Faith-Based HIV Prevention and Counseling Programs: Findings from the Cincinnati Census of Religious Congregations
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ORIGINAL PAPER
Faith-Based HIV Prevention and Counseling Programs: Findings from the Cincinnati Census of Religious Congregations Magdalena Szaflarski • P. Neal Ritchey • C. Jeffrey Jacobson • Rhys H. Williams • Amy Baumann Grau • Karthikeyan Meganathan Christopher G. Ellison • Joel Tsevat
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Published online: 9 April 2013 Springer Science+Business Media New York 2013
Abstract Congregations are well positioned to address HIV in their communities, but their response to HIV has been mixed. An emerging literature describes HIV programming in urban, predominantly black congregations, but population-based data remain limited. This study examined the levels of HIV prevention and counseling programs and associated factors (e.g., religious, organizational) by using data from a phone census of congregations in the Greater Cincinnati area (N = 447). Over 10 % of congregations (36 % of Black Protestant and 5–18 % of
C. Jeffrey Jacobson and Rhys H. Williams equal contribution to the study and manuscript preparation
Electronic supplementary material The online version of this article (doi:10.1007/s10461-013-0455-7) contains supplementary material, which is available to authorized users. M. Szaflarski (&) Departments of Sociology and Health Behavior, University of Alabama at Birmingham, HHB 460H, 1720 2nd Ave South, Birmingham, AL 35294-1152, USA e-mail: [email protected] P. N. Ritchey A. Baumann Grau Department of Sociology, University of Cincinnati, Cincinnati, OH, USA C. J. Jacobson Department of Anthropology, University of Cincinnati, Cincinnati, OH, USA
other types of congregations) offered HIV education/prevention alone or in combination with counseling or with counseling and testing. Path analysis results showed notable significant (p \ 0.05) total effects of theology-polity on HIV prevention/counseling programs, but these effects were fully mediated by other factors, including other community work and racial composition. The levels of HIV programming in this study were high by national standards, but further outreach is needed in high-risk African American communities. Resumen Las congregaciones religiosas esta´n bien ubicadas en sus comunidades para enfrentarse con la VIH, pero sus respuestas no han sido consistentes. Una literatura emergente describe la programacio´n en contra del VIH en las congregaciones mayormente Afroamericano, pero hay limitados datos sobre programacio´n de VIH a nivel A. Baumann Grau Department of History, Humanities and Social Sciences, Eastern New Mexico University, Portales, NM, USA C. G. Ellison Department of Sociology, University of Texas at San Antonio, San Antonio, TX, USA J. Tsevat Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA J. Tsevat Veterans Affairs Medical Center, Cincinnati, OH, USA
C. J. Jacobson K. Meganathan Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH, USA R. H. Williams Department of Sociology, Loyola University Chicago, Chicago, IL, USA
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