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. 2017 Feb;60(2):169-175.
doi: 10.1016/j.jadohealth.2016.09.017. Epub 2016 Nov 23.

Facilitators and Barriers to Implementing Church-Based Adolescent Sexual Health Programs in Baltimore City

Terrinieka W Powell  1 , Fiona H Weeks  2 , Samantha Illangasekare  2 , Eric Rice  3 , James Wilson  4 , Debra Hickman  4 , Robert W Blum  2
Affiliations

Facilitators and Barriers to Implementing Church-Based Adolescent Sexual Health Programs in Baltimore City

Terrinieka W Powell et al. J Adolesc Health. 2017 Feb.

Abstract

Purpose: Black churches are an important community resource and a potentially powerful actor in adolescent health promotion. However, limited research exists describing the factors that may influence the successful implementation of evidence-based adolescent sexual health programs in churches. In the present study, a multi-informant approach was used to identify facilitators and barriers to implementing adolescent sexual health programs in black churches.

Methods: Nine Black churches located in Baltimore, MD, were recruited to participate in this study. The senior pastor and youth minster from each congregation participated in an in-depth interview (N = 18). A total of 45 youth (ages 13-19 years) and 38 parents participated in 15 focus groups. Qualitative data were transcribed verbatim and analyzed using a qualitative content analytic approach.

Results: Participants agreed that comprehensive adolescent sexual health education should be available for youth in black churches. They also believed that abstaining from sex should be discussed in all adolescent sexual health programs. Three facilitators were discussed: widespread endorsement of church-based adolescent sexual health education, positive influence of youth ministers on youth, and life lessons as teaching tools. Four barriers are described: perceived resistance from congregants, discomfort among youth, lack of financial resources, and competing messages at home about sexual health.

Conclusions: Our findings suggest that churches are a preferred place for adolescent sexual health education among some parents and youth. Study findings also reinforce the feasibility and desirably of church-based adolescent sexual health programs.

Keywords: Adolescents; Church based; Qualitative; Sexual health.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to disclose.

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References

    1. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Healthy People 2020. Available at: http://www.healthypeople.gov/2020/topics-objectives/topic/Adolescent-Health. Updated 2015. Accessed August 24, 2015.
    1. Maryland Department of Health and Mental Hygiene. Race/ethnicity and HIV. Baltimore: Maryland Department of Health and Mental Hygiene; 2014.
    1. Centers for Disease Control and Prevention (CDC). 1991-2015 High school youth risk behavior survey data. Available at: http://nccd.cdc.gov/youthonline/. Updated 2016. Accessed July 21, 2016.
    1. Lightfoot AF, Woods BA, Jackson M, et al. “In my house”: Laying the foundation for youth HIV prevention in the black church. Prog Community Health Partnersh 2012;6:451–6. - PubMed
    1. Williams TT, Griffith DM, Pichon LC, et al. Involving faith-based organizations in adolescent HIV prevention. Prog Community Health Partnersh 2011;5:425. - PubMed