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Garcia-Alexander G, Swisher RR, Cossman JS, Schaefer D. Divine Control Beliefs, Health Locus of Control, and Subjective Life Expectancy in the United States. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02125-1. [PMID: 39266898 DOI: 10.1007/s10943-024-02125-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/02/2024] [Indexed: 09/14/2024]
Abstract
Little evidence has considered the extent to which feelings of health-related control may arise from religious beliefs to influence survival expectations. Moreover, research on the linkages between religion and sense of control has yielded mixed results. Using CHAPS (2021) data, this study examines whether divine control beliefs predict subjective life expectancy (SLE), and whether this link is mediated by an individual's health locus of control (HLC). Findings support a mediational model and show that individuals who place more dependence on God report a greater sense of control over their health, which in turn results in greater longevity expectations. Our findings offer insight into the mechanisms that underlie the association between divine control beliefs and SLE and add to the body of literature documenting religion's salutary role in promoting both a sense of empowerment and greater survival expectations.
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Affiliation(s)
- Ginny Garcia-Alexander
- Department of Sociology & Demography, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, 78249, USA.
| | - Raymond R Swisher
- Department of Sociology & Demography, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, 78249, USA
| | - Jeralynn S Cossman
- College for Health, Community and Policy, University of Texas at San Antonio, San Antonio, TX, 78249, USA
| | - Drew Schaefer
- Department of Sociology & Demography, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, 78249, USA
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2
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Brevik TB, Sæther KW. Approaching religious fatalism in cancer screening education. J Eval Clin Pract 2024; 30:842-847. [PMID: 38192090 DOI: 10.1111/jep.13957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 11/10/2023] [Accepted: 12/12/2023] [Indexed: 01/10/2024]
Abstract
RATIONALE Religious fatalism has for decades been pointed out as a barrier to cancer screening attendance and several studies suggest interventions to decrease fatalism, given its negative impact on the uptake of cancer screening. AIMS AND OBJECTIVES Our objective in this interdisciplinary exploration on religious fatalism in the context of cancer screening is to contribute to the increasing academic discussion on religious fatalism and cancer screening as well as the broader context of the intersection of religion and bioethics. METHOD Through an analysis of religious fatalism in light of the notion of rationality and images of God, we find resources and suggest trajectories for a more seriously and constructively approach to religious fatalism in cancer education. RESULTS AND CONCLUSION Our main thesis is that interventions do not necessarily have to decrease religious fatalism to increase screening.
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Affiliation(s)
- Thea Beate Brevik
- Department of Health Sciences and Social Care, Molde University College, Molde University College, Molde, Norway
| | - Knut Willy Sæther
- Department of Religious Studies, Volda University College, Volda, Norway
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3
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Nwozichi CU, Ramos MD, Ogunmuyiwa AO, Gigi MB. Dominant Worldviews, Institutional, and Contextual Factors Affecting Cancer Care: Evidence From an Institutional Ethnonursing Study in Nigeria. J Transcult Nurs 2024; 35:216-225. [PMID: 38351591 DOI: 10.1177/10436596241230998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/05/2024] Open
Abstract
INTRODUCTION Cancer remains a significant health burden in Nigeria and requires the efforts of all stakeholders to address it. Little is known about how the worldviews of Nigerian patients with cancer and other institutional factors affect cancer management in Nigeria. This paper draws evidence from an ethnonursing study conducted in a Nigerian cancer care setting. METHOD This study adopted a qualitative design using an ethnonursing approach. The study was conducted in one of the primary cancer treatment centers owned by the federal government of Nigeria. Data collection was conducted using participant observation, interviews, and field notes. Data collected were analyzed using NVivo 12 and presented as categories and sub-categories. RESULTS Analysis yielded two themes and seven sub-themes. The major themes included (1) dominant worldview and (2) institutional/contextual factors. Participants attributed life, living, and death as being controlled by a supreme being. Cancer care was constrained by unfavorable institutional factors such as lack of equipment, staffing, and intensified workload. DISCUSSION Cancer institutions should provide more cancer care infrastructure that will facilitate the work of nurses and other health care workers. There should be an enabling environment that would attract and retain nurses in the cancer wards. The hospital environment should be made conducive for the cancer care providers, patients with cancer, and their relatives.
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4
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Zhang Y, Hu J. Fatalism and depressive symptoms among Chinese college students: Mediation models of locus of control and positive coping. Heliyon 2024; 10:e27617. [PMID: 38509900 PMCID: PMC10950598 DOI: 10.1016/j.heliyon.2024.e27617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 02/12/2024] [Accepted: 03/04/2024] [Indexed: 03/22/2024] Open
Abstract
Fatalistic voluntarism and classic fatalism have opposite effects on depression. This study attempted to measure fatalistic voluntarism with the magnanimity of Taoist values and examined the internal mechanism by which classic fatalism and magnanimity influenced depression. A total of 525 Chinese college students effectively completed self-reported questionnaires. Results showed that classic fatalism is positively correlated with depression, and magnanimity is negatively correlated with depression. Furthermore, classic fatalism and magnanimity can influence depression in Chinese college students through serial mediation by locus of control and positive coping. These findings illuminate the mediating role of locus of control and positive coping, providing specific ways to use two different belief systems, which can help reduce depressive symptoms among college students. In addition, our study may provide some ideas for the development of local culture in the promotion of mental health in different regions.
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Affiliation(s)
- Ya Zhang
- Department of Psychology, Liaoning Normal University, Dalian, China
| | - Jinsheng Hu
- Department of Psychology, Liaoning Normal University, Dalian, China
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5
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Fiallos K, Owczarzak J, Bodurtha J, Margarit S, Erby LH. Latina immigrants' breast and colon cancer causal attributions: genetics is key. J Community Genet 2024; 15:59-73. [PMID: 38032519 PMCID: PMC10857993 DOI: 10.1007/s12687-023-00681-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 10/04/2023] [Indexed: 12/01/2023] Open
Abstract
Latinos in the US suffer health disparities including stage of disease at time of breast or colon cancer diagnosis. Understanding Latinas' causal attributions of breast and colon cancer may provide insight into some of the individual level determinants of cancer disparities in this population. Cultural consensus analysis (CCA) is one way to study causal beliefs. The objective of this study was to describe Latina immigrants' causal attributions of breast and colon cancer. We conducted Spanish-language interviews with 22 Latina immigrants using a qualitative exploratory design comprised of freelisting, ranking, and open-ended questions. Participants freelisted causes and risk factors for breast and colon cancer then ranked risk factors according to their perceived role in the development of each cancer. CCA was conducted on rank orders to identify whether a cultural consensus model was present. Participants answered semi-structured, open-ended questions regarding the risk factors and rankings. Interviews were transcribed and subjected to thematic analysis. CCA showed no consensus around rank of causes for either cancer, and residual agreement analysis suggested the presence of two subcultural groups. "Genetics" and "hereditary factors" ranked first and second on average across participants for both cancers. Based on interview data, participants were less aware of colon cancer than breast cancer. Participants' endorsement of heredity as a cause of breast and colon cancer was similar to beliefs reported in studies of primarily non-Latina populations.
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Affiliation(s)
- Katie Fiallos
- National Human Genome Research Institute, Bethesda, MD, USA.
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
- Johns Hopkins University School of Medicine, Baltimore, MD, USA.
| | - Jill Owczarzak
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Joann Bodurtha
- Johns Hopkins McKusick-Nathans Department of Genetic Medicine, Baltimore, MD, USA
| | - Sonia Margarit
- Clínica Alemana, Santiago, Chile
- Universidad del Desarrollo, Santiago, Chile
| | - Lori H Erby
- National Human Genome Research Institute, Bethesda, MD, USA
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6
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Rosenfeld M, Goldblatt H, Greenblatt-Kimron L, Cohen M. "There is a God or There is No God-It is in the Hands of God:" Fatalistic Beliefs Among Israeli People About Cancer and Their Impact on Behavioral Outcomes. JOURNAL OF RELIGION AND HEALTH 2023; 62:2033-2049. [PMID: 36738394 DOI: 10.1007/s10943-023-01751-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/23/2023] [Indexed: 06/18/2023]
Abstract
This qualitative study examined fatalistic beliefs and cancer causal attributions among people without cancer. Participants were 30 Israeli women and men aged 51-70 from diverse sociocultural backgrounds who participated in four focus groups. Three main themes emerged, referring to the variability in fatalistic beliefs of cancer occurrence and cancer outcome, the duality in attributing causality to divine providence and mere luck or chance, and the connection between distinct fatalistic beliefs and health behaviors. Data analysis enabled an expansion of the understanding of cancer fatalism as a multidimensional structure, whereby interactions between causality attribution and different fatalistic beliefs are related to prevention and screening behaviors.
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Affiliation(s)
| | - Hadass Goldblatt
- Department of Nursing, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel.
| | | | - Miri Cohen
- School of Social Work, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa, Israel
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7
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Rivera Rivera JN, Conley CC, Castro-Figueroa EM, Moreno L, Dutil J, García JD, Ricker C, Quinn GP, Soliman H, Vadaparampil ST. Behavioral beliefs about genetic counseling among high-risk Latina breast cancer survivors in Florida and Puerto Rico. Cancer Med 2023; 12:4701-4706. [PMID: 35941731 PMCID: PMC9972095 DOI: 10.1002/cam4.5111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 07/13/2022] [Accepted: 07/19/2022] [Indexed: 11/12/2022] Open
Abstract
Compared with non-Hispanic White women, Latina women are less likely to receive genetic counseling (GC) and testing (GT) following BC diagnosis. This study used secondary data analysis to explore beliefs about GC among Latina BC survivors in and outside the US mainland. GC/GT-naïve, high-risk, Spanish-preferring Latina BC survivors (n = 52) in FL and PR completed the Behavioral Beliefs about GC scale. Participants reported high positive beliefs about GC (M = 4.19, SD = 0.92); the majority agreed that GC was beneficial to understand cancer risk (90%) and promote discussion (87%) in their family. Participants reported low-to-moderate scores for barriers (Ms = 1.53-3.40; SDs = 0.59-0.90). The most frequently endorsed barriers were desire for additional GC information (M = 3.44; SD = 0.90), and GC logistic concerns (M = 2.71; SD = 0.80). No statistically significant differences for barriers and benefits scales were identified by place of residence (all ps ≥ 0.12). These findings highlight the importance of delivering culturally sensitive GC information to high-risk Latina BC survivors.
