Black Pastors' Views on preaching about sex: barriers, facilitators, and opportunities for HIV prevention messaging.

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Title: Black Pastors' Views on preaching about sex: barriers, facilitators, and opportunities for HIV prevention messaging.
Authors: Ramirez, Catalina B., Coyne-Beasley, Tamera, Godley, Paul A., Adimora, Adaora A., Goldmon, Moses V., Thompson, Gilbert A., Ellis, Danny, Stevenson, Joe L., Williams, Jerry M., Howard, Daniel L.
Source: Ethnicity & Health. Jul2019, Vol. 24 Issue 5, p560-574. 15p. 1 Chart.
Subjects: HIV prevention, Church buildings, Psychology of the clergy, Condoms, Grounded theory, Health promotion, Interviewing, Research methodology, Public health, Religion, Research funding, Risk-taking behavior, Sex education, Social stigma, Psychology of Black people, Thematic analysis, Data analysis software
Geographic Terms: North Carolina
Abstract: Objectives: Despite the disproportionately high rates of heterosexually transmitted HIV infection among US Blacks and ongoing need for effective inexpensive behavioral interventions, the use of sermons as an HIV prevention tool in Black churches has received little research attention. The Black church plays an important role in Black communities and is a potential ally in development and delivery of sexual risk prevention messages. The objective of this study was to examine Black pastors' thoughts about whether sermons should address issues related to heterosexual relationships – and the barriers and facilitators to discussing these topics in a sermon setting. Design: We conducted in-depth semi-structured, individual interviews among 39 pastors of Black churches in North Carolina and analyzed the interview data using thematic analysis strategies based on grounded theory. Results: Pastors expressed widely ranging opinions, especially about discussion of condom use, but generally agreed that sermons should discuss marriage, abstinence, monogamy, dating, and infidelity – behaviors that impact sexual networks and HIV transmission. The major barriers to incorporation of these subjects into sermons include the extent to which a concept undermines their religious beliefs and uncertainty about how to incorporate it. However, scriptural support for a prevention message and the pastor's perception that the message is relevant to the congregation facilitate incorporation of related topics into sermons. Conclusions: These findings have implications for the potential utility of sermons as an HIV prevention tool and suggest that it is possible for public health professionals and pastors of Black churches to form partnerships to develop messages that are consonant with pastors' religious convictions as well as public health recommendations. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Black Pastors' Views on preaching about sex: barriers, facilitators, and opportunities for HIV prevention messaging.
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  Data: <searchLink fieldCode="AR" term="%22Ramirez%2C+Catalina+B%2E%22">Ramirez, Catalina B.</searchLink><br /><searchLink fieldCode="AR" term="%22Coyne-Beasley%2C+Tamera%22">Coyne-Beasley, Tamera</searchLink><br /><searchLink fieldCode="AR" term="%22Godley%2C+Paul+A%2E%22">Godley, Paul A.</searchLink><br /><searchLink fieldCode="AR" term="%22Adimora%2C+Adaora+A%2E%22">Adimora, Adaora A.</searchLink><br /><searchLink fieldCode="AR" term="%22Goldmon%2C+Moses+V%2E%22">Goldmon, Moses V.</searchLink><br /><searchLink fieldCode="AR" term="%22Thompson%2C+Gilbert+A%2E%22">Thompson, Gilbert A.</searchLink><br /><searchLink fieldCode="AR" term="%22Ellis%2C+Danny%22">Ellis, Danny</searchLink><br /><searchLink fieldCode="AR" term="%22Stevenson%2C+Joe+L%2E%22">Stevenson, Joe L.</searchLink><br /><searchLink fieldCode="AR" term="%22Williams%2C+Jerry+M%2E%22">Williams, Jerry M.</searchLink><br /><searchLink fieldCode="AR" term="%22Howard%2C+Daniel+L%2E%22">Howard, Daniel L.</searchLink>
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  Data: Objectives: Despite the disproportionately high rates of heterosexually transmitted HIV infection among US Blacks and ongoing need for effective inexpensive behavioral interventions, the use of sermons as an HIV prevention tool in Black churches has received little research attention. The Black church plays an important role in Black communities and is a potential ally in development and delivery of sexual risk prevention messages. The objective of this study was to examine Black pastors' thoughts about whether sermons should address issues related to heterosexual relationships – and the barriers and facilitators to discussing these topics in a sermon setting. Design: We conducted in-depth semi-structured, individual interviews among 39 pastors of Black churches in North Carolina and analyzed the interview data using thematic analysis strategies based on grounded theory. Results: Pastors expressed widely ranging opinions, especially about discussion of condom use, but generally agreed that sermons should discuss marriage, abstinence, monogamy, dating, and infidelity – behaviors that impact sexual networks and HIV transmission. The major barriers to incorporation of these subjects into sermons include the extent to which a concept undermines their religious beliefs and uncertainty about how to incorporate it. However, scriptural support for a prevention message and the pastor's perception that the message is relevant to the congregation facilitate incorporation of related topics into sermons. Conclusions: These findings have implications for the potential utility of sermons as an HIV prevention tool and suggest that it is possible for public health professionals and pastors of Black churches to form partnerships to develop messages that are consonant with pastors' religious convictions as well as public health recommendations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13557858.2017.1346180
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      – Code: eng
        Text: English
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        PageCount: 15
        StartPage: 560
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Church buildings
        Type: general
      – SubjectFull: Psychology of the clergy
        Type: general
      – SubjectFull: Condoms
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      – SubjectFull: Grounded theory
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      – SubjectFull: Health promotion
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      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Research methodology
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      – SubjectFull: Public health
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      – SubjectFull: Religion
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      – SubjectFull: Research funding
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      – SubjectFull: Risk-taking behavior
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      – SubjectFull: Sex education
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      – SubjectFull: Social stigma
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      – SubjectFull: Psychology of Black people
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      – SubjectFull: North Carolina
        Type: general
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      – TitleFull: Black Pastors' Views on preaching about sex: barriers, facilitators, and opportunities for HIV prevention messaging.
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