Over the prior 2 decades, HIV and AIDS have ravaged the Black community. This article summarizes the epidemiologic, social, and psychological impact of HIV/AIDS on individuals and affected subpopulations in the Black community. An overview is then provided of prevailing research on psychological and mental health issues in HIV/AIDS-related prevention and care that highlights key issues of concern to Black psychologists and areas in which Black psychologists are well positioned to make important contributions to the field. In conclusion, specific suggestions for Black psychologists to become more involved in work on HIV/AIDS are provided.
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References
1.
Akbar, N. (1991). The evolution of human psychology for African Americans. In R. L. Jones (Ed.), Black psychology (3rd ed., pp. 99-123). Berkeley, CA: Cobb & Henry.
2.
Altman, D. (1994). Power and community: Organizational and cultural responses to AIDS. Bristol, PA: Taylor & Francis.
3.
Amaro, H., & Raj, A. (2000). On the margin: Power and women’s HIV risk reduction strategies. Sex Roles, 42, 723-749.
4.
Anderson, J. E., Carey, J. W., & Taveras, S. (2000). HIV testing among the general U.S. population and persons at increased risk: Information from national surveys, 1987-1996. American Journal of Public Health, 90(7), 1089-1095.
5.
Association of Black Psychologists. (1997). An introduction to the African-centered behavior change model for the prevention of HIV/STDS (National HIV/STD Technical Assistance Project). Washington, DC: Author.
6.
Beatty, L., Wheeler, D., & Gaiter, J. (2004). HIV prevention research for African Americans: Current and future directions. Journal of Black Psychology, 30(1), 40-58.
7.
Belgrave, F. Z. (2002). Relational theory and cultural enhancement interventions for African American adolescent girls. Public Health Reports, 117(Suppl. 1), S76-S81.
8.
Belgrave, F. Z., Townsend, T. G., Cherry, V. R., & Cunningham, D. M. (1997). The influence of an Africentric world-view and demographic variables on drug knowledge, attitudes, and use among African American youth. Journal of Community Psychology, 25(5), 421-433.
9.
Boland R. (1997). HIV and depression. American Journal of Psychiatry, 154, 1632-1633.
10.
Bowser, B. P., Fullilove, M. T., & Fullilove, R. E. (1990). African-American youth and AIDS high-risk behavior: The social context and barriers to prevention. Youth & Society, 22, 54-66.
11.
Boykin, A. W., & Toms, F. D. (1985). Black child socialization: A conceptual framework. In H. P. McAdoo & J. L. McAdoo (Eds.), Black children: Social, educational, and parental environments (pp. 35-52). Beverly Hills, CA: Sage.
12.
Brown, L., Macintyre, K., & Trujillo, L. (2003). Interventions to reduce HIV/AIDS stigma: What have we learned? AIDS Education and Prevention, 15, 49-69.
13.
Buss, T. F., Abdu, R., & Walker, J. R. (1995). Alcohol, drugs, and urban violence in a small city trauma center. Journal of Substance Abuse Treatment, 12, 75-83.
14.
Cargill, V. A., Stone, V. E., & Robinson, M. R. (2004). HIV treatment in African Americans: Challenges and opportunities. Journal of Black Psychology, 30(1), 24-39.
15.
Catania, J. A., Coates, T. J., Kegeles, S., Fullilove, M. T., Peterson, J., Marin, B., et al. (1992). Condom use in multi-ethnic neighborhoods of San Francisco: The population-based AMEN (AIDS in multi-ethnic neighborhoods) study. American Journal of Public Health, 82, 284-287.
16.
Centers for Disease Control and Prevention. (2000). Adoption of protective behaviors among persons with recent HIV infection and diagnosis—Alabama, New Jersey, and Tennessee, 1997-1998. Morbidity and Mortality Weekly Report, 49, 512-515.
17.
Centers for Disease Control and Prevention (Ed.). (2001a). HIV/AIDS surveillance report, year end 2000, 2(2).
18.
Centers for Disease Control and Prevention. (2001b). HIV incidence among young men who have sex with men, seven cities, 1994-2000. Morbidity and Mortality Weekly Report, 50(21), 440.