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Affiliation(s)
| | - Claire C Conley
- Georgetown University, Washington, District of Columbia, USA
| | | | | | - Julie Dutil
- Ponce Health Sciences University, Ponce, Puerto Rico, USA
| | | | - Charité Ricker
- USC Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, California, USA
| | - Gwendolyn P Quinn
- Grossman School of Medicine, Department of OB-GYN New York, New York University, New York, New York, USA
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8
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Rivera YM, Moran MB, Thrul J, Joshu C, Smith KC. When Engagement Leads to Action: Understanding the Impact of Cancer (Mis)information among Latino/a Facebook Users. HEALTH COMMUNICATION 2022; 37:1229-1241. [PMID: 34256676 PMCID: PMC8755854 DOI: 10.1080/10410236.2021.1950442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Latinos/as - the largest minority group in the U.S. - are avid Facebook users, making this an opportune tool to educate on the uptake of cancer prevention and screening behaviors. However, there is a dearth in scholarship exploring how Latinos/as engage with and act upon health content encountered on social media, which may be influenced by cultural values. This qualitatively-driven, mixed-methods study explores how Latinos/as engage with and act upon cancer prevention and screening information (CPSI) on Facebook. During one-on-one, in-depth interviews, participants (n = 20) logged onto their Facebook account alongside the researcher and discussed cancer-related posts they engaged with during the past 12 months. Interview questions included the reasons for engagement, and whether engagement triggered further action. Interviews were analyzed thematically. In parallel, a content analysis of the CPSI posts identified during the interviews was conducted. The majority of CPSI posts participants engaged with contained food-related content and visual imagery. Engagement was most common when individuals had personal relationships to the poster, when posts included videos/images, and when posts contained content promoting the curative properties of popular Latin American foods. Engagement often led to information-seeking and sharing, discussing content with others, and/or changing health behaviors. Findings highlight the importance of adequately contextualizing how cultural values influence the ways in which Latinos/as engage with and act upon CPSI on Facebook, which may lead individuals to bypass evidence-based procedures. Multi-pronged efforts are necessary to adequately leverage social media to empower Latinos/as to partake in behaviors that effectively reduce cancer health disparities.
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Affiliation(s)
- Yonaira M Rivera
- Department of Communication, School of Communication & Information, Rutgers University
| | - Meghan B Moran
- Department of Health, Behavior & Society, Johns Hopkins School of Public Health
| | - Johannes Thrul
- Department of Mental Health, Johns Hopkins School of Public Health
| | - Corinne Joshu
- Department of Epidemiology, Johns Hopkins School of Public Health
| | - Katherine C Smith
- Department of Health, Behavior & Society, Johns Hopkins School of Public Health
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9
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Karnchanachari N, Milton S, Muhlen-Schulte T, Scarborough R, Holland JF, Walter FM, Zalcberg J, Emery J. The SYMPTOM-upper gastrointestinal study: A mixed methods study exploring symptom appraisal and help-seeking in Australian upper gastrointestinal cancer patients. Eur J Cancer Care (Engl) 2022; 31:e13605. [PMID: 35523160 PMCID: PMC9542126 DOI: 10.1111/ecc.13605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 01/20/2022] [Accepted: 04/18/2022] [Indexed: 11/29/2022]
Abstract
Objective There is limited evidence on the development of pancreatic and oesophagogastric cancer, how patients decide to seek help and the factors impacting help‐seeking. Our study, the first in Australia, aimed to explore symptom appraisal and diagnostic pathways in these patients. A secondary aim was to examine the potential to recruit cancer patients through a cancer quality registry. Methods Patients diagnosed with pancreatic or oesophagogastric cancer were recruited through Monash University's Upper‐Gastrointestinal Cancer Registry. Data collected through general practitioners (GP) and patient questionnaires included symptoms and their onset, whereas patient interviews focused on the patient's decision‐making in seeking help from healthcare pracitioners. Data collection and analysis was informed by the Aarhus statement. Coding was inductive, and themes were mapped onto the Model of Pathways to Treatment. Results Between November 2018 and March 2020, 27 patient questionnaires and 13 phone interviews were completed. Prior to diagnosis, patients lacked awareness of pancreatic and oesophagogastric cancer symptoms, leading to the normalisation, dismissal and misattribution of the symptoms. Patients initially self‐managed symptoms, but worsening of symptoms and jaundice triggered help‐seeking. Competing priorities, beliefs about illnesses and difficulties accessing healthcare delayed help‐seeking. Conclusion Increased awareness of insidious pancreatic and oesophagogastric cancer symptoms in patients and general practitioners may prompt more urgent investigations and lead to earlier diagnosis.
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Affiliation(s)
- Napin Karnchanachari
- Department of General Practice, University of Melbourne, Melbourne, Victoria, Australia
| | - Shakira Milton
- Department of General Practice, University of Melbourne, Melbourne, Victoria, Australia
| | - Tjuntu Muhlen-Schulte
- School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia
| | - Riati Scarborough
- School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.,Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Jennifer F Holland
- School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia
| | - Fiona M Walter
- Department of General Practice, University of Melbourne, Melbourne, Victoria, Australia.,The Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
| | - John Zalcberg
- School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia
| | - Jon Emery
- Department of General Practice, University of Melbourne, Melbourne, Victoria, Australia
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10
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Resnick D, Kearney MD, Smith JM, Bautista A, Jones L, Schapira MM, Aysola J. Designing a Cancer Prevention Collaborative Goal-Setting Mobile App for Non-Hispanic Black Primary Care Patients: An Iterative, Qualitative Patient-Led Process. JMIR Form Res 2022; 6:e28157. [PMID: 35323124 PMCID: PMC8990368 DOI: 10.2196/28157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 10/08/2021] [Accepted: 12/20/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND There remains a need to engage at-risk primary care populations in cancer prevention behaviors, yet primary care physicians often lack the time or resources to discuss these behaviors with their patients. OBJECTIVE The objective of this study is to evaluate the content, usability, and acceptability of a mobile app that leverages insights from goal-setting and social network literature to facilitate cancer prevention goal setting, tracking, and sharing between non-Hispanic Black primary care patients and their social ties. METHODS We recruited eligible non-Hispanic Black primary care patients (aged ≥18 years) from 2 practice sites in West Philadelphia, using nonprobabilistic purposive sampling. We conducted semistructured interviews with 5 to 7 participants over 3 weeks to solicit feedback on paper mock-ups of the app, iteratively adapting these mock-ups after each set of interviews. Thereafter, and informed by initial feedback, we created an electronic beta version of the app and sought acceptability and usability feedback from a different set of participants. Then, we conducted content analysis of all user responses to search for unifying themes on acceptability and usability of both the initial mock-ups and beta version of the app. We further assessed app usability using questions derived from the System Usability Scale. RESULTS A total of 33 non-Hispanic Black primary care patients participated in this study. The mean age was 49 (SD 13) years, and 26 (79%) out of 33 participants identified as female. Semistructured interviews revealed three primary generalizable insights from our target population: the framing of each goal and its relevance to cancer impacted the likelihood that the goal would be chosen, participants thought that sharing health goals with others facilitates health behaviors, and most participants found it motivating to see other users' goal progress, while still collaborating with these users on their health goals. An overarching insight that permeated across each theme was the participants' desire to customize and personalize the app. Usability testing revealed that 100% (33/33) of participants found the app easy to use, and 76% (25/33) of participants reported that they would like to use this app frequently. CONCLUSIONS Cancer prevention in the modern era must include options that are accessible to all, but this does not mean that all options must be universal. This study's iterative process led to the development of a cancer prevention mobile app that non-Hispanic Black primary care patients deemed usable and acceptable and yielded noteworthy insights about what intended end users value in setting and accomplishing health goals.
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Affiliation(s)
- Daniel Resnick
- Department of Medicine, Emory University School of Medicine, Atalnta, GA, United States
| | - Matthew D Kearney
- Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
| | - Jazmine M Smith
- Penn Medicine Center for Health Equity Advancement, Office of the Chief Medical Officer, University of Pennsylvania Health System and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.,Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
| | - Allison Bautista
- Penn Medicine Center for Health Equity Advancement, Office of the Chief Medical Officer, University of Pennsylvania Health System and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.,Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
| | - Liz Jones
- Transmogrify, Conshohocken, PA, United States
| | - Marilyn M Schapira
- Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.,Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, United States.,The Center for Health Equity Research and Promotion, Michael J Crescenz Veterans Administration Medical Center, Philadelphia, PA, United States
| | - Jaya Aysola
- Penn Medicine Center for Health Equity Advancement, Office of the Chief Medical Officer, University of Pennsylvania Health System and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.,Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.,Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, United States.,Office of Inclusion and Diversity, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
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11
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Muellers KA, Prieto S, Lin JJ. Characterizing Beliefs About Breast Cancer and Comorbid Diabetes After Cancer Treatment. Oncol Nurs Forum 2022; 49:158-166. [PMID: 35191897 PMCID: PMC10680202 DOI: 10.1188/22.onf.158-166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
PURPOSE To investigate how breast cancer survivors with comorbid diabetes mellitus (diabetes) conceptualize their illnesses. PARTICIPANTS & SETTING 19 community-dwelling, English- or Spanish-speaking women with diabetes in New York, New York, who received chemotherapy or hormone therapy for stage I-IIIA breast cancer in the past five years. METHODOLOGIC APPROACH Semistructured interviews were administered by trained research staff, and were audio recorded and transcribed. Three coders reviewed transcripts through an iterative coding process. An interpretive descriptive approach was used to identify themes. FINDINGS Major themes included an inverse relationship between illness control and concern, variation in perceived illness permanence, and differences in illness consequences. Women with a greater perceived control over breast cancer viewed their diabetes as a larger concern; others felt that their breast cancer could not be controlled but diabetes could. IMPLICATIONS FOR NURSING Understanding how breast cancer survivors view diabetes and cancer may explain the variation in survivors' self-management behaviors, and how it may influence their attitudes and behaviors in the context of cancer treatment.
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Affiliation(s)
- Kimberly A. Muellers
- Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
- Department of Psychology, Pace University, New York, NY
| | - Sarah Prieto
- Department of Psychology, The Ohio State University, Columbus, OH
| | - Jenny J. Lin
- Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
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12
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Upenieks L, Ford-Robertson J, Robertson JE. Trust in God and/or Science? Sociodemographic Differences in the Effects of Beliefs in an Engaged God and Mistrust of the COVID-19 Vaccine. JOURNAL OF RELIGION AND HEALTH 2022; 61:657-686. [PMID: 34843011 PMCID: PMC8628135 DOI: 10.1007/s10943-021-01466-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/12/2021] [Indexed: 05/26/2023]
Abstract
At present, COVID-19 vaccines are widely available in the USA, but large proportions of the American populace remain unvaccinated. One possible source of COVID-19 vaccine hesitancy is a lack of trust in science. In this study, drawing from the large literature at the intersection of science and religion, we ask whether beliefs in an engaged God (the belief that God is involved in daily human affairs) predict mistrust of the COVID-19 vaccine and whether any observed association differs across race, gender, and education. Using nationally representative data from Wave 6 of the Baylor Religion Survey (2021), our results suggest that beliefs in an engaged God were associated with greater mistrust in the COVID-19 vaccine. This association was amplified for Hispanic and lower educated Americans. We argue that beliefs in an engaged God may promote a distrust of science, reduce motivation to get vaccinated, and derive comfort and strength by placing control over one's life in the hands of a loving, involved deity. We also situate our findings within an emerging body of work on the "dark side" of religion and reflect on their implications for understanding the broader religion/health connection.
