• Religiousness and prostate cancer screening in African American men

    Type Journal Article
    Author Alexis D Abernethy
    Author Tina R Houston
    Author Jeffrey P Bjorck
    Author Richard L Gorsuch
    Author Harold L Arnold
    Abstract This study was designed to examine the relationship between religiousness (organized, nonorganized, and intrinsic) and religious problem solving (collaborative, deferring, and self-directing) in prostate cancer screening (PCS) attitudes and behavior. Men (N = 481) of African descent between the ages of 40 and 70 participated. Hierarchical regression analyses revealed that religiousness and self-directed problem solving were associated with PCS attitudes. Intrinsic religiousness was associated with PCS attitudes after controlling for health and organized religiousness. Religiousness was not associated with PCS behavior. Intrinsic religiousness may be an important dimension of religiousness to be considered in tailoring cancer interventions for individuals from faith-based communities.
    Publication Journal of Psychosocial Oncology
    Volume 27
    Issue 3
    Pages 316-331
    Date 2009
    Journal Abbr J Psychosoc Oncol
    DOI 10.1080/07347330902979036
    ISSN 1540-7586
    Accessed Tue Feb 22 18:51:48 2011
    Library Catalog NCBI PubMed
    Extra PMID: 19544179
    Date Added Thu Sep 29 09:06:18 2011
    Modified Thu Sep 29 09:06:18 2011

    Tags:

    • Adult
    • African Americans
    • Aged
    • Biopsy
    • Digital Rectal Examination
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Intention
    • Los Angeles
    • Male
    • Mass Screening
    • Middle Aged
    • Neoplasm Staging
    • Patient Acceptance of Health Care
    • Problem Solving
    • Prostate
    • Prostate-Specific Antigen
    • Prostatic Neoplasms
    • Self Efficacy
    • Ultrasonography
  • Religion and culture: potential undercurrents influencing hand hygiene promotion in health care

    Type Journal Article
    Author Benedetta Allegranzi
    Author Ziad A Memish
    Author Liam Donaldson
    Author Didier Pittet
    Abstract BACKGROUND Health care-associated infections affect hundreds of millions of patients worldwide each year. The World Health Organization's (WHO) First Global Patient Safety Challenge, "Clean Care is Safer Care," is tackling this major patient safety problem, with the promotion of hand hygiene in health care as the project's cornerstone. WHO Guidelines on Hand Hygiene in Healthcare have been prepared by a large group of international experts and are currently in a pilot-test phase to assess feasibility and acceptability in different health care settings worldwide. METHODS An extensive literature search was conducted and experts and religious authorities were consulted to investigate religiocultural factors that may potentially influence hand hygiene promotion, offer possible solutions, and suggest areas for future research. RESULTS Religious faith and culture can strongly influence hand hygiene behavior in health care workers and potentially affect compliance with best practices. Interesting data were retrieved on specific indications for hand cleansing according to the 7 main religions worldwide, interpretation of hand gestures, the concept of "visibly dirty" hands, and the use of alcohol-based hand rubs and prohibition of alcohol use by some religions. CONCLUSIONS The impact of religious faith and cultural specificities must be taken into consideration when implementing a multimodal strategy to promote hand hygiene on a global scale.
    Publication American Journal of Infection Control
    Volume 37
    Issue 1
    Pages 28-34
    Date Feb 2009
    Journal Abbr Am J Infect Control
    DOI 10.1016/j.ajic.2008.01.014
    ISSN 1527-3296
    Short Title Religion and culture
    URL http://www.ncbi.nlm.nih.gov/pubmed/18834738
    Accessed Mon Mar 28 18:29:00 2011
    Library Catalog NCBI PubMed
    Extra PMID: 18834738
    Date Added Thu Sep 29 09:06:18 2011
    Modified Thu Sep 29 09:06:18 2011

    Tags:

    • Attitude of Health Personnel
    • Cross Infection
    • Culture
    • Guideline Adherence
    • Guidelines as Topic
    • Handwashing
    • Humans
    • Infection Control
    • religion
  • Perceived Environmental Church Support Is Associated with Dietary Practices among African-American Adults

    Type Journal Article
    Author Meghan Baruth
    Author Sara Wilcox
    Author Margaret D. Condrasky
    Abstract <p><br/>A unique strength of the African-American community is the importance of church and faith. Interventions promoting health might want to build on these strengths by developing faith-based interventions that encourage churches to create an environment that supports behavior change. The objective of the study was to examine the relationship between perceived environmental church support for healthy eating and intake of fruit and vegetables and fat- and fiber-related behaviors, and to examine whether these relationships differ by sex. The design was a cross-sectional study in which participants completed self-report dietary and perceived church support measures before initiation of an intervention. Relationships between fruit and vegetable consumption, fat- and fiber-related behaviors, and perceived church support (eg, total, written informational, spoken informational, instrumental [fruit and vegetable consumption only]), along with Support×Sex interactions were examined. Participants were 1,136 African-American church members from four geographically defined districts in South Carolina. Statistical analyses included regression models controlling for sex, age, years of education, health rating, and body mass index using SAS PROC MIXED. A separate model was conducted for each measure of perceived church support and each type of healthy eating index. Perceived total church support and perceived written and spoken informational church support were associated with considerably higher fruit and vegetable intake and more favorable fiber-related behaviors, whereas only perceived total and perceived written informational support were associated with more low-fat dietary behaviors. Perceived instrumental church support was not associated with fruit and vegetable consumption. No sex differences were found. The social and physical church environment can be an important factor influencing the dietary habits of its members. Future faith-based interventions should further explore the role of the church environment in improving the dietary practices of its members.</p>
    Publication Journal of the American Dietetic Association
    Volume 111
    Issue 6
    Pages 889-893
    Date June 2011
    DOI 16/j.jada.2011.03.014
    ISSN 0002-8223
    URL http://www.sciencedirect.com/science/article/pii/S000282231100277X
    Accessed Wed Jul 13 19:04:22 2011
    Library Catalog ScienceDirect
    Date Added Thu Sep 29 08:54:25 2011
    Modified Thu Sep 29 08:54:25 2011
  • The puzzle of Muslim advantage in child survival in India

    Type Journal Article
    Author Sonia Bhalotra
    Author Christine Valente
    Author Arthur van Soest
    Abstract The socioeconomic status of Indian Muslims is, on average, considerably lower than that of upper-caste Hindus. Muslims nevertheless exhibit substantially higher child survival rates, and have done for decades. This paper analyses this seeming puzzle. A decomposition of the survival differential confirms that some compositional effects favour Muslims but that, overall, differences in characteristics and especially the Muslim deficit in parental education predict a Muslim disadvantage. The results of this study contribute to a recent literature that debates the importance of socioeconomic status (SES) in determining health and survival. They augment a growing literature on the role of religion or culture as encapsulating important unobservable behaviours or endowments that influence health, indeed, enough to reverse the SES gradient that is commonly observed.
    Publication Journal of Health Economics
    Volume 29
    Issue 2
    Pages 191-204
    Date Mar 2010
    Journal Abbr J Health Econ
    DOI 10.1016/j.jhealeco.2009.11.002
    ISSN 1879-1646
    Accessed Mon Mar 22 20:37:39 2010
    Library Catalog NCBI PubMed
    Extra PMID: 19969383
    Date Added Thu Sep 29 09:04:02 2011
    Modified Thu Sep 29 09:04:02 2011
  • A faith-based physical activity intervention for Latinos: outcomes and lessons

    Type Journal Article
    Author Melissa Bopp
    Author Elizabeth A Fallon
    Author David X Marquez
    Abstract Purpose. To develop, implement, and evaluate a pilot faith-based physical activity (PA) intervention for Latinos. Design. Randomized trial, with two churches receiving the intervention and one church serving as a comparison group. Setting. Three Catholic churches near Manhattan, Kansas. Subjects. A subsample of the congregation from the intervention churches (n  =  24) and comparison church (n  =  23) volunteered to take part in the assessment. Intervention. Culturally and spiritually relevant education materials and activities were developed promoting the health benefits of PA. Educational materials included flyers, bulletin inserts, and posters. An 8-week team based walking contest promoted social support for PA. A health “fiesta” provided hands-on educational opportunities for PA. Measures. Organizational and individual process evaluation outcomes were assessed at baseline and 6 months. Interviews with church contacts at 6 months documented successes and struggles with implementation. Individual-level variables assessed knowledge related to PA and exposure to the intervention. Analysis. Basic frequencies and descriptive statistics were used. Results. Compared with 36% of comparison participants, 66% of intervention participants identified health reasons for participating in PA, and 47% accurately described PA recommendations, compared with 16% of comparison participants. Process evaluation revealed implementation successes and struggles, including communication problems with church contacts and difficulty in creating a large exposure to intervention materials. Conclusions. This pilot study provides formative research for developing larger faith-based PA interventions targeting Latinos.
    Publication American Journal of Health Promotion: AJHP
    Volume 25
    Issue 3
    Pages 168-171
    Date 2011 Jan-Feb
    Journal Abbr Am J Health Promot
    DOI 10.4278/ajhp.090413-ARB-138
    ISSN 0890-1171
    Short Title A faith-based physical activity intervention for Latinos
    Accessed Sun Feb 13 10:39:12 2011
    Library Catalog NCBI PubMed
    Extra PMID: 21192745
    Date Added Thu Sep 29 08:57:52 2011
    Modified Thu Sep 29 08:57:52 2011

    Tags:

    • churches
    • Faith-based
    • fitness
    • Intervention
    • Latino
    • Physical activity
    • prevention research
    • randomized trial

    Notes:

    • A pilot faith-based physical activity (PA) intervention for Latinos to study health benefits.  Samples were taken from church subjects and physical activity was generally culturally relevant.  This pilot study provides formative research for developing larger faith-based PA interventions targeting Latinos.

  • Incorporating spirituality and religion into the treatment of African American clients.

    Type Journal Article
    Author Nancy Boyd-Franklin
    Abstract This article discusses the process of incorporating spirituality and religion into the treatment of African American clients. It addresses religious diversity within the African American community. The roles of spirituality and religion as survival and coping mechanisms for overcoming racism, adversity, and loss are emphasized. The cases presented in this article discuss religious and spiritual issues of African American clients at different life cycle stages and are illustrative of the presenting problems encountered by counseling psychologists in a variety of mental health settings including counseling centers, clinics, hospitals, community agencies, and private practices. Although extensive research on the role of religion and spirituality in the lives of African Americans is now available, this article makes an important contribution to the literature and to practicing counseling psychologists by providing detailed case examples, particularly those that illustrate the application of these issues in cross-cultural treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)
    Publication The Counseling Psychologist
    Volume 38
    Issue 7
    Pages 976-1000
    Date October 2010
    DOI 10.1177/0011000010374881
    ISSN 0011-0000
    Date Added Thu Sep 29 08:59:59 2011
    Modified Thu Sep 29 08:59:59 2011

    Tags:

    • African American
    • Blacks
    • clients
    • religion
    • spirituality
    • treatment

    Notes:

    • This article discusses the process of incorporating spirituality and religion into the treatment of African American clients. It addresses religious diversity within the African American community. The roles of spirituality and religion as survival and coping mechanisms for overcoming racism, adversity, and loss are emphasized. Although extensive research on the role of religion and spirituality in the lives of African Americans is now available, this article makes an important contribution to the literature and to practicing counseling psychologists by providing detailed case examples, particularly those that illustrate the application of these issues in cross-cultural treatment.

  • Relationships between health and culture in Polynesia - A review

    Type Journal Article
    Author Stuart Capstick
    Author Pauline Norris
    Author Faafetai Sopoaga
    Author Wale Tobata
    Abstract This review of journal articles and book chapters discusses the health beliefs characteristic of Polynesia and reveals several themes. These are: commonality in health conceptualisations across the cultures of the region which differ from the conceptualisations of biomedicine; the role of the relational self, traditional living and communalism in understanding health; the place of spirituality and religion in health and illness causation; and pluralism and pragmatism in health-seeking behaviour. Suggestions are made as to how awareness of key ideas might contribute to effective planning of health promotion and intervention activities.
    Publication Social Science & Medicine
    Volume 68
    Issue 7
    Pages 1341-1348
    Date April 2009
    DOI 10.1016/j.socscimed.2009.01.002
    ISSN 0277-9536
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6VBF-4VHWB0S-1/2/ea1a56e2c1f7cf737ce71064ce683920
    Accessed Mon Sep 7 11:24:00 2009
    Library Catalog ScienceDirect
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Culture
    • Health beliefs
    • Health promotion
    • Oceania
    • Pacific
    • Polynesia
    • Review

    Notes:

    • This review of journal articles and book chapters discusses the health beliefs characteristic of Polynesia and reveals several themes. These are: commonality in health conceptualisations across the cultures of the region which differ from the conceptualisations of biomedicine; the role of the relational self, traditional living and communalism in understanding health; the place of spirituality and religion in health and illness causation; and pluralism and pragmatism in health-seeking behaviour.

  • Religion/spirituality in African-American culture: an essential aspect of psychiatric care

    Type Journal Article
    Author James H Carter
    Abstract There is an astonishing diversity of religious beliefs and practices in the history of African Americans that influences the presentation, diagnosis, and management of both physical and mental disorders. The majority of African Americans, however, are evangelical Christians with religious experiences originating in the regions of ancient Africa (Cush, Punt, and to a great extent, Egypt), as well as black adaptation of Hebraic, Jewish, Christian, and Islamic beliefs and rituals. Consequently, more than 60 of the nation's 125 medical schools offer classes in spirituality and health. Although there is a lack of empirical evidence that religion improves health outcomes, physicians should understand patients as a biopsychosocial-spiritual whole. Asking about religion/spirituality during a health assessment can help the physician determine whether religious/spiritual factors will influence the patient's medical decisions and compliance. Two psychiatric case histories of African Americans are presented in which religion/spirituality significantly influenced treatment decisions and results. Neither of these patients suffered major debilitating medical comorbidity.
    Publication Journal of the National Medical Association
    Volume 94
    Issue 5
    Pages 371-375
    Date May 2002
    Journal Abbr J Natl Med Assoc
    ISSN 0027-9684
    Short Title Religion/spirituality in African-American culture
    URL http://www.ncbi.nlm.nih.gov/pubmed/12069218
    Accessed Thu Nov 12 21:34:01 2009
    Library Catalog NCBI PubMed
    Extra PMID: 12069218
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adult
    • African Americans
    • Cultural Characteristics
    • Delivery of Health Care
    • Female
    • Humans
    • Male
    • Mental Disorders
    • Middle Aged
    • Religion and Psychology
    • spirituality
    • United States

    Notes:

    • There is an astonishing diversity of religious beliefs and practices in the history of African Americans that influences the presentation, diagnosis, and management of both physical and mental disorders. Two psychiatric case histories of African Americans are presented in which religion/spirituality significantly influenced treatment decisions and results. Neither of these patients suffered major debilitating medical comorbidity.

