Skip to main content
Log in

Church Attendance as a Predictor of Number of Sexual Health Topics Discussed Among High-Risk HIV-Negative Black Women

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

Research suggests that sexual health communication is associated with safer sex practices. In this study, we examined the relationship between church attendance and sexual health topics discussed with both friends and sexual partners among a sample of urban Black women. Participants were 434 HIV-negative Black women who were at high risk for contracting HIV through heterosexual sex. They were recruited from Baltimore, Maryland using a network-based sampling approach. Data were collected through face-to-face interviews and Audio-Computer-Assisted Self-Interviews. Fifty-four percent of the participants attended church once a month or more (regular attendees). Multivariate logistic regression analyses revealed that regular church attendance among high-risk HIV-negative Black women was a significant predictor of the number of sexual health topics discussed with both friends (AOR = 1.85, p = .003) and sexual partners (AOR = 1.68, p = .014). Future efforts to reduce HIV incidence among high-risk Black women may benefit from partnerships with churches that equip faith leaders and congregants with the tools to discuss sexual health topics with both their sexual partners and friends.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alder, S. C., Simonsen, S. E., Duncan, M., Shaver, J., Dewitt, J., & Crookston, B. (2007). Perspectives on efforts to address HIV/AIDS of religious clergy serving African American and Hispanic communities in Utah. Open AIDS Journal, 1, 1–4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Allen, M., Emmers-Sommer, T. M., & Crowell, T. L. (2002). Couples negotiating safer sex behaviors: A meta-analysis of the impact of conversation and gender. In M. Allen, R. W. Preiss, B. M. Gayle, & N. A. Burrell (Eds.), Interpersonal communication research: Advances through meta-analysis (pp. 263–279). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Ammerman, N. T. (2005). Black Church culture and community action. Social Forces, 84(2), 967–994.

    Article  Google Scholar 

  • Berkley-Patton, J., Thompson, C. B., Martinez, D. A., Hawes, S. M., Moore, E., Williams, E., & Wainright, C. (2013). Examining church capacity to develop and disseminate a religiously appropriate HIV tool kit with African American churches. Journal of Urban Health, 90, 482–499.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bird, S. T., Harvey, S. M., Beckman, L. J., & Johnson, C. H. (2011). Getting your partner to use condoms: Interviews with men and women at risk for HIV/STDs: The Partners Project. Journal of Sex Research, 38(3), 233–240.

    Article  Google Scholar 

  • Bowleg, L., Belgrave, F. Z., & Reisen, C. A. (2000). Gender roles, power strategies, and precautionary sexual self-efficacy: Implications for Black and Latina women’s HIV/AIDS protective behaviors. Sex Roles, 42, 613–635.

    Article  Google Scholar 

  • Bowleg, L., Valera, P., Teti, M., & Tschann, J. M. (2010). Silences, gestures, and words: Nonverbal and verbal communication about HIV/AIDS and condom use in Black heterosexual relationships. Health Communication, 25(1), 80–90.

    Article  PubMed  Google Scholar 

  • Campbell, M. K., Hudson, M. A., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church based health promotion interventions: Evidence and lessons learned. Annual Review of Public Health, 28(1), 213–234.

    Article  PubMed  Google Scholar 

  • Catania, J. A., Coates, T. J., Kegeles, S., Fullilove, M. T., Peterson, J., Marin, B., et al. (1992). Condom use in multiethnic neighborhoods of San Francisco: The population-based AMEN (AIDS in Multi-Ethnic Neighborhoods) study. American Journal of Public Health, 82, 284–287.

    Article  PubMed  PubMed Central  Google Scholar 

  • Centers for Disease Control and Prevention. (2012a). Estimated HIV incidence in the United States, 2007–2010. HIV Surveillance Supplemental Report, 17(4). Atlanta: CDC.

  • Centers for Disease Control and Prevention. (2012b). Slide Set: HIV Surveillance in Women. Retrieved on September 10, 2013 from http://www.cdc.gov/hiv/pdf/statistics_surveillance_Women.pdf.