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Affiliation(s)
- Laura Upenieks
- Department of Sociology, Baylor University, One Bear Place, Waco, TX, 76798, USA.
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13
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Castro-Hostetler M, Greenwald AE, Lewon M. Increasing Access and Quality of Behavior-Analytic Services for the Latinx Population. BEHAVIOR AND SOCIAL ISSUES 2021; 30:13-38. [PMID: 38624718 PMCID: PMC8437337 DOI: 10.1007/s42822-021-00064-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2021] [Indexed: 11/13/2022]
Abstract
Latinxs are the largest minority group in the United States, making up approximately 18% of the total population. Although there is a critical need for the behavioral health care system, including behavior analysts, to provide services to support the needs of the Latinx community, access to quality behavioral and mental health services continues to be lacking for the Black, Indigenous, and people of color populations. This article highlights some of the cultural and language factors that should be considered by behavior-analytic providers who have a shared responsibility to make culturally and linguistically appropriate services available to this population. Additionally, recommendations for systemic action across service providers, professional organizations, behavior-analytic training programs, and researchers are suggested to address these barriers. Recommendations for bringing about this systemic change are suggested across three domains: (a) increasing diversity in the behavior-analytic workforce, (b) enhancing training in cultural- and language-related issues, and (c) conducting research on cultural and language adaptations to behavior-analytic evidence-based treatments.
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Affiliation(s)
- Mariela Castro-Hostetler
- Department of Psychology, University of Nevada, MS 296, 1664 North Virginia Street, Reno, NV 89557 USA
| | | | - Matthew Lewon
- Department of Psychology, University of Nevada, MS 296, 1664 North Virginia Street, Reno, NV 89557 USA
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14
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Valenti GD, Faraci P. Identifying Predictive Factors in Compliance with the COVID-19 Containment Measures: A Mediation Analysis. Psychol Res Behav Manag 2021; 14:1325-1338. [PMID: 34471391 PMCID: PMC8403564 DOI: 10.2147/prbm.s323617] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 08/07/2021] [Indexed: 12/19/2022] Open
Abstract
INTRODUCTION The outbreak of the COVID-19 pandemic has led governments to implement some containment measures to flatten the curve of the diffusion of the virus. The current study aims to investigate individual differences in compliance with these restrictive behaviors. In a sample of Italian individuals (N = 300), we examined whether sociodemographic factors, personality traits, fatalism, and fear could be considered as possible predictors. METHODS We performed a series of standard multiple regression analyses and proposed a mediation analysis to test the associations among variables. RESULTS Overall, our results suggested that men are less likely to engage in preventive behaviors, younger individuals are more reluctant to adhere to social distancing mandates, and fear has a functional role in predicting positive outcomes. CONCLUSION The results of our analyses are discussed and suggestions for future research are provided.
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Affiliation(s)
| | - Palmira Faraci
- Faculty of Human and Social Sciences, University of Enna “Kore”, Enna, Italy
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15
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Shahid F, Beshai S, Del Rosario N. Fatalism and Depressive Symptoms: Active and Passive Forms of Fatalism Differentially Predict Depression. JOURNAL OF RELIGION AND HEALTH 2020; 59:3211-3226. [PMID: 32441015 DOI: 10.1007/s10943-020-01024-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Classic fatalism is the belief that regardless of actions, events are predestined to occur (Straughan and Seow 1998). Researchers have found that fatalism is positively correlated with depression symptoms and higher endorsement of an external locus of control. Although fatalism is thought to be a unitary construct, based on the current literature, we hypothesized fatalism may take on other forms. We defined active fatalism as the belief in a predestined personal and global future, combined with the belief that one must do their part to bring this predestined future into fruition. Therefore, we predicted that active fatalism will be negatively correlated with depression symptoms, external locus of control, and negative coping skills. We recruited a sample of religious participants online (n = 282; 49.3% female) who completed self-report scales measuring depression symptoms, classic fatalism, active fatalism, coping skills, and locus of control. We found that while classic fatalism was significantly and positively associated with depression and negative coping, active fatalism was positively correlated with positive coping skills, and negatively correlated with depression and external locus of control. Finally, the present study found that active fatalism explained variance in both depression and anxiety symptoms above and beyond the classic form of fatalism. This confirmed our hypotheses and suggested that there may be several forms of fatalism, each differentially predicting mental health processes and outcomes. The significant positive correlation of positive coping and negative correlations of depression and external locus of control with active fatalism offer evidence in support of the notion that this form of fatalism may in fact be associated with protective mechanisms against depression. Differential assessment of these varying concepts may be appropriate for assessment and psychotherapy.
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Affiliation(s)
- Fakhra Shahid
- Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S0A2, Canada.
| | - Shadi Beshai
- Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S0A2, Canada
| | - Nicole Del Rosario
- Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S0A2, Canada
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16
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Austin JD, Shelton RC, Lee Argov EJ, Tehranifar P. Older Women’s Perspectives Driving Mammography Screening Use and Overuse: a Narrative Review of Mixed-Methods Studies. CURR EPIDEMIOL REP 2020. [DOI: 10.1007/s40471-020-00244-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Abstract
Purpose of Review
Examining what older women know and perceive about mammography screening is critical for understanding patterns of under- and overuse, and concordance with screening mammography guidelines in the USA. This narrative review synthesizes qualitative and quantitative evidence around older women’s perspectives toward mammography screening.
Recent Findings
The majority of 43 identified studies focused on promoting mammography screening in women of different ages, with only four studies focusing on the overuse of mammography in women ≥ 70 years old. Older women hold positive attitudes around screening, perceive breast cancer as serious, believe the benefits outweigh the barriers, and are worried about undergoing treatment if diagnosed. Older women have limited knowledge of screening guidelines and potential harms of screening.
Summary
Efforts to address inequities in mammography access and underuse need to be supplemented by epidemiologic and interventional studies using mixed-methods approaches to improve awareness of benefits and harms of mammography screening in older racially and ethnically diverse women. As uncertainty around how best to approach mammography screening in older women remains, understanding women’s perspectives along with healthcare provider and system-level factors is critical for ensuring appropriate and equitable mammography screening use in older women.
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17
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Experiences of Advanced Breast Cancer Among Latina Immigrants: A Qualitative Pilot Study. J Immigr Minor Health 2020; 22:1287-1294. [PMID: 32876850 DOI: 10.1007/s10903-020-01069-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
To explore the experiences of Latina immigrants with advanced breast cancer and their support networks. We conducted semi-structured interviews with low-income Latina immigrants with advanced breast cancer and their support networks (informal caregivers, physicians, and complementary medicine (CM) practitioners). Patient interviews explored patients' illness experience and end of life (EOL) concerns. Support network member interviews focused on the relationship of the interviewee with the patient and EOL conversations. Six authors independently coded transcripts and jointly conducted qualitative thematic analysis. 72 total interviews (13 patients, 12 informal caregivers, 6 CM practitioners, and 4 physicians) revealed two themes. (1) Staying positive was a primary patient coping mechanism. (2) Patients' language barriers and socioeconomic and immigration status posed challenges in participants' illness experience. Appropriately addressing language barriers and social context during medical visits is crucial for effective EOL care. Clinicians should consider patients' financial constraints and ensure support in applying for public benefits.
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18
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Mendez SEA, Mendez-Luck CA, Nylund-Gibson K, Ng B. Mental Health Attribution for Mexican-Origin Latinx and Non-Latinx Older Adults: A Latent Class Analysis. Innov Aging 2020; 4:igaa028. [PMID: 34136663 PMCID: PMC8202504 DOI: 10.1093/geroni/igaa028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Indexed: 11/13/2022] Open
Abstract
Background and Objectives Providing appropriate and culturally sensitive care to the rapidly growing number of
U.S. Latinx older adults with psychiatric conditions presents a major public health
challenge. We know little about older Latinx adults’ perceived causes of mental health
problems, offering clinicians limited insight to guide successful and culturally
congruent treatment. Moreover, there is a paucity of mental health research examining
heterogeneity in how Latinx individuals may attribute mental health symptoms. The
present study sought to identify how Latinx and non-Latinx older adults attributed the
sources of their mental health problems and how these types of attributions differ by
ethnicity. Research Design and Methods This study analyzed data collected from a retrospective chart review and survey of 673
adults aged 55–95 years (430 Mexican origin and 244 non-Latinx) from a rural psychiatric
outpatient clinic near the California–Mexico border. We conducted stratified latent
class analysis (LCA) by race/ethnicity to explore the mental health attribution beliefs
of Mexican-origin and non-Latinx clinic patients. Results Different LCA patterns for Mexican-origin Latinx versus non-Latinx groups were found.
For non-Latinx adults, there was a class of individuals who attributed their mental
health issues to social and financial problems. For Mexican-origin adults, there was a
class of individuals who attributed their mental health issues to spiritual and/or
supernatural factors, unaffected by acculturation level, depressive symptom severity,
and time spent in the United States, but differing by gender. We found within-group
heterogeneity: Not all Mexican-origin or non-Latinx older adults were alike in how they
conceptualized their mental health. Discussion and Implications Mexican-origin Latinx and non-Latinx older adults attributed their mental health issues
to different causes. More Mexican-origin older adults attributed their symptoms to
spiritual causes, even after controlling for contextual factors. Further research is
needed to determine whether attribution beliefs are affected by specific mental health
diagnoses and other cultural factors not measured in this study.