  • Spiritual practices in self-management of diabetes in African Americans

    Type Journal Article
    Author Rebecca L. Polzer Casarez
    Author Joan C. Engebretson
    Author Sharon K. Ostwald
    Abstract In this qualitative study, African Americans described 3 orientations about spiritual practices and diabetes self-management: Spiritual practice as effort toward self-management; spiritual practice and self-management as effort toward healing; and spiritual practice as effort toward healing. Spiritual practices may influence diabetes self-management in African Americans and be a resource in care.
    Publication Holistic Nursing Practice
    Volume 24
    Issue 4
    Pages 227-237
    Date 2010 Jul-Aug
    Journal Abbr Holist Nurs Pract
    DOI 10.1097/HNP.0b013e3181e903c6
    ISSN 1550-5138
    Accessed Wed Jul 7 09:25:40 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20588132
    Date Added Thu Sep 29 09:03:23 2011
    Modified Thu Sep 29 09:03:23 2011
  • Epileptic seizures and spirit possession in Haitian culture: Report of four cases and review of the literature

    Type Journal Article
    Author A.E. Cavanna
    Author S. Cavanna
    Author A. Cavanna
    Abstract Epileptic seizures have historically been associated with religious beliefs in spirit possession. These attitudes and misconceptions about epilepsy still flourish in developing countries as byproducts of specific sociocultural environments. This article presents a case series of four Haitian patients with epilepsy whose seizures were initially attributed to Voodoo spirit possession. All patients reported ictal experiential phenomena (epigastric aura, ictal fear, depersonalization, and derealization symptoms) followed by complete loss of consciousness. Electroclinical investigations revealed a temporal lobe focus. We review the existing literature on attitudes toward seizures within the Haitian culture and discuss the link between religion and epilepsy, highlighting the possible detrimental influence of specific traditional belief systems on the appropriate diagnosis and treatment of patients with epilepsy.
    Publication Epilepsy & Behavior
    Volume 19
    Issue 1
    Pages 89-91
    Date September 2010
    DOI 10.1016/j.yebeh.2010.07.002
    ISSN 1525-5050
    Short Title Epileptic seizures and spirit possession in Haitian culture
    Accessed Mon Oct 11 10:31:27 2010
    Library Catalog ScienceDirect
    Date Added Thu Sep 29 09:02:29 2011
    Modified Thu Sep 29 09:02:29 2011

    Tags:

    • belief
    • Epilepsy
    • Haiti
    • Possession
    • Voodoo

    Notes:

    • This article presents a case series of four Haitian patients with epilepsy whose seizures were initially attributed to Voodoo spirit possession. All patients reported ictal experiential phenomena (epigastric aura, ictal fear, depersonalization, and derealization symptoms) followed by complete loss of consciousness. Electroclinical investigations revealed a temporal lobe focus. We review the existing literature on attitudes toward seizures within the Haitian culture and discuss the link between religion and epilepsy, highlighting the possible detrimental influence of specific traditional belief systems on the appropriate diagnosis and treatment of patients with epilepsy.

  • Spirituality of African-American women: correlations to health-promoting behaviors

    Type Journal Article
    Author Deirdra N Chester
    Author Susan P Himburg
    Author Lorraine J Weatherspoon
    Abstract The purpose of this study was to investigate how spirituality relates to health-promoting behaviors in African-American women. Using Burkhart's theoretical framework for spirituality, a descriptive cross-sectional correlational design was used. A group of 260 (N=260) women completed Rosenbergh's Self-Esteem Scale, the Health Promoting Lifestyle Profile II, the Spiritual Perspective Scale, the Brief Block 2000 Food Frequency Questionnaire (FFQ). These women also provided the researchers with their socio-demographic data. Canonical correlation analysis identified a significant pair of canonical variables which indicated that those individuals with good nutrition (.95), physical activity (.79), and healthy eating (.42) were positively associated with stress management (.88), health responsibility (.67), spiritual growth (.66), interpersonal relations (.50), education (.49), and self-esteem (.33). This set of variables explained 56% of the variability (p < .001). Practitioners should incorporate the message of spirituality by focusing on strategies to improve health responsibility, interpersonal relations, and self-esteem, along with health-promoting behaviors.
    Publication Journal of National Black Nurses' Association: JNBNA
    Volume 17
    Issue 1
    Pages 1-8
    Date Jul 2006
    Journal Abbr J Natl Black Nurses Assoc
    ISSN 0885-6028
    Short Title Spirituality of African-American women
    URL http://www.ncbi.nlm.nih.gov/pubmed/17004420
    Accessed Fri Nov 13 16:53:58 2009
    Library Catalog NCBI PubMed
    Extra PMID: 17004420
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adolescent
    • Adult
    • African Americans
    • Aged
    • Aged, 80 and over
    • Attitude to Health
    • Body Mass Index
    • Cross-Sectional Studies
    • Exercise
    • Female
    • Florida
    • Food Habits
    • Health Behavior
    • Health promotion
    • Health Surveys
    • Humans
    • Life Style
    • Middle Aged
    • Models, Psychological
    • Nursing Methodology Research
    • Questionnaires
    • Self Concept
    • Socioeconomic Factors
    • spirituality
    • WOMEN

    Notes:

    • The purpose of this study was to investigate how spirituality relates to health-promoting behaviors in African-American women.

  • Predictors of self-efficacy to use condoms among seropositive middle-aged African American men

    Type Journal Article
    Author Christopher Lance Coleman
    Author Katherine Ball
    Abstract Condom use during sexual encounters continues to be a challenge for seropositive individuals. Hence, the influence of personal characteristics, AIDS knowledge, and religious well-being on perceived self-efficacy to use condoms has been examined in a convenience nonprobabilistic sample of 130 middle-aged seropositive African American men from the Mid-Atlantic region. AIDS knowledge and religious well-being are strongly related to self-efficacy to use condoms. These findings indicate that it is critical to explore further the relationship of AIDS knowledge and religious well-being with self-efficacy to use condoms.
    Publication Western Journal of Nursing Research
    Volume 31
    Issue 7
    Pages 889-904
    Date Nov 2009
    Journal Abbr West J Nurs Res
    DOI 10.1177/0193945909339895
    ISSN 0193-9459
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19858525
    Accessed Mon Nov 23 20:18:33 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19858525
    Date Added Thu Sep 29 09:04:55 2011
    Modified Thu Sep 29 09:04:55 2011
  • How important is intrinsic spirituality in depression care? A comparison of white and African-American primary care patients

    Type Journal Article
    Author L A Cooper
    Author C Brown
    Author H T Vu
    Author D E Ford
    Author N R Powe
    Abstract We used a cross-sectional survey to compare the views of African-American and white adult primary care patients (N = 76) regarding the importance of various aspects of depression care. Patients were asked to rate the importance of 126 aspects of depression care (derived from attitudinal domains identified in focus groups) on a 5-point Likert scale. The 30 most important items came from 9 domains: 1) health professionals' interpersonal skills, 2) primary care provider recognition of depression, 3) treatment effectiveness, 4) treatment problems, 5) patient understanding about treatment, 6) intrinsic spirituality, 7) financial access, 8) life experiences, and 9) social support. African-American and white patients rated most aspects of depression care as similarly important, except that the odds of rating spirituality as extremely important for depression care were 3 times higher for African Americans than the odds for whites.
    Publication Journal of General Internal Medicine
    Volume 16
    Issue 9
    Pages 634-638
    Date Sep 2001
    Journal Abbr J Gen Intern Med
    ISSN 0884-8734
    Short Title How important is intrinsic spirituality in depression care?
    URL http://www.ncbi.nlm.nih.gov/pubmed/11556945
    Accessed Thu Nov 12 20:58:17 2009
    Library Catalog NCBI PubMed
    Extra PMID: 11556945
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adolescent
    • Adult
    • African Americans
    • Cross-Sectional Studies
    • depression
    • European Continental Ancestry Group
    • Female
    • Humans
    • Male
    • Middle Aged
    • Questionnaires
    • Religion and Psychology

    Notes:

    • We used a cross-sectional survey to compare the views of African-American and white adult primary care patients (N = 76) regarding the importance of various aspects of depression care. The 30 most important items came from 9 domains: 1) health professionals’ interpersonal skills, 2) primary care provider recognition of depression, 3) treatment effectiveness, 4) treatment problems, 5) patient understanding about treatment, 6) intrinsic spirituality, 7) financial access, 8) life experiences, and 9) social support.

  • Spirituality and its relationships with the health and illness of Appalachian people

    Type Journal Article
    Author Gina Diddle
    Author Sharon A Denham
    Abstract This article explores the ways spirituality intertwines with the health and culture of those living in the Appalachian region. Nursing has long considered the value of spirituality and faith, noting its complex connections with health and illness. Literature pertaining to spirituality, health, and the culture of those residing in the Appalachian region was reviewed. Although the review suggests that connections between spirituality and health exist, empirical evidence is limited, somewhat dated, and lacks viable conclusions relative to the diverse needs of the Appalachian population. Focused research that addresses strongly linked operationally defined variables is needed to strengthen the evidence for clarity about distinct applications to practice.
    Publication Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society / Transcultural Nursing Society
    Volume 21
    Issue 2
    Pages 175-182
    Date Apr 2010
    Journal Abbr J Transcult Nurs
    DOI 10.1177/1043659609357640
    ISSN 1552-7832
    Accessed Mon Mar 22 20:08:46 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20220036
    Date Added Thu Sep 29 09:04:02 2011
    Modified Thu Sep 29 09:04:02 2011
  • A pilot trial of spirituality counseling for weight loss maintenance in African American breast cancer survivors

    Type Journal Article
    Author Zora Djuric
    Author Josephine Mirasolo
    Author LaVern Kimbrough
    Author Diane R Brown
    Author Lance K Heilbrun
    Author Lisa Canar
    Author Raghu Venkatranamamoorthy
    Author Michael S Simon
    Abstract A continuing challenge in weight loss treatment is attaining maintenance of weight loss. The goal of this study was to develop a counseling method that would assist African American breast cancer survivors with weight loss maintenance. In this pilot study, 31 obese breast cancer survivors were recruited. Individualized, dietitian-led counseling by telephone and free Weight Watchers coupons were provided to all participants for 18 months. At the 6-month time point, women were randomized to receive spirituality counseling or not in addition to the standard program. The spirituality counseling was delivered via telephone using an 8-step framework. Subjects were asked to utilize daily meditation or prayer, daily readings, and the recording of thoughts in a journal. Mean weight loss from baseline to 6 months was a modest 2.0% of baseline weight. From 6 to 18 months, there was no further weight change in the spirituality arm and a gain of 0.7% in the dietitian-only arm. Despite little effect on weight loss, it did appear that spirituality counseling positively affected spiritual well-being (FACIT-Sp) scores and dietary quality. The spirituality counseling framework therefore may be further refined and useful for other health promotion studies with African American populations.
    Publication Journal of the National Medical Association
    Volume 101
    Issue 6
    Pages 552-564
    Date Jun 2009
    Journal Abbr J Natl Med Assoc
    ISSN 0027-9684
    Accessed Tue Feb 22 18:45:01 2011
    Library Catalog NCBI PubMed
    Extra PMID: 19585923
    Date Added Thu Sep 29 09:06:18 2011
    Modified Thu Sep 29 09:06:18 2011

    Tags:

    • African Americans
    • Body Mass Index
    • Breast Neoplasms
    • Diet Records
    • Directive Counseling
    • Female
    • Humans
    • Middle Aged
    • Motor Activity
    • Obesity
    • Pilot Projects
    • Quality of Life
    • Questionnaires
    • Religion and Psychology
    • Survival Analysis
    • Survivors
    • United States
    • Weight Loss
  • Race and Ethnic Differences in the Effects of Religious Attendance on Subjective Health

    Type Journal Article
    Author Greg L. Drevenstedt
    Abstract Religion and health research has not adequately addressed how the salutary benefits of participating in religious services differ among major racial and ethnic groups. This research uses data from the General Social Surveys to analyze differences in the effects of religious attendance upon subjective health among a sample of non-Latino White, non-Latino Black, and Latino adults. Modeled after a study by Levin and Markides (1986), first-order regressions of religious attendance on subjective health alternately controlled for social support, socioeconomic status, and subjective religiosity. The association between attendance and health tends to hold up among Whites and younger Black and Latino women, but controlling for subjective religiosity explained away bivariate associations among younger respondents in all three race/ethnic groups. Support for the socioeconomic status hypothesis was expected among Blacks and Latinos, but the results did not provide much evidence.
    Publication Review of Religious Research
    Volume 39
    Issue 3
    Pages 245-263
    Date Mar., 1998
    DOI 10.2307/3512591
    ISSN 0034673X
    URL http://www.jstor.org/stable/3512591
    Accessed Mon Sep 7 13:45:22 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Mar., 1998 / Copyright © 1998 Religious Research Association, Inc.
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This research uses data from the General Social Surveys to analyze differences in the effects of religious attendance upon subjective health among a sample of non-Latino White, non-Latino Black, and Latino adults.

  • Religious Attendance and Mortality: Implications for the Black-White Mortality Crossover

    Type Journal Article
    Author Matthew E. Dupre
    Author Alexis T. Franzese
    Author Emilio A. Parrado
    Abstract This study investigates the relationships among religious attendance, mortality, and the black-white mortality crossover We build on prior research by examining the link between attendance and mortality while testing whether religious involvement captures an important source of population heterogeneity that contributes to a crossover Using data from the Established Populations for Epidemiologic Studies of the Elderly, wefind a strong negative association between attendance and mortality. Our results also show evidence of a racial crossover in mortality rates for both men and women. When religious attendance is modeled in terms of differential frailty, clear gender differences emerge. For women, the effect of attendance is race- and age-dependent, modifying the age at crossover by 10 years. For men, however, the effect of attendance is not related to race and does not alter the crossover pattern. When other health risks are modeled in terms of differential frailty, we find neither race nor age-related effects. Overall, the results highlight the importance of considering religious attendance when examining racial and gender differences in age-specific mortality rates.
    Publication Demography
    Volume 43
    Issue 1
    Pages 141-164
    Date Feb., 2006
    ISSN 00703370
    Short Title Religious Attendance and Mortality
    URL http://www.jstor.org/stable/4137236
    Accessed Mon Sep 7 13:44:43 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Feb., 2006 / Copyright © 2006 Population Association of America
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This study investigates the relationships among religious attendance, mortality, and the black-white mortality crossover. We build on prior research by examining the link between attendance and mortality while testing whether religious involvement captures an important source of population heterogeneity that contributes to a crossover.

  • Religious Involvement and Self-Perception among Black Americans

    Type Journal Article
    Author Christopher G. Ellison
    Abstract This study focuses on the relationships between the religious involvement of black Americans and two important dimensions of self-perception: self-esteem, or one's sense of personal worth, and personal mastery, or feelings of control over one's affairs. This article argues that participation in church communities may foster positive self-perception through the interpersonal supportiveness and positive reflected appraisals of coreligionists. Private devotional activities may also be linked with positive self-regard via processes of religious role taking. Analyses of data from the 1979-80 National Survey of Black Americans support these arguments with regard to self-esteem, but not personal mastery. In addition, the findings suggest that public religious participation buffers the negative influence of physical unattractiveness on self-esteem, while private religious devotion buffers the negative impact of chronic illness on self-esteem. The results shed new light on the contemporary psychosocial role of religious life among black Americans.
    Publication Social Forces
    Volume 71
    Issue 4
    Pages 1027-1055
    Date Jun., 1993
    ISSN 00377732
    URL http://www.jstor.org.ezproxy.bu.edu/stable/2580129
    Accessed Fri Sep 25 12:11:31 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Jun., 1993 / Copyright © 1993 Social Forces, University of North Carolina Press
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This study focuses on the relationships between the religious involvement of black Americans and two important dimensions of self-perception: self-esteem, or one’s sense of personal worth, and personal mastery, or feelings of control over one’s affairs. This article argues that participation in church communities may foster positive self-perception through the interpersonal supportiveness and positive reflected appraisals of coreligionists.

  • Race, religious involvement and depressive symptomatology in a southeastern U.S. community

    Type Journal Article
    Author Christopher Ellison
    Abstract A growing literature suggests that aspects of religious involvement may hold beneficial implications for mental health, and some also suggest that religion is an especially valuable mental health resource for racial minorities in the United States. These issues are explored empirically using data from a large (N = 2956) community sample drawn in the southeastern U.S. Findings include the following: (1) frequency of church attendance is inversely associated with depressive symptoms among whites, but not among blacks. (2) Absence of denominational affiliation is positively associated with depressive symptoms among blacks, but not among whites. (3) Frequency of private devotional activities (e.g. prayer) is positively associated with depressive symptoms among both racial groups. These results are discussed in terms of the distinctive history of the Black Church in the southern U.S. Several promising directions for further inquiry are outlined.
    Publication Social Science & Medicine
    Volume 40
    Issue 11
    Pages 1561-1572
    Date June 1995
    DOI 10.1016/0277-9536(94)00273-V
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • A growing literature suggests that aspects of religious involvement may hold beneficial implications for mental health, and some also suggest that religion is an especially valuable mental health resource for racial minorities in the United States. These issues are explored empirically using data from a large (N = 2956) community sample drawn in the southeastern U.S.

