Structural and Community Change Outcomes of the Connect-to-Protect Coalitions: Trials and Triumphs Securing Adolescent Access to HIV Prevention, Testing, and Medical Care

Robin Lin Miller, Sarah J. Reed, Danielle Chiaramonte, Trevor Strzyzykowski, Hannah Spring, Ignacio D. Acevedo-Polakovich, Kate Chutuape, Bendu Cooper-Walker, Cherrie B. Boyer, Jonathan M. Ellen

Research output: Contribution to journalArticle

Abstract

Connect to Protect (C2P), a 10-year community mobilization effort, pursued the dual aims of creating communities competent to address youth's HIV-related risks and removing structural barriers to youth health. We used Community Coalition Action Theory (CCAT) to examine the perceived contributions and accomplishments of 14 C2P coalitions. We interviewed 318 key informants, including youth and community leaders, to identify the features of coalitions’ context and operation that facilitated and undermined their ability to achieve structural change and build communities’ capability to manage their local adolescent HIV epidemic effectively. We coded the interviews using an a priori coding scheme informed by CCAT and scholarship on AIDS-competent communities. We found community mobilization efforts like C2P can contribute to addressing the structural factors that promote HIV-risk among youth and to community development. We describe how coalition leadership, collaborative synergy, capacity building, and local community context influence coalitions’ ability to successfully implement HIV-related structural change, demonstrating empirical support for many of CCAT's propositions. We discuss implications for how community mobilization efforts might succeed in laying the foundation for an AIDS-competent community.

Original languageEnglish (US)
Pages (from-to)199-214
Number of pages16
JournalAmerican Journal of Community Psychology
Volume60
Issue number1-2
DOIs
StatePublished - Sep 2017

Keywords

  • AIDS competence
  • Coalitions
  • Community capacity
  • HIV/AIDS
  • Structural change
  • Youth/adolescents

ASJC Scopus subject areas

  • Health(social science)
  • Applied Psychology
  • Public Health, Environmental and Occupational Health

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    Miller, R. L., Reed, S. J., Chiaramonte, D., Strzyzykowski, T., Spring, H., Acevedo-Polakovich, I. D., Chutuape, K., Cooper-Walker, B., Boyer, C. B., & Ellen, J. M. (2017). Structural and Community Change Outcomes of the Connect-to-Protect Coalitions: Trials and Triumphs Securing Adolescent Access to HIV Prevention, Testing, and Medical Care. American Journal of Community Psychology, 60(1-2), 199-214. https://doi.org/10.1002/ajcp.12162