Females of African American Legacy Empowering Self
FemAALES was created out of a desire to improve the lives of African American women and their communities. Currently, African American women experience worse health outcomes than other women. African American woman are more likely to have high blood pressure, to have asthma, to be overweight or obese, and finally, more likely to have HIV or another STD than their White or Latina counterparts. Comprehensive and creative approaches are needed to alter this pattern and address disparities in health, including sexual health, in women of color.
In Los Angeles, Black women are far more affected by STIs than their White and Latina counterparts. In 2012 Los Angeles Black women ages 20-24 were infected with chlamydia at a rate 5 times higher than White women and 2.5 times higher than their Latina counterparts of the same age. Gonorrhea rates were similarly skewed: Black Women ages 20-24 were diagnosed with gonorrhea at rates that were 9 times higher than White women and 8 times higher than Latina women in that same age group. The disparity was even greater among women aged 15-19.
The renewed Females of African American Legacy Empowering Self (FemAALES – pronounced females) Project is being introduced Los Angeles community with funding from the NIH (National Institutes of Health). Charles R. Drew University of Medicine and Science is partnering with University of California, Los Angeles and community healthcare organization St. John’s Well Child and Family Center to test this innovative approach to improving health and preventing STIs and HIV in African American women. The project is unique among other harm reduction programs in that FemAALES has an emphasis on African American values and traditions. Ultimately the aim is to reduce the rates of all STIs among Black women, including HIV.
In the FemAALES intervention, we also use contemporary media is used as a starting point for discussions about every day circumstances and decision making. Sessions provide a forum for critical thinking and reflection about issues such as race, gender and social issues that affect the well-being of a Black woman in America. In 2008-2011, the FemAALES intervention was piloted with 219 African American women. Participants enjoyed the intervention and felt more empowered and motivated to make healthy decisions. Participants also reported reductions in frequency of unprotected sex and number of sexual partners.
The new and revised FemAALES intervention has an Internet expanded curriculum designed to will help participants better use this tool to access information and resources for health, employment, housing and many other services. In addition, participants will be encouraged to use social media for social support and to spread positive health messages to others.
Participants in FemAALES use sexual health goal setting as a starting point for future successful health behavior change.
The FemAALES group sessions are provided in local service centers and health clinics in Los Angeles. Participants are provided cash and non-monetary incentives based on their level of participation. Whether or not participants get assigned to our intervention arm, they will earn cash by completing 3 interviews over the course of roughly 12 months with the project.
We hope that our innovative methods and informative sessions will benefit our community. Women may able to learn more about factors that place them at risk for HIV/AIDS and other sexually transmitted diseases. They may be able to overcome barriers preventing them from leading emotionally, physically, and mentally healthy lifestyles. Please direct Black women who are interested to call the FemAALES Project’s main line: 323-379-2050 where one of our staff will be able to assist them.
This project is funded by the National Institute on Minority Health and Health Disparities (NIMHD) and conducted by
Charles R. Drew University of Medicine and Science, UCLA, and St. John’s Well Child and Family Center
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