Predictors of the Existence of Congregational HIV Programs: Similarities and Differences Compared With Other Health Programs.

Predictors of the Existence of Congregational HIV Programs: Similarities and Differences Compared With Other Health Programs.
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DOI:
10.4278/ajhp.130531-quan-280
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发表时间:
2015-07
期刊:
American journal of health promotion : AJHP
影响因子:
--
通讯作者:
Derose KP
Derose KP
中科院分区:
其他
文献类型:
--
作者:
Williams MV;Haas A;Griffin BA;Fulton BR;Kanouse DE;Bogart LM;Derose KP

文献摘要

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识别和比较会众HIV和其他健康项目存在的预测因素。横断面研究。美国。在2006-07年的全国教会研究中,对1506个美国教会进行了全国代表性的调查。每个会众的关键信息提供者完成了关于会众艾滋病毒和其他健康计划以及各种会众特征的面对面和电话访谈(回复率= 78%)。罗伯特·伍德·约翰逊基金会2007年县健康排名中的县级艾滋病毒流行率和人口健康数据与会众数据相关联。使用多项逻辑回归来评估预测会众健康计划相对于没有健康计划的因素;以及艾滋病项目与其他健康活动的关系。大多数教会(57.5%)至少有一个与健康相关的项目;更少的人(5.7%)有艾滋病项目。健康与艾滋病项目的预测指标有所不同。会众中成年人的数量是健康项目的关键预测指标,而欢迎同性恋者的官方声明是艾滋病项目的重要预测指标(p< 0.05)。其他重要特征因会众规模和项目类型(HIV vs.其他健康)而异。有兴趣与会众合作促进健康或预防艾滋病毒的组织应考虑会众规模以及预测参与的其他因素。这项研究的结果可以为政策干预提供信息,以提高宗教团体处理艾滋病毒和健康问题的能力。
Identify and compare predictors of the existence of congregational HIV and other health programs. Cross-sectional study. United States. A nationally-representative sample of 1,506 U.S. congregations surveyed in the National Congregations Study (2006-07). Key informants at each congregation completed in-person and telephone interviews on congregational HIV and other health programs and various congregation characteristics (response rate = 78%). County-level HIV prevalence and population health data from the Robert Wood Johnson Foundation's 2007 County Health Rankings were linked to the congregational data. Multinomial logistic regression was used to assess factors that predict congregational health programs relative to no health programs; and of HIV programs relative to other health activities. Most congregations (57.5%) had at least one health-related program; many fewer (5.7%) had an HIV program. Predictors of health vs. HIV programs differed. The number of adults in the congregation was a key predictor of health programs, while having an official statement welcoming gay persons was a significant predictor of HIV programs (p<.05). Other significant characteristics varied by size of congregation and type of program (HIV vs. other health). Organizations interested in partnering with congregations to promote health or prevent HIV should consider congregational size as well as other factors that predict involvement. Results of this study can inform policy interventions to increase the capacity of religious congregations to address HIV and health.