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Congregational involvement in HIV: A qualitative comparative analysis of factors influencing HIV activity among diverse urban congregations

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  • Mendel, Peter
  • Green, Harold D.
  • Palar, Kartika
  • Kanouse, David E.
  • Bluthenthal, Ricky N.
  • Mata, Michael A.
  • Oden, Clyde W.
  • Derose, Kathryn P.

Abstract

Religious congregations can potentially reach disproportionately affected populations with HIV programming, however, factors that influence congregational involvement in HIV are not well-studied. Utilizing comparative case methods and in-depth qualitative data from a diverse sample of 14 urban congregations, we examine a range of attitudinal, organizational, resource, and demographic factors to systematically identify different case scenarios—i.e., combinations of characteristics—associated with the level and types of HIV activities in which the congregational cases tended to be involved. For example, White or mixed race congregations with active gay constituencies and an African-American congregation with a strong lay HIV champion were among the high HIV involvement case scenarios, compared to African-American congregations with a health emphasis but no lay HIV champion among the medium HIV involvement scenarios, and fundamentalist African-American and Latino congregations among the low HIV involvement scenarios. Two key factors that appeared influential across case scenarios included the existence of lay champions for HIV activities and the general theological orientation of the congregation.

Suggested Citation

  • Mendel, Peter & Green, Harold D. & Palar, Kartika & Kanouse, David E. & Bluthenthal, Ricky N. & Mata, Michael A. & Oden, Clyde W. & Derose, Kathryn P., 2020. "Congregational involvement in HIV: A qualitative comparative analysis of factors influencing HIV activity among diverse urban congregations," Social Science & Medicine, Elsevier, vol. 246(C).
  • Handle: RePEc:eee:socmed:v:246:y:2020:i:c:s0277953619307130
    DOI: 10.1016/j.socscimed.2019.112718
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    References listed on IDEAS

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    1. Bluthenthal, Ricky N. & Palar, Kartika & Mendel, Peter & Kanouse, David E. & Corbin, Dennis E. & Derose, Kathryn Pitkin, 2012. "Attitudes and beliefs related to HIV/AIDS in urban religious congregations: Barriers and opportunities for HIV-related interventions," Social Science & Medicine, Elsevier, vol. 74(10), pages 1520-1527.
    2. Thomas, S.B. & Quinn, S.C. & Billingsley, A. & Caldwell, C., 1994. "The characteristics of northern Black churches with community health outreach programs," American Journal of Public Health, American Public Health Association, vol. 84(4), pages 575-579.
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