Promoting Health from the Pulpit: A Process Evaluation of HIV Sermons to Reduce HIV Stigma and Promote Testing in African American and Latino Churches.

Publisher: Routledge, Taylor & Francis Group Country of Publication: England NLM ID: 8908762 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-7027 (Electronic) Linking ISSN: 10410236 NLM ISO Abbreviation: Health Commun Subsets: MEDLINE

Publication: [London] : Routledge, Taylor & Francis Group
Original Publication: Hillsdale, N.J. : Lawrence Erlbaum Associates, c1989-

Clergy* ; Social Stigma*; Black or African American/*psychology ; HIV Infections/*ethnology ; Health Education/*organization & administration ; Hispanic or Latino/*psychology; California ; Faith-Based Organizations ; HIV Infections/diagnosis ; HIV Infections/prevention & control ; Health Knowledge, Attitudes, Practice ; Health Promotion/organization & administration ; Humans ; Program Evaluation ; Religion

Embedding health messages into sermons is a potentially valuable strategy to address HIV and other health disparities in churches that predominantly serve racial and ethnic minorities. This study explores implementation of an HIV sermon as part of a multi-component intervention in three churches (Latino Catholic, Latino Pentecostal, and African American Baptist) in high HIV prevalence areas of Los Angeles County, California. Clergy were given an HIV sermon guide that included local public health data, stigma reduction cues, HIV testing messages, and a sample sermon. Findings are based on a process evaluation (i.e., reach, dose delivered, fidelity, and implementation) and in-depth content analysis to explore HIV frames and messages used by clergy. Sermons were audio-recorded, transcribed verbatim, and coded using an inductive approach. Complementary data were collected through systematic observation. Overall, five clergy delivered nine HIV sermons to majority African American or Latino audiences. On average, 174 congregants were reached per sermon. We found large variation in fidelity to communicating key HIV messages from the sermon guide. While promoting HIV testing from the pulpit seemed viable and acceptable to all the participating clergy, fewer embedded explicit stigma reduction cues. Most spoke about HIV using compassionate and non-judgmental terms, however, issue framing varied across clergy. Structured training of clergy may be necessary to implement the more theoretically driven stigma reduction cues included in the sermon guide. More research is needed on the viability and acceptability of embedding specific health promotion messages into sermons.

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R01 HD050150 United States HD NICHD NIH HHS; T32 HS000046 United States HS AHRQ HHS

Date Created: 20171021 Date Completed: 20200601 Latest Revision: 20221207

20221213

PMC5927848

10.1080/10410236.2017.1384352

29053386