  • Centers for Disease Control and Prevention. (2013). Fact Sheet: HIV among African Americans. Retrieved on September 10, 2013 from http://www.cdc.gov/hiv/pdf/risk_women.pdf.

  • Cunningham, S. D., Kerrigan, D. L., McNeely, C. A., & Ellen, J. M. (2011). The role of structure versus individual agency in churches’ responses to HIV/AIDS: A case study of Baltimore city churches. Journal of Religion and Health, 50, 407–421.

    Article  PubMed  Google Scholar 

  • Davey-Rothwell, M. A., Kuramoto, S. J., & Latkin, C. A. (2008). Social networks, norms, and 12-step group participation. American Journal of Drug and Alcohol Abuse, 34(2), 185–193.

    Article  PubMed  Google Scholar 

  • Davey-Rothwell, M. A., Tobin, K., Yang, C., Sun, C. J., & Latkin, C. A. (2011). Results of a randomized controlled trial of peer mentor HIV/STI prevention intervention for women over an 18 month follow-up. AIDS and Behavior, 15, 1654–1663.

    Article  PubMed  PubMed Central  Google Scholar 

  • DeHaven, M. J., Hunter, I. B., Wilder, L., Walton, J. W., & Berry, J. (2004). Health programs in faith-based organizations: Are they effective? American Journal of Public Health, 94(6), 1030–1036.

    Article  PubMed  PubMed Central  Google Scholar 

  • DiIorio, C., Dudley, W. N., Lehr, S., & Soet, J. E. (2000). Correlates of safer sex communication among college students. Journal of Advanced Nursing, 32(3), 658–665.

    Article  PubMed  Google Scholar 

  • Eke, A. N., Wilkes, A. L., & Gaiter, J. (2010). Organized religion and the fight against HIV/AIDS in the Black community: The role of the Black church. In D. H. McCree, K. T. Jones, & A. O’Leary (Eds.), African Americans and HIV/AIDS (pp. 53–68). New York, NY: Springer.

    Google Scholar 

  • Ellison, C. G., & George, L. K. (1994). Religious involvement, social ties, and social support in a southeastern community. Journal for the Scientific Study of Religion, 33, 46–61.

    Article  Google Scholar 

  • Faulkner, S. L., & Mansfield, P. K. (2002). Reconciling messages: The process of sexual talk for Latinas. Qualitative Health Research, 12, 310–328.

    Article  PubMed  Google Scholar 

  • Francis, S. A., & Liverpool, J. (2009). A review of faith-based HIV prevention programs. Journal of Religion and Health, 48(1), 6–15.

    Article  PubMed  Google Scholar 

  • Fullilove, M. T., & Fullilove, R. E. (1999). Stigma as an obstacle to AIDS action: The case of the African American community. American Behavioral Scientist, 42, 1117–1129.

    Article  Google Scholar 

  • Grieb, S. M., Davey-Rothwell, M., & Latkin, C. A. (2012). Social and sexual network characteristics and concurrent sexual partnerships among urban African American high-risk women with main sex partners. AIDS and Behavior, 16(4), 882–889.

    Article  PubMed  Google Scholar 

  • Griffith, D. M., Campbell, B., Allen, J. O., Robinson, K. J., & Stewart, S. K. (2010). YOUR Blessed Health: An HIV-prevention program bridging faith and public health communities. Public Health Reports, 125(Suppl. 1), 4–11.

    PubMed  PubMed Central  Google Scholar 

  • Hall, H. I., Song, R., Rhodes, P., Prejean, J., Robinson, K. J., An, Q., et al. (2008). Estimation of HIV incidence in the United States. Journal of the American Medical Association, 300(5), 520–529.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harris, A. C. (2010). Sex, stigma, and the Holy Ghost: The Black church and the construction of AIDS in New York City. Journal of African American Studies, 14(1), 21–43.

    Article  Google Scholar 

  • Koenig, H. G., McCullough, M., & Larson, D. B. (Eds.). (2001). Handbook of religion and health. New York: Oxford.

  • Krause, N. (2006). Exploring the stress-buffering effects of church-based and secular social support on self-rated health in late life. Journal of Gerontology: Social Sciences, 61B, S25–S43.