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Affiliation(s)
- Stephanie E A Mendez
- University of Southern California, University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles
| | | | | | - Bernardo Ng
- Sun Valley Behavioral Research Center, Imperial, California
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19
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Abrams JA, Castro B, Gordhandas S, Grzegorczyk A, Maxwell M, Brawner B, Conserve DF, Ryan M. Conocimientos de la hipertensión: Health beliefs about hypertension in an under-resourced community in the Dominican Republic. PLoS One 2020; 15:e0235088. [PMID: 32574228 PMCID: PMC7310720 DOI: 10.1371/journal.pone.0235088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Accepted: 06/08/2020] [Indexed: 11/18/2022] Open
Abstract
Understanding health beliefs is important to facilitate health promotion and disease prevention as they influence health behaviors, outcomes, and disease management. Given the rise of hypertension-related diseases in the Dominican Republic, the purpose of our study was to identify hypertension-related health beliefs of Dominicans in order to inform the development of culturally appropriate interventions for hypertension prevention, care, and treatment. Semi-structured interviews were conducted with 20 Dominicans, 15 of whom were receiving treatment for hypertension. Operating within the interpretative paradigmatic framework, we conducted thematic analyses of interview data to identify hypertension-related health beliefs and practices. Iterative data analysis revealed the following themes: 1) Negative emotions are a primary cause of hypertension, 2) Medication is the best treatment but adherence is challenging, 3) Systemic barriers impede treatment access, 4) Hypertension negatively impacts mental and physical well-being, and 5) Lifestyle changes, relaxation, and social support help manage hypertension. Data gathered from member checking validated these findings. This study enhances understanding of the beliefs and experiences of Dominicans and emphasize the importance of implementing culturally competent health programming and care.
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Affiliation(s)
- Jasmine A. Abrams
- Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts, United States of America
- Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, Connecticut, United States of America
| | - Bryan Castro
- Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, United States of America
| | - Sushmita Gordhandas
- Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, United States of America
| | - Anna Grzegorczyk
- California Pacific Medical Center, San Francisco, California, United States of America
| | - Morgan Maxwell
- Department of Population Health Sciences, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, United States of America
| | - Bridgette Brawner
- Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, United States of America
| | - Donaldson F. Conserve
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, Columbia, South Carolina, United States of America
| | - Mark Ryan
- Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia, United States of America
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20
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Magaña D. Praying to win this battle: Cancer Metaphors in Latina and Spanish Women's Narratives. HEALTH COMMUNICATION 2020; 35:649-657. [PMID: 30810391 DOI: 10.1080/10410236.2019.1582310] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study closely examines 51 breast cancer narratives Latina and Spanish women wrote for other patients to illuminate how they conceptualize their health, with insights for addressing health disparities. Using discourse analysis of the role of language and culture in health care communication, this study focuses on the use of metaphors in the narratives. This provides revelations about the cultural and linguistic aspects of how the writers conceptualize their disease. Building on past research on metaphor use in cancer discourse in the English language, this study reveals the prevalence of metaphors comparing cancer to combat, or more generally, violence (e.g., "my battle against cancer"), or a journey (e.g., "my path with cancer"). Writers used this metaphorical language to offer advice to others with cancer and to mark their membership in a larger community of people with cancer. We also find that Spanish women use metaphors more frequently than Latinas and that they differed in their metaphorical portrayals of cancer. This research uncovers culturally embedded themes that are central to how women with cancer think about the disease, such as the prominence of spirituality in Latinas' metaphorical constructions, a pattern not evident in Spanish women's narratives.
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Affiliation(s)
- Dalia Magaña
- Department of Literature, Languages & Cultures, School of Social Sciences, Humanities & Arts, University of California
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21
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Wahlström S, Björklund M, Munck B. The professional role of skilled birth attendants' in Nepal - A phenomenographic study. SEXUAL & REPRODUCTIVE HEALTHCARE 2019; 21:60-66. [PMID: 31395235 DOI: 10.1016/j.srhc.2019.05.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 05/15/2019] [Accepted: 05/20/2019] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of this study was to describe the Nepali Skilled Birth Attendants' (SBAs) perceptions of their professional role. METHODS Fifteen Nepalese SBAs were interviewed using a semi-structured interview guide. A phenomenographic approach was chosen to describe their qualitatively different and unreflective conceptions of the professional role. Data was analysed in a seven-step process and three description categories and six conceptions emerged. RESULTS The SBAs described the role as provider, the role as counsellor and the role as educator. As provider, the SBA maintained midwifery nursing and prevented maternal deaths. As counsellor, the SBA advocated and empowered women and facilitated family planning. As educator, the SBA promoted health of families and health in the society. She also tutored students and colleagues about skills and human rights. CONCLUSION The SBAs' vulnerability emerged especially in rural areas while preventing complications and newborn and maternal death in rural areas where she often worked alone with lack of proper equipment and access to other medical professionals. The SBAs perceived that their professional roles required knowledge and experiences, were safety was closely linked to health education. Ethical dilemma could arose when they had to relate to the families' cultural decisions. Education was a key factor connected to close life-saving procedures and to retain good quality and safety in newborn and maternal healthcare. The SBAs switched between their three roles, always striving to be aware of compliance with the Sustainable Development Goals policy.
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Affiliation(s)
- Solveig Wahlström
- Department of Nursing, School of Health and Welfare, Jönköping University, P.O. Box 1026, SE-551 11 Jönköping, Sweden; ADULT Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Margereth Björklund
- Department of Nursing, School of Health and Welfare, Jönköping University, P.O. Box 1026, SE-551 11 Jönköping, Sweden; ADULT Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
| | - Berit Munck
- Department of Nursing, School of Health and Welfare, Jönköping University, P.O. Box 1026, SE-551 11 Jönköping, Sweden; ADULT Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden
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22
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Leyva B, Nguyen AB, Cuevas A, Taplin SH, Moser RP, Allen JD. Sociodemographic correlates of cancer fatalism and the moderating role of religiosity: Results from a nationally-representative survey. J Prev Interv Community 2019; 48:29-46. [PMID: 31293220 DOI: 10.1080/10852352.2019.1617521] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
In general, it has been found that cancer fatalism is negatively associated with important cancer prevention and control behaviors, whereas religiosity is positively associated with these behaviors. Yet, the notion that religiosity gives rise to fatalistic beliefs that may discourage health behaviors is deeply ingrained in the public health literature. In addition, racial/ethnic group membership is associated with higher reports of cancer fatalism, though this association may be confounded by socioeconomic status (SES). A better understanding of the relationships between racial/ethnic group membership, SES, and religiosity may contribute to the development of effective interventions to address cancer fatalism and improve health behaviors. In this study, we examined associations between racial/ethnic group membership, SES, and cancer fatalism as the outcome. In addition, we tested whether religiosity (as measured by religious service attendance) moderated these relationships.
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Affiliation(s)
- Bryan Leyva
- Warren Alpert Medical School, Brown University, Providence, RI, USA
| | - Anh B Nguyen
- Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Adolfo Cuevas
- Department of Public Health and Community Medicine, Tufts University, Boston, MA, USA
| | - Stephen H Taplin
- Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Richard P Moser
- Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Jennifer D Allen
- Department of Public Health and Community Medicine, Tufts University, Boston, MA, USA
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23
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Warner EL, Bodson J, Mooney R, Lai D, Samadder NJ, Kepka D. Latinas' Colorectal Cancer Screening Knowledge, Barriers to Receipt, and Feasibility of Home-Based Fecal Immunochemical Testing. J Immigr Minor Health 2019. [PMID: 28646404 DOI: 10.1007/s10903-017-0615-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Latinas' high colorectal cancer (CRC) mortality makes them a priority population for CRC screening. CRC screening knowledge, perceived barriers, and feasibility of using the Fecal Immunochemical Test (FIT) was assessed among Latinas in Utah. Participants aged ≥50 (n = 95) were surveyed about knowledge and barriers to CRC screening. 27 participants completed a FIT and evaluation survey. Fisher's exact tests assessed sociodemographic correlates of CRC screening outcomes. Most participants were overdue for CRC screening (n = 81, 85%). Age, acculturation, education, and employment were significantly associated with CRC screening status and/or reasons for being overdue (e.g., not knowing about the test, cost). All participants who received a FIT completed it, felt it was easy to use, and reported they would use it again. Latinas had limited awareness of CRC, CRC screenings, and experienced barriers to CRC screening (e.g., limited access, cost), but were willing to utilize a low-cost home-based FIT.
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Affiliation(s)
- Echo L Warner
- Huntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, 2000 Circle of Hope, Rm 4125, Salt Lake City, UT, 84112, USA. .,College of Nursing, University of Utah, 10 S 2000 E, Salt Lake City, UT, 84112, USA.
| | - Julia Bodson
- Huntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, 2000 Circle of Hope, Rm 4125, Salt Lake City, UT, 84112, USA
| | - Ryan Mooney
- Huntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, 2000 Circle of Hope, Rm 4125, Salt Lake City, UT, 84112, USA
| | - Djin Lai
- Huntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, 2000 Circle of Hope, Rm 4125, Salt Lake City, UT, 84112, USA.,College of Nursing, University of Utah, 10 S 2000 E, Salt Lake City, UT, 84112, USA
| | - N Jewel Samadder
- Huntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, 2000 Circle of Hope, Rm 4125, Salt Lake City, UT, 84112, USA.,Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, University of Utah, 30 N 1900 E, Salt Lake City, UT, 84132, USA
| | - Deanna Kepka
- Huntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, 2000 Circle of Hope, Rm 4125, Salt Lake City, UT, 84112, USA.,College of Nursing, University of Utah, 10 S 2000 E, Salt Lake City, UT, 84112, USA
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24
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Padela AI, Nageeb S, Vu M, Quinn MT. The Development and Validation of a Modesty Measure for Diverse Muslim Populations. JOURNAL OF RELIGION AND HEALTH 2019; 58:408-425. [PMID: 30465264 DOI: 10.1007/s10943-018-0734-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This paper reports on the multi-phase development of an English-language modesty measure for use among Muslim populations. The process yielded a 10-item measure that has high levels of internal consistency reliability (Cronbach's α of 0.83), and has acceptable discriminant and predictive validity. Specifically although our modesty measure for Muslim women was found to be significantly correlated with measures of positive and negative religious (Islamic) coping, it was not significantly correlated with religious practice-based religiosity (discriminant validity). Further logistic modeling revealed higher modesty levels positively associated with forgoing mammography because of concerns about lack of same-sex providers (predictive validity).
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Affiliation(s)
- Aasim I Padela
- Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, The University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA.
- Section of Emergency Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA.