19.
Centers for Disease Control and Prevention (Ed.). (2002a). HIV/AIDS surveillance report, year end 2001, 13(2).
20.
Centers for Disease Control and Prevention. (2002b). HIV testing among pregnant women—U.S. and Canada, 1998-2001. Morbidity and Mortality Weekly Report, 51(45), 1013-1016.
21.
Centers for Disease Control and Prevention. (2002c). Unrecognized HIV infection, risk behaviors, and perceptions of risk among young Black men who have sex with men, six U.S. cities, 1994-1998. Morbidity and Mortality Weekly Report, 51(33), 733.
22.
Centers for Disease Control and Prevention. (2003a). Incorporating HIV prevention into the medical care of persons living with HIV. Morbidity and Mortality Weekly Report, 52(RR12), 1-24.
23.
Centers for Disease Control and Prevention. (2003b). Late versus early testing of HIV—16 cities, United States, 2000-2003. Morbidity and Mortality Weekly Report, 52, 581-586.
24.
Cochran, S. D., & Mays, V. M. (1989). Women and AIDS-related concerns: Roles for psychologists in helping the worried well. American Psychologist, 44, 529-535.
25.
Cochran, S. D., & Mays, V. M. (2000). Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: Results from NHANES III. American Journal of Public Health, 90, 573-578.
26.
Cohen, C. J. (1999). The boundaries of Blackness: AIDS and the breakdown of Black politics. Chicago: The University of Chicago Press.
27.
Corliss, H. L., Cochran, S. D., & Mays, V. M. (2002). Reports of parental maltreatment during childhood in a United States population-based survey of homosexual, bisexual, and heterosexual adults. Child Abuse and Neglect, 26, 1165-1178.
28.
Dalton, H. L. (1989). AIDS in Blackface. Daedulus, 118, 205-227.
29.
Des Jarlais, D. C., & Semaan, S. (2002). HIV prevention research: Cumulative knowledge or accumulating studies. Journal of Acquired Immune Deficiency Syndromes, 30(Suppl. 1), S1-S7.
30.
Diaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. V. (2001). The impact of homophobia and racism on the mental health of gay and bisexual Latino men: Finding from 3 U.S. cities. American Journal of Public Health, 91, 927-932.
31.
Fanon, F. (1963). The wretched of the earth. New York: Grove Press.
32.
Fitzpatrick, L., McCray, E., & Smith, D. K. (2004). The global HIV/AIDS epidemic and related mental health issues: The crisis for Africans and Black Americans. Journal of Black Psychology, 30(1), 11-23.
33.
Foster, P. M., Phillips, F., Belgrave, F. Z., Randolph, S. M., & Braithwaite, N. (1993). An Africentric model for AIDS education, prevention, and psychological services within the African American community. Journal of Black Psychology, 19(2), 123-141.
34.
Fullilove, M. T., & Fullilove, R. E. (1999). Stigma as an obstacle to AIDS action. American Behavioral Scientist, 42, 1117-1129.
35.
Fullilove, M. T., Fullilove, R. E., Smith, M., & Winkler, K. (1993). Violence, trauma, and posttraumatic stress disorder among women drug users. Journal of Traumatic Stress, 6, 533-543.
36.
Fullilove, M. T., Golden, E., Fullilove, R. E., & Lennon, R. (1993). Crack cocaine use and highrisk behaviors among sexually active Black adolescents. Journal of Adolescent Health, 14, 295-300.
37.
Fullilove, M. T., Lown, E. A., & Fullilove, R. E. (1992). Crack ‘hos and skeezers: Traumatic experiences of women crack users. Journal of Sex Research, 29, 275-287.
38.
Fullilove, R. E., Fullilove, M. T., Haynes, K., & Gross, S. (1990). Black women and AIDS prevention: A view towards understanding the gender rules. Journal of Sex Research, 27, 47-64.
39.
Fullilove, R. E., Fullilove, M. T., Northridge, M. E., Ganz, M. L., Bassett, M. T., McLean, D. E., et al. (1999). Risk factors for excess mortality in Harlem: Findings from the Harlem household survey. American Journal of Preventive Medicine, 16, 22-28.
