Sermon-based messages for HIV prevention

尽管非洲异性传播艾滋病毒感染率高得不成比例 美国人和对有效而廉价的行为干预的持续需求，还没有发表的研究 审查了在黑人教堂中使用布道作为艾滋病毒预防工具的情况。最近公布的数据显示 强调性网络模式和社会背景在异性恋流行病学中的重要性 非裔美国人感染艾滋病毒扩大了潜在有效预防艾滋病毒的范围 留言。我们建议使用北方黑人基督教教会的基于信仰的研究网络 卡罗莱纳州由卡罗莱纳·肖伙伴关系召集，组成一个牧师工作组，该工作组将使用 以社区为基础的参与性研究，以发展以布道为基础的信息，以降低异性恋风险 行为。 我们将：1)对网络牧师进行深入的定性访谈，以确定程度和 在基线的布道中关于性行为的评论的性质，并评估他们对 阻碍他们将预防信息纳入他们的布道；2)与牧师合作发展 适合牧师在他们的布道中使用的符合文化的艾滋病毒预防信息 牧师的宗教信仰，与目前的公共卫生研究结果一致，并借鉴了 牧师的见解；以及3)对工作组牧师以及 其他黑人教会的牧师来测试牧师融入他们的 布道他们所产生的信息。 这个项目建立在我们之前关于异性传播艾滋病毒的流行病学研究的基础上。 在南方的非裔美国人中-也建立在卡罗莱纳州现有的基础设施上-Shaw 消除健康差距伙伴关系(项目出口)。未来的一项研究将前瞻性地 评估牧师实际吸收这些信息的频率，并最终评估它们的效果 关于黑人社区艾滋病毒和其他性传播疾病的比率。因此，提出的研究构成了关键的第一个 开发一种廉价、成本效益高的艾滋病毒干预措施，该干预措施将利用 黑人教堂减少非裔美国人的性行为危险行为。

Despite the disproportionately high rates of heterosexually transmitted HIV infection among African Americans and ongoing need for effective inexpensive behavioral interventions, no published research has examined the use of sermons as an HIV prevention tool in black churches. Recently published data that underscore the importance of sexual network patterns and social context in the epidemiology of heterosexual HIV infection among African Americans have broadened the range of potentially effective HIV prevention messages. We propose to use the faith-based research network of black Christian churches in North Carolina convened by the Carolina Shaw Partnership to form a pastor work group that will use principles of community-based participatory research to develop sermon-based messages to decrease heterosexual risk behaviors. We will: 1) conduct in-depth qualitative interviews among the network pastors to determine the extent and nature of comments concerning sexual behavior in their sermons at baseline and assess their perception of barriers to their incorporating prevention messages into their sermons; 2) work with the pastors to develop culturally appropriate HIV prevention messages for pastors to use in their sermons that are consonant with the pastors' religious beliefs, are consistent with current public health research findings, and draw upon the pastors' insights; and 3) conduct additional qualitative interviews among the work group pastors as well as pastors of other black churches to test the acceptability and feasibility of pastors' incorporating into their sermons the messages they develop. This project builds on our previous research concerning the epidemiology of heterosexual HIV transmission among African Americans in the South - and also builds on the existing infrastructure of the Carolina-Shaw Partnership for the Elimination of Health Disparities (Project EXPORT). A future study will prospectively evaluate how often pastors actually do incorporate these messages and will ultimately evaluate their effect on rates of HIV and other STIs in black communities. Thus, the propose research constitutes a critical first step in the development of an inexpensive, cost-effective HIV intervention that will use the strengths of the black church to decrease sexual risk behaviors among African Americans.