- Section of General Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA.
| | - Shaheen Nageeb
- Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, The University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA
- Section of Emergency Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA
| | - Milkie Vu
- Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, The University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA
- Section of Emergency Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA
| | - Michael T Quinn
- Section of General Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA
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25
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Pacsi-Sepulveda AL, Shelton RC, Rodriguez CB, Coq AT, Tehranifar P. "You probably can't feel as safe as normal women": Hispanic women's reactions to breast density notification. Cancer 2019; 125:2049-2056. [PMID: 30768781 DOI: 10.1002/cncr.32002] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Revised: 12/21/2018] [Accepted: 01/04/2019] [Indexed: 12/12/2022]
Abstract
BACKGROUND Patient advocacy has led to state-level legislative mandates for the release of personal mammographic breast density information to women undergoing screening mammography. More research is needed to understand the impact of this information on women's perceptions and mammography screening behavior. METHODS Semistructured interviews were conducted in English and Spanish with 24 self-identified Hispanic women who had undergone at least 1 mammogram since breast density notification was enacted in New York State. The women ranged in age from 43 to 63 years. Women were asked about their understanding and perceptions of the communication of New York State-mandated breast density information, and any actions they have taken or would take in response to this information. A content analysis of the qualitative data from the translated and transcribed interviews was conducted. RESULTS The majority of participants had no prior knowledge of breast density and expressed confusion and apprehension regarding the meaning of dense breasts when presented with the notification information. Many participants understood having dense breasts to be a serious and abnormal condition, and reported feelings of worry and vulnerability. Participants mostly expressed a strong interest in learning about breast density and obtaining additional and more frequent breast cancer screening tests. These behavioral intentions were consistent with participants' overall favorable view of breast cancer screening and a belief that their faith, as well as regular screening, can help to protect them from breast cancer morbidity and mortality. CONCLUSIONS Hispanic women conveyed proactive breast cancer screening intentions in response to breast density notification, despite inadequate comprehension of this information and negative emotional responses.
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Affiliation(s)
| | - Rachel C Shelton
- Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York.,Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York
| | - Carmen B Rodriguez
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York
| | - Arielle T Coq
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York
| | - Parisa Tehranifar
- Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York.,Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York
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Ramírez AS, Arellano Carmona K. Beyond fatalism: Information overload as a mechanism to understand health disparities. Soc Sci Med 2018; 219:11-18. [PMID: 30342382 PMCID: PMC6240483 DOI: 10.1016/j.socscimed.2018.10.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Revised: 10/03/2018] [Accepted: 10/12/2018] [Indexed: 12/19/2022]
Abstract
BACKGROUND Fatalism - beliefs about the causes and controllability of disease - has been negatively associated with prevention behaviors. Fatalism has been suggested as a mechanism for health disparities because ethnic minorities are especially likely to hold fatalistic beliefs. However, the construct has been criticized: Fatalism fails to account for structural barriers to health faced by vulnerable populations that also score highly on measures of fatalism. Another critique suggests that operationalizations of fatalism expose communication failures: "Fatalism" rather reflects information overload from an environment riddled with misinformation and contradictions. This study aimed to expand understanding of one mechanism through which communication may contribute to disparities by considering the context of nutrition among bicultural Latinas, who face increased risk from dietary acculturation. METHOD Mixed-methods (semi-structured in-depth interview, survey) with Mexican-American women ages 18-29 (n = 24) in rural California. RESULTS Contrary to previous studies, the majority of this sample of Mexican-American women did not endorse fatalistic beliefs; most demonstrated clear understanding of the link between diet and risk of diseases: Diabetes and heart disease were understood to result from behaviors within one's control. Yet despite articulating links between diet and disease, participants felt overloaded and confused about conflicting information from public and interpersonal sources. Moreover, despite reporting feeling inundated with information, participants noted critical information gaps, distinguishing between information available and information needed. CONCLUSIONS We found minimal support for fatalistic beliefs among a sample of Mexican-American women, but considerable information overload and confusion, together with a desire for specific knowledge and skills. Results extend understanding of how communication may influence disparities: Information overload may be conflated with fatalism, challenging the notion that fatalism is a cultural belief. Moreover, inequalities in access to and ability to process information compound overload effects. We discuss opportunities to improve the clarity of communication about nutrition science and dietary recommendations.
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Affiliation(s)
- A Susana Ramírez
- School of Social Sciences, Humanities, and Arts, University of California, Merced 5200 North Lake Road, Merced, CA, 95343, USA.
| | - Kimberly Arellano Carmona
- School of Social Sciences, Humanities, and Arts, University of California, Merced 5200 North Lake Road, Merced, CA, 95343, USA.
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27
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Determination of Women’s Health Beliefs, Breast Cancer Fears, and Fatalism Associated with Behaviors Regarding the Early Diagnosis of Breast Cancer. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2018. [DOI: 10.5812/ijcm.80223] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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28
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ALmegewly W, Gould D, Anstey S. Hidden voices: an interpretative phenomenological analysis of the experience of surviving breast cancer in Saudi Arabia. J Res Nurs 2018; 24:122-132. [PMID: 34394515 DOI: 10.1177/1744987118809482] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background Women with breast cancer often have difficulties in making sense of and understanding their experiences, specifically the ways in which cultural sensitivities impact on and shape their lifeworlds. Aims The aim of this study is to explore the experience of being a breast cancer survivor in Saudi Arabia. Methods Qualitative, in-depth, semi-structured interviews were conducted with 18 Saudi breast cancer survivors aged between 30 and 50 years who had finished treatment 6-47 months before data collection. The data were transcribed verbatim, translated from Arabic into English and analysed using interpretative phenomenological analysis. Results Three themes emerged: the meaning of cancer; hidden survival; and the cultural meaning of survival. For women in Saudi, breast cancer has a cultural stigma linked to death. It changes the sense of self and of society, leading some women to hide their diagnosis from the public and their families. The meaning of survival in a Muslim context has a cultural and religious base, linked to God's will, normality and resumption of activities. Conclusions The study helps give Saudi women a 'voice' through the understanding of their experiences of surviving breast cancer. The unique cultural perspectives provide new insights, which can guide healthcare practice and inform the development of programmes to support women who survive breast cancer.
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Affiliation(s)
- Wafa ALmegewly
- Nursing Faculty, Princess Nourah bint Abdulrahman University, Saudi Arabia
| | - Dinah Gould
- School of Healthcare Sciences, Cardiff University, UK
| | - Sally Anstey
- School of Healthcare Sciences, Cardiff University, UK
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29
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Adapting a religious health fatalism measure for use in Muslim populations. PLoS One 2018; 13:e0206898. [PMID: 30388161 PMCID: PMC6214560 DOI: 10.1371/journal.pone.0206898] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Accepted: 10/22/2018] [Indexed: 11/30/2022] Open
Abstract
Objective Fatalism has been shown to influence health behaviors and outcomes among different populations. Our study reports on the adaptation of the Religious Health Fatalism Questionnaire for a Muslim population (RHFQ-M). Design The original RHFQ wording was modified for a Muslim context and cognitively tested in 6 focus groups (FG). Items were revised by Muslim and non-Muslim healthcare researchers based on FG responses regarding the theological “accurateness” of the questions. The revised 9-item measure was administered to 58 English-speaking Muslim women (≥40 years old) recruited from two mosques in the Chicago area in order to assess psychometric properties. Main outcome measures Cronbach’s alpha and exploratory factor analyses were used to assess internal consistency and measure dimensionality, respectively. Statistical correlations with several fatalism and religiosity measures were computed to assess convergent and discriminant validity. Results After testing with an ethnically and racially diverse group of Muslims, the RHFQ-M was found to be reliable (Cronbach’s α is 0.79), comprised of two distinct underlying subscales, and is correlated with, but distinct from, other measures of fatalism and Islamic religiosity. Conclusion Our adapted measure, RHFQ-M, appears to accurately assess Islamic dimensions of fatalism and is ready for use in the health literature.
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Sobon Sensor C. Health-Related Beliefs, Practices, and Experiences of Migrant Dominicans in the Northeastern United States. J Transcult Nurs 2018; 30:492-500. [DOI: 10.1177/1043659618801967] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: The purpose of this study was to describe cultural health beliefs, practices, and experiences with professional health care in the United States by migrants from the Dominican Republic because their practices are largely unknown to professional providers. Method: A qualitative descriptive design was used, guided by Leininger’s culture care theory and four-phase analysis method with a convenience sample of 15 self-identified migrant Dominican adults in three interpreter-assisted focus groups, in a familiar apartment. Results: The following four themes emerged: Stress affects health and well-being, family support and faith in God are essential, use of folk care and professional care to treat illness and maintain health, and access to care, cost, communication and expressions of caring practices affect perceptions about the quality of professional care. Discussion: Results informed development of specific strategies to provide culturally responsive care and risk-reduction interventions that promote health and improve quality of care in the Dominican community.
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Sepulveda-Pacsi AL, Bakken S. Correlates of Dominicans' Identification of Cancer as a Worrisome Health Problem. J Immigr Minor Health 2018; 19:1227-1234. [PMID: 27766506 DOI: 10.1007/s10903-016-0509-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
There is a paucity of studies centering on the correlates of cancer worry among Hispanics from the Dominican Republic and the potential informatics strategies to address such worries. Data were analyzed using descriptive and correlational statistics, and logistic regression with the dependent variable of cancer worry. Independent variables for the regression were: age, gender, marital status, education, socioeconomic status, previous diagnosis of cancer, anxiety, depression, sleep disturbance, and chronic burden. Four variables significantly increased cancer worry: married marital status (OR = 1.19 [95% CI 1.01, 1.41]), younger age (OR = .992 [95% CI 0.987, 0.997]), less depression (OR = .96 [95% CI 0.94, 0.98]), and cancer diagnosis (OR = 2.12 [95% CI 1.24, 3.65]). New knowledge was generated on the contextual factors that influence these health concerns in a major Hispanic sub-group. Implications for practice, research and education are discussed.
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Affiliation(s)
- Alsacia L Sepulveda-Pacsi
- Lienhard School of Nursing, College of Health Professions, Pace University, 163 William Street, Room 513, New York, NY, 10038, USA.
| | - Suzanne Bakken
- Center for Evidence-Based Practice in the Underserved, Columbia University School of Nursing, 617 W. 168th Street, Rm 229, New York, NY, 10032, USA
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Lee SY, Lee EE. Access to Health Care, Beliefs, and Behaviors about Colorectal Cancer Screening among Korean Americans. Asian Pac J Cancer Prev 2018; 19:2021-2027. [PMID: 30051703 PMCID: PMC6165655 DOI: 10.22034/apjcp.2018.19.7.2021] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Accepted: 06/30/2018] [Indexed: 01/25/2023] Open
Abstract
Background: Colorectal cancer (CRC) is one of the most common cancers among Korean Americans (KAs) and their CRC screening rates are low. To raise the rates of CRC screening among KAs, it is necessary to improve our understanding of factors that influence their CRC screening behaviors. This study examined socio-demographics, access to health care, health and cultural beliefs, and behaviors about the fecal occult blood test (FOBT) for CRC screening among KAs aged 50 and older. Methods: Based on the health belief model, the cultural assessment model for health, and the Powe fatalism model, this study measured socio-demographics (age, gender, years in the U.S., marital status, education, employment, income, and acculturation), health care access (health insurance, having a regular doctor, physician recommendation, and trust in doctor), health beliefs (susceptibility, severity, benefits, barriers, and self-efficacy), and cultural beliefs (physical space, health temporal orientation, personal control, and fatalism) and FOBT. A cross-sectional survey (n=202) was conducted. Data analysis was conducted using descriptive analysis, Pearson correlation, and multivariate logistic regression. Results: This study found that physician recommendation was the strongest factor in lifetime FOBT utilization in KAs. The results also revealed a positive association among health temporal orientation, health fatalism, and lifetime FOBT among KAs, while previous research found a negative association between fatalism and cancer screening. Years in the U.S., employment, and having a regular doctor were significantly associated with having had a FOBT in the previous year. Conclusion: Study results suggested the need for public education programs to increase physician recommendation among KAs. Furthermore, the positive relationships among health temporal orientation, health fatalism, and FOBT utilization in KAs suggests that KAs have a desire to maintain health and find cancer early despite their fatalistic view on health.