40.
Fullilove, R. E., Green, L., & Fullilove, M. T. (2000). The family to family program: A structural intervention with implications for the prevention of HIV/AIDS and other community epidemics. AIDS, 14(Suppl. 1), S63-S67.
41.
Gasch, H., Poulson, M. D., Fullilove, R. E., & Fullilove, M. T. (1991). Shaping AIDS education and prevention programs for African Americans amidst community decline. Journal of Negro Education, 60, 85-96.
42.
Guthrie, R. (1976). Even the rat was white: A historical view of psychology. New York: Henry & Row.
43.
Hardy, K. V., & Laszloffy, T. A. (1995). Therapy with African Americans and the phenomenon of rage. In Session—Psychotherapy in Practice, 1, 57-70.
44.
Ickovics J. R., Thayaparan, B., & Ethier, K. A. (2000). Women and AIDS: A contextual approach. In A. Baum, T. Revenson, & J. Singer (Eds.), Handbook of health psychology (pp. 821-839). Hillsdale, NJ: Erlbaum.
45.
Institute of Medicine. (2001). No time to lose: Getting more from HIV prevention. Washington, DC: The National Academy Press.
46.
Institute of Medicine. (2003). Unequal treatment: Confronting racial and ethnic disparities in healthcare. Washington, DC: The National Academy Press.
47.
Johnson, S. D., Cunningham-Williams, R. M., & Cottler, L. B. (2003). A tripartite of HIV risk for African American women: The intersection of drug use, violence, and depression. Drug and Alcohol Dependence, 70, 169-175.
48.
Jones, A. C. (1991). Psychological functioning in African Americans: A conceptual guide for use in psychotherapy. In R. L. Jones (Ed.), Black psychology (3rd ed., pp. 577-589). Berkley, CA: Cobb & Henry.
49.
Jones, R. L. (Ed.). (1972). Black psychology (1st ed.). New York: Harper & Row.
50.
Jones, R. L. (Ed.). (1980). Black psychology (2nd ed.). New York: Harper & Row.
51.
Jordan, L. C., Bogat, G. A., & Smith, G. (2001). Collaborating for social change: The Black psychologist and the Black community. American Journal of Community Psychology, 29, 599-620.
52.
Kaplan, M. S., Marks, G., & Mertens, S. B. (1997). Distress and coping among women with HIV infection. American Journal of Orthopsychiatry, 67, 80-91.
53.
Kellerman, S. E., Lehman, J. S., Lansky, A., Stevens, M. R., Hecht, F. M., Bindman, A. B., et al. (2002). HIV testing within at-risk populations in the United States and the reasons for seeking or avoiding HIV testing. Journal of Acquired Immune Deficiency Syndromes, 31, 202-210.
54.
Kelly, J. A., Heckman, T. G., Stevenson, L. Y., Williams, P. N., Ertl, T., Robert, B., et al. (2000). Transfer on research-based HIV interventions to community service providers: Fidelity and adaptation. AIDS Education and Prevention, 12(Suppl. A), 87-98.
55.
Kelly, J. A., & Murphy, D. A. (1992). Psychological interventions with AIDS and HIV: Prevention and treatment. Journal of Consulting and Clinical Psychology, 60, 576-585.
56.
Kelly, J. A., Murphy, D. A., Sikkema, K. J., & Kalichman, S. C. (1993). Psychological interventions to prevent HIV infection are urgently needed: New priorities for behavioral research in the second decade of AIDS. American Psychologist, 48, 1023-1034.
57.
Kelly, J. A., St. Lawrence, J. S., Bransfield, T. L., Lemke, A., Amidei, T., Roffman, R. E., et al. (1990). Psychological factors that predict AIDS high-risk versus AIDS precautionary behavior. Journal of Consulting and Clinical Psychology, 58, 117-120.
58.
Kreuter, M. W., Lukwago, S. N., Bucholtz, D. C., Clark, E. M., & Sanders-Thompson, V. (2003). Achieving cultural appropriateness in health promotion programs: Targeted and tailored approaches. Health Education and Behavior, 30, 133-146.
