226114 Denominational differences in implementing a faith-based HIV curriculum

Wednesday, November 10, 2010 : 9:10 AM - 9:30 AM

Latrice Pichon, PhD, MPH , School of Public Health, The University of Michigan, Ann Arbor, Ann Arbor, MI
Bettina Campbell, MSW , YOUR Center, Flint, MI
Derek M. Griffith, PhD , School of Public Health, Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI
Julie Allen, MPH , School of Public Health, University of Michigan, Ann Arbor, MI
Angela Addo, MBA , Public Health, Univ of Michigan, Ann Arbor, MI
Terrinieka Williams, PhD , Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Patsy Ruth , YOUR Blessed Health, First Union Baptist Church, Flint, MI
Supt. Quintin Marshall Sr. , YOUR Blessed Health, New Life Tabernacle Church of God in Christ, Flint, MI
YOUR Blessed Health (YBH) is a health education program designed to increase the capacity of faith–based organizations to address HIV/AIDS among African American congregations. Pastors, pastors' spouses, and other faith leaders participated in a 16-hour initial training to gain knowledge and skills to facilitate youth and adult HIV education sessions in their churches. In the YBH program, faith leaders had some flexibility in how they presented topics they felt uncomfortable discussing with youth and adults. The purpose of this study was to assess potential denominational differences in comfort level discussing key sexual health behaviors. YBH program facilitators (N=25) representing seven denominations and twenty-three churches were administered a questionnaire assessing their comfort level discussing anal, vaginal, and oral sex on a 4-point scale where 1=not comfortable and 4=very comfortable. Overall, faith leaders were comfortable discussing sexual health behaviors in their churches. Approximately, 74%, 91%, and 96% of faith leaders discussed the relationship between anal, oral, and vaginal sex, respectively, and acquiring HIV. There were, however, denominational differences in comfort level and program implementation. Baptist program facilitators were significantly more comfortable discussing anal and vaginal sex than non-Baptist facilitators (e.g., anal: 2.8 vs. 3.7, p=0.044; vaginal: 3.4 vs. 3.9, p=0.047). In chi-squared analyses, pastors were less likely to discuss anal sex or oral sex with youth than other faith leaders. These findings suggest African American faith leaders are able to lead faith-based HIV prevention efforts but that it is critical to consider denominational differences and organizational roles in faith-based health programs.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
1) Describe denominational differences in comfort level and program implementation of an HIV curriculum in a faith setting 2) Discuss leadership differences in discussing anal sex or oral sex with adolescents in a faith setting

Keywords: HIV/AIDS, Faith Community

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a postdoctoral fellow trained in CBPR and program evaluation. I contribute to a team of evaluators and have been a contributor on this project for almost 2 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.