  • Are Religious People Nice People? Evidence from the National Survey of Black Americans

    Type Journal Article
    Author Christopher G. Ellison
    Abstract This study explores the relationships between religiosity and interpersonal friendliness and cooperation using data from the 1979-80 National Survey of Black Americans (NSBA). Results indicate that respondents who engage in frequent devotional activities (e.g., prayer, Bible study) are reported to be more open and less suspicious, and more enjoyable to interview, than their less-religious counterparts in post-hoc ratings by NSBA interviewers. In addition, respondents for whom religion serves as an important source of moral guidance are also viewed as friendlier, more interested, and more open than those for whom this aspect of religion is less salient. Other aspects of respondent religiosity (e.g., church participation) are unrelated to these post-hoc interviewer assessments. Findings are discussed in terms of (1) religious role-taking processes and (2) the internalization of religious norms concerning interpersonal kindness and empathy, although several alternative explanations are also considered. A number of implications and directions for future research are identified.
    Publication Social Forces
    Volume 71
    Issue 2
    Pages 411-430
    Date Dec., 1992
    ISSN 00377732
    Short Title Are Religious People Nice People?
    URL http://www.jstor.org.ezproxy.bu.edu/stable/2580017
    Accessed Fri Sep 25 12:11:32 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Dec., 1992 / Copyright © 1992 Social Forces, University of North Carolina Press
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This study explores the relationships between religiosity and interpersonal friendliness and cooperation using data from the 1979-80 National Survey of Black Americans (NSBA). Results indicate that respondents who engage in frequent devotional activities (e.g., prayer, Bible study) are reported to be more open and less suspicious, and more enjoyable to interview, than their less-religious counterparts in post-hoc ratings by NSBA interviewers.

  • Religious involvement and risk of major depression in a prospective nationwide study of African American adults

    Type Journal Article
    Author Christopher G Ellison
    Author Kevin J Flannelly
    Abstract This study investigated the association between religious involvement and major depression in 607 African American adults, using longitudinal data from the National Survey of Black Americans. Logistic regression found that survey participants who reported receiving "a great deal" of guidance from religion in their day-to-day lives at Time 1 (1988-1989) were roughly half as likely (OR = 0.47, p < 0.01) to have major depression at Time 2 (1992), controlling for sociodemographic and psychological factors, and major depression at baseline. The odds of major depression were also lower for persons with high self-esteem (OR = 0.41, p < 0.01) and those who reported having satisfying relationships with friends and family members (OR = 0.51, p < 0.05) at baseline. No association was found between religious attendance or church support and major depression. The possible mechanisms through which religious involvement may protect against depression, especially among African Americans, are discussed.
    Publication The Journal of Nervous and Mental Disease
    Volume 197
    Issue 8
    Pages 568-573
    Date Aug 2009
    Journal Abbr J. Nerv. Ment. Dis
    DOI 10.1097/NMD.0b013e3181b08f45
    ISSN 1539-736X
    URL http://www.ncbi.nlm.nih.gov/pubmed/19684492
    Accessed Fri Nov 13 20:11:23 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19684492
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • African Americans
    • Depressive Disorder, Major
    • Female
    • Health Surveys
    • Humans
    • Longitudinal Studies
    • Male
    • Middle Aged
    • Models, Psychological
    • Prevalence
    • Prospective Studies
    • Psychiatric Status Rating Scales
    • religion
    • Religion and Psychology
    • Risk Factors
    • Self Concept
    • Self Efficacy
    • social support
    • spirituality
    • United States

    Notes:

    • This study investigated the association between religious involvement and major depression in 607 African American adults, using longitudinal data from the National Survey of Black Americans. Logistic regression found that survey participants who reported receiving “a great deal” of guidance from religion in their day-to-day lives at Time 1 (1988-1989) were roughly half as likely (OR = 0.47, p < 0.01) to have major depression at Time 2 (1992), controlling for sociodemographic and psychological factors, and major depression at baseline.

  • Region, Religious Commitment, and Life Satisfaction among Black Americans

    Type Journal Article
    Author Christopher G. Ellison
    Author David A. Gay
    Abstract Using data from the National Survey of Black Americans (NSBA), this research examines three sets of hypotheses regarding the effects of religious commitment on life satisfaction. Further, given evidence of historical geographical differences in black culture and social structure, this study explores the regional specificity of religious influences on life satisfaction. Religious participation contributes to subjective well-being only among non-southern blacks, while private religiosity is unrelated to well-being in any analysis. There are also denominational effects: non-southern members of traditional black denominations (i.e., Baptists and Methodists) and southern Catholics report particularly high levels of life satisfaction. In addition, the effects of religion on life satisfaction are contingent upon age for non-southerners only. This study concludes with a discussion of directions for future research on religion and mental health.
    Publication The Sociological Quarterly
    Volume 31
    Issue 1
    Pages 123-147
    Date Spring, 1990
    ISSN 00380253
    URL http://www.jstor.org.ezproxy.bu.edu/stable/4120875
    Accessed Fri Sep 25 12:28:27 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Spring, 1990 / Copyright © 1990 Midwest Sociological Society
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • Using data from the National Survey of Black Americans (NSBA), this research examines three sets of hypotheses regarding the effects of religious commitment on life satisfaction. Further, given evidence of historical geographical differences in black culture and social structure, this study explores the regional specificity of religious influences on life satisfaction.

  • Turning to Prayer: Social and Situational Antecedents of Religious Coping among African Americans

    Type Journal Article
    Author Christopher G. Ellison
    Author Robert Joseph Taylor
    Abstract Although observers have long suggested that prayer is an important coping behavior for African Americans, there has been little research on the social and situational antecedents of such religious coping in this population. This study develops a series of theoretical arguments linking four sets of factors -- religiosity, problem domain, social and psychological resources, and social location -- with religious coping. Relevant hypotheses are then tested using data from a large national probability sample of African Americans. Findings confirm the general importance of religious coping among African Americans. Further, while multiple dimensions of religiosity are important predictors of the use of prayer in coping, this practice is also most likely among persons dealing with health problems or bereavement, persons with low general personal mastery, and females. A number of promising directions for further research on religious coping -- among African Americans, and in the general population -- are discussed.
    Publication Review of Religious Research
    Volume 38
    Issue 2
    Pages 111-131
    Date Dec., 1996
    DOI 10.2307/3512336
    ISSN 0034673X
    Short Title Turning to Prayer
    URL http://www.jstor.org/stable/3512336
    Accessed Mon Sep 7 13:48:36 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Dec., 1996 / Copyright © 1996 Religious Research Association, Inc.
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This study develops a series of theoretical arguments linking four sets of factors -- religiosity, problem domain, social and psychological resources, and social location -- with religious coping. Relevant hypotheses are then tested using data from a large national probability sample of African Americans. Findings confirm the general importance of religious coping among African Americans.

  • Religious Involvement and Mortality Risk among African American Adults

    Type Journal Article
    Author Christopher G. Ellison
    Author Robert A. Hummer
    Author Shannon Cormier
    Author Richard G. Rogers
    Abstract This article examines the effects of religious involvement on mortality risk among African Americans. The authors use a relatively new and innovative nationally representative data set--the National Health Interview Survey matched to the National Center for Health Statistics' multiple cause of death file--to model this relationship. The results show that, compared with African Americans who attend religious services more than once a week, those who never attend are more than twice as likely to die during the nine-year follow-up period, even net of a large number of confounding and mediating factors. The strong effect of nonattendance on mortality risk is robust, pervasive, and remarkably strong across all subgroups of the population, whereas a moderate level of attendance is associated with higher mortality risk among young adults, men, and Southerners, but not among older adults, women, and non-Southerners. Among African Americans, lack of religious involvement appears to be associated with risk of premature death, whereas frequent religious involvement stands out as a critical protective factor that contributes to lower mortality and longer life.
    Publication Research on Aging
    Volume 22
    Issue 6
    Pages 630-667
    Date November 1, 2000
    DOI 10.1177/0164027500226003
    URL http://roa.sagepub.com/cgi/content/abstract/22/6/630
    Accessed Mon Oct 12 22:50:41 2009
    Library Catalog Sage Journals Online
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This article examines the effects of religious involvement on mortality risk among African Americans. The authors use a relatively new and innovative nationally representative data set--the National Health Interview Survey matched to the National Center for Health Statistics’ multiple cause of death file--to model this relationship.

  • The Couple That Prays Together: Race and Ethnicity, Religion, and Relationship Quality Among Working-Age Adults

    Type Journal Article
    Author Christopher G. Ellison
    Author Amy M. Burdette
    Author W. Bradford Wilcox
    Abstract A substantial body of research has shown that relationship quality tends to be (a) lower among racial and ethnic minorities and (b) higher among more religious persons and among couples in which partners share common religious affiliations, practices, and beliefs. However, few studies have examined the interplay of race or ethnicity and religion in shaping relationship quality. Our study addresses this gap in the literature using data from the National Survey of Religion and Family Life (NSRFL), a 2006 telephone survey of 2,400 working-age adults (ages 18–59), which contains oversamples of African Americans and Latinos. Results underscore the complex nature of the effects of race and ethnicity, as well as religious variables. In particular, we found that couples' in-home family devotional activities and shared religious beliefs are positively linked with reports of relationship quality.
    Publication Journal of Marriage and Family
    Volume 72
    Issue 4
    Pages 963-975
    Date 07/2010
    DOI 10.1111/j.1741-3737.2010.00742.x
    ISSN 00222445
    URL http://blackwell-synergy.com/doi/abs/10.1111/j.1741-3737.2010.00742.x
    Date Added Thu Sep 29 09:02:43 2011
    Modified Thu Sep 29 09:02:43 2011
  • Ethnic spirituality, gender and health care in the Peruvian Amazon

    Type Journal Article
    Author M Cristina Espinosa
    Abstract By addressing ethnic identities of riparian people in Loreto, this article shows the relevance of spirituality, ethnic difference, and gender subordination affecting health interventions. Ethnic spirituality defines daily life behavior and attitudes revealing different meanings associated with medicine, illness, and healing. Gender segregates natural spaces and portrays women and children as more vulnerable to illness caused by spiritual powers, imposing taboos, and regulations. Due to lesser exposure to the modern outside world, adult women remain less familiar with it, even though modernity is also present in the village and reinterpreted by local ethnic views. Women seem closer to ethnic beliefs that 'color' their views and attitudes toward modern medicine and for that reason experience higher levels of discrimination and subordination. Being the principal care takers, their views and attitudes on medicine, illness, and healing are extremely important to consider. In practice, women and their ethnic views on medicine and illness usually remain invisible.
    Publication Ethnicity & Health
    Volume 14
    Issue 5
    Pages 423-437
    Date Oct 2009
    Journal Abbr Ethn Health
    DOI 10.1080/13557850802702397
    ISSN 1465-3419
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19330606
    Accessed Fri Sep 18 18:31:30 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19330606
    Date Added Thu Sep 29 09:05:21 2011
    Modified Thu Sep 29 09:05:21 2011

    Notes:

    • This article shows the relevance of spirituality, ethnic difference, and gender subordination affecting health interventions in the riparian people in Loreto. Ethnic spirituality defines daily life behavior and attitudes revealing different meanings associated with medicine, illness, and healing. Gender segregates natural spaces and portrays women and children as more vulnerable to illness caused by spiritual powers, imposing taboos, and regulations. Due to lesser exposure to the modern outside world, adult women remain less familiar with it, even though modernity is also present in the village and reinterpreted by local ethnic views. Women seem closer to ethnic beliefs that 'color' their views and attitudes toward modern medicine and for that reason experience higher levels of discrimination and subordination. Being the principal care takers, their views and attitudes on medicine, illness, and healing are extremely important to consider. In practice, women and their ethnic views on medicine and illness usually remain invisible.

  • Religious Typologies and Health Risk Behaviors of African American College Students.

    Type Journal Article
    Author John E. Fife
    Author Harlan R. Sayles
    Author Adekunle A. Adegoke
    Author Jamal McCoy
    Author Mikeya Stovall
    Author Claudia Verdant
    Abstract The purpose of this study was to determine whether meaningful sets of individuals, similar to each other across multiple dimensions of spirituality, could be identified using a cluster analysis technique, and to determine if these classifications differed on health risk behaviors. Risky behaviors were assessed by measuring alcohol use, risky sexual behaviors, depression and suicidal ideation, dietary behaviors, and physical activity. The authors identified six clusters of adolescents from among the 510 participants. There were significant differences between clusters on six of the variables examined. The study indicates the significance of using multidimensional measures of religiosity and spirituality in research. [ABSTRACT FROM AUTHOR]
    Publication North American Journal of Psychology
    Volume 13
    Issue 2
    Pages 313-330
    Date June 2011
    ISSN 15277143
    Library Catalog EBSCOhost
    Date Added Thu Sep 29 08:53:56 2011
    Modified Thu Sep 29 08:53:56 2011

    Tags:

    • BEHAVIORAL assessment
    • DRINKING of alcoholic beverages
    • Religiousness
    • sex
    • spirituality
    • suicidal behavior
    • TEENAGERS -- Research
  • Prayer and Spiritual Practices for Health Reasons among American Adults: The Role of Race and Ethnicity

    Type Journal Article
    Author Frank Gillum
    Author Derek M. Griffith
    Abstract Many studies find racial differences in prayer and religious practices, but few reports examine factors that help explain the effects of Hispanic ethnicity or African American race. A national survey conducted in 2002 collected data on 10 non-religious spiritual practices as well as on prayer for health reasons in 22,929 adults aged 18 years and over. We found marked racial and ethnic differences in the use of prayer and other spiritual practices for health reasons. Greater proportions of African Americans and Hispanic Americans than European Americans reported prayer for health reasons. Sociodemographic variables and health status could not explain these differences. Further, among those who reported prayer, African Americans were more likely than European Americans to report being prayed for by others. However, African American women and Hispanic women and men were significantly less likely than European Americans to use other spiritual practices such as meditation and Tai Chi. Surprisingly African American men were just as likely to report these practices as European American men. Sociodemographic variables and health status could not explain these differences.
    Publication Journal of Religion and Health
    Volume 49
    Issue 3
    Pages 283-295
    Date 3/2010
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-009-9249-7
    ISSN 0022-4197
    Short Title Prayer and Spiritual Practices for Health Reasons among American Adults
    Accessed Wed Oct 6 20:54:27 2010
    Library Catalog CrossRef
    Date Added Thu Sep 29 09:02:29 2011
    Modified Thu Sep 29 09:02:29 2011
  • The influence of spirituality and religiosity on breast cancer screening delay in African American women: application of the Theory of Reasoned Action and Planned Behavior (TRA/TPB)

    Type Journal Article
    Author Mary Gullate
    Abstract African American women (AAW) are 25% more likely to present with late stage breast cancer and 20% more likely to die from their disease than Caucasian women. Researchers report that a treatment delay of 3 months is a significant factor in breast cancer mortality. Socioeconomic factors, lack of access and knowledge, spiritual and religious beliefs, fear and fatalism are reported as contributing factors to screening delays. Studies have primarily applied the Health Belief Model (HBM) and modified versions like the Champion HBM to preventive health practices. Neither have significant inclusion of spirituality or religiosity. The TRA/TPB focus on beliefs, intent and attitude as individual determinants of the likelihood of performing a specific behavior; but have not had wide utility in studies related to screening delays among AAW. This paper explores the utility of applying the TRA/TPB as the theoretical framework for determining cultural relevance of spirituality and religiosity to screening delays among AAW.
    Publication The ABNF Journal: Official Journal of the Association of Black Nursing Faculty in Higher Education, Inc
    Volume 17
    Issue 2
    Pages 89-94
    Date 2006
    Journal Abbr ABNF J
    ISSN 1046-7041
    Short Title The influence of spirituality and religiosity on breast cancer screening delay in African American women
    URL http://www.ncbi.nlm.nih.gov/pubmed/18402350
    Accessed Fri Nov 13 18:52:27 2009
    Library Catalog NCBI PubMed
    Extra PMID: 18402350
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • African Americans
    • Breast Neoplasms
    • Christianity
    • Cultural Diversity
    • Female
    • Health Behavior
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Intention
    • Internal-External Control
    • Mass Screening
    • Nursing Methodology Research
    • Patient Acceptance of Health Care
    • Psychological Theory
    • Qualitative Research
    • Religion and Psychology
    • Self Care
    • Self Efficacy
    • spirituality
    • Time Factors
    • Transcultural Nursing
    • WOMEN

    Notes:

    • African American women (AAW) are 25% more likely to present with late stage breast cancer and 20% more likely to die from their disease than Caucasian women. Researchers report that a treatment delay of 3 months is a significant factor in breast cancer mortality. Socioeconomic factors, lack of access and knowledge, spiritual and religious beliefs, fear and fatalism are reported as contributing factors to screening delays.

