Longitudinal study of religion and cancer-related behaviors in Black Americans

美国黑人宗教与癌症相关行为的纵向研究

• 批准号: 8184235
• 负责人: Cheryl L Knott
• 金额: $ 45.81万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-14 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8184235
• 关键词: Adult; Affect; African American; Behavior; Behavioral; Cancer Burden; Capital; Church; Cohort Studies; Communication; Communities; Complex; Data; Data Collection; Development; Emotional; Equation; Ethnic group; Future; Health; Health Promotion; Health behavior outcomes; Intervention; Interview; Investigation; Literature; Longitudinal Studies; Malignant Neoplasms; Mediation; Mediator of activation protein; Modeling; National Cancer Institute; Outcome; Parents; Participant; Population; Prevention; Prevention program; Probability; Probability Samples; Program Effectiveness; Race; Recommendation; Religion; Religion and Spirituality; Research; Research Personnel; Risk; Role; Sampling; Screening for cancer; Screening procedure; Series; Spirituality; Testing; Theology; Theoretical model; Time; Underserved Population; Universities; Work; base; cancer health disparity; cancer prevention; cancer risk; cohort; design; follow-up; improved; longitudinal analysis; mortality; programs; social

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. Religious/spiritual involvement appears to be one of these factors. We have two ongoing studies that are testing a theoretical model of religious/spiritual involvement and cancer risk, prevention, and screening behaviors, as well as physical and emotional functioning. A set of ten potential mediators are being examined among a national probability sample of African Americans. These are the first known studies to empirically test such models. During the interviews participants were asked if they would be willing to be re-contacted for a subsequent interview. Over 90 percent of participants have indicated yes. We now have a unique and time-sensitive opportunity to conduct a four-year follow-up of these two research cohorts, providing a longitudinal analysis of the relationships being examined in the parent studies. In addition, we propose to conduct a third wave of longitudinal data collection at six years post baseline. These additional waves of data collection will strengthen the meditational analyses in both of the parent studies. This would provide a much-needed longitudinal test of the religion-health connection, and to our knowledge the only longitudinal analysis of mediators of the religion-health connection. Finally, the proposed study would strengthen cause-effect interpretations, something that cannot be done with cross sectional data. The specific aims of the proposed study are to: (1) Expand two of our ongoing cross-sectional investigations into longitudinal cohort studies, by conducting a four-year and a six-year follow-up assessment among our cohort of 3,173 healthy African American adults; and (2) Develop and disseminate recommendations for practice, based on findings from Specific Aim #1. For example, we will identify mediators and outcomes that appear to be modifiable over time, and make recommendations on how to integrate important mediators through which religious/spiritual involvement impacts behavior, into existing cancer screening and prevention programs for African Americans. This could significantly improve effectiveness of programs delivered in faith-based settings, which could have an impact on cancer disparities. PUBLIC HEALTH RELEVANCE: The proposed study will provide a longitudinal analysis of the role of religiosity/spirituality in health behaviors and outcomes in a national sample of African Americans. Study findings will be disseminated, and will directly inform community-based intervention work aimed at the reduction of cancer health disparities in this population, which suffers a disproportionate burden of cancer.

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/精神参与似乎是这些因素之一。我们进行了两项正在进行的研究，这些研究正在测试宗教/精神参与以及癌症风险，预防和筛查行为的理论模型，以及身体和情感功能。在非洲裔美国人的国家概率样本中，正在检查一组10个潜在的调解人。这些是第一个在经验测试此类模型的已知研究。在采访中，询问参与者是否愿意重新接触随后的采访。超过90％的参与者表示是。现在，我们有一个独特的时间敏感的机会，可以对这两个研究队列进行四年的随访，对父母研究中正在研究的关系进行纵向分析。此外，我们建议在基线六年后进行第三波纵向数据收集。这些额外的数据收集浪潮将加强两项父母研究中的冥想分析。这将为我们的宗教健康联系提供急需的纵向考验，据我们所知，对宗教健康联系的中介者进行了唯一的纵向分析。最后，拟议的研究将加强因果解释，这是横截面数据无法做到的。拟议的研究的具体目的是：（1）通过在我们的3173名健康非裔美国人成年人的同类中进行四年和六年的随访评估，将我们正在进行的横断面研究中的两项扩大到纵向队列研究中； （2）基于特定目标1的发现，开发和传播实践建议。例如，我们将确定随着时间的流逝似乎可以修改的调解人和结果，并就如何整合重要的调解人提出建议，宗教/精神参与会影响行为，将其影响到现有的癌症筛查和预防非裔美国人的计划。这可以显着提高基于信仰的环境中提供的计划的有效性，这可能会影响癌症差异。 公共卫生相关性：拟议的研究将对宗教/灵性在健康行为和结果中的作用中的作用进行纵向分析。研究结果将被传播，并将直接为旨在减少该人群中癌症健康差异的基于社区的干预工作提供信息，这遭受了癌症的不成比例负担。