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首页> 外文期刊>Health communication >Promoting Health from the Pulpit: A Process Evaluation of HIV Sermons to Reduce HIV Stigma and Promote Testing in African American and Latino Churches
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Promoting Health from the Pulpit: A Process Evaluation of HIV Sermons to Reduce HIV Stigma and Promote Testing in African American and Latino Churches

机译：从讲坛促进健康：HIV Sermons的过程评估，以减少HIV STIGMA，促进非洲裔美国和拉丁裔教会的测试

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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.
机译：将健康信息嵌入Sermons是一个潜在的宝贵策略，以解决主要为种族和少数群体服务的教会中的艾滋病毒和其他健康差异。本研究探讨了艾滋病毒讲道，作为在加利福尼亚州洛杉矶县的高艾滋病毒普遍地区的三个教会（拉丁裔天主教，拉丁裔五旬节和非洲裔美国促进会议）中的多元组件干预的一部分。 Clergy给了一个艾滋病讲道指南，包括当地公共健康数据，耻辱缩减线索，艾滋病毒检测消息和样本讲道。调查结果基于过程评估（即，达到，剂量提供，保真度和实施）和深入的内容分析，以探索神职人员使用的艾滋病框架和消息。 Sermons被录制，转录逐字，并使用归纳方法进行编码。通过系统观察收集互补数据。总体而言，五名神职人员向大多数非洲裔美国或拉丁裔受众交付了九个艾滋病毒血管。平均而言，每月达到174人的会众。我们发现忠诚度的大变化从讲道指南传播钥匙艾滋病毒。在促进纸浆中的艾滋病毒检测似乎可行且所有参与的神职人员可接受，较少的嵌入式显式耻辱酷酷提示。然而，大多数关于艾滋病毒使用富有同情心和非评判性术语的讲话，陷入神职人员的问题。可能需要在讲道导轨中实施更多理论上驱动的耻辱缩减线索，可能有必要培训。在嵌入特定健康促进信息的生存能力和可接受能力中需要更多的研究。

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