  • Exploring the role of spirituality in self-management practices among older African-American and non-Hispanic White women with chronic conditions

    Type Journal Article
    Author Idethia Shevon Harvey
    Author Lawanda Cook
    Abstract OBJECTIVE: The purpose of this study was to examine the role of spirituality in the self-management of chronic illness among older women with chronic conditions. METHODS: A sample of 41 African-American and non-Hispanic White women, of age 66 and older, participated in the process of self-care study. Data were collected from semi-structured interviews and analysed for common themes using the Grounded Theory method. RESULTS: Audiotaped and transcribed interviews identified four categories that emerged to suggest the influence of spirituality in behavioural change and disease management: (1) God's involvement in illness management; (2) prayer as a mediator; (3) spirituality as a coping mechanism; and (4) the combination of conventional and spiritual practices. DISCUSSION: Older women with various chronic illnesses defined 'spirituality' in a broad, holistic way, and the findings suggest that spirituality played a part in documenting the self-management process. Knowledge of spirituality and the role it plays in illness management may assist public health gerontologists in designing effective and culturally appropriate self-management programmes.
    Publication Chronic Illness
    Volume 6
    Issue 2
    Pages 111-124
    Date Jun 2010
    Journal Abbr Chronic Illn
    DOI 10.1177/1742395309350228
    ISSN 1745-9206
    Accessed Wed Jul 7 11:32:04 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20444763
    Date Added Thu Sep 29 09:04:02 2011
    Modified Thu Sep 29 09:04:02 2011
  • The role of spirituality in the self-management of chronic illness among older African and Whites

    Type Journal Article
    Author Idethia S Harvey
    Author Myrna Silverman
    Abstract This study used data from in-depth interviews collected from 88 African American and White men and women aged 65 years and older who reside in Allegheny County, Pennsylvania. The purpose of this study was to understand the role of spirituality in the self-management of chronic illness among this population. Thematic content analysis addressed two specific questions: (1) how do older adults use spirituality to help manage their chronic illness, and (2) are there any racial differences in the use of spirituality. Several core themes emerged from the linkage of spirituality and self-management: God: the healer, God: the enabler through doctors, faith in God, prayer as a mediator, spirituality as a coping mechanism, combining conventional medicine and spiritual practices, and empowering respondents to practice healthy eating habits. These results display racial differences in the use of spirituality in the self-management of chronic illness. African American elders were more likely than White elders to endorse a belief in divine intervention. White elders were more likely than African America elders to merge their spirituality in various self-management practices. Despite these differences, spirituality can play an integral part in a person's health and well-being of chronically ill elders.
    Publication Journal of Cross-Cultural Gerontology
    Volume 22
    Issue 2
    Pages 205-220
    Date Jun 2007
    Journal Abbr J Cross Cult Gerontol
    DOI 10.1007/s10823-007-9038-2
    ISSN 0169-3816
    URL http://www.ncbi.nlm.nih.gov/pubmed/17370121
    Accessed Fri Nov 13 17:30:37 2009
    Library Catalog NCBI PubMed
    Extra PMID: 17370121
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • African Americans
    • Aged
    • Aged, 80 and over
    • Chronic Disease
    • Data Collection
    • European Continental Ancestry Group
    • Female
    • Frail Elderly
    • Humans
    • Longitudinal Studies
    • Male
    • Pennsylvania
    • Self Care
    • spirituality

    Notes:

    • This study used data from in-depth interviews collected from 88 African American and White men and women aged 65 years and older who reside in Allegheny County, Pennsylvania. The purpose of this study was to understand the role of spirituality in the self-management of chronic illness among this population.

  • Religiosity and Sexuality: Experiences of Brazilian Catholic Women

    Type Journal Article
    Author Luiza Akiko Komura Hoga
    Author Cristiane Alves Tibúrcio
    Author Ana Luiza Vilela Borges
    Author Luciana Magnoni Reberte
    Abstract The purpose of this study was to describe the experiences of a group of Catholic women related to the orientations received from priests and parents and their influence on sexual attitudes. The oral history method was used to interview 17 Catholic women. Three categories summarize women's experiences: orientations about sexuality received from priests; lack of orientation or existence of open dialogue about sexuality: distinct experiences in the family context; adherence or repudiation; and distinct attitudes toward orientations received. Health professionals systematically should seek knowledge about women's religious principles, because this is essential for meaningful and ethical health care.
    Publication Health Care for Women International
    Volume 31
    Issue 8
    Pages 700-717
    Date 8/2010
    Journal Abbr Hlth. Care for Women Int.
    DOI 10.1080/07399332.2010.486881
    ISSN 0739-9332
    URL http://www.informaworld.com/openurl?
    genre=article&…
    Date Added Thu Sep 29 09:02:43 2011
    Modified Thu Sep 29 09:02:43 2011
  • Development of a Spiritually Based Educational Intervention to Increase Informed Decision Making for Prostate Cancer Screening Among Church-Attending African American Men

    Type Journal Article
    Author Cheryl L. Holt
    Author Theresa A. Wynn
    Author Penny Southward
    Author Mark S. Litaker
    Author Sanford Jeames
    Author Emily Schulz
    Abstract One way of developing culturally relevant health communication in the African American church setting is to develop spiritually based interventions, in which the health message is framed by relevant spiritual themes and scripture. In this article we describe the development of a community health advisor(CHA)-led intervention aimed at increasing informed decision making (IDM) for prostate cancer screening among church-attending African American men. Full-color print educational booklets were developed and pilot tested with extensive community participation of church-attending African American men age-eligible for screening. The intervention development phase consisted of ideas solicited from an advisory panel of African American men (N = 10), who identified core content and developed the spiritual themes. In the intervention pilot testing phase, prototypes of the intervention materials were pilot tested for graphic appeal in two focus groups (N = 16), and content was tested for acceptability and comprehension using individual cognitive response interviews (N = 10). Recommendations were made for project branding and logo and for use of graphics of real people in the educational materials. Significant feedback was obtained from the focus groups, on the graphics, colors, fonts, continuity, titles, and booklet size/shape. The importance of working closely with the community when developing interventions is discussed, as well as the importance of pilot testing of educational materials.
    Publication Journal of Health Communication: International Perspectives
    Volume 14
    Issue 6
    Pages 590
    Date 2009
    DOI 10.1080/10810730903120534
    ISSN 1081-0730
    URL http://www.informaworld.com.ezproxy.bu.edu/10.1080/10810730903120534
    Accessed Mon Nov 2 21:27:18 2009
    Library Catalog Informaworld
    Date Added Thu Sep 29 09:05:21 2011
    Modified Thu Sep 29 09:05:21 2011

    Tags:

    • NEED ABSTRACT
  • Spirituality, breast cancer beliefs and mammography utilization among urban African American women

    Type Journal Article
    Author Cheryl L Holt
    Author Susan N Lukwago
    Author Matthew W Kreuter
    Abstract Spirituality has been shown to be associated with health, and is an important component in the lives of many African Americans. Recent research proposes that spirituality is a multidimensional construct. The present study proposes a two-dimensional model in which spirituality encompasses a belief and behavioral dimension. This hypothesis was examined, as were relationships between these dimensions and spiritual health locus of control, breast cancer beliefs and mammography utilization among African American women. The belief dimension played a more important role in adaptive breast cancer beliefs and mammography utilization that did the behavioral dimension. These findings suggest the importance of spiritual belief systems for health, and implications for spiritual cancer communication interventions are discussed.
    Publication Journal of Health Psychology
    Volume 8
    Issue 3
    Pages 383-396
    Date May 2003
    Journal Abbr J Health Psychol
    DOI 10.1177/13591053030083008
    ISSN 1359-1053
    URL http://www.ncbi.nlm.nih.gov/pubmed/14670216
    Accessed Fri Nov 13 12:40:17 2009
    Library Catalog NCBI PubMed
    Extra PMID: 14670216
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adult
    • African Continental Ancestry Group
    • Attitude to Health
    • Breast Neoplasms
    • Female
    • Health Behavior
    • Health Knowledge, Attitudes, Practice
    • Humans
    • Internal-External Control
    • Mammography
    • Middle Aged
    • Missouri
    • Religion and Medicine
    • spirituality

    Notes:

    • Research indicates that African Americans diagnosed with cancer tend to use religion in coping. However less is known about the specific role that religion plays in the coping process. Based on previous qualitative work, five instruments were developed to assess the role of religious involvement in cancer coping: God as helper, God as healer, Faith in healing, Control over cancer and New perspective.

  • Development and validation of measures of religious involvement and the cancer experience among African Americans

    Type Journal Article
    Author Cheryl L Holt
    Author Lee Caplan
    Author Emily Schulz
    Author Victor Blake
    Author Vivian L Southward
    Author Ayanna V Buckner
    Abstract Research indicates that African Americans diagnosed with cancer tend to use religion in coping. However less is known about the specific role that religion plays in the coping process. Based on previous qualitative work, five instruments were developed to assess the role of religious involvement in cancer coping: God as helper, God as healer, Faith in healing, Control over cancer and New perspective. The instruments were administered to 100 African Americans with cancer. Each exhibited high internal reliability, and concurrent and discriminant validity. These instruments may have applied value for the development of church-based cancer support/survivorship interventions.
    Publication Journal of Health Psychology
    Volume 14
    Issue 4
    Pages 525-535
    Date May 2009
    Journal Abbr J Health Psychol
    DOI 10.1177/1359105309103572
    ISSN 1359-1053
    URL http://www.ncbi.nlm.nih.gov/pubmed/19383653
    Accessed Fri Nov 13 20:00:35 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19383653
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adaptation, Psychological
    • Adult
    • African Americans
    • Aged
    • Alabama
    • Faith Healing
    • Female
    • Humans
    • Male
    • Middle Aged
    • Neoplasms
    • Personality Inventory
    • Psychometrics
    • Religion and Medicine
    • Religion and Psychology
    • Reproducibility of Results
    • spirituality

    Notes:

    • Spirituality has been shown to be associated with health, and is an important component in the lives of many African Americans. Recent research proposes that spirituality is a multidimensional construct. The present study proposes a two-dimensional model in which spirituality encompasses a belief and behavioral dimension. This hypothesis was examined, as were relationships between these dimensions and spiritual health locus of control, breast cancer beliefs and mammography utilization among African American women.

  • Expansion and validation of the spiritual health locus of control scale: factorial analysis and predictive validity

    Type Journal Article
    Author Cheryl L Holt
    Author Eddie M Clark
    Author Patrick R Klem
    Abstract The present study reports on the development and validation of an expanded scale assessing spiritual health locus of control beliefs. Additional items were developed, and the scale was pilot tested among 108 church-attending African American women. The scale was multidimensional, comprised of the original Active and Passive Spiritual dimensions, and additional subscales reflecting 'Spiritual Life and Faith' and 'God's Grace'. Internal consistency was acceptable, and predictive validity was evidenced by negative correlations between the Passive Spiritual dimension and knowledge about mammography, breast cancer, and breast cancer treatment, and mammography utilization. This instrument provides an in-depth assessment of beliefs regarding the role of God in one's health, and may be useful for the development of church-based health education serving African Americans.
    Publication Journal of Health Psychology
    Volume 12
    Issue 4
    Pages 597-612
    Date Jul 2007
    Journal Abbr J Health Psychol
    DOI 10.1177/1359105307078166
    ISSN 1359-1053
    Short Title Expansion and validation of the spiritual health locus of control scale
    URL http://www.ncbi.nlm.nih.gov/pubmed/17584811
    Accessed Fri Nov 13 17:47:12 2009
    Library Catalog NCBI PubMed
    Extra PMID: 17584811
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adult
    • African Americans
    • Aged
    • Breast Neoplasms
    • Female
    • Humans
    • Internal-External Control
    • Middle Aged
    • Models, Statistical
    • Questionnaires
    • spirituality

    Notes:

    • The present study reports on the development and validation of an expanded scale assessing spiritual health locus of control beliefs. Additional items were developed, and the scale was pilot tested among 108 church-attending African American women.

  • Latino Women's Spiritual Beliefs Related to Health

    Type Journal Article
    Author Janine M Jurkowski
    Author Courtney Kurlanska
    Author Blanca M Ramos
    Abstract PURPOSE: This study employed qualitative research to describe the relationship between spirituality and overall health among a sample of Latino women. A framework is presented for understanding this complex relationship. DESIGN: Findings are presented from a qualitative analysis of six 1.5-hour focus group sessions. SETTING: The research was conducted among Latino women living in Chicago, Illinois, and Northeastern New York communities. We employed a community-based participatory research approach in which community members were active participants throughout the research process. SUBJECTS: Subjects were 47 Latino women 31 to 81 years, all of whom were Christian and the majority (43%) of whom had less than a high school education. Twenty-seven percent reported having high school diplomas, and the same percentage reported at least some college. Of the women who answered the questions, one did not have health insurance, 69% had public health insurance, and 29% had private health insurance. MEASURES: Grounded theory using selective coding was employed to understand the relationship between spirituality and health and to develop the conceptual framework. RESULTS: Spirituality was expressed as a vital component of health, and the belief in a need for balance of physical, mental, and spiritual health was described. An active and a passive relationship between spirituality and health emerged, with active being most common. Asking God for help or faith as a coping strategy were subdomains of the active relationship, and God responsible for health fell under the passive domain. These relationship types influenced beliefs about participation in one's own health. CONCLUSION: The findings that emerged contribute to an understanding of how spirituality plays a role in health beliefs among Latino women, which has implications for health promotion research and program development for addressing health disparities.
    Publication American Journal of Health Promotion: AJHP
    Volume 25
    Issue 1
    Pages 19-25
    Date 2010 Sep-Oct
    Journal Abbr Am J Health Promot
    DOI 10.4278/ajhp.080923-QUAL-211
    ISSN 0890-1171
    Accessed Wed Oct 6 20:44:11 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20809827
    Date Added Thu Sep 29 09:02:29 2011
    Modified Thu Sep 29 09:02:29 2011
  • Religious and ethnic differences in health: evidence from the Health Surveys for England 1999 and 2004.