59.
Latkin, C. A., Tobin, K. E., & Gilbert, S. H. (2002). Shun or support: The role of religious behaviors and HIV-related health care among drug users in Baltimore, Maryland. AIDS and Behavior, 6, 321-330.
60.
Lee, R. S., Kochman, A., & Sikkema, K. J. (2002). Internalized stigma among people living with HIV-AIDS. AIDS and Behavior, 6, 303-320.
61.
Leserman, J., Perkins, D. O., & Evans, D. L. (1992). Coping with the threat of AIDS: The role of social support. American Journal of Psychiatry, 149, 1514-1520.
62.
Martin, J. L., & Dean, L. (1993). Effects of AIDS-related bereavement and HIV-related illness on psychological distress among gay men: A seven-year longitudinal study, 1985-1991. Journal of Consulting and Clinical Psychology, 61, 94-103.
63.
Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869-1876.
64.
McNair, L. D., & Roberts, G. W. (1997). Pervasive and multiple risks: Factors affecting African American women’s HIV-AIDS vulnerability. Journal of Black Psychology, 23, 180-191.
65.
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36(1), 38-56.
66.
Miller, R. L. (2001). Innovation in HIV prevention: Organizational and intervention characteristics affecting program adoption. American Journal of Community Psychology, 29, 195-205.
67.
Miller, R. L., & Greene, G. J. (in press). Transferring HIV prevention technology to community-based organizations. In E. J. Trickett & W. Pequegnat (Eds.), Context and culture in HIV/AIDS interventions: Ecological strategies for increasing community impact. New York: Oxford University Press.
68.
Moore, J., Schuman, P., Schoenbaum, E., Boland, B., Solomon, L., & Smith, D. (1999). Severe adverse life events and depressive symptoms among women with, or at risk for, HIV infection in four cities in the United States of American. AIDS, 13, 2459-2468.
69.
Myers, H. F., Javanbakht, M., Martinez, M., & Obediah, S. (2003). Psychosocial predictors of risky sexual behaviors in African American men: Implications for prevention. AIDS Education and Prevention, 15(Suppl. A), 66-79.
70.
Myers, H. F., Satz, P., Miller, B. E., Bing, E. G., Evans, G., Richardson, M. A., et al. (1997). The African American Health Project (AAHP): Study overview and select findings on high risk behaviors and psychiatric disorders in African American men. Ethnicity and Health, 2(3), 183-196.
71.
Nakashima, A. K., & Fleming, P. L. (2003). HIV/AIDS surveillance in the United States, 1981-2001. Journal of Acquired Immune Deficiency Syndromes, 32, S68-S85.
72.
National Institute of Mental Health Multisite Prevention Trials Group. (2001). A test of factors mediating the relationship between unwanted sexual activity during childhood and risky sexual practices among women enrolled in the NIMH Multi-site HIV prevention trial. Women and Health, 33, 163-180.
73.
Neumann, M. S., & Sogolow, E. D. (2000). Replicating effective programs: HIV/AIDS prevention technology transfer. AIDS Education and Prevention, 12(Suppl. A), 35-48.
74.
Nobles, W. W. (1991). African philosophy: Foundations for Black psychology. In R. L. Jones (Ed.), Black psychology (3rd ed., pp. 47-63). Berkeley, CA: Cobb & Henry Publishers.
75.
Perdue, T., Hagan, H., Thiede, H., & Valleroy, L. (2003). Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men. AIDS Education and Prevention, 15, 81-92.
76.
Perrow, C., & Guillen, M. F. (1990). The AIDS disaster: The failure of organizations in New York and the nation. New Haven, CT: Yale University Press.
77.
Quimby, E. (1993). Obstacles to reducing AIDS among African Americans. Journal of Black Psychology, 19, 215-222.
78.
Rahemian, A., & Pach, A. (1999). Stories of AIDS outreach and case management: Context and activities. Substance Use and Misuse, 34(14), 1991-2014.
79.
