Religiousness and Prostate Cancer Screening in African American Men

Abernethy, Alexis D.; Houston, Tina R.; Bjorck, Jeffrey P.; Gorsuch, Richard L.; Arnold, Harold L.

doi:10.1080/07347330902979036

Cited by 6 publications

(4 citation statements)

References 36 publications

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“…Past studies demonstrate an increased likelihood of programme acceptance and improved outcomes when stakeholders, especially community leaders and members, are engaged in the planning phases of research [ 12 , 37 , 46 ]. Academic researchers and community leaders and members found the initial framework acceptable during the original implementation process [ 50 ] and perceived that it represented an ideal process for conducting research that was bidirectional and equitable, suggesting further revisions of this model with multilevel stakeholder input should further improve the degree of acceptability. We further offer competencies and tools that can be used by both academic and community partners to determine the readiness and capacity to conduct the work proposed in this framework.…”

Section: Discussionmentioning

confidence: 99%

The Bidirectional Engagement and Equity (BEE) Research Framework to Guide Community–Academic Partnerships: Developed From a Narrative Review and Diverse Stakeholder Perspectives

Cunningham‐Erves,

Mayo‐Gamble,

Campbell

et al. 2024

Health Expectations

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BackgroundThe engagement of community partners in equitable partnerships with academic teams is necessary to achieve health equity. However, there is no standardized approach to support bidirectional engagement among research stakeholders in the context of partnership equity at each phase of the research process.ObjectiveWe describe the development of a systematic framework along with competencies and tools promoting bidirectional engagement and equity within community–academic partnerships at each phase of the research process.DesignWe conducted a four‐step research process between November 2020 and December 2023 for framework development: (1) a narrative literature review; (2) expansion of existing bidirectional, equitable framework; (3) a scientific review with two groups of cognitive interviews (five community engagement researchers and five community leaders and members); and (4) three community‐based organization leader focus groups. Thematic analysis was used to analyse focus group data.ResultsUsing results of each step, the framework was iteratively developed, yielding four phases of the bidirectional engagement and equity (BEE) research framework: Relationship building and assessment of goals and resources (Phase I); form a community–academic partnership based on shared research interests (may include multilevel stakeholders) (Phase II); develop a research team comprising members from each partnering organization (Phase III); and implement the six‐step equitable research process (Phase IV). Bidirectional learning and partnership principles are at the core of the partnership, particularly in Phases II–IV. Competencies and tools for conducting an equitable, engaged research process were provided.DiscussionThis conceptual framework offers a novel, stepwise approach and competencies for community–academic partners to successfully partner and conduct the research process equitably.ConclusionThe BEE research framework can be implemented to standardize the conduct of an equitable, engaged research process within a community–academic partnership, while improving knowledge and trust across partners and, ultimately, an increased return on investment and sustainability to benefit both partners in the area of health outcomes and ultimately health equity.Patient or Public ContributionThe development of this framework was co‐led with a community organization in which two leaders in the organization were equitably involved in each phase of the research process, including grant development, study design, participant recruitment, protocol development for focus groups and community and researcher review, framework design and content and dissemination of this manuscript as a co‐author. For grant development, the community leader completed the give‐get grid components for them as a partner. They also wrote up their lived experience in the research process for the progress report. For the focus groups, one community leader co‐led the focus group with the academic partner. For the narrative review, the community leaders did not actively conduct the narrative review but observed the process through the academic partners. One community leader wrote the section ‘relationship building’ and ‘bidirectional learning’ sections with the assistance of the academic partner, while they both equally provided input on other sections of the manuscript alongside academic partners. The community leaders have extensive experience in leading programmes, along with partnering with researchers to address health equity issues and improve health outcomes.

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Section: Discussionmentioning

confidence: 99%

The Bidirectional Engagement and Equity (BEE) Research Framework to Guide Community–Academic Partnerships: Developed From a Narrative Review and Diverse Stakeholder Perspectives

Cunningham‐Erves,

Mayo‐Gamble,

Campbell

et al. 2024

Health Expectations

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“…Self‐directed religious coping mediated the relationship between religious beliefs and general alcohol use among college undergraduates 49. Self‐directed religious coping was also negatively correlated with African‐American men's intentions to be screened for prostate cancer 50. Poorer psychosocial outcomes were associated with both self‐directed and pleading styles among those recovering from mental health conditions; on the other hand, collaborative religious coping was associated with increased involvement in recovery‐enhancing activities and empowerment in a sample of adults with serious mental illness 51.…”

Section: Introductionmentioning

confidence: 94%

Relationship of adherence determinants and parental spirituality in Cystic Fibrosis