    Type Journal Article
    Author Saffron Karlsen
    Author James Y. Nazroo
    Abstract Objectives. To examine the role of religion in the patterning of health inequities, and how this is related to ethnicity and socioeconomic status. Design. Multivariate analyses using nationally representative data on self-assessed fair or poor health, longstanding limiting illness, diagnosed diabetes, diagnosed hypertension, waist-hip ratio, body mass index, current tobacco use and participating in no regular physical activity from 14,924 Christians, 4337 Muslims, 656 Sikhs, 1197 Hindus and 2682 people reporting not identifying with any religion with different ethnic backgrounds, who were interviewed as part of the Health Survey for England in either 1999 or 2004, adjusted for age, gender and socioeconomic status and periodicity. Results. Odds ratios for general health, hypertension, diabetes, waist-hip ratio, tobacco use and physical activity speak to the importance of ethnicity in the patterning of health inequalities. But there is also evidence of an important, independent role for religion, with risks for the different health indicators varying between people with the same ethnic, but different religious, identifications. Adjusting for socioeconomic status attenuated the ethnic/religious patterning of, particularly, self-assessed health, longstanding activity-limiting illness, waist-hip ratio, body mass index and tobacco use. Conclusions. This evidence enables greater understanding of the complexities of the relationship between ethnicity, religion and health, recognising the need to understand the heterogeneity underlying both ethnic and religious group membership and the processes producing the structural disadvantage facing certain religious and ethnic groups in the mediation of the relationship between health and ethnicity/religion. [ABSTRACT FROM AUTHOR]
    Publication Ethnicity & Health
    Volume 15
    Issue 6
    Pages 549-568
    Date December 2010
    DOI 10.1080/13557858.2010.497204
    ISSN 13557858
    Short Title Religious and ethnic differences in health
    Library Catalog EBSCOhost
    Date Added Thu Sep 29 08:58:46 2011
    Modified Thu Sep 29 08:58:46 2011

    Tags:

    • DIABETES
    • ETHNIC groups -- Health
    • HEALTH -- Religious aspects -- Christianity
    • HEALTH -- Religious aspects -- Hinduism
    • HEALTH -- Religious aspects -- Islam
    • HEALTH behavior -- Research
    • Health Status Indicators
    • Hypertension
    • Multivariate Analysis
    • Obesity
    • SIKHS
    • Socioeconomic Factors
  • Religiosity, spirituality, and psychological distress in African-Americans at risk for having a hereditary cancer predisposing gene mutation

    Type Journal Article
    Author Anita Y Kinney
    Author James E Coxworth
    Author Sara E Simonson
    Author Joseph B Fanning
    Abstract Elevated psychological distress has been observed among people at increased risk for familial cancer. Researchers consider religiosity and spirituality (RS) to be positive coping mechanisms associated with reduced psychological distress. Relatively little is known about the impact of RS on genomic health issues. The objectives of our study were: (1) describe the prevalence of RS and depressive symptoms and (2) explore how RS relates to psychological distress in a cohort of individuals with a > or =25% prior probability of a genetic predisposition to cancer. Participants (n = 99) were drawn from an African-American, Louisiana-based kindred with a mutation at the BRCA1 locus. This analysis reports findings from a survey assessing RS and the use of three types of religious coping styles: collaborative, self-directing, and deferring. Clinically significant depressive symptoms were relatively high (27%); with females (33%) more likely than males (17%) to report symptoms (P < 0.01). The majority of participants reported being highly religious. The most commonly employed religious problem solving style used by participants was collaborative (X=22.9; SD=5.8) versus self-directing (X=12.8; SD = 5.1) and deferring (X=19.9; SD = 6.3). We did not observe significant associations between RS indicators and psychological distress, nor did we observe appreciable differences related to gender or risk perception. Although RS beliefs and practices are important for many African-Americans, we did not find evidence that indicators of self-reported RS are associated with psychological distress prior to genetic counseling and testing.
    Publication American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
    Volume 151C
    Issue 1
    Pages 13-21
    Date Feb 15, 2009
    Journal Abbr Am J Med Genet C Semin Med Genet
    DOI 10.1002/ajmg.c.30194
    ISSN 1552-4876
    Accessed Tue Feb 22 19:58:22 2011
    Library Catalog NCBI PubMed
    Extra PMID: 19170079
    Date Added Thu Sep 29 09:06:18 2011
    Modified Thu Sep 29 09:06:18 2011

    Tags:

    • African Continental Ancestry Group
    • Female
    • Genetic Predisposition to Disease
    • Humans
    • Male
    • Mutation
    • Neoplasms
    • religion
    • Stress, Psychological
  • Stress and religious involvement among older blacks

    Type Journal Article
    Author N Krause
    Author T Van Tran
    Abstract We conducted this study in a nationwide sample of older Black Americans to determine whether religious involvement helps to reduce the negative impact of stressful life events. The major outcome measures were self-esteem and feelings of personal control. Three models of the stress process were evaluated empirically: the suppressor, moderator, and distress-deterrent models. The data provided support for the distress-deterrent model only. The findings from this model indicated that although life stress to erode feelings of self-worth and mastery, these negative effects were offset or counterbalanced by increased religious involvement.
    Publication Journal of Gerontology
    Volume 44
    Issue 1
    Pages S4-13
    Date Jan 1989
    Journal Abbr J Gerontol
    ISSN 0022-1422
    URL http://www.ncbi.nlm.nih.gov/pubmed/2911002
    Accessed Sat Oct 17 15:45:19 2009
    Library Catalog NCBI PubMed
    Extra PMID: 2911002
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • African Americans
    • Aged
    • Aged, 80 and over
    • Female
    • Humans
    • Male
    • Middle Aged
    • Models, Psychological
    • Religion and Psychology
    • Self Concept
    • Stress, Psychological

    Notes:

    • We conducted this study in a nationwide sample of older Black Americans to determine whether religious involvement helps to reduce the negative impact of stressful life events.

  • The Role of Culture in the Relationship Between Religiosity and Psychological Well-being

    Type Journal Article
    Author Miran Lavrič
    Author Sergej Flere
    Abstract Abstract Several measures of religious practice and religious orientation (intrinsic/extrinsic/quest) and two measures of psychological well-being (positive affect and negative affect) have been employed in a cross-cultural survey of undergraduate university students from five different cultural/religious environments: Slovenia, Bosnia and Herzegovina, Serbia, the United States of America, and Japan. Results suggest that measures of exstrinsic, intrinsic, and quest religiosity are not entirely applicable in most of the cultures observed. Nevertheless, it was possible to discern abbreviated cross-culturally valid scales for each dimension. The strength and direction of the correlation between psychological well-being and a particular type of religious orientation proved to depend substantially upon culture. More importantly, the cultural environment plays a crucial role in shaping the relationship between general measures of religiosity and psychological well-being. According to the data, higher general levels of religiosity at the societal level are linked to more positive correlations between religiosity and psychological well-being. The overall picture leads to the conclusion that there is no culturally universal pattern in the relationship between measures of religiosity and psychological well-being and that the particular cultural and religious context should always be considered in studies dealing with this issue.
    Publication Journal of Religion and Health
    Volume 47
    Issue 2
    Pages 164-175
    Date June 01, 2008
    DOI 10.1007/s10943-008-9168-z
    URL http://dx.doi.org/10.1007/s10943-008-9168-z
    Accessed Mon Sep 7 02:15:50 2009
    Library Catalog SpringerLink
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • Several measures of religious practice and religious orientation (intrinsic/extrinsic/quest) and two measures of psychological well-being (positive affect and negative affect) have been employed in a cross-cultural survey of undergraduate university students from five different cultural/religious environments: Slovenia, Bosnia and Herzegovina, Serbia, the United States of America, and Japan. Results suggest that measures of extrinsic, intrinsic, and quest religiosity are not entirely applicable in most of the cultures observed. The overall picture leads to the conclusion that there is no culturally universal pattern in the relationship between measures of religiosity and psychological well-being and that the particular cultural and religious context should always be considered in studies dealing with this issue.

  • Religious Attendance and Psychological Well-Being in Middle-Aged and Older Mexican Americans

    Type Journal Article
    Author Jeffrey S. Levin
    Author Kyriakos S. Markides
    Abstract The relationship between religious attendance and psychological well-being is explored in a sample of middle-aged and older Mexican American men and women. Religious attendance has significant zero-order effects on life satisfaction in older men and in middle-aged and older women. The associations remain significant in women, despite controlling for age, marital status, social class, and either of two indicators of health status. Previous work in gerontology and epidemiology suggests that religious attendance, especially among older adults, may represent a proxy for health, but our findings provide only mixed confirmation of this, and only in older men. In women, religious attendance does appear to have a substantive independent effect on well-being
    Publication Sociological Analysis
    Volume 49
    Issue 1
    Pages 66-72
    Date Spring, 1988
    ISSN 00380210
    URL http://www.jstor.org.ezproxy.bu.edu/stable/3711104
    Accessed Fri Sep 25 13:00:30 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Spring, 1988 / Copyright © 1988 Association for the Sociology of Religion, Inc.
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • The relationship between religious attendance and psychological well-being is explored in a sample of middle-aged and older Mexican American men and women. Religious attendance has significant zero-order effects on life satisfaction in older men and in middle-aged and older women.

  • Panel Analyses of Religious Involvement and Well-Being in African Americans: Contemporaneous vs. Longitudinal Effects

    Type Journal Article
    Author Jeffrey S. Levin
    Author Robert Joseph Taylor
    Abstract This panel study explores the effects of eight measures of religious involvement on three indicators of well-being in a national probability sample of African Americans. Religious measures include religious attendance, church membership, church activity, reading religious books, listening to religious TV/radio, prayer, asking for prayer, and subjective religiosity. Well-being indicators include single-item measures of life satisfaction and happiness, and a 10-item version of the RAND Mental Health Index (MHI), a scale assessing psychological distress. Using data from multiple waves of the National Survey of Black Americans, religious effects on well-being are examined both cross-sectionally at each wave and longitudinally across waves. Findings reveal strong, statistically significant, and consistent religious effects on well-being contemporaneously within each wave, which withstand controlling for the effects of health and seven sociodemographic variables. Longitudinal religious effects on well-being are present bivariately, but disappear after controlling for the effects of baseline well-being, lagged religious involvement, and health. The meaning and interpretation of contemporaneous as opposed to longitudinal religious effects on well-being are discussed.
    Publication Journal for the Scientific Study of Religion
    Volume 37
    Issue 4
    Pages 695-709
    Date Dec., 1998
    ISSN 00218294
    Short Title Panel Analyses of Religious Involvement and Well-Being in African Americans
    URL http://www.jstor.org.ezproxy.bu.edu/stable/1388151
    Accessed Fri Sep 25 13:00:54 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Dec., 1998 / Copyright © 1998 Society for the Scientific Study of Religion
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This panel study explores the effects of eight measures of religious involvement on three indicators of well-being in a national probability sample of African Americans. Religious measures include religious attendance, church membership, church activity, reading religious books, listening to religious TV/radio, prayer, asking for prayer, and subjective religiosity. Well-being indicators include single-item measures of life satisfaction and happiness, and a 10-item version of the RAND Mental Health Index (MHI), a scale assessing psychological distress.

  • Religious Effects on Health Status and Life Satisfaction among Black Americans

    Type Journal Article
    Author Jeffrey S. Levin
    Author Linda M. Chatters
    Author Robert Joseph Taylor
    Abstract This study tests a theoretical model linking religiosity, health status, and life satisfaction using data from the National Survey of Black Americans, a nationally representative sample of Blacks at least 18 years old. Findings reveal statistically significant effects for organizational religiosity on both health and life satisfaction, for nonorganizational religiosity on health, and for subjective religiosity on life satisfaction. Analyses of structural invariance reveal a good overall fit for the model across three age cohorts ([≤] 30, 31-54, [≥] 55) and confirm that assuming ageinvariance of structural parameters does not significantly detract from overall fit. In addition, after controlling for the effects of several sociodemographic correlates of religiosity, health, and well-being, organizational religiosity maintains a strong, significant effect on life satisfaction. These findings suggest that the association between religion and well-being is consistent over the life course and not simply an artifact of the confounding of measures of organizational religiosity and health status.
    Publication J GERONTOL B PSYCHOL SCI SOC SCI
    Volume 50B
    Issue 3
    Pages S154-163
    Date May 1, 1995
    DOI 10.1093/geronb/50B.3.S154
    URL http://psychsocgerontology.oxfordjournals.org/cgi/content/abstract/50B/3/S154
    Accessed Fri Oct 30 15:32:14 2009
    Library Catalog HighWire
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This study tests a theoretical model linking religiosity, health status, and life satisfaction using data from the National Survey of Black Americans, a nationally representative sample of Blacks at least 18 years old. Findings reveal statistically significant effects for organizational religiosity on both health and life satisfaction, for nonorganizational religiosity on health, and for subjective religiosity on life satisfaction.

  • A Multidimensional Measure of Religious Involvement for African Americans

    Type Journal Article
    Author Jeffrey S. Levin
    Author Robert Joseph Taylor
    Author Linda M. Chatters
    Abstract This article describes the confirmation and validation of a multidimensional measure of religious involvement using data from the National Survey of Black Americans (N = 2,107). This model was developed through a multistep strategy of confirmatory factor analysis and structural-equation modeling. First, a three-dimensional factor structure comprising organizational, nonorganizational. and subjective religiosity was confirmed for twelve religious indicators. This measurement model was found to exhibit excellent overall fit; it compared favorably to alternative models; and all hypothesized factor loadings were strong and statistically significant. Second, several constructs identified by prior research as correlates of religious involvement (gender, age, education, region, and urbanicity) were found to exhibit significant associations with one or more dimensions of the model. All analyses were conducted in LISREL 8.03, using maximum-likelihood estimation and a strategy of split-sample replication.
    Publication The Sociological Quarterly
    Volume 36
    Issue 1
    Pages 157-173
    Date Winter, 1995
    ISSN 00380253
    URL http://www.jstor.org.ezproxy.bu.edu/stable/4121282
    Accessed Fri Sep 25 13:01:27 2009
    Library Catalog JSTOR
    Extra ArticleType: primary_article / Full publication date: Winter, 1995 / Copyright © 1995 Midwest Sociological Society
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • This article describes the confirmation and validation of a multidimensional measure of religious involvement using data from the National Survey of Black Americans.

  • Spiritual assessment in African-Americans: a review of measures of spirituality used in health research

    Type Journal Article
    Author Lisa M Lewis
    Abstract BACKGROUND: A number of instruments have been developed for investigating relationships between spirituality and health, and have been used to assess spirituality in African-Americans. Yet, the cultural appropriateness for African-Americans of these instruments has not been investigated to date. OBJECTIVES: To evaluate the construct validity and reliability of spirituality measures used in health research from 1982 to 2005. METHOD: Systematic review of the literature. RESULTS: Thirty five studies and five measures of spirituality met the inclusion criteria. Most of the spirituality measures were developed in primarily Caucasian-American samples. African-Americans were represented in 71% of the studies (n = 25) using spirituality measures in health research. Distinct cultural attributes of African-American spirituality were omitted in most of the spirituality measures. Two studies were retrieved in which psychometric evaluation was conducted in entirely African-American samples. DISCUSSION: Spirituality is a significant cultural experience and belief that influences the health behaviors of African-Americans. The lack of a culturally appropriate measure of African-American spirituality is a major limitation of studies investigating spirituality and health in this population. Development of a culturally appropriate and sensitive measure of spirituality in African-Americans is suggested to strengthen the quality of research in this area.
    Publication Journal of Religion and Health
    Volume 47
    Issue 4
    Pages 458-475
    Date Dec 2008
    Journal Abbr J Relig Health
    ISSN 0022-4197
    Short Title Spiritual assessment in African-Americans
    URL http://www.ncbi.nlm.nih.gov/pubmed/19093674
    Accessed Fri Nov 13 19:42:46 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19093674
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adaptation, Psychological
    • African Americans
    • Attitude to Health
    • Cultural Characteristics
    • Factor Analysis, Statistical
    • Health Knowledge, Attitudes, Practice
    • Health Services Needs and Demand
    • Health Services Research
    • Humans
    • Professional Competence
    • Psychometrics
    • Quality of Life
    • Religion and Psychology
    • Reproducibility of Results
    • spirituality

    Notes:

    • Spirituality is a significant cultural experience and belief that influences the health behaviors of African-Americans. The lack of a culturally appropriate measure of African-American spirituality is a major limitation of studies investigating spirituality and health in this population. Development of a culturally appropriate and sensitive measure of spirituality in African-Americans is suggested to strengthen the quality of research in this area.

