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J Obstet Gynecol Neonatal Nurs. 2014 Sep-Oct;43(5):655-63. doi: 10.1111/1552-6909.12494. Epub 2014 Aug 19.

Implementation of evidence-based HIV interventions for young adult African American women in church settings.

Abstract

OBJECTIVE:

To assess the barriers and facilitators to using African American churches as sites for implementation of evidence-based HIV interventions among young African American women.

DESIGN:

Mixed methods cross-sectional design.

SETTING:

African American churches in Philadelphia, PA.

PARTICIPANTS:

142 African American pastors, church leaders, and young adult women ages 18 to 25.

METHODS:

Mixed methods convergent parallel design.

RESULTS:

The majority of young adult women reported engaging in high-risk HIV-related behaviors. Although church leaders reported willingness to implement HIV risk-reduction interventions, they were unsure of how to initiate this process. Key facilitators to the implementation of evidence-based interventions included the perception of the leadership and church members that HIV interventions were needed and that the church was a promising venue for them. A primary barrier to implementation in this setting is the perception that discussions of sexuality should be private.

CONCLUSION:

Implementation of evidence-based HIV interventions for young adult African American women in church settings is feasible and needed. Building a level of comfort in discussing matters of sexuality and adapting existing evidence-based interventions to meet the needs of young women in church settings is a viable approach for successful implementation.

KEYWORDS:

African American; African American churches; HIV/AIDS; evidence-based interventions; implementation; young adult women

PMID:
25139612
PMCID:
PMC4388553
DOI:
10.1111/1552-6909.12494
[Indexed for MEDLINE]
Free PMC Article

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