Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).

Abstract Background To investigate whether religious service attendance and faith leaders’ messages about HIV and same-sex relationships are associated with acceptance of HIV prevention strategies. Methods Multivariable Poisson regression assessed whether attending religious services, faith leaders’...

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Main Authors: Yusuf Ransome, Laura M. Bogart, Amy S. Nunn, Kenneth H. Mayer, Keron R. Sadler, Bisola O. Ojikutu
Format: Article
Language:English
Published: BMC 2018-12-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-6301-0
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author Yusuf Ransome
Laura M. Bogart
Amy S. Nunn
Kenneth H. Mayer
Keron R. Sadler
Bisola O. Ojikutu
author_facet Yusuf Ransome
Laura M. Bogart
Amy S. Nunn
Kenneth H. Mayer
Keron R. Sadler
Bisola O. Ojikutu
author_sort Yusuf Ransome
collection DOAJ
description Abstract Background To investigate whether religious service attendance and faith leaders’ messages about HIV and same-sex relationships are associated with acceptance of HIV prevention strategies. Methods Multivariable Poisson regression assessed whether attending religious services, faith leaders’ messages about HIV and same-sex relationships, and supportiveness of those messages were associated with HIV testing, as well as knowledge of and willingness to use pre-exposure prophylaxis (PrEP) among 868 Black Americans [45% men; M (SD) = 34 (9) years-old] in the 2016 National Survey on HIV in the Black Community, USA. Results Participants who reported attending services monthly and/or hearing faith leaders’ messages that were supportive of same-sex relationships had a significantly higher likelihood of willingness to use PrEP (adjusted Rate Ratio[ARR] = 1.76; 95% confidence interval [CI] = 1.09, 2.48) and aRR = 2.19; 95% CI = 1.35, 3.55, respectively), independent of HIV risk. Homophobia was significantly associated with higher likelihood of being aware of PrEP and testing for HIV testing in the past 12 months. Conclusions Faith leaders’ messaging can influence Black Americans’ perceptions and uptake of HIV prevention strategies. Faith institutions and faith leaders should be involved in designing and disseminating HIV prevention strategies.
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spelling doaj.art-c8fa31857bb4483cb7a26cd23e6491a92022-12-22T00:13:30ZengBMCBMC Public Health1471-24582018-12-0118111010.1186/s12889-018-6301-0Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).Yusuf Ransome0Laura M. Bogart1Amy S. Nunn2Kenneth H. Mayer3Keron R. Sadler4Bisola O. Ojikutu5Department of Social and Behavioral Sciences, Yale School of Public HealthRAND CorporationBrown School of Public HealthHarvard Medical School and Beth Israel Deaconess Medical Center, and Fenway HealthNational Association for the Advancement of Colored People (NAACP)Brigham and Women’s Hospital and Harvard Medical SchoolAbstract Background To investigate whether religious service attendance and faith leaders’ messages about HIV and same-sex relationships are associated with acceptance of HIV prevention strategies. Methods Multivariable Poisson regression assessed whether attending religious services, faith leaders’ messages about HIV and same-sex relationships, and supportiveness of those messages were associated with HIV testing, as well as knowledge of and willingness to use pre-exposure prophylaxis (PrEP) among 868 Black Americans [45% men; M (SD) = 34 (9) years-old] in the 2016 National Survey on HIV in the Black Community, USA. Results Participants who reported attending services monthly and/or hearing faith leaders’ messages that were supportive of same-sex relationships had a significantly higher likelihood of willingness to use PrEP (adjusted Rate Ratio[ARR] = 1.76; 95% confidence interval [CI] = 1.09, 2.48) and aRR = 2.19; 95% CI = 1.35, 3.55, respectively), independent of HIV risk. Homophobia was significantly associated with higher likelihood of being aware of PrEP and testing for HIV testing in the past 12 months. Conclusions Faith leaders’ messaging can influence Black Americans’ perceptions and uptake of HIV prevention strategies. Faith institutions and faith leaders should be involved in designing and disseminating HIV prevention strategies.http://link.springer.com/article/10.1186/s12889-018-6301-0HIV prevention; Black American; African-American; Black Church; PrEP; pre-exposure prophylaxis; Religion; Faith Leaders
spellingShingle Yusuf Ransome
Laura M. Bogart
Amy S. Nunn
Kenneth H. Mayer
Keron R. Sadler
Bisola O. Ojikutu
Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).
BMC Public Health
HIV prevention; Black American; African-American; Black Church; PrEP; pre-exposure prophylaxis; Religion; Faith Leaders
title Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).
title_full Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).
title_fullStr Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).
title_full_unstemmed Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).
title_short Faith leaders’ messaging is essential to enhance HIV prevention among black Americans: results from the 2016 National Survey on HIV in the black community (NSHBC).
title_sort faith leaders messaging is essential to enhance hiv prevention among black americans results from the 2016 national survey on hiv in the black community nshbc
topic HIV prevention; Black American; African-American; Black Church; PrEP; pre-exposure prophylaxis; Religion; Faith Leaders
url http://link.springer.com/article/10.1186/s12889-018-6301-0
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