  • 033 Sleep patterns and religiosity in an urban, low-income community in Sao Paulo, Brazil

    Type Journal Article
    Author G. Lucchetti
    Author A.L. Granero
    Author M.F.P. Peres
    Abstract Results: Four hundred and forty community members were enrolled and 383 completed the sleep patterns questionnaire. The sample was composed mainly of females (74.4%) with low education (41% with less than 4 years of study) and low income (88.8% earning less than US$500.00 per month). Concerning sleep patterns, 48.1% reported morning tiredness, 66% had difficulty maintaining sleep, 37.2% frequently took a nap during the day, 36.9% had diculty initiating sleep, and 32.9% required more than one hour to initiate sleep. When questioned about religion, 72.6% wereCatholics, 13.3% were evangelical Protestants and 3.3% were spiritists; 37.3% reported that they went to religious services at least once a week, 53.8% carried out private religious activities daily and 84.7% stated they felt Gods presence in their lives. Logistic regression controlled for sex, family income, employment, education, marital status and race showed no relationship between extrinsic religiosity, intrinsic religiosity and spirituality with any sleep patterns (initiating sleep, maintaining sleep, sleep hours and morning tiredness). Female sex and low family income were associated with less desirable sleep patterns. Conclusion: There appeared to be no association between sleep patterns and spirituality/religiosity. However,not all aspects of sleep and spirituality wereassessed, so these results should be interpreted with caution. Further studies are needed to explore this issue in more detail.
    Publication Sleep Medicine
    Volume 10
    Issue Supplement 2
    Pages S9-S10
    Date December 2009
    DOI 10.1016/S1389-9457(09)70035-8
    ISSN 1389-9457
    URL http://www.sciencedirect.com.ezproxy.bu.edu/science/article/B6W6N-4XYC0Y8-17/2/f750b9db5974124b1274ce658c9f9bb5
    Accessed Wed Dec 30 12:01:38 2009
    Library Catalog ScienceDirect
    Date Added Thu Sep 29 09:04:55 2011
    Modified Thu Sep 29 09:04:55 2011
  • Use of biomedical services and traditional healing options among American Indians: sociodemographic correlates, spirituality, and ethnic identity

    Type Journal Article
    Author Douglas K Novins
    Author Janette Beals
    Author Laurie A Moore
    Author Paul Spicer
    Author Spero M Manson
    Abstract OBJECTIVE: The objective of this study was to describe the use of biomedical services and traditional healing options among a reservation-based sample of American Indians from 2 culturally distinct tribes METHODS: Participants were 2595 American Indian adolescents and adults ages 15 to 57 randomly selected to represent 2 tribes living on or near their rural reservations. First, we examined the prevalence and correlates of use of biomedical services and traditional healing for both physical health and psychiatric problems. Second, we developed logistic regression models predicting the independent and combined use of biomedical services and traditional healing RESULTS: The prevalence of combined and independent use of biomedical services and traditional healing varied by tribe. The prevalence of biomedical service use ranged from 40.9% to 59.1% for physical health problems and 6.4% to 6.8% for psychiatric problems. The prevalence of the use of traditional healing ranged from 8.4% to 22.9% for physical health problems and 3.2% to 7.8% for psychiatric problems. Although combined use of both types of services was common (10.4-22.6% of service users), many used only traditional healing (3.5-40.0%). Correlates of service use included age, educational level, and ethnic identity. For example, use of traditional healing was correlated with higher scores on a scale measuring identification with American Indian culture CONCLUSIONS: Both biomedical services and traditional healing are important sources of care in American Indian communities, and are used both independently and in combination with one another.
    Publication Medical Care
    Volume 42
    Issue 7
    Pages 670-679
    Date Jul 2004
    Journal Abbr Med Care
    ISSN 0025-7079
    Short Title Use of biomedical services and traditional healing options among American Indians
    URL http://www.ncbi.nlm.nih.gov/pubmed/15213492
    Accessed Fri Nov 13 12:54:08 2009
    Library Catalog NCBI PubMed
    Extra PMID: 15213492
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adolescent
    • Adult
    • Female
    • Health Care Surveys
    • Health Services, Indigenous
    • Humans
    • Indians, North American
    • Logistic Models
    • Male
    • Medicine, Traditional
    • Mental Disorders
    • Middle Aged
    • Multivariate Analysis
    • Socioeconomic Factors
    • Southwestern United States
    • United States

    Notes:

    • Objective: The objective of this study was to describe the use of biomedical services and traditional healing options among a reservation-based sample of American Indians from 2 culturally distinct tribes. Conclusions: Both biomedical services and traditional healing are important sources of care in American Indian communities, and are used both independently and in combination with one another.

  • Family violence exposure and health outcomes among older African American women: do spirituality and social support play protective roles?

    Type Journal Article
    Author Anuradha Paranjape
    Author Nadine Kaslow
    Abstract BACKGROUND: Family violence (FV), spirituality, and social support are salient psychosocial determinants of health. FV is associated with poor health among older African American women. The effect of spirituality and social support levels on the health of older African American women is unknown. METHODS: To assess the role of spirituality and social support as culturally relevant determinants of health status for older African American women independent of FV levels, we used a cross-sectional observational study. Two hundred twelve African American women, aged ? 50, were interviewed in two urban primary care practices. The measures used were (1) Family Violence Against Older Women (FVOW) scale, (2) Physical and Mental Composite Scores of the Short-Form 8 scale, (3) Medical Outcomes of Social Support survey (MOSS), and (4) Spiritual Well-Being Scale (SWBS). Spearman correlation coefficients estimated to test associations among lifetime FV exposure, spirituality, social support, and health status outcomes and multivariate regression models were used to examine the independent effect of spirituality and social support on physical and mental health status, controlling for FV and significant demographic variables. RESULTS: Mean participant age was 63.9 years. Higher spirituality levels were significantly associated with better physical health status after adjusting for FV levels and demographic factors (F = 6.17, p = 0.0001). Similarly, higher levels of spirituality and social support both significantly correlated with better mental health status in the multivariate model (F = 13.45, p < 0.0001) that controlled for lifetime FV levels and demographic factors. CONCLUSIONS: Spirituality and social support are two potentially modifiable determinants of health for older African American women. Culturally appropriate mechanisms to enhance social support and spirituality levels need to be explored as potential inteventions to improve the health of those African American women who have been exposed to FV.
    Publication Journal of Women's Health (2002)
    Volume 19
    Issue 10
    Pages 1899-1904
    Date Oct 2010
    Journal Abbr J Womens Health (Larchmt)
    DOI 10.1089/jwh.2009.1845
    ISSN 1931-843X
    URL http://www.ncbi.nlm.nih.gov/pubmed/20831432
    Accessed Mon Nov 15 15:07:19 2010
    Date Added Thu Sep 29 08:59:59 2011
    Modified Thu Sep 29 08:59:59 2011
  • Health is a spiritual thing: perspectives of health care professionals and female Somali and Bangladeshi women on the health impacts of fasting during Ramadan.

    Type Journal Article
    Author Rubini Pathy
    Author Kelsey E. Mills
    Author Sharon Gazeley
    Author Andrea Ridgley
    Author Tara Kiran
    Abstract Objective. To explore perspectives of health care professionals and female Somali and Bangladeshi Muslim women on practices related to fasting during Ramadan, the impact of fasting on health and the role of health professionals during Ramadan. Design. A cross-sectional qualitative study was conducted. Two culturally specific focus groups were conducted with six Somali and seven Bangladeshi Muslim women who observed Ramadan and lived in an inner-city neighbourhood of Toronto, Canada. Individual semi-structured interviews were conducted with 22 health care professionals practicing in this inner-city area (three of whom were Muslim). Data were analysed using thematic qualitative analysis. Results. Both Muslim women and health care professionals recognised the spiritual significance of the Ramadan fast. Muslim participants considered the fast to be beneficial to health overall, whereas health care professionals tended to reflect on health concerns from fasting. Many health care professionals were not fully aware of fasting practices during Ramadan and some found it challenging to counsel patients about the health effects of fasting. Muslim women expressed disagreement regarding which medical interventions were permitted during fasting. They generally agreed that health care professionals should not specifically advise against fasting, but instead provide guidance on health maintenance while fasting. Both groups agreed that guidelines developed by the health care and faith communities together would be useful. Conclusion. There are a variety of health beliefs and observances among female Muslim Somali and Bangladeshi women and a range of knowledge, experience and opinions among health care professionals related to fasting during Ramadan and health. Overall, there is a need for improved communication between members of the Muslim community and health professionals in Canada about health issues related to fasting during Ramadan. Strategies could include published practice guidelines endorsed by the Muslim community; patient education materials developed in collaboration with health and religious experts; or further qualitative research to help professionals understand the beliefs and observances of Muslim people. [ABSTRACT FROM AUTHOR]
    Publication Ethnicity & Health
    Volume 16
    Issue 1
    Pages 43-56
    Date February 2011
    DOI 10.1080/13557858.2010.523780
    ISSN 13557858
    Short Title Health is a spiritual thing
    Library Catalog EBSCOhost
    Date Added Thu Sep 29 08:57:14 2011
    Modified Thu Sep 29 08:57:14 2011

    Tags:

    • BANGLADESHIS
    • Fasting
    • FASTING -- Religious aspects -- Islam
    • ISLAM
    • MEDICAL personnel
    • MUSLIM women
    • ONTARIO
    • RAMADAN
    • TORONTO (Ont.)
    • WOMEN, Somali
  • Spirituality and health in older Thai persons in the United States

    Type Journal Article
    Author Sumon Pincharoen
    Author JoAnn G Congdon
    Abstract Health and spiritual phenomena are viewed differently depending on the cultural perspective. This study describes spirituality as perceived and experienced by older Thai persons. Specific aims were to describe how spirituality helped older Thai persons maintain their health and to describe what they valued most as they aged. A qualitative, descriptive study informed by ethnographic methods was utilized. The sample included 9 older Thai persons from an urban U.S. community. Data were generated using ethnographic interviews and participant observation. Data analysis incorporated coding, categorizing, and theme development. Rigor was guided by Lincoln and Guba. Five major themes emerged from the data: Connecting with spiritual resources provided comfort and peace, finding harmony through a healthy mind and body, living a valuable life, valuing tranquil relationships with family and friends, and experiencing meaning and confidence in death. For these Thai participants, health and spirituality coexisted and were linked to all of life.
    Publication Western Journal of Nursing Research
    Volume 25
    Issue 1
    Pages 93-108;
    Date Feb 2003
    Journal Abbr West J Nurs Res
    ISSN 0193-9459
    URL http://www.ncbi.nlm.nih.gov/pubmed/12584966
    Accessed Thu Nov 12 23:08:01 2009
    Library Catalog NCBI PubMed
    Extra PMID: 12584966
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adaptation, Psychological
    • Aged
    • Aged, 80 and over
    • Attitude to Death
    • Female
    • Health Status
    • Humans
    • Interpersonal Relations
    • Male
    • Middle Aged
    • spirituality
    • Thailand
    • United States

    Notes:

    • This study describes spirituality as perceived and experienced by older Thai persons. Specific aims were to describe how spirituality helped older Thai persons maintain their health and to describe what they valued most as they aged. Five major themes emerged from the data: Connecting with spiritual resources provided comfort and peace, finding harmony through a healthy mind and body, living a valuable life, valuing tranquil relationships with family and friends, and experiencing meaning and confidence in death.

  • Shamans and conventional care: are we prepared?

    Type Journal Article
    Author Gregory A Plotnikoff
    Author Charles Numrich
    Author Deu Yang
    Author Chu Yongyuan Wu
    Author Phua Xiong
    Publication HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
    Volume 14
    Issue 3
    Pages 271-278
    Date Sep 2002
    Journal Abbr HEC Forum
    ISSN 0956-2737
    Short Title Shamans and conventional care
    URL http://www.ncbi.nlm.nih.gov/pubmed/12405049
    Accessed Thu Nov 12 22:06:11 2009
    Library Catalog NCBI PubMed
    Extra PMID: 12405049
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adult
    • Attitude to Health
    • Cultural Diversity
    • Ethics Committees
    • Female
    • Holistic Health
    • Humans
    • Infant
    • Laos
    • Male
    • Minnesota
    • Patient Advocacy
    • Shamanism
    • spirituality
  • Hmong shamanism. Animist spiritual healing in Minnesota

    Type Journal Article
    Author Gregory A Plotnikoff
    Author Charles Numrich
    Author Chu Wu
    Author Deu Yang
    Author Phua Xiong
    Abstract Hmong cultural attitudes, values, and behaviors influence when, where, why, and with whom a Hmong person will use Western medicine. Understanding the practices and importance of Hmong healing traditions will help majority-culture physicians provide respectful and effective health care to Hmong patients. The foremost Hmong traditional healer is the shaman (tu txiv neeb, pronounced "too tse neng"). There is no equivalent health professional in Western biomedicine, and the scope of the shaman as a healer extends beyond the capacities and expertise of physicians. Despite 25 years of Hmong acculturation in the United States and conversion to Christianity, Hmong shamanism maintains its traditional role in health and healing. Many Hmong who see physicians also rely on shamans for restoring health and balance to their body and soul. Thus, the Hmong shaman can be considered a powerful complement to Western health care professionals. This article presents the results of semistructured interviews with 11 Hmong shamans (5 males, 6 females, ranging in age from 35 to 85) and 32 nonrandomly selected Hmong patients (14 males, 18 females ranging in age from 21 to 85). The shamans described their spiritual perspectives, training and skills, and professional activities. Patients described their beliefs about spiritual healing and health care. These interviews suggest that Shamanism is considered effective care by many Hmong, irrespective of age, gender, or degree of acculturation. The article also includes summary charts of Hmong healing practices and concludes with a set of questions designed to help practicing physicians access the assumptions and beliefs of their Hmong patients so that they can provide efficient, effective, and satisfactory care.
    Publication Minnesota Medicine
    Volume 85
    Issue 6
    Pages 29-34
    Date Jun 2002
    Journal Abbr Minn Med
    ISSN 0026-556X
    URL http://www.ncbi.nlm.nih.gov/pubmed/12092436
    Accessed Thu Nov 12 21:41:56 2009
    Library Catalog NCBI PubMed
    Extra PMID: 12092436
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Acculturation
    • Adult
    • Aged
    • Aged, 80 and over
    • Asian Americans
    • Chronic Disease
    • Female
    • Humans
    • Male
    • Middle Aged
    • Minnesota
    • Patient Care Team
    • Shamanism
    • Spiritual Therapies

    Notes:

    • Hmong cultural attitudes, values, and behaviors influence when, where, why, and with whom a Hmong person will use Western medicine. Understanding the practices and importance of Hmong healing traditions will help majority-culture physicians provide respectful and effective health care to Hmong patients.

