Skip to main content
Top
Published in: Journal of Religion and Health 6/2016

01-12-2016 | Original Paper

“Wake Up! HIV is at Your Door”: African American Faith Leaders in the Rural South and HIV Perceptions: A Qualitative Analysis

Authors: Tiffiany M. Aholou, Eric Cooks, Ashley Murray, Madeline Y. Sutton, Zaneta Gaul, Susan Gaskins, Pamela Payne-Foster

Published in: Journal of Religion and Health | Issue 6/2016

Login to get access

Abstract

In Alabama, 70 % of new HIV cases are among African Americans. Because the Black Church plays an important role for many African Americans in the south, we conducted qualitative interviews with 10 African American pastors recruited for an HIV intervention study in rural Alabama. Two main themes emerged: (1) HIV stigma is prevalent and (2) the role of the Black Church in addressing HIV in the African American community. Our data suggest that pastors in rural Alabama are willing to be engaged in HIV prevention solutions; more formalized training is needed to decrease stigma, strengthen HIV prevention and support persons living with HIV/AIDS.
Footnotes
1
Historically, the Black Belt was known for its rich, fertile dark soils and association with the south’s antebellum plantations, cotton and slavery. Today, the Black Belt, which is largely populated by African Americans, is typically characterized by its demographics and economic downfall (Webster and Bowman 2008; Tullos 2004).
 