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Affiliation(s)
- Shin Young Lee
- Department of Nursing, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju, 501-759 Republic of Korea.
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Abstract
Appalachia has a higher incidence of and mortality from colon cancer (CC) than other regions of the United States; thus, it is important to know the potential impact of elevated risk on cancer worry. Guided by the Self-regulation model, we investigated the association of demographic, cultural (e.g., fatalism, religious commitment), and psychological factors (e.g., perceived risk, general mood) with CC worry among a sample of Appalachian women. A mixed method design was utilized. Appalachian women completed surveys in the quantitative section (n = 134) and semi-structured interviews in the qualitative section (n = 24). Logistic regression was employed to calculate odds ratios (OR) for quantitative data, and immersion/crystallization was utilized to analyze qualitative data. In the quantitative section, 45% of the participants expressed some degree of CC worry. CC worry was associated with higher than high school education (OR 3.63), absolute perceived risk for CC (OR 5.82), high anxiety (OR 4.68), and awareness of easy access (OR 3.98) or difficult access (OR 3.18) to health care specialists as compared to not being aware of the access. there was no association between CC worry and adherence to CC screening guidelines. The qualitative section revealed fear, disengagement, depression, shock, and worry. Additionally, embarrassment, discomfort, and worry were reported with regard to CC screening. Fears included having to wear a colostomy bag and being a burden on family. CC worry was common in Appalachians and associated with higher perceptions of risk for CC and general anxiety, but not with adherence to screening guidelines. The mixed method design allowed for enhanced understanding of CC-related feelings, especially CC worry, including social/contextual fears.
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Affiliation(s)
- Omar F Attarabeen
- Department of Pharmacy Practice, Administration, & Research, Marshall University, Coon Education Building, One John Marshall Drive, Huntington, WV, 25755, USA
| | - Usha Sambamoorthi
- Department of Pharmaceutical Systems & Policy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, WV, 26506-9510, USA
| | - Kevin T Larkin
- Department of Psychology, Eberly College of Arts and Sciences, West Virginia University, Room 2220, Life Sciences Building, P. O. Box 6040, Morgantown, WV, 26506, USA
| | - Kimberly M Kelly
- Department of Pharmaceutical Systems & Policy, Robert C. Byrd Health Sciences Center (North), West Virginia University, P.O. Box 9510, Morgantown, WV, 26506-9510, USA.
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Rivera YM. Reducing Cancer Health Disparities among U.S. Latinos: A Freireian Approach. INTERNATIONAL JOURNAL OF HUMAN RIGHTS IN HEALTHCARE 2018; 11:368-379. [PMID: 31032065 PMCID: PMC6485949 DOI: 10.1108/ijhrh-02-2018-0021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE – This paper applies Paulo Freire's writings from Pedagogy of the Oppressed to critique current efforts to reduce cancer health disparities (CHDs) among Latinos in the U.S. DESIGN/METHODOLOGY/APPROACH – Freire's writings on oppression, critical consciousness, praxis and dialogical education are applied to recent efforts to reduce CHDs among Latinos in the U.S. through the use of promotores. FINDINGS – Freireian teachings can provide insight on ways to engage Latino communities in culturally sensitive conversations that respect deeply rooted beliefs, and address the political and socioeconomic inequities many continue to face. Programs must revisit Freire's political and transformative roots to ensure efforts to reduce CHDs also promote health equity and community empowerment. PRACTICAL IMPLICATIONS – Public health initiatives should incorporate Freireian principles of dialogical education and critical consciousness in the development of cancer prevention and screening programs tailored to Latinos in the U.S. to ensure program longevity and success. SOCIETAL IMPLICATIONS – Approaching conversations and interactions dialogically can foster critical engagement and empower collective action among Latino communities in efforts to improve their environments and reduce health disparities. ORIGINALITY/VALUE – This is a multi-layered analysis of different social and structural factors influencing CHDs among Latinos in the U.S., and is coupled with a historical overview of colonialism and oppression in Latin America. It culminates in suggestions on ways to improve future public health efforts that embrace Freireian approaches and promote health equity. CLASSIFICATION – Conceptual paper.
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Affiliation(s)
- Yonaira M Rivera
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA, 787-529-9015,
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Rodríguez-Galán MB, Falcón LM. Religion as a coping mechanism for health problems and depression among aging Puerto Ricans on the Mainland. JOURNAL OF RELIGION SPIRITUALITY & AGING 2017. [DOI: 10.1080/15528030.2017.1413031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hayward RD, Krause N, Pargament K. The Prevalence and Antecedents of Religious Beliefs About Health Control in the US Population: Variations by Race and Religious Background. JOURNAL OF RELIGION AND HEALTH 2017; 56:2194-2211. [PMID: 28343285 DOI: 10.1007/s10943-017-0391-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The ways in which religious beliefs influence beliefs about health have important implications for motivation to engage in positive health behaviors and comply with medical treatment. This study examines the prevalence of two health-related religious beliefs: belief in healing miracles and deferral of responsibility for health outcomes to God. Data came from a representative nationwide US survey of religion and health (N = 3010). Full-factorial ANOVA indicated that there were significant differences in both dimensions of belief by race, by religious background, and by the interaction between the two. Black people believed religion played the largest role in health regardless of religious background. Among White and Hispanic groups, Evangelical Protestants placed more responsibility for their health on God in comparison with other religious groups. ANCOVA controlling for background factors socioeconomic status, health, and religious involvement partially explained these group differences.
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Affiliation(s)
- R David Hayward
- Department of Surgery, St. John Hospital & Medical Center, 22151 Moross Rd., PB I, Ste. 212, Detroit, MI, 48236, USA.
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Brintz CE, Birnbaum-Weitzman O, Merz EL, Penedo FJ, Daviglus ML, Fortmann AL, Gallo LC, Gonzalez P, Johnson TP, Navas-Nacher EL, Youngblood ME, Llabre MM. Validation of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being-Expanded (FACIT-Sp-Ex) Across English and Spanish-Speaking Hispanics/Latinos: Results From the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study. PSYCHOLOGY OF RELIGION AND SPIRITUALITY 2017; 9:337-347. [PMID: 29170710 PMCID: PMC5695889 DOI: 10.1037/rel0000071] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The validity of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) has been examined in primarily non-Hispanics/Latinos with chronic illness. This study assessed the psychometric properties of the non-illness, expanded FACIT-Sp (FACIT-Sp-Ex) in 5,163 U.S. Hispanic/Latino adults. Measures were interviewer-administered in English or Spanish. Confirmatory factor analyses indicated four factors: Meaning, Peace, Faith, and Relational. The scale demonstrated measurement invariance across English and Spanish. Subscales displayed adequate internal and test-retest reliability. Scores were positively associated with Duke Religion Index (DUREL) subscales. When all subscales were entered in a single model, Meaning and Peace were inversely associated with depressive symptoms and positively associated with HRQOL. Faith was positively associated with depressive symptoms and inversely associated with HRQOL. Relational was not associated with any outcome. FACIT-Sp-Ex subscales were generally more strongly associated than DUREL subscales with well-being. The FACIT-Sp-Ex appears to be a valid measure of spiritual well-being in U.S. Hispanics/Latinos.
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Affiliation(s)
| | | | - Erin L Merz
- Department of Psychology, California State University, Dominguez Hills
| | - Frank J Penedo
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine
| | - Martha L Daviglus
- Institute for Minority Health Research, University of Illinois at Chicago
| | | | - Linda C Gallo
- Department of Psychology, San Diego State University
| | | | - Timothy P Johnson
- Department of Public Administration, University of Illinois at Chicago
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Ramondt S, Ramírez AS. Fatalism and exposure to health information from the media: examining the evidence for causal influence. ANNALS OF THE INTERNATIONAL COMMUNICATION ASSOCIATION 2017; 41:298-320. [PMID: 34307882 PMCID: PMC8297407 DOI: 10.1080/23808985.2017.1387502] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Fatalistic attitudes have a negative impact on a broad variety of health behaviors and behavioral determinants of health. A growing body of research has documented an association between media exposure and fatalism; however, scholarship has not been able to ascertain the causal direction. This review synthesizes the current state of the literature. A major finding is that most studies purporting to assess the relationship between media exposure and fatalism use conflated measures of fatalism. Among those that use an appropriate measure, there is some evidence that increased exposure to media increases fatalism. Although there is a substantive theoretical rationale for such effects, more research is needed to make a definitive claim and to explain the mechanism for such effects.
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Affiliation(s)
- Steven Ramondt
- Psychological Sciences, University of California, Merced,
CA, USA
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Knowledge and Beliefs Regarding Breast and Cervical Cancer Screening Among Mexican-Heritage Latinas. Cancer Nurs 2017; 40:420-427. [PMID: 27472190 DOI: 10.1097/ncc.0000000000000423] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Lower participation rates in mammography and Papanicolaou test are common among Latinas compared with other ethnic groups. Suboptimal screening rates are attributed to lack of knowledge, access to services, and cultural influences. OBJECTIVE The purpose of this study is to qualitatively examine an alternative framework for examining cultural influences on Mexican-heritage Latinas' understandings of breast and cervical cancer screening and how to leverage their beliefs to positively influence screening practices. METHODS The study is based on the analysis of 4 focus groups with 47 Latinas residing in greater Phoenix, Arizona. RESULTS Iterative qualitative analyses identified 5 major themes: (1) knowledge and beliefs about cancer cause and risk in general, (2) knowledge and beliefs specific to breast and cervical cancer screening, (3) experiences with breast and cervical cancer screening, (4) facilitators and barriers to breast and cervical screening, and (5) desired information about cancer and screening. CONCLUSIONS Rather than focusing on Latinas' knowledge and/or misconceptions of breast and cervical cancer in screening-related education, researchers must examine what Latinas believe and leverage those convictions to expand their perceptions and behaviors related to breast and cervical cancer prevention practices. IMPLICATIONS FOR PRACTICE Practitioners should recognize that Latinas may differ in beliefs from other minorities, and that even within-group, there may be cultural differences that influence cancer screening behaviors.