  • Health care-seeking among Latino immigrants: blocked access, use of traditional medicine, and the role of religion

    Type Journal Article
    Author H Edward Ransford
    Author Frank R Carrillo
    Author Yessenia Rivera
    Abstract Barriers to health care and use of cultural alternatives are studied from open-ended interviews of 96 Latino immigrants, 12 hometown association leaders, and five pastors and health outreach workers. Frequently mentioned barriers to approaching hospitals and clinics included problems in communication, establishing financial eligibility, and extremely long waits for service. We found frequent use of cultural alternatives, such as herbal medications, obtaining care from Mexican doctors, and some use of traditional healers. The role of religiosity is studied: prayer is viewed as fundamental to health, but the church is not perceived as an aid in physical health-seeking. Health care for Latino immigrants often involves a blend of mainstream and traditional medicine; the study discusses examples of respondents who navigate between the two systems within the interplay of culture and structure.
    Publication Journal of Health Care for the Poor and Underserved
    Volume 21
    Issue 3
    Pages 862-878
    Date Aug 2010
    Journal Abbr J Health Care Poor Underserved
    DOI 10.1353/hpu.0.0348
    ISSN 1548-6869
    Short Title Health care-seeking among Latino immigrants
    Accessed Mon Aug 30 17:00:42 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20693732
    Date Added Thu Sep 29 09:03:07 2011
    Modified Thu Sep 29 09:03:07 2011
  • The role of spirituality healing with perceptions of the medical encounter among Latinos

    Type Journal Article
    Author Carlos A Reyes-Ortiz
    Author Michael Rodriguez
    Author Kyriakos S Markides
    Abstract BACKGROUND: Little is known about the relationship between spirituality healing and perceptions about the medical encounter among Latinos. OBJECTIVES: To examine the association between spirituality healing and attitudes of self-reported perceptions about the medical encounter. DESIGN: A cross-sectional telephone survey. PARTICIPANTS: 3,728 Latinos aged >or=18 years residing in the United States from Wave 1 of the Pew Hispanic Center/Robert Wood Johnson Foundation Latino Health Survey. MEASUREMENTS: Dependent variables were ever prayed for healing (yes/no), ever asked others to pray for healing (yes/no), considered important spiritual healing (very vs. somewhat or not important), and ever consulted a 'curandero' (folk healer in Latin America) (yes/no). The primary independent variables were feelings about the last time seeing a Doctor (confused by information given, or frustrated by lack of information) and perception of quality of medical care (excellent, good, fair or poor) within the past 12 months. RESULTS: Six percent of individuals reported that they had ever consulted a curandero, 60% prayed for healing, 49% asked others to pray for healing, and 69% considered spiritual healing as very important. In multivariable analyses, feeling confused was associated with increased odds of consulting a curandero (OR = 1.58; 95% CI, 1.02-2.45), praying for healing (OR = 1.30; 95% CI, 1.03-1.64), asking others to pray for healing (OR = 1.29; 95% CI, 1.03-1.62), and considering spiritual healing as very important (OR = 1.30; 95% CI, 1.01-1.66). Feeling frustrated by a lack of information was associated with asking others to pray for healing (OR = 1.29; 95% CI, 1.04-1.60). A better perception of quality of medical care was associated with lower odds of consulting a curandero (OR = 0.83; 95% CI, 0.70-0.98). CONCLUSION: Feelings about the medical encounter were associated with spirituality healing, praying for healing, and asking others to pray for healing. Feeling confused and perception of poor quality of medical care were associated with consulting a curandero.
    Publication Journal of General Internal Medicine
    Volume 24
    Issue Suppl 3
    Pages 542-547
    Date Nov 2009
    Journal Abbr J Gen Intern Med
    DOI 10.1007/s11606-009-1067-9
    ISSN 1525-1497
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19842004
    Accessed Mon Nov 23 19:30:48 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19842004
    Date Added Thu Sep 29 09:05:21 2011
    Modified Thu Sep 29 09:05:21 2011
  • Religion and Subjective Well-Being in Japan

    Type Journal Article
    Author MK Roemer
    Abstract For several decades, U.S.-based studies have indicated significant, positive associations between religiousness and subjective well-being. Despite the importance of this research. samples are limited predominantly to Christians, and we cannot tell whether such relationships extend to other populations. Using data from huge, nationally representative probability samples of Japanese adults, this study reveals that religious devotion and affiliation with certain religions are positively and significantly correlated with life satisfaction and happiness in Japan. Multiple regression analysis shows cross-cultural similarities between subjective religiousness and subjective well-being. The effects of religious affiliation (an objective measure), however, vary In addition, findings show that religious devotion buffers the negative effects of unemployment on life satisfaction and happiness and the effects of low class status on happiness.
    Publication Review of Religious Research
    Volume 51
    Issue 4
    Pages 411-427
    Date JUN 2010
    ISSN 0034-673X
    Accessed Wed Jul 7 18:00:41 2010
    Library Catalog ISI Web of Knowledge
    Date Added Thu Sep 29 09:04:02 2011
    Modified Thu Sep 29 09:04:02 2011
  • Religious subgroups influencing vaccination coverage in the Dutch Bible belt: an ecological study

    Type Journal Article
    Author Wilhelmina Lm Ruijs
    Author Jeannine LA Hautvast
    Author Koos van der Velden
    Author Sjoerd de Vos
    Author Hans Knippenberg
    Author Marlies Ejl Hulscher
    Abstract ABSTRACT: BACKGROUND: The Netherlands has experienced epidemics of vaccine preventable diseases largely confined to the Bible belt, an area where -among others- orthodox protestant groups are living. Lacking information on the vaccination coverage in this minority, and its various subgroups, control of vaccine preventable diseases is focused on the geographical area of the Bible belt. However, the adequacy of this strategy is questionable. This study assesses the influence of presence of various orthodox protestant subgroups (orthodox protestant denominations, OPDs) on municipal vaccination coverage in the Bible belt. METHODS: We performed an ecological study at municipality level. Data on number of inhabitants, urbanization level, socio-economical status, immigration and vaccination coverage were obtained from national databases. As religion is not registered in the Netherlands, membership numbers of the OPDs had to be obtained from church year books and via church offices. For all municipalities in the Netherlands, the effect of presence or absence of OPDs on vaccination coverage was assessed by comparing mean vaccination coverage. For municipalities where OPDs were present, the effect of each of them (measured as membership ratio, the number of members proportional to total number of inhabitants) on vaccination coverage was assessed by bivariate correlation and multiple regression analysis in a model containing the determinants immigration, socio-economical status and urbanization as well. RESULTS: Mean vaccination coverage (93.5% ± 4.7) in municipalities with OPDs (n = 135) was significantly lower (p < 0.001) than in 297 municipalities without OPDs (96.9% ± 2.1). Multiple regression analyses showed that in municipalities with OPDs 84% of the variance in vaccination coverage was explained by the presence of these OPDs. Immigration had a significant, but small explanatory effect as well. Membership ratios of all OPDs were negatively related to vaccination coverage; this relationship was strongest for two very conservative OPDs. CONCLUSION: As variance in municipal vaccination coverage in the Bible belt is largely explained by membership ratios of the various OPDs, control of vaccine preventable diseases should be focused on these specific risk groups. In current policy part of the orthodox protestant risk group is missed.
    Publication BMC Public Health
    Volume 11
    Issue 1
    Pages 102
    Date 2011
    Journal Abbr BMC Public Health
    DOI 10.1186/1471-2458-11-102
    ISSN 1471-2458
    Short Title Religious subgroups influencing vaccination coverage in the Dutch Bible belt
    Accessed Tue Mar 15 14:18:16 2011
    Library Catalog NCBI PubMed
    Extra PMID: 21320348
    Date Added Thu Sep 29 08:57:14 2011
    Modified Thu Sep 29 08:57:14 2011
  • A randomized trial of a church-based diabetes self-management program for African Americans with type 2 diabetes

    Type Journal Article
    Author Carmen D Samuel-Hodge
    Author Thomas C Keyserling
    Author Sola Park
    Author Larry F Johnston
    Author Ziya Gizlice
    Author Shrikant I Bangdiwala
    Abstract PURPOSE: This study developed and tested a culturally appropriate, church-based intervention to improve diabetes self-management. Research Design and Methods This was a randomized trial conducted at 24 African American churches in central North Carolina. Churches were randomized to receive the special intervention (SI; 13 churches, 117 participants) or the minimal intervention (MI; 11 churches, 84 participants). The SI included an 8-month intensive phase, consisting of 1 individual counseling visit, 12 group sessions, monthly phone contacts, and 3 encouragement postcards, followed by a 4-month reinforcement phase including monthly phone contacts. The MI received standard educational pamphlets by mail. Outcomes were assessed at 8 and 12 months; the primary outcome was comparison of 8-month A1C levels. RESULTS: At baseline, the mean age was 59 years, A1C 7.8%, and body mass index 35.0 kg/m(2); 64% of participants were female. For the 174 (87%) participants returning for 8-month measures, mean A1C (adjusted for baseline and group randomization) was 7.4% for SI and 7.8% for MI, with a difference of 0.4% (95% confidence interval [CI], 0.1-0.6, P = .009). In a larger model adjusting for additional variables, the difference was 0.5% (95% CI, 0.2-0.7, P < .001). At 12 months, the difference between groups was not significant. Diabetes knowledge and diabetes-related quality of life significantly improved in the SI group compared with the MI group. Among SI participants completing an acceptability questionnaire, intervention components and materials were rated as highly acceptable. CONCLUSIONS: The church-based intervention was well received by participants and improved short-term metabolic control.
    Publication The Diabetes Educator
    Volume 35
    Issue 3
    Pages 439-454
    Date 2009 May-Jun
    Journal Abbr Diabetes Educ
    DOI 10.1177/0145721709333270
    ISSN 0145-7217
    Accessed Tue Feb 22 19:17:04 2011
    Library Catalog NCBI PubMed
    Extra PMID: 19383882
    Date Added Thu Sep 29 09:06:18 2011
    Modified Thu Sep 29 09:06:18 2011

    Tags:

    • African Continental Ancestry Group
    • Blood Pressure
    • Body Weight
    • Counseling
    • Diabetes Mellitus, Type 2
    • Diabetic Diet
    • Female
    • Follow-Up Studies
    • Hemoglobin A, Glycosylated
    • Humans
    • Income
    • Male
    • Middle Aged
    • Pamphlets
    • Psychotherapy, Group
    • Religion and Medicine
    • Self Care
  • Health and the black church

    Type Journal Article
    Author Alfonso Scandrett
    Abstract Abstract The purpose of this review is to provide the reader with a religiously based examination of the literature that may suggest a relationship between Black people and their health behavior. Comparisons are made that suggest a relationship between increases in church attendance and a decrease in blood pressure, stress, coronary health disease, and promiscuity. This review is broken down into four areas: 1) Historical and philosophical; 2) church attendance; 3) the church as a depositor of health information, and 4) scriptural influence and related literature. Scriptural references are provided that support the dialogue over health behavior and the church. There are numerous health references within all 66 books of the Bible. The Black church, as with so many other race classifications, supports the notion of presenting itself as a depositor of health information. However, the literature does suggest some resistance to the actual receiving of health care. This review of the literature emphasizes using Scripture as a basis for giving health information to church attendees. Resistance to health care among certain ethnic minorities may be lessened with the use of the church, and of health-related Scripture. This review suggests possibilities for further research and provides a scriptural road map for the dissemination of different health topics using Bible as a source.
    Publication Journal of Religion and Health
    Volume 35
    Issue 3
    Pages 231-244
    Date 1996
    DOI 10.1007/BF02354953
    URL http://dx.doi.org/10.1007/BF02354953
    Accessed Fri Oct 30 15:07:00 2009
    Library Catalog SpringerLink
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • The purpose of this review is to provide the reader with a religiously based examination of the literature that may suggest a relationship between Black people and their health behavior.

  • The Sense of Divine Control and the Self-Concept: A Study of Race Differences in Late Life

    Type Journal Article
    Author Scott Schieman
    Author Tetyana Pudrovska
    Author Melissa A. Milkie
    Abstract Using data from adults aged 65 and older in the District of Columbia and two adjoining counties in Maryland, this study examines the relationship between the sense of divine control and two self-concepts: self-esteem and mastery. Perceived divine control involves the extent to which an individual perceives that God controls the direction and outcomes of life. Among Whites only, divine control is associated negatively with mastery. Adjustments for socioeconomic status, other forms of religiosity, and stressors contribute to that race-contingent association. In addition, among Blacks, divine control is associated positively with self-esteem--especially among Black women. That effect remains net of socioeconomic and other controls. Conversely, among white men, divine control is associated negatively with self-esteem, although adjustment for socioeconomic status explains most of that association. The authors discuss these findings in the context of the ongoing debate about the psychological effects of different forms of religiosity.
    Publication Research on Aging
    Volume 27
    Issue 2
    Pages 165-196
    Date March 1, 2005
    DOI 10.1177/0164027504270489
    Short Title The Sense of Divine Control and the Self-Concept
    URL http://roa.sagepub.com/cgi/content/abstract/27/2/165
    Accessed Sat Oct 17 13:59:58 2009
    Library Catalog Sage Journals Online
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • Using data from adults aged 65 and older in the District of Columbia and two adjoining counties in Maryland, this study examines the relationship between the sense of divine control and two self-concepts: self-esteem and mastery.

  • The impact of the sweat lodge ceremony on dimensions of well-being

    Type Journal Article
    Author Jeannette Wagemakers Schiff
    Author Kerrie Moore
    Abstract The importance of traditional healing practices for First Nations people has created interest in traditional ceremonies, including sweat lodges, which are increasingly incorporated into programs serving Aboriginal people. Despite the fact that traditional healing practices have always been valued by Aboriginal people, there is virtually no research on their efficacy. The results of a pilot study that measured the impact of the sweat lodge ceremony on the physical, mental, emotional, and spiritual domains of individual participants indicated that an increase in spiritual and emotional well-being of participants was directly attributable to the ceremony.
    Publication American Indian and Alaska Native Mental Health Research (Online)
    Volume 13
    Issue 3
    Pages 48-69
    Date 2006
    Journal Abbr Am Indian Alsk Native Ment Health Res
    ISSN 1533-7731
    URL http://www.ncbi.nlm.nih.gov/pubmed/17602408
    Accessed Fri Nov 13 17:48:11 2009
    Library Catalog NCBI PubMed
    Extra PMID: 17602408
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Tags:

    • Adaptation, Psychological
    • Adolescent
    • Adult
    • Aged
    • Alberta
    • American Native Continental Ancestry Group
    • Analysis of Variance
    • Ceremonial Behavior
    • Female
    • Health Surveys
    • Humans
    • Male
    • Medicine, Traditional
    • mental health
    • Middle Aged
    • Models, Psychological
    • Pilot Projects
    • spirituality

    Notes:

    • The results of a pilot study that measured the impact of the sweat lodge ceremony on the physical, mental, emotional, and spiritual domains of individual participants indicated that an increase in spiritual and emotional well-being of participants was directly attributable to the ceremony.

  • Relationships between psychosocial-spiritual well-being and end-of-life preferences and values in African American dialysis patients

    Type Journal Article
    Author Mi-Kyung Song
    Author Laura C Hanson
    Abstract The objective of the study was to examine whether psychosocial and spiritual well-being is associated with African American dialysis patients' end-of-life treatment preferences and acceptance of potential outcomes of life-sustaining treatment. Fifty-one African Americans with end-stage renal disease (ESRD) completed a sociodemographic questionnaire and interview with measures of symptom distress, health-related quality of life, psychosocial and spiritual well-being, and preferences and values related to life-sustaining treatment choices. The subjects were stratified by end-of-life treatment preferences and by acceptance of life-sustaining treatment outcomes, and compared for psychosocial and spiritual well-being, as well as sociodemographic and clinical characteristics. Individuals who desired continued use of life-sustaining treatment in terminal illness or advanced dementia had significantly lower spiritual well-being (P=0.012). Individuals who valued four potential outcomes of life-sustaining treatment as unacceptable showed a more positive, adaptive well-being score in the spiritual dimension compared with the group that valued at least one outcome as acceptable (P=0.028). Religious involvement and importance of spirituality were not associated with end-of-life treatment preferences and acceptance of treatment outcomes. African Americans with ESRD expressed varied levels of psychosocial and spiritual well-being, and this characteristic was associated with life-sustaining treatment preferences. In future research, the assessment of spirituality should not be limited to its intensity or degree but extended to other dimensions.
    Publication Journal of Pain and Symptom Management
    Volume 38
    Issue 3
    Pages 372-380
    Date Sep 2009
    Journal Abbr J Pain Symptom Manage
    DOI 10.1016/j.jpainsymman.2008.11.007
    ISSN 1873-6513
    URL http://www.ncbi.nlm.nih.gov/pubmed/19356896
    Accessed Fri Nov 13 19:59:14 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19356896
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • The objective of the study was to examine whether psychosocial and spiritual well-being is associated with African American dialysis patients’ end-of-life treatment preferences and acceptance of potential outcomes of life-sustaining treatment.