Grossoehme

Opipari-Arrigan

VanDyke

et al. 2011

Pediatric Pulmonology

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Summary The course of cystic fibrosis (CF) progression in children is affected by parent adherence to treatment plans. The Theory of Reasoned Action (TRA) posits that intentions are the best behavioral predictors and that intentions reasonably follow from beliefs (“determinants”). Determinants are affected by multiple “background factors,” including spirituality. This study’s purpose was to understand whether two parental adherence determinants (attitude towards treatment and self-efficacy) were associated with spirituality (religious coping and sanctification of the body). We hypothesized that parents’ attitudes toward treatment adherence are associated with these spiritual constructs. A convenience sample of parents of children with CF aged 3–12 years (n = 28) participated by completing surveys of adherence and spirituality during a regular outpatient clinic visit. Type and degree of religious coping was examined using principal component analysis. Adherence measures were compared based on religious coping styles and sanctification of the body using unpaired t-tests. Collaborative religious coping was associated with higher self-efficacy for completing airway clearance (M = 1070.8; SD = 35.8; P = 0.012), for completing aerosolized medication administration (M = 1077.1; SD = 37.4; P = 0.018), and for attitude towards treatment utility (M = 38.8; SD = 2.36; P = 0.038). Parents who attributed sacred qualities to their child’s body (e.g., “blessed” or “miraculous”) had higher mean scores for self-efficacy (airway clearance, M = 1058.6; SD = 37.7; P = 0.023; aerosols M = 1070.8; SD = 41.6; P = 0.020). Parents for whom God was manifested in their child’s body (e.g., “My child’s body is created in God’s image”) had higher mean scores for self-efficacy for airway clearance (M = 1056.4; SD = 59.0; P = 0.039), aerosolized medications (M = 1068.8; SD = 42.6; P = 0.033) and treatment utility (M = 38.8; SD = 2.4; P = 0.025). Spiritual constructs show promising significance and are currently undervalued in chronic disease management.

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“…Religiosity may help to develop an appreciation for one's body because of viewing the body as having spiritual as well as material significance and, therefore, support undertaking preventive health screenings [ 22 , 23 ]. Some studies report positive association between religiosity [ 24 ] and cancer prevention while others did not find an association [ 25 ]. Fatalism is the tendency to believe that events are inevitable, and nothing can be done to change these events [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Beliefs associated with cancer screening behaviors among African Americans and Sub-Saharan African immigrant adults: a cross-sectional study

et al. 2022

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Background Beliefs influence cancer screening. However, there are conflicting findings about how belief influence cancer screening among Black adults. The aim of this study was to evaluate the relationships between beliefs (religiosity, fatalism, temporal orientation, and acculturation) and cervical, breast, and colorectal cancer screening behaviors among African Americans and sub-Saharan African immigrants. Methods We conducted a cross-sectional survey of 73 African American and 59 English speaking Sub-Saharan immigrant adults recruited from Lexington and surrounding cities in Kentucky. Data collected included sociodemographic variables, cancer screening behaviors, and several instruments that characterize beliefs, including religiosity, fatalism, temporal orientation, and acculturation. Results Participants’ mean age was 43.73 years (SD = 14.0), 83% were females, and 45% self-identified as sub-Saharan immigrants. Based on eligibility for each screening modality, 64% reported having ever had a Pap test, 82% reported ever having mammogram, and 71% reported ever having a colonoscopy. Higher education (OR = 2.62, 95% CI = 1.43—4.80) and being insured (OR = 4.09, 95% CI = 1.10 – 15.18) were associated with increased odds of cervical cancer screening (pap test), while cancer fatalism (OR = 0.24, 95% CI = 0.07 – 0.88) was associated with decreased odds. Increased age (OR = 1.57, 95% CI = 1.06 – 2.32) and reduced present orientation (OR = 0.42, 95% CI = 0.22 – 0.80) were associated with receipt of a mammogram. Nativity was the only factor associated with colonoscopy screening. Compared to African Americans, sub-Saharan African immigrants were 90% less likely to have had a colonoscopy (OR = 0.10, 95% CI = 0.02 – 0.66). Conclusion This study contributes to the existing literature by confirming that beliefs are important in cancer screening behaviors among African American and sub-Saharan African immigrants. These findings should inform the development of cancer control and prevention programs for Black adults. Trial registration US National Library of Science identifier NCT04927494. Registered June 16, 2021, www.clinicaltrials.gov

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Religiousness and Prostate Cancer Screening in African American Men

Cited by 6 publications

References 36 publications

The Bidirectional Engagement and Equity (BEE) Research Framework to Guide Community–Academic Partnerships: Developed From a Narrative Review and Diverse Stakeholder Perspectives

The Bidirectional Engagement and Equity (BEE) Research Framework to Guide Community–Academic Partnerships: Developed From a Narrative Review and Diverse Stakeholder Perspectives

Relationship of adherence determinants and parental spirituality in Cystic Fibrosis

Beliefs associated with cancer screening behaviors among African Americans and Sub-Saharan African immigrant adults: a cross-sectional study

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