Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Author: search.filters.author.Quinn, Sandra CrouseSubject: search.filters.subject.African American

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    The Tuskegee Syphilis Study, 1932 to 1972: Implications for HIV Education and AIDS Risk Education Programs in the Black Community
    (1991) Thomas, Stephen B; Quinn, Sandra Crouse
    The Tuskegee study of untreated syphilis in the Negro male is the longest nontherapeutic experiment on human beings in medical history. The strategies used to recruit and retain participants were quite similar to those being advocated for HIV/AIDS preention programs today. Almost 60 years after the study began, there remains a trail of distrust and suspicion that hampers HIV education efforts in Black communities. The AIDS epidemic has exposed the Tuskegee study as a histotical marker for legitimate discontent of Blacks with the public health system. The belief that AIDS is a form of genocide is rooted in a social context in which Black Americans, faced with persistent inequality, believe in conspiracy theories about Whites against Blacks. These theories range from the belief that the government promotes drug abuse in Black communities to the belief that HIV is a manmade weapon of racial warfare. An open and honest discussion of the Tuskegee Syphilis Study can facilitate the process of rebuilding trust between the Black community and public health authorities. This dialogue can contribute to the development of HIV education programs that are scientifically sound, culturally sensitive, and ethnically acceptable.
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    Building Community Trust: Lessons From an STD/HIV Peer Educator Program With African American Barbers and Beauticians
    (2002) Lewis, Yalonda R; Shain, Lara; Quinn, Sandra Crouse; Turner, Katherine; Moore, Timothy
    Sexually transmitted diseases (STDs), HIV, and AIDS disproportionately affect the African American community. In 1999, the rates of gonorrhea and primary and secondary syphilis among African Americans in the United States were approximately 30 times greater than those rates in Whites. Although African Americans represent only 12% of the population nationwide, they constitute 37% of the cumulative AIDS cases. In North Carolina’s Durham County, African Americans accounted for 88% (553) of the HIV cases reported as of December 2000. There remains a demand for prevention efforts that are culturally relevant, incorporating the social norms and values of the African American community. Through the Barber and Beautician STD/HIV Peer Educator Program of the Durham County Health Department’s Project StraighTalk (PS), local barbers and beauticians provide condoms, educational materials, and education to their clients about STDs/HIV. In collaboration with PS, Lewis and Shain performed a needs assessment of the program, including interviews with stylists and clients, to inform program enhancement and materials development. This article describes the needs assessment process, with a specific focus on the challenges of working closely with a community and the lessons learned.