  • Relationships between psychosocial-spiritual well-being and end-of-life preferences and values in African American dialysis patients

    Type Journal Article
    Author Mi-Kyung Song
    Author Laura C Hanson
    Abstract The objective of the study was to examine whether psychosocial and spiritual well-being is associated with African American dialysis patients' end-of-life treatment preferences and acceptance of potential outcomes of life-sustaining treatment. Fifty-one African Americans with end-stage renal disease (ESRD) completed a sociodemographic questionnaire and interview with measures of symptom distress, health-related quality of life, psychosocial and spiritual well-being, and preferences and values related to life-sustaining treatment choices. The subjects were stratified by end-of-life treatment preferences and by acceptance of life-sustaining treatment outcomes, and compared for psychosocial and spiritual well-being, as well as sociodemographic and clinical characteristics. Individuals who desired continued use of life-sustaining treatment in terminal illness or advanced dementia had significantly lower spiritual well-being (P=0.012). Individuals who valued four potential outcomes of life-sustaining treatment as unacceptable showed a more positive, adaptive well-being score in the spiritual dimension compared with the group that valued at least one outcome as acceptable (P=0.028). Religious involvement and importance of spirituality were not associated with end-of-life treatment preferences and acceptance of treatment outcomes. African Americans with ESRD expressed varied levels of psychosocial and spiritual well-being, and this characteristic was associated with life-sustaining treatment preferences. In future research, the assessment of spirituality should not be limited to its intensity or degree but extended to other dimensions.
    Publication Journal of Pain and Symptom Management
    Volume 38
    Issue 3
    Pages 372-380
    Date Sep 2009
    Journal Abbr J Pain Symptom Manage
    DOI 10.1016/j.jpainsymman.2008.11.007
    ISSN 1873-6513
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19356896
    Accessed Fri Nov 12 18:31:37 2010
    Library Catalog NCBI PubMed
    Extra PMID: 19356896
    Date Added Thu Sep 29 09:05:38 2011
    Modified Thu Sep 29 09:05:38 2011

    Tags:

    • African Americans
    • Aged
    • Female
    • Humans
    • Male
    • Middle Aged
    • religion
    • Renal Dialysis
    • social support
    • Socioeconomic Factors
    • Spiritual Therapies
    • Terminal Care
    • Treatment Outcome
  • Religiosity and Sexual Risk Behavior among Croatian College Students, 1998-2008

    Type Journal Article
    Author Aleksandar Stulhofer
    Author Damir Soh
    Author Nika Jelaska
    Author Valerio Bacak
    Author Ivan Landripet
    Abstract A substantial increase in religious identification has been observed in most European post-communist countries. As religiosity has been associated with sexually transmitted infection (STI) and HIV vulnerability among young people, this article examined the impact of religious upbringing and personal religiosity (religiousness) on sexual risks among University of Zagreb first-year undergraduate students, using data collected in 1998, 2003, and 2008. Female participants who reported strict religious upbringing were less knowledgeable about human sexuality than other women. Religiousness was negatively correlated with basic knowledge of human sexuality, but again only among women. Contrary to expectations, no significant associations were found between religious upbringing or religiousness and condom use. Both measures of religiosity, however, were related to decreased odds of sexual debut among young women. In the case of male participants, the impact of religiosity was marginal. Religious upbringing was associated (negatively) with sexual literacy and sexual debut—but only at the beginning of the observed period. Overall, religiosity does not seem to substantially reduce STI- and HIV-related risk-taking, particularly among men. Since the observed increase in the proportion of sexually active students during the 1998 through 2008 period was not matched by an increase in condom use, reducing STI and HIV vulnerability among Croatian youth remains an essential task.
    Publication Journal of Sex Research
    Volume 48
    Issue 4
    Pages 360-371
    Date 7/2011
    Journal Abbr J. of Sex Res.
    DOI 10.1080/00224499.2010.494257
    ISSN 0022-4499
    URL http://www.tandfonline.com/doi/abs/10.1080/00224499.2010.494257
    Accessed Thu Jul 14 17:33:16 2011
    Library Catalog CrossRef
    Date Added Thu Sep 29 08:54:25 2011
    Modified Thu Sep 29 08:54:25 2011
  • Development of Wagle Health-Specific Religiousness Scale

    Type Journal Article
    Author Ann M. Wagle
    Author Victoria L. Champion
    Author Kathleeen M. Russell
    Author SM Rawl
    Abstract African American women have a lower rate of regular mammography screening, resulting in higher incidence of advanced-stage breast cancer at diagnosis and a lower 5-year survival rate as compared with white women. Researchers have demonstrated that several health beliefs relate to mammography screening in African American women, but little attention has been paid to the importance of religiousness. Although some authors have attempted to determine a link between religiousness and health, we lack a valid and reliable instrument to measure religiousness that can be found in the context of health behaviors. The purpose of this article is to describe the development and psychometric testing of the Wagle Health-Specific Religiousness (WHSR) scale, an instrument used to measure religious beliefs and the influence of those beliefs on mammography screening for African American women. A sample of 344 low-income African American women who were nonadherent to mammography at accrual participating In a randomized trial completed the WHSR. Data from this trial were used to determine the validity and reliability of the WHSR. The 19-Item WHSR scale had a Cronbach alpha of .94. Construct validity was supported via factor analysis and analysis of theoretical relationships. Although further testing is warranted, this analysis indicates that the concept of religiousness is an important component of mammography behavior in African American women.
    Publication Cancer Nursing
    Volume 32
    Issue 5
    Pages 418-425
    Date SEP-OCT 2009
    ISSN 0162-220X
    URL http://apps.isiknowledge.com.ezproxy.bu.edu/full_record.do?
    product=WOS&search_mode=AdvancedSearch&…
    Accessed Sun Nov 1 11:31:59 2009
    Library Catalog ISI Web of Knowledge
    Date Added Thu Sep 29 09:05:21 2011
    Modified Thu Sep 29 09:05:21 2011
  • Five dimensions of faith and spiritually of older African American women transitioning out of homelessness

    Type Journal Article
    Author Olivia G M Washington
    Author David P Moxley
    Author Lois Garriott
    Author Jennifer P Weinberger
    Abstract BACKGROUND: Homelessness among older African American women is emerging as a serious social problem. The increasing cost of living, diminishing community resources, and shrinking retirement benefits, as well as reduced social services are resulting in greater numbers of older minority women becoming homeless. AIMS: This investigation explores the relevance of faith and spirituality to an advocacy assessment designed to help participants resolve issues that operate as barriers to their leaving and staying out of homelessness. METHODS: A substudy of a larger research and development project was undertaken, in which qualitative interview methods were used to illuminate the role of faith and spirituality resources in the lives of 84 older homeless African American women. Comparative thematic analysis of illustrative cases was undertaken to better understand the role of faith and spirituality in the women's lives and in how they used faith and spirituality in coping with homelessness. FINDINGS: Five dimensions of faith and spirituality, (a) identity and beliefs; (b) affiliation and membership; (c) involvement; (d) practices; and (e) benefits, served as promising resources in understanding life spaces of homeless minority women and identified promising advocacy strategies. Two cases describe the realities of homelessness for older minority women endeavoring to transition out of homelessness and illustrate how faith and spirituality can buffer stress, facilitate coping, and sustain motivation. CONCLUSIONS: How older homeless African American women use their faith and spiritual resources to cope with demands of homelessness, challenges of transition, and recovery from the multiple traumas resulting from being homeless makes the assessment of faith and spirituality an important part of the advocacy process.
    Publication Journal of Religion and Health
    Volume 48
    Issue 4
    Pages 431-444
    Date Dec 2009
    Journal Abbr J Relig Health
    DOI 10.1007/s10943-008-9198-6
    ISSN 1573-6571
    URL http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19890719
    Accessed Mon Dec 28 14:57:17 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19890719
    Date Added Thu Sep 29 09:05:21 2011
    Modified Thu Sep 29 09:05:21 2011
  • The faith, activity, and nutrition (FAN) program: design of a participatory research intervention to increase physical activity and improve dietary habits in African American churches

    Type Journal Article
    Author Sara Wilcox
    Author Marilyn Laken
    Author Allen W Parrott
    Author Margaret Condrasky
    Author Ruth Saunders
    Author Cheryl L Addy
    Author Rebecca Evans
    Author Meghan Baruth
    Author May Samuel
    Abstract BACKGROUND: African Americans are at increased risk for cardiovascular disease and cancer morbidity and mortality. Physical activity and healthy dietary practices can reduce this risk. The church is a promising setting to address health disparities, and community-based participatory research is a preferred approach. OBJECTIVES: Using a community-based participatory approach and the social ecologic model, the FAN trial aims to increase self-reported moderate-intensity physical activity and fruit and vegetable consumption and reduce blood pressure in African American church members. Secondary aims are to increase objectively measured moderate-intensity physical activity and fiber/whole grain consumption and reduce fat consumption. DESIGN: FAN is a group randomized trial (GRT) with two levels of clustering: participants (N=1279; n=316 accelerometer subgroup) within church and church within church cluster. In the first wave, seven clusters including 23 churches were randomized to an immediate intervention or delayed intervention. In subsequent waves, 51 churches were randomized to an immediate or delayed intervention. METHODS: Church committee members, pastors, and cooks participate in full-day trainings to learn how to implement physical activity and dietary changes in the church. Monthly mailings and technical assistance calls are delivered over the 15-month intervention. Members complete measurements at baseline and 15 months. A detailed process evaluation is included. SUMMARY: FAN focuses on modifying the social, cultural, and policy environment in a faith-based setting. The use of a community-based participatory research approach, engagement of church leaders, inclusion of a detailed process evaluation, and a formal plan for sustainability and dissemination make FAN unique.
    Publication Contemporary Clinical Trials
    Volume 31
    Issue 4
    Pages 323-335
    Date Jul 2010
    Journal Abbr Contemp Clin Trials
    DOI 10.1016/j.cct.2010.03.011
    ISSN 1559-2030
    Short Title The faith, activity, and nutrition (FAN) program
    Accessed Tue Jul 27 12:15:52 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20359549
    Date Added Thu Sep 29 09:03:48 2011
    Modified Thu Sep 29 09:03:48 2011
  • The religiosity/spirituality of Latina breast cancer survivors and influence on health-related quality of life

    Type Journal Article
    Author Kimberly A Wildes
    Author Alexander R Miller
    Author Sandra San Miguel de Majors
    Author Amelie G Ramirez
    Abstract OBJECTIVE: The study evaluated the association of religiosity/spirituality (R/S) and health-related quality of life (HRQOL) among Latina breast cancer survivors (BCS) in order to determine whether R/S would be positively correlated with HRQOL and whether R/S would significantly influence HRQOL. METHODS: The cross-sectional study utilized self-report data from 117 Latina BCS survivors. R/S was measured with the Systems of Belief Inventory-15 Revised (SBI-15R) and HRQOL was measured with the Functional Assessment of Cancer Therapy-General (FACT-G). Analyses included calculation of descriptive statistics, t-tests, bivariate correlations, and multivariate analyses. RESULTS: Latina BCS had very high levels of R/S and generally good HRQOL. The SBI-15R total score was positively correlated with FACT-G social well-being (SWB) (r=0.266, p=0.005), relationship with doctor (RWD) (r=0.219, p=0.020), and functional well-being (FWB) (r=0.216, p=0.022). Multivariate analyses revealed that SBI-15R was a significant predictor of FACT-G FWB (p=0.041) and satisfaction with the relationship with the doctor (p=0.050), where higher levels of R/S predicted higher levels of well-being. CONCLUSIONS: Latina BCS had very high levels of R/S, which were significantly, positively correlated with dimensions of HRQOL (SWB, FWB, RWD). Furthermore, these high levels of R/S predicted better FWB and satisfaction with the patient-doctor relationship while controlling for potentially confounding variables. Implications are discussed.
    Publication Psycho-Oncology
    Volume 18
    Issue 8
    Pages 831-840
    Date Aug 2009
    Journal Abbr Psychooncology
    DOI 10.1002/pon.1475
    ISSN 1099-1611
    Accessed Fri Sep 18 18:31:20 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19034922
    Date Added Thu Sep 29 09:05:38 2011
    Modified Thu Sep 29 09:05:38 2011
  • Health, religion, and meaning: a culture-centered study of Druze women

    Type Journal Article
    Author Nadine A. Yehya
    Author Mohan J. Dutta
    Abstract Against the backdrop of contesting the mainstream biomedical models of health communication, the culture-centered approach suggests dialogic research methodologies to coconstruct meanings of health through direct engagement with cultural communities. In this project, we engaged in in-depth interviews and informal conversations with elderly Druze women and their caregiver daughters to develop an understanding of the intersections of religion and health meanings in the context of aging women in this Lebanese community. Attending to the cultural constructions of health, particularly in religious contexts, opens up the discursive spaces of health communication to alternative cosmologies of health, illness, healing, and curing. Four themes emerged as a result of our grounded theory analysis: health as faith; mistrust, privacy, and modern medicine; polymorphic health experiences; and health as structure. These themes serve as the backdrop for playing out the competing tensions between the local and the global in the realm of interpretations of health meanings.
    Publication Qualitative Health Research
    Volume 20
    Issue 6
    Pages 845-858
    Date Jun 2010
    Journal Abbr Qual Health Res
    DOI 10.1177/1049732310362400
    ISSN 1049-7323
    Short Title Health, religion, and meaning
    Accessed Wed Jul 7 11:43:11 2010
    Library Catalog NCBI PubMed
    Extra PMID: 20181823
    Date Added Thu Sep 29 09:04:02 2011
    Modified Thu Sep 29 09:04:02 2011
  • Spirituality, depression, living alone, and perceived health among Korean older adults in the community

    Type Journal Article
    Author Kwang Soo You
    Author Hae-Ok Lee
    Author Joyce J Fitzpatrick
    Author Susie Kim
    Author Eiji Marui
    Author Jung Su Lee
    Author Paul Cook
    Abstract Both theoretical and empirical studies have documented the protective effect of religiosity and spirituality on general health in older adults in community and hospital settings; however, no study has documented the relationship between spirituality and depression among older adults living alone in communities in Korea. We tested two hypotheses: Hypothesis 1: Korean older adults living alone would be more depressed and less healthy than older adults living with family, and Hypothesis 2: Individuals who are more religious and spiritual would report a lower level of depression and a higher level of general health even when other demographic and living status variables are controlled. A descriptive, comparative, and correlational design with a convenience sampling method was conducted among community-dwelling Korean older adults in Chounbook Providence, South Korea. This study included 152 men and women older than 65 years old. Hypothesis 1 was supported as Korean older adults living alone were significantly more depressed than were older adults living with family (P<.01). However, for Hypotheses 2, only spirituality activities and Spirituality Index of Well-Being scores were significantly associated with general health and/or depression (P<.01), but there were no relationships between the variables of attendance and importance of religion with general health and depression.
    Publication Archives of Psychiatric Nursing
    Volume 23
    Issue 4
    Pages 309-322
    Date Aug 2009
    Journal Abbr Arch Psychiatr Nurs
    DOI 10.1016/j.apnu.2008.07.003
    ISSN 1532-8228
    URL http://www.ncbi.nlm.nih.gov/pubmed/19631109
    Accessed Fri Nov 13 20:09:09 2009
    Library Catalog NCBI PubMed
    Extra PMID: 19631109
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • We tested two hypotheses: Hypothesis 1: Korean older adults living alone would be more depressed and less healthy than older adults living with family, and Hypothesis 2: Individuals who are more religious and spiritual would report a lower level of depression and a higher level of general health even when other demographic and living status variables are controlled.

  • Perceptions of the importance placed on religion and folk medicine by non-Mexican-American Hispanic adults with diabetes.

    Type Journal Article
    Author A Zaldivar
    Author J Smolowitz
    Abstract The high incidence of diabetes and diabetes-related complications in Hispanic adults in the United States continues to be of concern among healthcare providers. The underutilization of screening services and early treatment centers by Hispanic adults seems to contribute to the problem. This survey examined whether religious, spiritual, and folk medicine beliefs play a role in the participants' view of diabetes and treatment choices. One hundred four non-Mexican-American Hispanic adults with diabetes were surveyed using a self-report questionnaire. Results showed that 78% of patients believed they had diabetes because it was God's will; 17% of patients reported using herbs to treat their diabetes. This survey demonstrates the importance of addressing religion and spirituality when dealing with the issues of disease and health in this population.
    Publication The Diabetes Educator
    Volume 20
    Issue 4
    Pages 303-306
    Date Added Sat Oct 1 16:55:15 2011
    Modified Sat Oct 1 16:55:15 2011

    Notes:

    • The high incidence of diabetes and diabetes-related complications in Hispanic adults in the United States continues to be of concern among healthcare providers. This survey examined whether religious, spiritual, and folk medicine beliefs play a role in the participants’ view of diabetes and treatment choices.