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Rosales R, Calvo R. "Si Dios Quiere": Fatalismo and use of mental health services among Latinos with a history of depression. SOCIAL WORK IN HEALTH CARE 2017; 56:748-764. [PMID: 28696860 DOI: 10.1080/00981389.2017.1339760] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Latinos are less likely to seek professional mental health care than other groups in the United States. While fatalismo has long been hypothesized to be responsible for this behavior, there is little evidence on this assumption. Using an adapted version of the Behavioral Model of Health Service Use (BMHSU), and a nationally representative sample, this study examined the association between fatalismo and mental health service use among Latinos with a history of depression. Participants (n = 703) were drawn from the 2007 Pew Hispanic Healthcare survey. Results showed that fatalismo was significantly associated with the use of psychiatric care, even after controlling for traditional deterrents of health care access and utilization. The findings underscore the importance of fatalismo in predicting Latinos' use of psychiatric care. Implications for practice are discussed.
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Affiliation(s)
- Robert Rosales
- a Boston College School of Social Work , Chestnut Hill , Massachusetts , USA
| | - Rocío Calvo
- a Boston College School of Social Work , Chestnut Hill , Massachusetts , USA
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Hag Hamed D, Daniel M. The influence of fatalistic beliefs on health beliefs among diabetics in Khartoum, Sudan: a comparison between Coptic Christians and Sunni Muslims. Glob Health Promot 2017; 26:15-22. [PMID: 28730875 DOI: 10.1177/1757975917715884] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Although there are many studies assessing the influence of religious beliefs on health they do not agree on whether the impact is positive or negative. More so, there is no consensus in the available literature on the definition of fatalism and what it means to individuals. In this phenomenological study we attempt to define what religious fatalism means to people living with diabetes in Khartoum, and how it affects their health beliefs, and how those beliefs affect their sense of coherence and generalized resistance resources, since salutogenesis is the guiding theory in this study. Three Copts and five Sunnis living with diabetes were interviewed, as well as a Coptic clergyman and a Sunni scholar. The semi-structured interviews were recorded and transcribed verbatim for analysis. Thematic network analysis was used to code salient concepts into basic themes, organizing themes and global themes. The empirical findings are thus structured as the three global themes: (1) fatalism and free will; (2) health responsibility; (3) acceptance and coping. Fatalism was defined as events beyond an individual's control where it is then the individual's free will to seek healthy behavior. Thus health responsibility was stressed upon by the participants in this study as well as the clergyman and scholar. There is also the concept of 'God doesn't give one what one cannot handle' that the participants relate to coping and acceptance. This study finds that the meaning of religious fatalism held by participants and religious clergy is not disempowering. The participants believe that they are responsible for their health. The meaning derived from fatalism is related to how they can accept what is beyond their control and cope with their health condition. Religious fatalism contributed to comprehensibility, manageability and meaningfulness in our participants' response to diabetes.
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Affiliation(s)
- Dana Hag Hamed
- Research Centre for Health Promotion, University of Bergen, Norway
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Stonbraker S, Befus M, Lerebours Nadal L, Halpern M, Larson E. Factors Associated with Health Information Seeking, Processing, and Use Among HIV Positive Adults in the Dominican Republic. AIDS Behav 2017; 21:1588-1600. [PMID: 27714522 DOI: 10.1007/s10461-016-1569-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Effective treatment and management of human immunodeficiency virus (HIV) depend on patients' ability to locate, comprehend, and apply health information. This study's purpose was to identify characteristics associated with these skills among HIV positive adults in the Dominican Republic. An information behavior survey was administered to 107 participants then three logistic regressions were conducted to identify characteristics associated with information seeking, processing, and use. Never having cared for someone who was sick was significantly associated with less information seeking, processing, and use. Males were more likely to be active information seekers and those who had attended the clinic for six or fewer years were less likely to actively seek information. Younger individuals had increased odds of higher information processing and those without comorbidities had increased odds of more information use. Results may inform researchers, organizations, and providers about how patients interact with health information in limited resource settings.
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Affiliation(s)
- Samantha Stonbraker
- Columbia University School of Nursing, 617 W. 168th St. Rm 330, New York, NY, 10032, USA.
| | - Montina Befus
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA
| | | | - Mina Halpern
- Clínica de Familia La Romana, La Romana, Dominican Republic
| | - Elaine Larson
- Columbia University School of Nursing, 617 W. 168th St. Rm 330, New York, NY, 10032, USA
- Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA
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Soto-Perez-de-Celis E, Chavarri-Guerra Y, Pastrana T, Ruiz-Mendoza R, Bukowski A, Goss PE. End-of-Life Care in Latin America. J Glob Oncol 2017; 3:261-270. [PMID: 28717769 PMCID: PMC5493222 DOI: 10.1200/jgo.2016.005579] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Cancer has become a global pandemic with disproportionately higher mortality rates in low- and middle- income countries, where a large fraction of patients present in advanced stages and in need of end-of-life care. Globally, the number of adults needing end-of-life care is greater than 19 million, and up to 78% of these patients are living in low- and middle- income countries. In the Americas alone, more than one million people are in need of end-of-life care, placing an enormous burden on local health systems, which are often unprepared to meet the challenge presented by this complex patient population. In Latin America, cancer care is characterized by the presence of vast inequalities between and within countries, and the provision of end-of-life care is no exception. Disparities in access to advanced care planning, with a lack of provision of adequate palliative care and pain medication, are common in the region. These shortcomings are related in large part to inadequate or inappropriate legislation, lack of comprehensive national palliative care plans, insufficient infrastructure, lack of opportunities for clinical training, unreliable reporting of data, and cultural barriers. This report reviews the current status of end-of-life care in Latin America, focusing on identifying existing deficiencies and providing a framework for improvement.
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Affiliation(s)
- Enrique Soto-Perez-de-Celis
- Enrique Soto-Perez-de-Celis and Yanin Chavarri-Guerra, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Enrique Soto-Perez-de-Celis, Yanin Chavarri-Guerra, Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss; The Global Cancer Institute; Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss, Avon International Breast Cancer Research Program, Massachusetts General Hospital, Boston, MA; Tania Pastrana, Alexandra Bukowski, and Paul E. Goss, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany; and Rossana Ruiz-Mendoza, Universidad Peruana Cayetano Heredia, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
| | - Yanin Chavarri-Guerra
- Enrique Soto-Perez-de-Celis and Yanin Chavarri-Guerra, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Enrique Soto-Perez-de-Celis, Yanin Chavarri-Guerra, Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss; The Global Cancer Institute; Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss, Avon International Breast Cancer Research Program, Massachusetts General Hospital, Boston, MA; Tania Pastrana, Alexandra Bukowski, and Paul E. Goss, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany; and Rossana Ruiz-Mendoza, Universidad Peruana Cayetano Heredia, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
| | - Tania Pastrana
- Enrique Soto-Perez-de-Celis and Yanin Chavarri-Guerra, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Enrique Soto-Perez-de-Celis, Yanin Chavarri-Guerra, Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss; The Global Cancer Institute; Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss, Avon International Breast Cancer Research Program, Massachusetts General Hospital, Boston, MA; Tania Pastrana, Alexandra Bukowski, and Paul E. Goss, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany; and Rossana Ruiz-Mendoza, Universidad Peruana Cayetano Heredia, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
| | - Rossana Ruiz-Mendoza
- Enrique Soto-Perez-de-Celis and Yanin Chavarri-Guerra, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Enrique Soto-Perez-de-Celis, Yanin Chavarri-Guerra, Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss; The Global Cancer Institute; Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss, Avon International Breast Cancer Research Program, Massachusetts General Hospital, Boston, MA; Tania Pastrana, Alexandra Bukowski, and Paul E. Goss, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany; and Rossana Ruiz-Mendoza, Universidad Peruana Cayetano Heredia, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
| | - Alexandra Bukowski
- Enrique Soto-Perez-de-Celis and Yanin Chavarri-Guerra, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Enrique Soto-Perez-de-Celis, Yanin Chavarri-Guerra, Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss; The Global Cancer Institute; Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss, Avon International Breast Cancer Research Program, Massachusetts General Hospital, Boston, MA; Tania Pastrana, Alexandra Bukowski, and Paul E. Goss, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany; and Rossana Ruiz-Mendoza, Universidad Peruana Cayetano Heredia, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
| | - Paul E. Goss
- Enrique Soto-Perez-de-Celis and Yanin Chavarri-Guerra, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; Enrique Soto-Perez-de-Celis, Yanin Chavarri-Guerra, Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss; The Global Cancer Institute; Rossana Ruiz-Mendoza, Alexandra Bukowski, and Paul E. Goss, Avon International Breast Cancer Research Program, Massachusetts General Hospital, Boston, MA; Tania Pastrana, Alexandra Bukowski, and Paul E. Goss, Rheinisch-Westfälische Technische Hochschule Aachen University, Aachen, Germany; and Rossana Ruiz-Mendoza, Universidad Peruana Cayetano Heredia, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru
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Cameron LD, Durazo A, Ramírez AS, Corona R, Ultreras M, Piva S. Cultural and Linguistic Adaptation of a Healthy Diet Text Message Intervention for Hispanic Adults Living in the United States. JOURNAL OF HEALTH COMMUNICATION 2017; 22:262-273. [PMID: 28248628 PMCID: PMC5555404 DOI: 10.1080/10810730.2016.1276985] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Hispanics represent a critical target for culturally adapted diet interventions. In this formative research, we translated HealthyYouTXT, an mHealth program developed by the U.S. National Cancer Institute, into HealthyYouTXT en Español, a linguistically and culturally appropriate version for Spanish speakers in the United States. We report a three-stage, mixed-methods process through which we culturally adapted the text messages, evaluated their acceptability, and revised the program based on the findings. In Stage 1, we conducted initial translations and adaptations of the text libraries using an iterative, principle-guided process. In Stage 2, we used mixed methods including focus groups and surveys with 109 Hispanic adults to evaluate the acceptability and cultural appropriateness of the program. We used survey data to evaluate whether self-determination theory (SDT) factors (used to develop HealthyYouTXT) of autonomous motivation, controlled motivation, and amotivation and Hispanic cultural beliefs about familism, fatalism, and destiny predict program interest and its perceived efficacy. Mixed-methods analyses revealed substantial interest in HealthyYouTXT, with most participants desiring to use it and viewing it as highly efficacious. Both cultural beliefs (i.e., beliefs in destiny and, for men, high familism) and SDT motivations (i.e., autonomy) predicted HealthyYouTXT evaluations, suggesting utility in emphasizing them in messages. Higher destiny beliefs predicted lower interest, suggesting that they could impede program use. In Stage 3, we implemented the mixed-methods findings to finalize HealthyYouTXT en Español. The emergent linguistic principles and multistage, multimethods process can be applied in health communication adaptations.
