The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #57264

Scyatta A. Wallace, PhD, Oak Ridge Institute for Science and Education, 6301 Northlake Circle, NE, Atlanta, GA 30345, (404) 639-6158, scyatta@earthlink.net

African Americans account for 12% of the US population, but constitute 56% of HIV infections (Smith & Friday, 2001). Despite many prevention campaigns, high rates continue to be observed in this population, particularly in the South and among heterosexuals (CDC, 2001). Preventionists are recognizing the ineffectiveness of their efforts to decrease HIV infection in the Black community. One explanation is the use of inappropriate methods to study risk of HIV transmission. Fee and Krieger (1993) state HIV is a socio-biological disease to be understood within its social and political context. This presentation argues that culturally relevant models and methods would increase the utility of prevention efforts. African American traditions and historical legacies will be discussed; outlining how they may influence risk of HIV transmission. For example, African American distrust of the health care system. Contextual factors such as incarceration in the African American community and it’s impact on HIV transmission will also be covered. The presentation will outline research and intervention strategies to address these cultural and contextual factors. The argument will be made for identifying culturally relevant constructs related to HIV transmission risk and protective factors grounded in African American culture. Researchers are better equipped to develop appropriate prevention models when culturally valid research and evaluation instruments are used. A key component to this process is the incorporation of African American community members as equal partners in research and program design. These approaches will lead to HIV prevention efforts better designed to closing the racial disparity in HIV infection.

Learning Objectives:

• At the conclusion of the session the participant will be able to:
• 1- Recognize the gaps in HIV prevention research targeting African American populations
• 2- Identify potential culturally and contextually relevant theoretical models for HIV transmission risk among African American populations
• 3- Apply potential methodological research and intervention strategies appropriate for HIV prevention in African American communities

Keywords: African American, HIV/AIDS

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.