Religion, Spirituality and CVD Risks: A Focus on African Americans

宗教、灵性和心血管疾病风险：关注非裔美国人

• 批准号: 9917586
• 负责人: Keisha L. Bentley-Edwards
• 金额: $ 55.51万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-25 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9917586
• 关键词: Address; Affect; African American; Age Factors; American; Attenuated; Attitude; Behavior; Belief; Cardiovascular Diseases; Cardiovascular system; Categories; Cessation of life; Church; Communities; Data; Data Analyses; Data Collection; Data Set; Diabetes Mellitus; Dimensions; Education; Emotional; Equation; Evidence based intervention; Focus Groups; Gender; Goals; Group Interviews; Health; Health behavior; Hypertension; Incidence; Income; Institution; Intervention; Interview; Jackson Heart Study; Knowledge; Life; Life Cycle Stages; Life Style; Mediating; Mental Depression; Methods; Modeling; National Longitudinal Survey of Adolescent to Adult Health; Nature; Obesity; Outcome; Participant; Plant Roots; Prevalence; Protestant; Religion; Religion and Spirituality; Religious Belief; Research; Research Personnel; Research Project Grants; Risk; Risk Factors; Risk Reduction; Role; Severities; Social Behavior; Social support; Socialization; Source; Spirituality; Structure; Surveys; Thinking; Trust; United States; Variant; base; cardiovascular disorder risk; catalyst; caucasian American; community setting; diet and exercise; experience; health disparity; improved; informant; member; mortality; organizational structure; physical conditioning; religious group; social culture

ABSTRACT This mixed-methods study utilizes a dynamic combination of large secondary data sets and qualitative data collection, to garner a sophisticated understanding of the relationships between Religion and Spirituality (R/S) and Cardiovascular Disease (CVD) risk factors. CVD risk factors, especially high blood pressure, obesity, diabetes and depression, disproportionately affect African Americans in prevalence and/or severity, contributing to the higher associated mortality rate. Further, examining lifestyle choices (for example, diet and exercise) without appropriate sociocultural context does not provide practice-ready solutions on the manifestations, root causes and potential strategies for eliminating African American’s heightened CVD risks. As such, religion and spirituality (R/S) in the African American community have been acknowledged for their positive influence on social behaviors and emotional health, but have not been sufficiently examined for their role in attenuating or exacerbating physical health outcomes and in particular, the risks associated with CVD. Most research has compared the relationship between R/S and health outcomes by examining the specific denominations of their White participants, and blanketed Black participants’ religion to the “Black Church.” This approach disregards the diversity of beliefs, behaviors and ways of thinking found in the religious affiliation and denominations of African Americans. In a rare project that examined Black health outcomes in relation to specific religious affiliation/denomination, it was revealed that religious attendance had an inverse relationship based upon religious affiliation/denomination on black mortality rates not found in white participants. Thus, the standard of relying on religious affiliation and health studies based on White participants to determine expected outcomes for Black participants is likely to cause inaccuracies in research and interventions. The overarching goals of this research are to investigate the extent to which R/S is related to CVD risk factors (obesity, diabetes, hypertension and depression) through the use of robust secondary and primary data analysis. The two project Aims will use theoretically-, research- and data-driven evidence to bolster efforts to decrease CVD risk factors and improve health outcomes for African Americans. Aim 1 utilizes structural equational modeling to determine if R/S has direct and indirect effects on CVD risk factors through health behaviors. Aim 2 establishes how the relationships manifest through first-hand accounts of the attributes of specific denominations on the health outcomes of its congregants, thus allowing participants to explain how the relationships found in Aim 1 are manifested-or not, in their daily and R/S life. The purpose of this research project is to not only identify the direct and indirect relationships between CVD risk factors and R/S, but to provide in depth knowledge of core attitudes, beliefs, organizational structures, and/or practices that facilitate or attenuate positive health outcomes for African Americans. The precision and nuance of our project’s strategies will fill in significant gaps in research and practice that can be a catalyst for evidence-based interventions that examines of community and religious institutions to support positive health outcomes for African American.

抽象的 这项混合方法研究采用了大型次要数据集和定性数据收集的动态组合， 要获得对宗教与灵性（R/S）与心血管之间关系的复杂理解 疾病（CVD）风险因素。 CVD危险因素，尤其是高血压，肥胖，糖尿病和抑郁症， 不成比例地影响非洲裔美国人的患病率和/或严重程度，导致相关死亡率更高 速度。此外，在没有适当社会文化背景的情况下检查生活方式的选择（例如饮食和运动）确实 不提供有关练习的解决方案，以消除非洲的表现形式，根本原因和潜在的策略 美国人的CVD风险增加。因此，非裔美国人社区中的宗教与灵性（R/S） 承认他们对社会行为和情感健康的积极影响，但尚未得到充分检查 因为它们在减弱或加剧身体健康结果中的作用，尤其是与CVD相关的风险。最多 研究通过检查其特定的面额，比较了R/S与健康结果之间的关系 白人参与者，并覆盖了黑人参与者的宗教信仰“黑人教堂”。这种方法无视多样性 在非裔美国人的宗教分支机构和教派中发现的信仰，行为和思维方式。在 罕见的项目研究了与特定的宗教会员/面额相关的黑人健康结果 基于宗教会员/派别对黑人死亡率的宗教信仰，宗教上场的关系是反比的 在白人参与者中找不到。这是依靠基于白人的宗教分支机构和健康研究的标准 参与者确定黑人参与者的预期结果可能会导致研究和 干预措施。这项研究的总体目标是研究R/S与CVD风险因素有关的程度 （肥胖，糖尿病，高血压和抑郁症）通过使用健壮的次要数据分析和主要数据分析。两个 项目目标将在理论上 - 研究和数据驱动的证据来加强努力，以减少CVD风险因素和 改善非裔美国人的健康状况。 AIM 1利用结构等式建模来确定R/S是否具有 通过健康行为对CVD风险因素的直接和间接影响。 AIM 2确定关系如何表现 通过第一手对特定派别的属性属于其整体健康结果的属性，因此 允许参与者解释AIM 1中发现的关系是如何在日常和R/S生活中表现出来的。这 该研究项目的目的不仅要确定CVD风险因素与 r/s，但要深入了解核心参与者，信念，组织结构和/或促进或/或实践的实践 减轻非裔美国人的积极健康成果。我们项目策略的精确和细微差别将填补 研究和实践的巨大差距可以成为基于证据的干预措施的催化剂，以检查社区 以及支持非裔美国人积极健康成果的宗教机构。