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Affiliation(s)
- Linda D Cameron
- a School of Social Sciences, Humanities, and the Arts , University of California, Merced , Merced , California , USA
- b Psychological Sciences , University of California, Merced , Merced , California , USA
- c Health Sciences Research Institute , University of California, Merced , Merced , California , USA
| | - Arturo Durazo
- a School of Social Sciences, Humanities, and the Arts , University of California, Merced , Merced , California , USA
- b Psychological Sciences , University of California, Merced , Merced , California , USA
| | - A Susana Ramírez
- a School of Social Sciences, Humanities, and the Arts , University of California, Merced , Merced , California , USA
| | - Roberto Corona
- a School of Social Sciences, Humanities, and the Arts , University of California, Merced , Merced , California , USA
- b Psychological Sciences , University of California, Merced , Merced , California , USA
| | - Mayra Ultreras
- a School of Social Sciences, Humanities, and the Arts , University of California, Merced , Merced , California , USA
- b Psychological Sciences , University of California, Merced , Merced , California , USA
| | - Sonia Piva
- a School of Social Sciences, Humanities, and the Arts , University of California, Merced , Merced , California , USA
- b Psychological Sciences , University of California, Merced , Merced , California , USA
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Understanding Service Utilization Disparities and Depression in Latinos: The Role of Fatalismo. J Immigr Minor Health 2017; 17:1758-64. [PMID: 25801450 DOI: 10.1007/s10903-015-0196-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Research demonstrates a disparity between need and utilization of mental health services for Latinos. Cultural variations in perceptions of mental illness may be partially responsible for this discrepancy. Past research with Latinos has shown links between fatalismo, a cultural value similar to external locus of control, and both depression and lower service utilization in medical care, while links to psychiatric care have not been investigated. The current study therefore aimed to explore the associations between fatalismo, depression, and past year mental health service utilization by Latinos. A community sample of 83 Latino adults were recruited during local cultural events. Participants completed self-report measures of depression, fatalism, and past year service utilization. Analyses using structural equation modeling showed fatalismo was directly negatively related to past year medical service utilization (β = -.35). In contrast, the link between fatalismo and past year mental health service utilization was mediated by self-reported depressive symptoms (indirect β = .19, p < .001). We conclude that while fatalismo is associated with depression in Latinos, other barriers likely serve as more salient deterrents of service utilization.
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Forsyth CJ. "I Cannot Be Worried": Living with Chagas Disease in Tropical Bolivia. PLoS Negl Trop Dis 2017; 11:e0005251. [PMID: 28099488 PMCID: PMC5242422 DOI: 10.1371/journal.pntd.0005251] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Accepted: 12/13/2016] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Chagas disease (CD) profoundly affects the social and emotional dimensions of patients' lives, and disproportionately impacts poor, marginalized populations in Latin America. Biomedical treatment for CD fails to reach up to 99% of the people affected, and in any case seldom addresses the emotional health or socioeconomic conditions of patients. This study examines patient strategies for coping with CD in the department of Santa Cruz, Bolivia. METHODOLOGY In this ethnographic study, semistructured interviews took place from March-June 2013 with 63 patients who had previously tested positive for CD. During the fieldwork period, participant observation was conducted and patient family members, providers, community members, and public health officials were consulted. PRINCIPAL FINDINGS Patients often experienced emotional distress when diagnosed with CD, yet were generally unable to find biomedical treatment. Respondents stressed the need to avoid powerful emotions which would worsen the impact of CD symptoms. To manage CD, patients embraced a calm state of mind, described in Spanish as tranquilidad, which partially empowered them to return to a normal existence. CONCLUSIONS In the perceived absence of biomedical treatment options, patients seek their own means of coping with CD diagnosis. Rather than fatalism or resignation, patients' emphasis on maintaining calm and not worrying about CD represents a pragmatic strategy for restoring a sense of normalcy and control to their lives. Programs focused on treatment of CD should remain mindful of the emotional and social impact of the disease on patients.
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Affiliation(s)
- Colin J. Forsyth
- Department of Anthropology University of South Florida 4202 E. Fowler Avenue, SOC 107 Tampa, FL, United States of America
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Moorley CR, Cahill S, Corcoran NT. Life after Stroke: Coping mechanisms among African Caribbean Women. HEALTH & SOCIAL CARE IN THE COMMUNITY 2016; 24:769-778. [PMID: 26094703 DOI: 10.1111/hsc.12256] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/21/2015] [Indexed: 06/04/2023]
Abstract
In the UK, stroke is the third most common cause of death for women and the incidence in African Caribbean women is higher than that in the general population. Stroke burden has major consequences for the physical, mental and social health of African Caribbean women. In order to adjust to life after stroke, individuals affected employ a range of strategies which may include personal, religious (church) or spiritual support (i.e. prayer), individual motivation or resignation to life with a disability. This study explored these areas through the coping mechanisms that African Caribbean women utilised post stroke in the context of stroke recovery and lifestyle modification efforts needed to promote healthy living post stroke. A qualitative approach using interpretative phenomenological analysis was adopted. Seven women were recruited into the study. Semi-structured, in-depth interviews were audio recorded and were transcribed verbatim. Data were analysed using a four-stage framework: familiarisation, sense making, developing themes, and data refinement and analysis. Three main themes on coping emerged: the need to follow medical rules to manage stroke, strength and determination, and the use of religion and faith to cope with life after stroke. These findings illustrate both a tension between religious beliefs and the medical approach to stroke and highlight the potential benefits that religion and the church can play in stroke recovery. Implications for practice include acknowledgement and inclusion of religion- and church-based health promotion in post-stroke recovery.
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Affiliation(s)
- Calvin R Moorley
- Adult Nursing, Faculty of Health and Social Care, London South Bank University, London, UK.
| | - Sharon Cahill
- School of Psychology, University of East London, London, UK
| | - Nova T Corcoran
- School of Life Sciences, University of South Wales, Cardiff, UK
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Sepulveda-Pacsi AL, Hiraldo G, Frederickson K. Cancer Worry Among Urban Dominican Women: A Qualitative Study. J Transcult Nurs 2016; 29:30-37. [PMID: 27758840 DOI: 10.1177/1043659616672062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Two thirds of respondents of a recent survey, primarily self-identified urban immigrant Dominican females, indicated that cancer was the health problem they worried about the most. PURPOSE The purpose of this qualitative study was to gain a greater understanding of the cancer worry experienced by Dominican women. DESIGN Giorgi's descriptive existential phenomenological framework and methodology guided the study. SETTING Washington Heights/Inwood community, New York City, New York. PARTICIPANTS Thirty-eight urban Dominican immigrant women were included in the study. METHOD Data were gathered using focus group interviews. All interviews were digitally recorded, transcribed verbatim from Spanish to English. The transcripts were analyzed using Giorgi's existential phenomenological data analysis process. FINDINGS Four essences unfolded: Cancer as Destiny, Faith, Influential Relationships, and Knowledge Acquisition. CONCLUSION New knowledge was generated on the contextual factors that influence cancer worry among a major Hispanic subgroup. Implications for nursing research and practice are described.
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Licqurish S, Phillipson L, Chiang P, Walker J, Walter F, Emery J. Cancer beliefs in ethnic minority populations: a review and meta-synthesis of qualitative studies. Eur J Cancer Care (Engl) 2016; 26. [PMID: 27515153 DOI: 10.1111/ecc.12556] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2016] [Indexed: 11/29/2022]
Abstract
People from ethnic minorities often experience poorer cancer outcomes, possibly due to later presentation to healthcare and later diagnosis. We aimed to identify common cancer beliefs in minority populations in developed countries, which can affect symptom appraisal and help seeking for symptomatic cancer. Our systematic review found 15 relevant qualitative studies, located in the United Kingdom (six), United States (five), Australia (two) and Canada (two) of African, African-American, Asian, Arabic, Hispanic and Latino minority groups. We conducted a meta-synthesis that found specific emotional reactions to cancer, knowledge and beliefs and interactions with healthcare services as contributing factors in help seeking for a cancer diagnosis. These findings may be useful to inform the development of interventions to facilitate cancer diagnosis in minority populations.
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Affiliation(s)
- S Licqurish
- Department of General Practice, University of Melbourne, Carlton, Vic., Australia
| | - L Phillipson
- Centre for Health Initiatives, University of Wollongong, Wollongong, NSW, Australia
| | - P Chiang
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Vic., Australia
| | - J Walker
- Department of General Practice, University of Melbourne, Carlton, Vic., Australia
| | - F Walter
- Department of Public Health and Primary Care, Primary Care Unit, Institute of Public Health, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - J Emery
- Department of General Practice, University of Melbourne, Carlton, Vic., Australia
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Abstract
Objective: What is the characterization of family involvement in health decisions, filial piety, religiosity/spirituality, and fatalism as they relate to attitudes/intentions toward end-of-life (EOL) planning/decision making among elderly Dominicans and Puerto Ricans in East Harlem, New York City? Method: An exploratory study using grounded theory and domain analysis was conducted with 51 elderly Dominicans and Puerto Ricans. Purposive and emerging themes were identified by three coders. Results: Purposive themes were family involvement in health decisions/filial piety and religiosity/spirituality/fatalism and for clinical EOL-related terms; emerging themes were accessing/using EOL care, autonomy, influence of death/dying on own future care decisions, and death/dying is a private matter. Implications: The recommendations for community members are to empower awareness of EOL issues, engage providers regarding cultural needs, and clarification of advance care planning (ACP) function; the recommendations for providers are to engage patients to enhance culturally responsive care, clarify ACP function, and ask patients about preference for roles of family and God in decisions; the recommendations for policy makers are to enhance palliative education/access and immigration status research protections.
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Affiliation(s)
- Nathan A. Boucher
- Geriatric Research, Education and Clinical Center (GRECC), Durham VA Medical Center, NC, USA
- Duke University Center for the Study of Aging and Human Development, Durham, NC, USA
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