The Feasibility of HIV Testing in Black Churches for Black Youth

Abstract

The HIV/AIDS epidemic disproportionately impacts Black youth, with systemic barriers limiting their access to existing HIV testing and intervention programs. To address this epidemic, culturally sensitive and accessible HIV prevention initiatives are essential. The Black church stands as a vital community cornerstone to facilitate HIV education and testing in a familiar and trusted setting. This qualitative study evaluated the feasibility of implementing HIV prevention programs in Black churches. Two focus groups with Black youth and 17 in-depth interviews with church parents, ministry staff, and healthcare providers were conducted. Participants were asked about perceptions of the feasibility of HIV testing in Black churches and to identify barriers and facilitators to HIV testing in these settings. All participants provided positive support for HIV education and testing in Black churches. Potential barriers included concerns about funding, perceived stigma, and program risk management. Potential facilitators included the perception of Black churches as safe spaces, low personal stigma, willingness to form religious-secular partnerships, and positive attitudes toward testing and help-seeking. Recommendations for church-based HIV prevention programs are provided.