Religious Coping and Types and Sources of Information Used in Making Prostate Cancer Treatment Decisions.

Religious Coping and Types and Sources of Information Used in Making Prostate Cancer Treatment Decisions.
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DOI:
10.1177/1557988317690977
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发表时间:
2017-07
期刊:
American journal of men's health
影响因子:
--
通讯作者:
LaVeist TA
LaVeist TA
中科院分区:
其他
文献类型:
--
作者:
Bowie JV;Bell CN;Ewing A;Kinlock B;Ezema A;Thorpe RJ Jr;LaVeist TA

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前列腺癌幸存者的治疗经验可能具有挑战性,并取决于许多临床和心理社会因素。人们对信息需求和信息来源了解较少。其中之一是宗教作为一种有效的类型学的影响,以及它对治疗决定的价值。本研究的目的是评估与白色男性相比,非洲裔美国男性的种族、宗教和癌症治疗决策之间的关系。数据来自前列腺癌治疗结果的诊断和决策研究,该研究包括877名非洲裔美国人和白色男性。主要因变量寻求受访者在做出治疗决定时使用的资源或顾问。问题还评估了男性对前列腺癌的看法,从宗教应对的角度。在调整了年龄、婚姻状况、教育程度和保险状况后,在使用来源数量上的种族差异部分是由癌症是上帝的惩罚介导的。(β =-0.46,SE = 0.012,p <0.001),癌症是对信仰的考验。(β =-0.49,SE = 0.013,p <0.001),而足够的祈祷可以治愈癌症(β =-0.47,SE = 0.013,p <0.001)。同样,在做出治疗决定时使用的顾问数量的种族差异部分由癌症是上帝的惩罚(β =-0.39,SE = 0.014,p = 0.006)和癌症是信仰的考验(β =-0.39,SE = 0.014,p = 0.006)介导。对前列腺癌的宗教观点可能在解释所使用信息的种族差异和用于前列腺癌治疗决策的顾问数量方面发挥重要作用。
Treatment experiences for prostate cancer survivors can be challenging and dependent on many clinical and psychosocial factors. One area that is less understood is the information needs and sources men utilize. Among these is the influence of religion as a valid typology and the value it may have on treatment decisions. The objective of this study was to assess the relationship between race, religion, and cancer treatment decisions in African American men compared with White men. Data were from the Diagnosis and Decisions in Prostate Cancer Treatment Outcomes Study that consisted of 877 African American and White men. The main dependent variables sought respondents’ use of resources or advisors when making treatment decisions. Questions also assessed men perceptions of prostate cancer from the perspective of religious coping. After adjusting for age, marital status, education, and insurance status, race differences in the number of sources utilized were partially mediated by cancer was a punishment from God (β = −0.46, SE = 0.012, p < .001), cancer was a test of faith (β = −0.49, SE = 0.013, p < .001), and cancer can be cured with enough prayer (β = −0.47, SE = 0.013, p < .001). Similarly, race differences in the number of advisors utilized in making the treatment decision were partially mediated by cancer was a punishment from God (β = −0.39, SE = 0.014, p = .006), and cancer was a test of faith (β = −0.39, SE = 0.014, p = .006). Religious views on prostate cancer may play an important role in explaining race differences in information used and the number of advisors utilized for treatment decision making for prostate cancer.
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