    Google Scholar 

  • Latkin, C. A., Kuramoto, S. J., Davey-Rothwell, M. A., & Tobin, K. E. (2010). Social norms, social networks, and HIV risk behavior among injection drug users. AIDS and Behavior, 14(5), 1159–1168.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lease, S. H., & Shulman, J. L. (2003). A preliminary investigation of the role of religion for family members of lesbian, gay male, or bisexual male and female individuals. Counseling and Values, 47, 195–209.

    Article  Google Scholar 

  • Lincoln, C. E., & Mamiya, L. H. (2001). The Black church in the African American experience. Durham: Duke University Press.

    Google Scholar 

  • Lo, S. C., Reisen, C. A., Poppen, P. J., Bianchi, F. T., & Zea, M. C. (2011). Cultural beliefs, partner characteristics, communication, and sexual risk among Latino MSM. AIDS and Behavior, 15(3), 613–620.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lumpkins, C. Y., Greiner, K. A., Daley, C., Mabachi, N. M., & Neuhaus, K. (2013). Promoting healthy behavior from the pulpit. Journal of Religion and Health, 52, 1093–1107.

    Article  PubMed  PubMed Central  Google Scholar 

  • Merson, M. H., O’Malley, J., Serwadda, D., & Apisuk, C. (2008). The history and challenge of HIV prevention. Lancet, 372, 475–488.

    Article  PubMed  Google Scholar 

  • Morokoff, P. J., Harlow, L. L., & Quina, K. (1995). Women and AIDS. In A. L. Stanton & S. J. Gallant (Eds.), Women’s health (pp. 117–169). Washington, DC: American Psychological Association.

    Google Scholar 

  • Musick, M. A., House, J. S., & Williams, D. R. (2004). Attendance at religious services and mortality in a national sample. Journal of Health and Social Behavior, 45(2), 198–213.

    Article  PubMed  Google Scholar 

  • Mutchler, M. G., & McDavitt, B. (2011). ‘Gay boy talk’ meets ‘girl talk’: HIV risk assessment assumptions in young gay men’s sexual health communication with best friends. Health Education Research, 26(3), 489–505.

    Article  PubMed  PubMed Central  Google Scholar 

  • Neblett, R. C., Davey-Rothwell, M., Chander, G., & Latkin, C. A. (2011). Social network characteristics and HIV sexual risk behavior among urban African American women. Journal of Urban Health, 88(1), 54–65.

    Article  PubMed  PubMed Central  Google Scholar 

  • Noar, S., Carlyle, K., & Cole, C. (2006). Why communication is crucial: Meta-analysis of the relationship between safer sexual communication and condom use. Journal of Health Communication, 11(4), 365–390.

    Article  PubMed  Google Scholar 

  • Noar, S. M., Morokoff, P. J., & Redding, C. A. (2002). Sexual assertiveness in heterosexually active men: A test of three samples. AIDS Education and Prevention, 14(4), 330–342.

    Article  PubMed  Google Scholar 

  • Nunn, A., Cornwall, A., Chute, N., Sanders, J., Thomas, G., James, G., et al. (2012). Keeping the faith: African American faith leaders’ perspectives and recommendations for reducing racial disparities in HIV/AIDS infection. PLoS One, 7(5), e36172.

    Article  PubMed  PubMed Central  Google Scholar 

  • Parrott, R. (2004). Collective amnesia: The absence of religious faith and spirituality in health communication research and practice. Health Communication, 16, 1–5.

    Article  PubMed  Google Scholar 

  • Pew Research Forum on Religion & Public Life. (2009). A religious portrait of African-Americans. Retrieved on January 18, 2014 from http://www.pewforum.org/A-Religious-Portrait-of-African-Americans.aspx.

  • Philly Faith in Action. (2013). About us. Retrieved on January 23, 2013 from http://phillyfaithinaction.org/.

  • Pichon, L. C., Griffith, D. M., Allen, J. O., Campbell, B., Williams, T. T., & Addo, A. (2012). Comfort level discussing sexual health behavior and HIV prevention in a faith-setting. Journal of Health Care for the Poor and Underserved, 23(3), 1254–1266.

