Factors Related to STI Testing among African American Congregants

There is renewed attention on sexual health disparities and the need for routine screening for STIs African American churches are increasingly called on to assist with HIV education and screening efforts, however, little is known about how churches can assist with screening for other STIs. This study examines demographic, behavioral, and social factors associated with receipt of an STI test in the last year among church members and community members served through church outreach ministries. In the last year, participants tested for gonorrhea, chlamydia, and syphilis at rates of 19%, 19%, and 17% respectively. Predictors of STI testing in the last four months included being single, positive attitudes towards condom, and high levels of religiosity. Background: Sexually transmitted infections (STIs) disproportionately impact communities of color. Methods: Baseline survey data on receipt of STI screening was collected from two African American churches during the Taking It to the Pews pilot project, an HIV screening, prevention, and linkage to care church-based intervention. Results: Participants (N = 120) were primarily female (62.5%), with an average age of 41.7 (SD = 13.0), 87.6% attended at least one worship service a week, and 52% reported never using a condom. Conclusion: This study has implications for the development of church-based STI screening and education.