, Eng E, et al.: Community-based Participatory Research: Assessing the Evidence. Evidence Report/Technology Assessment No. 99 (Prepared by RTI-University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016). AHRQ Publication No. 04-E022. Rockville, MD: Agency for Healthcare Research and Quality; August 2004.
44.
Lehman WE, Greener JM, Simpson DD: Assessing organizational readiness for change. J Subst Abuse Treat 2002, 22:197–209.CrossRefPubMed
45.
•• Rosenthal MS, Lucas GI, Tinney B, et al.: Teaching community-based participatory research principles to physicians enrolled in a health services research fellowship. Acad Med 2009, 84:478–484. This article stresses the importance of training and mentoring researchers in CBPR. CBPR proposes to include community partners in all aspects of research in an effort to decrease health disparities. Challenges to integrating CBPR to traditional research models are identified and discussed. CrossRefPubMed
46.
Jones L, Wells K: Strategies for academic and clinician engagement in community-participatory partnered research. JAMA 2007, 297:407–410.CrossRefPubMed
47.
Friedman SR, Cooper HLF, Osborne AH: Structural and social contexts of HIV risk among African Americans. Am J Public Health 2009, 99:1002–1008.CrossRefPubMed
48.
Wyatt GE, Williams JK, Henderson T, Sumner L: On the outside looking in: promoting U.S. African American investigator-initiated HIV/AIDS research. Am J Public Health 2009, 99(S1):S48–S53.CrossRefPubMed
49.
Forsyth AD, Stoff DM: Key issues in mentoring in HIV prevention and mental health for new investigators from underrepresented racial/ethnic groups. Am J Public Health 2009, 99(S1):S87–S91.CrossRefPubMed
50.
National Advisory Mental Health Council Workgroup on Racial/Ethnic Diversity in Research Training and Health Disparities Research: An investment in America’s future: racial/ethnic diversity in mental health research careers. Rockville, MD: National Institute of Mental Health; 2001.
Metadata
Title
The Four Cs of HIV Prevention with African Americans: Crisis, Condoms, Culture, and Community
Authors
John K. Williams
Gail E. Wyatt
Gina Wingood
Publication date
01-11-2010
Publisher
Current Science Inc.
Published in
Current HIV/AIDS Reports / Issue 4/2010
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-010-0058-0

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