Literature
go back to reference Agate, L. L., Cato-Watson, D. M., Mullins, J. M., Scott, G. S., Rolle, V., Markland, D., & Roach, D. L. (2005). Churches United to Stop HIV (CUSH): A faith-based HIV prevention initiative. Journal of the National Medical Association, 97(7 Suppl), 60S.PubMedPubMedCentral Agate, L. L., Cato-Watson, D. M., Mullins, J. M., Scott, G. S., Rolle, V., Markland, D., & Roach, D. L. (2005). Churches United to Stop HIV (CUSH): A faith-based HIV prevention initiative. Journal of the National Medical Association, 97(7 Suppl), 60S.PubMedPubMedCentral
go back to reference Aholou, T. M. C., Gale, J. E., & Slater, L. M. (2011). African American clergy share perspectives on addressing sexual health and HIV prevention in premarital counseling: A pilot study. Journal of Religion and Health, 50(2), 330–347. doi:10.1007/s10943-009-9257-7.CrossRefPubMed Aholou, T. M. C., Gale, J. E., & Slater, L. M. (2011). African American clergy share perspectives on addressing sexual health and HIV prevention in premarital counseling: A pilot study. Journal of Religion and Health, 50(2), 330–347. doi:10.​1007/​s10943-009-9257-7.CrossRefPubMed
go back to reference Berkley-Patton, J. Y., Moore, E., Berman, M., Simon, S. D., Thompson, C. B., Schleicher, T., & Hawes, S. M. (2013). Assessment of HIV-related stigma in a US faith-based HIV education and testing intervention. Journal of the International AIDS Society, 16(3 Suppl 2), 18644. doi:10.7448/IAS.16.3.18644.PubMedPubMedCentral Berkley-Patton, J. Y., Moore, E., Berman, M., Simon, S. D., Thompson, C. B., Schleicher, T., & Hawes, S. M. (2013). Assessment of HIV-related stigma in a US faith-based HIV education and testing intervention. Journal of the International AIDS Society, 16(3 Suppl 2), 18644. doi:10.​7448/​IAS.​16.​3.​18644.PubMedPubMedCentral
go back to reference Bogart, L. M., Cowgill, B. O., Kennedy, D., Ryan, G., Murphy, D. A., Elijah, J., & Schuster, M. A. (2008). HIV-related stigma among people with HIV and their families: A qualitative analysis. AIDS and Behavior, 12(2), 244–254. doi:10.1007/s10461-007-9231-x.CrossRefPubMed Bogart, L. M., Cowgill, B. O., Kennedy, D., Ryan, G., Murphy, D. A., Elijah, J., & Schuster, M. A. (2008). HIV-related stigma among people with HIV and their families: A qualitative analysis. AIDS and Behavior, 12(2), 244–254. doi:10.​1007/​s10461-007-9231-x.CrossRefPubMed
go back to reference Coleman, J. D., Lindley, L. L., Annang, L., Saunders, R. P., & Gaddist, B. (2012). Development of a framework for HIV/AIDS prevention programs in African American churches. AIDS Patient Care and STDs, 26(2), 116–124. doi:10.1089/apc.2011.0163.CrossRefPubMed Coleman, J. D., Lindley, L. L., Annang, L., Saunders, R. P., & Gaddist, B. (2012). Development of a framework for HIV/AIDS prevention programs in African American churches. AIDS Patient Care and STDs, 26(2), 116–124. doi:10.​1089/​apc.​2011.​0163.CrossRefPubMed
go back to reference Eke, A. N., Wilkes, A. L., & Gaiter, J. (2010). Organized religion and the fight against HIV/AIDS in the black community: The role of the Black Church. In D. H. McCree, M. Kenneth Terrill Jones, & A. O’Leary (Eds.), African Americans and HIV/AIDS: Understanding and addressing the epidemic (pp. 53–68). New York, NY: Springer.CrossRef Eke, A. N., Wilkes, A. L., & Gaiter, J. (2010). Organized religion and the fight against HIV/AIDS in the black community: The role of the Black Church. In D. H. McCree, M. Kenneth Terrill Jones, & A. O’Leary (Eds.), African Americans and HIV/AIDS: Understanding and addressing the epidemic (pp. 53–68). New York, NY: Springer.CrossRef
go back to reference Foster, P. P., Cooper, K., Parton, J. M., & Meeks, J. O. (2011). Assessment of HIV/AIDS prevention of rural African American Baptist leaders: Implications for effective partnerships for capacity building in American communities. Journal of the National Medical Association, 103(4), 323–331.CrossRefPubMed Foster, P. P., Cooper, K., Parton, J. M., & Meeks, J. O. (2011). Assessment of HIV/AIDS prevention of rural African American Baptist leaders: Implications for effective partnerships for capacity building in American communities. Journal of the National Medical Association, 103(4), 323–331.CrossRefPubMed
go back to reference Goffman, E. (1963). Stigma. notes on the management of spoiled identity. New York: Simon and Shuster. Goffman, E. (1963). Stigma. notes on the management of spoiled identity. New York: Simon and Shuster.
go back to reference Guest, G., MacQueen, K. M., & Namey, E. E. (2011). Applied thematic analysis. Thousand Oaks: Sage. Guest, G., MacQueen, K. M., & Namey, E. E. (2011). Applied thematic analysis. Thousand Oaks: Sage.
go back to reference Heckman, B. D. (2006). Psychosocial differences between whites and African Americans living with HIV/AIDS in rural areas of 13 US states. The Journal of Rural Health, 22(2), 131–139.CrossRefPubMed Heckman, B. D. (2006). Psychosocial differences between whites and African Americans living with HIV/AIDS in rural areas of 13 US states. The Journal of Rural Health, 22(2), 131–139.CrossRefPubMed
go back to reference Hicks, K. E., Allen, J. A., & Wright, E. M. (2005). Building holistic HIV/AIDS responses in African American urban faith communities: A qualitative, multiple case study analysis. Family & Community Health, 28(2), 184–205.CrossRef Hicks, K. E., Allen, J. A., & Wright, E. M. (2005). Building holistic HIV/AIDS responses in African American urban faith communities: A qualitative, multiple case study analysis. Family & Community Health, 28(2), 184–205.CrossRef
go back to reference Hruschka, D. J., Schwartz, D., John, D. C. S., Picone-Decaro, E., Jenkins, R. A., & Carey, J. W. (2004). Reliability in coding open-ended data: Lessons learned from HIV behavioral research. Field Methods, 16(3), 307–331. doi:10.1177/1525822X04266540.CrossRef Hruschka, D. J., Schwartz, D., John, D. C. S., Picone-Decaro, E., Jenkins, R. A., & Carey, J. W. (2004). Reliability in coding open-ended data: Lessons learned from HIV behavioral research. Field Methods, 16(3), 307–331. doi:10.​1177/​1525822X04266540​.CrossRef
