Religion and Cancer-Related Behaviors In Black Americans

美国黑人的宗教与癌症相关行为

• 批准号: 7102251
• 负责人: Cheryl L Knott
• 金额: $ 20.37万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-28 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7102251
• 关键词: African American; behavioral /social science research tag; cancer prevention; cancer risk; clinical research; coping; culture; data collection methodology /evaluation; guilt; health behavior; human subject; information dissemination; interview; locus of control; mass screening; method development; negative reinforcements; neoplasm /cancer; neoplasm /cancer diagnosis; religion; social support network; stress; telecommunications

DESCRIPTION (provided by applicant): African Americans are disproportionately affected by cancer when compared to other racial or ethnic groups. There are a number of social and cultural factors that relate to prevention and screening behaviors that impact cancer mortality rates. Religiosity/spirituality (RS) appears to be one of these factors. RS is central to the lives of many African Americans, and is related to cancer screening, risk, and prevention behaviors. RS has been proposed to have salutary effects on health in general through several mediators, including but not limited to scriptural influence on health behavior/lifestyle, social support, coping with stress, positive affect or mental health, and social influence. However, research to date has not provided empirical evidence for these mediators. Thus, the relationship between RS and health (including cancer) has gone largely unexplained. This area of research is in great need of theory. At present, studies in this area are guided largely by speculation and modest empirical evidence for these mediators. The proposed study will first identify existing or develop valid and reliable measures of the mediators, and then test a model of RS and cancer-related behaviors among African Americans. A literature review and pilot study suggest that the coping with stress, social support, positive affect/mental health, and scriptural influence on health behavior functions of RS may be among the most promising mediators of this relationship. It is also possible that different mediators may carry different associations with different cancer-related behaviors (e.g., risk vs. prevention vs. screening). We will test a model of RS and cancer risk, prevention, and screening behaviors, including a set of potential mediators. This will be the first known study to empirically test a model of the RS and cancer-related behaviors in African Americans. Finally, we will develop a set of recommendations for church-based cancer communication, based on the study findings. RS has great potential for use in the development of more effective cancer communication interventions for African Americans.

描述（由申请人提供）：与其他种族或族裔相比，非洲裔美国人受到癌症的影响不成比例。有许多与预防和筛查行为有关的社会和文化因素影响癌症死亡率。宗教/灵性（RS）似乎是这些因素之一。 RS是许多非裔美国人生活的核心，并且与癌症筛查，风险和预防行为有关。 RS已被提议通过多个调解人对健康产生有益的影响，包括但不限于圣经对健康行为/生活方式，社会支持，应对压力，积极影响或心理健康以及社会影响力的影响。但是，迄今为止的研究尚未为这些调解人提供经验证据。因此，RS与健康之间的关系（包括癌症）在很大程度上无法解释。这一研究领域非常需要理论。目前，该领域的研究主要取决于这些介体的猜测和适度的经验证据。拟议的研究将首先确定现有的或开发有效且可靠的调解人措施，然后测试非裔美国人中与RS和癌症相关行为的模型。文献综述和试点研究表明，应对压力，社会支持，积极的影响/心理健康以及对RS健康行为功能的影响可能是这种关系中最有前途的调解人之一。不同的介体也可能与不同的癌症相关行为（例如，风险与预防与筛查）产生不同的关联。我们将测试RS和癌症风险，预防和筛查行为的模型，包括一组潜在的介体。这将是第一个在经验上测试非裔美国人RS和与癌症相关行为模型的已知研究。最后，根据研究结果，我们将针对基于教会的癌症传播提出一系列建议。 RS在为非洲裔美国人开发更有效的癌症交流干预措施中具有巨大的利用。