URBAN CONGREGATIONS' CAPACITY FOR HIV PREVENTION & CARE

城市人群预防艾滋病毒的能力

• 批准号: 7666176
• 负责人: Kathryn Pitkin Derose
• 金额: $ 113.69万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-06 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7666176
• 关键词: AIDS education/prevention; AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adoption; Adult; Affect; Area; Attitude; Caring; Characteristics; Classification; Communities; County; Data; Diffusion of Innovation; Dimensions; Elements; Ethnic Origin; HIV; Health; Health Personnel; Homosexuality; Human; Interview; Knowledge; Life; Linear Models; Los Angeles; Maps; Measures; Methods; Neighborhoods; Play; Poverty; Prevalence; Prevention; Process; Provider; Race; Religion and Spirituality; Research; Resolution; Resources; Role; Sampling; Services; Site Visit; Social Change; Social Work; Socioeconomic Status; Stigmata; Surveys; Taboo; Techniques; Telephone; Testing; Training; Work; base; demographics; fight against; informant; insight; interest; organizational structure; prevent; prevention service; programs; social; social stigma; theories

DESCRIPTION (provided by applicant): Religious congregations reach many lives and play an important role in working for social change. Could they play a similarly powerful role in the fight against HIV/AIDS? Although there is some evidence for an affirmative answer, few studies have examined systematically the prevalence and predictors of congregational involvement in health programs in general, much less in HIV/AIDS services. The purposes of this research are to describe the processes by which HIV/AIDS prevention and care activities are implemented in congregations and to examine factors associated with such activities. It is informed by a conceptual framework in which congregations' capacity to engage in HIV/AIDS activities and their interest in doing so are affected by norms and attitudes (including attitudes towards HIV and homosexuality), the organizational structure of congregations and other community elements, various sets of resources (internal to the congregation and external), and demographics. It is hypothesized that some of these factors will predict a congregation's decisions to implement health programs of any kind; other factors will predict decisions to implement HIV/AIDS activities in particular, and a third set of factors will predict the type and intensity of activities implemented. Hypotheses will be further elaborated through site visits and interviews with pastoral and lay leaders at 12 congregations of varying denomination, ethnicity, and size in Los Angeles County, half of which have implemented HIV/AIDS programs and half of which have not but are otherwise comparable. Factors hypothesized to influence congregational involvement will then be tested quantitatively through a telephone survey of 800 congregations in ethnically diverse areas of the county disproportionately affected by HIV/AIDS. The effects of community characteristics will be examined by compiling neighborhood-level data on socioeconomic status, ethnic diversity, community need, and so forth. Hypotheses will be tested through hierarchical linear modeling techniques. Study findings will be of utility to county health departments and health care providers, which will be interested to know to what extent their efforts may be supplemented by congregations. Results will also be of interest to other organizations and agencies that seek to promote service provision in community-based settings and to train potential providers; knowledge of local barriers to, and facilitators of, HIV/AIDS engagement should help them target their efforts.

描述（由申请人提供）：宗教团体影响了许多人的生活，并在推动社会变革方面发挥着重要作用。他们能否在抗击艾滋病毒/艾滋病方面发挥同样强大的作用？尽管有一些证据表明答案是肯定的，但很少有研究系统地检验会众参与一般健康计划的流行率和预测因素，更不用说艾滋病毒/艾滋病服务了。本研究的目的是描述在会众中实施艾滋病毒/艾滋病预防和护理活动的过程，并检查与此类活动相关的因素。它以一个概念框架为基础，在这个框架中，教会参与艾滋病毒/艾滋病活动的能力以及他们这样做的兴趣受到规范和态度（包括对艾滋病毒和同性恋的态度）、教会和其他社区要素的组织结构、各种资源（教会内部和外部）以及人口统计的影响。据推测，其中一些因素将预测会众实施任何类型的健康计划的决定；其他因素将预测特别是实施艾滋病毒/艾滋病活动的决定，第三组因素将预测所实施活动的类型和强度。我们将通过实地考察和采访洛杉矶县不同教派、种族和规模的 12 个教会的牧师和平信徒领袖来进一步阐述假设，其中一半已经实施了艾滋病毒/艾滋病项目，一半尚未实施，但在其他方面具有可比性。然后，将通过电话调查对县内受艾滋病毒/艾滋病影响尤为严重的不同种族地区的 800 个会众进行电话调查，对假设影响会众参与的因素进行定量测试。将通过汇编有关社会经济地位、种族多样性、社区需求等的邻里级数据来检验社区特征的影响。将通过分层线性建模技术来测试假设。研究结果将对县卫生部门和医疗保健提供者有用，他们有兴趣知道他们的努力可以在多大程度上得到会众的补充。寻求促进社区环境中的服务提供并培训潜在提供者的其他组织和机构也会对结果感兴趣；了解当地参与艾滋病毒/艾滋病工作的障碍和促进因素应有助于他们确定工作目标。