go back to reference Jeffries, W. L, I. V., Townsend, E. S., Gelaude, D. J., Torrone, E. A., Gasiorowicz, M., & Bertolli, J. (2015). HIV stigma experienced by young men who have sex with men (MSM) living with HIV infection. AIDS Education and Prevention, 27(1), 58–71. doi:10.1521/aeap.2015.27.1.58.CrossRefPubMed Jeffries, W. L, I. V., Townsend, E. S., Gelaude, D. J., Torrone, E. A., Gasiorowicz, M., & Bertolli, J. (2015). HIV stigma experienced by young men who have sex with men (MSM) living with HIV infection. AIDS Education and Prevention, 27(1), 58–71. doi:10.​1521/​aeap.​2015.​27.​1.​58.CrossRefPubMed
go back to reference Lincoln, C. E., & Mamiya, L. H. (1990). The Black Church in the African American experience. Durham, NC: Duke University Press.CrossRef Lincoln, C. E., & Mamiya, L. H. (1990). The Black Church in the African American experience. Durham, NC: Duke University Press.CrossRef
go back to reference Moore, D., Onsomu, E. O., Timmons, S. M., Abuya, B. A., & Moore, C. (2012). Communicating HIV/AIDS through African American churches in North Carolina: Implications and recommendations for HIV/AIDS faith-based programs. Journal of Religion and Health, 51(3), 865–878. doi:10.1007/s10943-010-9396-x.CrossRefPubMed Moore, D., Onsomu, E. O., Timmons, S. M., Abuya, B. A., & Moore, C. (2012). Communicating HIV/AIDS through African American churches in North Carolina: Implications and recommendations for HIV/AIDS faith-based programs. Journal of Religion and Health, 51(3), 865–878. doi:10.​1007/​s10943-010-9396-x.CrossRefPubMed
go back to reference Siegel, K., & Schrimshaw, E. W. (2002). The perceived benefits of religious and spiritual coping among older adults living with HIV/AIDS. Journal for the Scientific Study of Religion, 41(1), 91–102. doi:10.1111/1468-5906.00103.CrossRef Siegel, K., & Schrimshaw, E. W. (2002). The perceived benefits of religious and spiritual coping among older adults living with HIV/AIDS. Journal for the Scientific Study of Religion, 41(1), 91–102. doi:10.​1111/​1468-5906.​00103.CrossRef
go back to reference Smith, J., Simmons, E., & Mayer, K. H. (2005). HIV/AIDS and the black church: What are the barriers to prevention services? Journal of the National Medical Association, 97(12), 1682–1685.PubMedPubMedCentral Smith, J., Simmons, E., & Mayer, K. H. (2005). HIV/AIDS and the black church: What are the barriers to prevention services? Journal of the National Medical Association, 97(12), 1682–1685.PubMedPubMedCentral
go back to reference Stall, R., Hoff, C., Coates, T. J., Paul, J., Phillips, K. A., Ekstrand, M., & Diaz, R. (1996). Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: Implications for secondary prevention efforts. JAIDS Journal of Acquired Immune Deficiency Syndromes, 11(2), 151–160. doi:10.1097/00042560-199602010-00006.CrossRef Stall, R., Hoff, C., Coates, T. J., Paul, J., Phillips, K. A., Ekstrand, M., & Diaz, R. (1996). Decisions to get HIV tested and to accept antiretroviral therapies among gay/bisexual men: Implications for secondary prevention efforts. JAIDS Journal of Acquired Immune Deficiency Syndromes, 11(2), 151–160. doi:10.​1097/​00042560-199602010-00006.CrossRef
go back to reference Sutton, M. Y., & Parks, C. P. (2013). HIV/AIDS prevention, faith, and spirituality among Black/African American and Latino Communities in the United States: Strengthening scientific faith-based efforts to shift the course of the epidemic and reduce HIV-related health disparities. Journal of Religion and Health, 52(2), 514–530. doi:10.1007/s10943-011-9499-z.CrossRefPubMed Sutton, M. Y., & Parks, C. P. (2013). HIV/AIDS prevention, faith, and spirituality among Black/African American and Latino Communities in the United States: Strengthening scientific faith-based efforts to shift the course of the epidemic and reduce HIV-related health disparities. Journal of Religion and Health, 52(2), 514–530. doi:10.​1007/​s10943-011-9499-z.CrossRefPubMed
go back to reference Vyavaharkar, M., Moneyham, L., Corwin, S., Saunders, R., Annang, L., & Tavakoli, A. (2010). Relationships between stigma, social support, and depression in HIV-infected African American women living in the rural southeastern united states. Journal of the Association of Nurses in AIDS Care, 21(2), 144–152. doi:10.1016/j.jana.2009.07.008.CrossRefPubMed Vyavaharkar, M., Moneyham, L., Corwin, S., Saunders, R., Annang, L., & Tavakoli, A. (2010). Relationships between stigma, social support, and depression in HIV-infected African American women living in the rural southeastern united states. Journal of the Association of Nurses in AIDS Care, 21(2), 144–152. doi:10.​1016/​j.​jana.​2009.​07.​008.CrossRefPubMed
go back to reference Wooster, J., Eshel, A., Moore, A., Mishra, M., Toledo, C., Uhl, G., & Aguero, L. W. (2011). Opening up their doors: Perspectives on the involvement of the African American faith community in HIV prevention in four communities. Health Promotion Practice, 12(5), 769–778. doi:10.1177/1524839910362313.CrossRefPubMed Wooster, J., Eshel, A., Moore, A., Mishra, M., Toledo, C., Uhl, G., & Aguero, L. W. (2011). Opening up their doors: Perspectives on the involvement of the African American faith community in HIV prevention in four communities. Health Promotion Practice, 12(5), 769–778. doi:10.​1177/​1524839910362313​.CrossRefPubMed
Metadata
Title
“Wake Up! HIV is at Your Door”: African American Faith Leaders in the Rural South and HIV Perceptions: A Qualitative Analysis
Authors
Tiffiany M. Aholou
Eric Cooks
Ashley Murray
Madeline Y. Sutton
Zaneta Gaul
Susan Gaskins
Pamela Payne-Foster
Publication date
01-12-2016
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 6/2016
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-016-0193-z

Other articles of this Issue 6/2016

Journal of Religion and Health 6/2016 Go to the issue

Philosophical Exploration

When Brain Death Belies Belief