    Article  Google Scholar 

  • Pichon, L. C., Williams, T. T., & Campbell, B. C. (2013). Faith leaders’ beliefs concerning HIV prevention—30 years into the epidemic. Family and Community Health, 36(3), 260–268.

    PubMed  Google Scholar 

  • Piot, P., Bartos, M., Larson, H., Zewdie, D., & Mane, P. (2008). Coming to terms with complexity: A call to action for HIV prevention. Lancet, 372, 845–859.

    Article  PubMed  Google Scholar 

  • Powell, H. L., & Segrin, C. (2004). The effect of family and peer communication on college students’ communication with dating partners about HIV and AIDS. Health Communication, 16(4), 427–449.

    Article  PubMed  Google Scholar 

  • Quina, K., Harlow, L. L., Morokoff, P. J., Burkholder, G., & Deiter, P. J. (2000). Sexual communication in relationships: When words speak louder than actions. Sex Roles, 42, 523–549.

    Article  Google Scholar 

  • Salganik, M. J., & Heckathorn, D. D. (2004). Sampling and estimation in hidden populations using respondent-driven sampling. Sociological Methodology, 34, 193–239.

    Article  Google Scholar 

  • Sheeran, P., Abraham, C., & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta-analysis. Psychological Bulletin, 125, 90–132.

    Article  PubMed  Google Scholar 

  • Smith, J., Simmons, E., & Mayer, K. H. (2005). HIV/AIDS and the Black church: What are the barriers to prevention services? Journal of the National Medical Association, 97(12), 1682–1685.

    PubMed  PubMed Central  Google Scholar 

  • Southwell, B. G. (2011). Religious congregations and health information diffusion: Implications for viral marketing and peer referral programs. Journal of Applied Communication Research, 39(4), 444–447.

    Article  Google Scholar 

  • Tyrell, C. O., Klein, S. J., Gieryic, S. M., Devore, B. S., Cooper, J. G., & Tesoriero, J. M. (2008). Early results of a statewide initiative to involve faith communities in HIV prevention. Journal of Public Health Management and Practice, 14(5), 429–436.

    Article  PubMed  Google Scholar 

  • Williams, M. V., Palar, K., & Derose, K. P. (2011). Congregation-based programs to address HIV/AIDS: Elements of successful implementation. Journal of Urban Health, 88(3), 517–532.

    Article  PubMed  PubMed Central  Google Scholar 

  • Williams, T. T., Dodd, D., Campbell, B., Pichon, L. C., & Griffith, D. M. (2014a). Discussing adolescent sexual health in African American churches. Journal of Religion and Health, 53(2), 339–351.

    Article  PubMed  PubMed Central  Google Scholar 

  • Williams, T. T., Pichon, L. C., Latkin, C. A., & Davey-Rothwell, M. (2014b). Practicing what is preached: Congregational characteristics related to HIV testing behaviors and HIV discussions among Black women. Journal of Community Psychology, 42(3), 365–378.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wimberly, A. E. S. (2001). The role of Black faith communities in fostering health. In R. L. Braithwaite & S. E. Taylor (Eds.), Health issues in the Black community (2nd ed., pp. 129–150). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Wingood, G. M., & DiClemente, R. J. (1998). Partner influences and gender-related factors associated with noncondom use among young adult African American women. American Journal of Community Psychology, 26, 29–51.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank April Nellum for her assistance with manuscript preparation. This work was funded by the National Institute on Mental Health (Grants# R01 MH66810 and 1K01 MH096611-01A1) and the National Institutes on Drug Abuse (Grants# R01 DA031030 and 3R01 DA031030-02S2).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Terrinieka T. Williams.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Williams, T.T., Pichon, L.C., Davey-Rothwell, M. et al. Church Attendance as a Predictor of Number of Sexual Health Topics Discussed Among High-Risk HIV-Negative Black Women. Arch Sex Behav 45, 451–458 (2016). https://doi.org/10.1007/s10508-015-0506-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-015-0506-4

Keywords

Navigation