Reece, M., Plate, P. L., & Daughtry, M. (2001). HIV prevention and sexual compulsivity: The need for an integrated strategy of public health and mental health. Sexual Addiction and Compulsivity, 8, 157-167.
80.
Remien, R. H., Hirky, A. E., Johnson, M. O., Weinhardt, L. S., Whitter, D., & Le, G. M. (2003). Adherence to medication treatment: A qualitative study of facilitators and barriers among a diverse sample of HIV positive men and women in four U.S. cities. AIDS and Behavior, 7, 61-72.
81.
Rich, J. A. (2001). Primary care for young African American men. Journal of American College Health, 49, 183-186.
82.
Salisbury, D. M. (1986). AIDS: Psychosocial implications. Journal of Psychosocial Nursing, 24, 13-16.
83.
Semaan, S., & Sogolow, E. (Eds.). (2002). Do behavioral HIV interventions work? A review and meta-analysis. Journal of Acquired Immune Deficiency Syndromes, 30(Suppl. 1).
84.
Shilts, R. (1998). And the band played on: Politics, people, and the AIDS epidemic. New York: Penguin.
85.
Siegel, K., & Krauss, B. J. (1991). Living with HIV infection: Adaptive tasks of seropositive gay men. Journal of Health and Social Behavior, 32, 17-32.
86.
Siegel, K., & Meyer, I. H. (1999). Hope and resilience in suicide ideation and behavior of gay and bisexual men following notification of HIV infection. AIDS Education and Prevention, 11(1), 53-64.
87.
Sikkema, K. J., Kalichman, S. C., Huffman, R., Koob, J. J., Kelly, J. A., & Heckman, T. G. (2000). Coping strategies and emotional well-being among HIV-infected men and women experiencing AIDS-related bereavement. AIDS Care, 12(5), 613-624.
88.
Smith, D. K., Gwinn, M., Selik, R. M., Miller, K. S., Dean-Gaitor, H., Ma’at, P., et al. (2000). HIV/AIDS among African Americans: Progress or progression? Journal of the International AIDS Society, 14(9), 1237-1248.
89.
Stall, R., Mills, T. C., Williamson, J., Hart, T., Greenwood, G., Paul, J., et al. (2003). Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. American Journal of Public Health, 93, 939-942.
90.
Sterk, C. E., Klein, H., & Elifson, K. W. (2003). Perceived condom use self-efficacy among atrisk women. AIDS and Behavior, 7, 175-182.
91.
Stevenson, H. C. (1994). The psychology of sexual racism and AIDS: An ongoing saga of distrust and the “sexual other.” Journal of Black Studies, 25, 62-80.
92.
Stokes, J. P., & Peterson, J. L. (1998). Homophobia, self-esteem, and risk for HIV among African American men who have sex with men. AIDS Education and Prevention, 10, 278-292.
93.
Sumartojo, E., Doll, L., Holtgrave, D., Gayle, H., & Merson, M. (2000). Enriching the mix: Incorporating structural factors into HIV prevention. AIDS, 14(Suppl. 1), S1-S2.
94.
Triandis, H. C. (1976). Variations of Black and White perceptions of the social environment. Urbana: University of Illinois Press.
95.
U.S. Bureau of the Census. (2000). Census 2000 profiles of demographic characteristics: States, regions, divisions, DC, and Puerto Rico. Washington, DC: Author. (Available at http://www.census.gov/)
96.
Van Servellen, G., Padilla, G., Brecht, M. L., & Knoll, L. (1993). The relationship of stressful life events, health status, and stress-resistance resources in persons with AIDS. Journal of the Association of Nurses AIDS Care, 4, 11-22.
97.
Vermund, S. H., & Wilson, C. M. (2002). Barriers to HIV testing—what next? The Lancet, 360, 1186-1187.
98.
Wilson, B. D. M., & Miller, R. L. (2003). Examining strategies for culturally grounded prevention: A review. AIDS Education and Prevention, 15, 184-220.
99.
Wulfert, E., & Wan, C. K. (1993). Condom use: A self-efficacy model. Health Psychology, 12, 346-353.
