Dimensions of Religiousness and Cancer Screening Behaviors Among Church-Going Latinas
Dimensions of Religiousness and Cancer Screening Behaviors Among Church-Going Latinas
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DOI：
10.1007/s10943-012-9606-9
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发表时间：
2014-02-01
影响因子：
2.8
通讯作者：
Gonzalez-Suarez, Elizabeth
中科院分区：
文献类型：
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作者：
Allen, Jennifer D.;Perez, John E.;Gonzalez-Suarez, Elizabeth
教堂是一个很有希望的场所，通过它可以接触到拉美裔人的癌症控制努力。对影响健康行为的宗教信仰维度的更好理解可以为为这种环境量身定做癌症控制计划的努力提供依据。这项研究的目的是在去教堂做礼拜的拉丁裔中探索宗教维度与坚持癌症筛查建议之间的关系。来自马萨诸塞州波士顿浸信会教堂(N=78)的18岁及以上讲西班牙语的女性成员接受了关于癌症筛查行为和宗教维度的采访。我们检查了个体癌症筛查试验(乳房X光摄影、巴氏试验和结肠镜检查)的依从性，以及参与者符合年龄条件的所有筛查试验的依从性。评估的宗教性维度包括教会参与、宗教支持、积极和消极的精神健康控制点以及积极和消极的宗教应对。结果显示，大约一半(46%)的样本没有接受他们有年龄资格的所有癌症筛查测试。在多变量分析中，积极的宗教应对与坚持所有适合年龄的筛查显著相关(OR=5.30，p<；0.01)。有必要进行更多的研究，在更大、更具代表性的样本中复制这些结果，并检查加强宗教应对措施可以在多大程度上增加癌症控制干预措施对拉丁裔的影响。
Churches are a promising setting through which to reach Latinas with cancer control efforts. A better understanding of the dimensions of religiousness that impact health behaviors could inform efforts to tailor cancer control programs for this setting. The purpose of this study was to explore relationships between dimensions of religiousness with adherence to cancer screening recommendations among church-going Latinas. Female Spanish-speaking members, aged 18 and older from a Baptist church in Boston, Massachusetts (N = 78), were interviewed about cancer screening behaviors and dimensions of religiousness. We examined adherence to individual cancer screening tests (mammography, Pap test, and colonoscopy), as well as adherence to all screening tests for which participants were age-eligible. Dimensions of religiousness assessed included church participation, religious support, active and passive spiritual health locus of control, and positive and negative religious coping. Results showed that roughly half (46 %) of the sample had not received all of the cancer screening tests for which they were age-eligible. In multivariate analyses, positive religious coping was significantly associated with adherence to all age-appropriate screening (OR = 5.30, p < .01). Additional research is warranted to replicate these results in larger, more representative samples and to examine the extent to which enhancement of religious coping could increase the impact of cancer control interventions for Latinas.