1
|
George W, Miller M, Stewart EC, Wilus D, Campbell L, Barlow BC, Mayo-Gamble TL, Barajas C, Hill C, Johnson V, Reed L, Williams J, Cunningham-Erves J. Using a community-engaged research process to plan, implement, and evaluate a cancer education program to improve knowledge and screening intentions among African American men. J Psychosoc Oncol 2024:1-24. [PMID: 39146493 DOI: 10.1080/07347332.2024.2379822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/17/2024]
Abstract
OBJECTIVE We assessed acceptability, feasibility, and preliminary efficacy of a culturally appropriate, cancer education program to improve cancer knowledge, attitudes, subjective norms, and screening intentions for oropharynx, colon, and prostate cancers among African American men. We detailed the community-engaged research process used for African American men to design, implement, and evaluate the program. MATERIALS AND METHODS We recruited 84 (61 in-person, 23 online) African American men over 2-months across 4 churches in Middle Tennessee in 2021. A single group, pre-post-test design was used to evaluate the 2.5-h hybrid program. Scales used were: General self-efficacy for cancer screening; attitudes toward cancer; general cancer knowledge; and subjective norms related to cancer. One-item measured cancer screening intention. Taba robust partial correlation measured the degree of association between changes in means of each explanatory variable with changes in means of each outcome variable. IBM SPSS version 28 and R/RStudio version 3.6.0 was used for data analysis. We conducted three focus groups (n = 17) to assess program acceptability. Microsoft Excel version 26 was used to conduct thematic analysis for this data. FINDINGS Quantitative Significant differences were found in the pre/post comparisons of knowledge (mean difference: 0.22; p-value = 0.015), self-efficacy (mean difference: 0.23; p-value < 0.001), and prostate cancer screening intention (mean difference: 0.19; p-value = 0.049) scores. This indicates the mean score for knowledge, self-efficacy, and prostate cancer screening intention was significantly higher post-intervention. Qualitative Focus group themes were: (1) Impact of Program on Participants Psychosocial Health (2) Perspectives on Life after the program. (3) Views on Programmatic Components; (4) Recommendations for Program Improvement. CONCLUSIONS Results demonstrate our program is feasible, acceptable, and could increase cancer screening intentions and behavior. Psychosocial providers should demonstrate cultural awareness and humility when providing services to address the psychological and social needs for cancer screening among African American men.
Collapse
Affiliation(s)
- Whitney George
- School of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Malakai Miller
- School of Graduate Studies, Meharry Medical College, Nashville, TN, USA
| | | | - Derek Wilus
- School of Graduate Studies, Meharry Medical College, Nashville, TN, USA
| | - LaNese Campbell
- Second Missionary Baptist Cooperative Ministries, Hickory, TN, USA
| | | | | | | | | | | | | | | | | |
Collapse
|
2
|
Neves NM, Queiroz LA, Cuck G, Dzik C, Pereira FMT. Prostate Cancer and Spirituality: A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2024; 63:1360-1372. [PMID: 37314598 DOI: 10.1007/s10943-023-01845-0] [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: 05/30/2023] [Indexed: 06/15/2023]
Abstract
The diagnosis, treatment, and sequels of cancer are relevant sources of stress, conflicts, and suffering, but spirituality may be a positive coping element. However, studies involving the correlation between prostate cancer patients and spirituality are few and heterogeneous. MEDLINE (PUBMED), SCOPUS, and EMBASE were the databases used for this review with the keywords "spirituality," "religion," and "prostate cancer." The review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. About 250 articles were found, and 30 were eligible. Most studies (N = 26; 86.6%) reported the relationship between spirituality and better health findings such as 80% being positively associated with more screening for prostate cancer and better patients' quality of life. More interventional, randomized, and multicentric trials are needed to clarify this relationship.
Collapse
Affiliation(s)
- Nathália M Neves
- Department of Medicine, Faculdade Santa Marcelina, São Paulo, SP, Brazil.
| | - Leticia A Queiroz
- Department of Medicine, Faculdade Santa Marcelina, São Paulo, SP, Brazil
| | - Gustavo Cuck
- Department of Medicine, Faculdade São Camilo, São Paulo, SP, Brazil
| | - Carlos Dzik
- Oncology Department, Hospital Nove de Julho, São Paulo, SP, Brazil
| | | |
Collapse
|
3
|
Bergin RJ, Short CE, Davis N, Marker J, Dawson MT, Milton S, McNamara M, Druce P, Milley K, Karnchanachari N, Skaczkowski G. The nature and impact of patient and public involvement in cancer prevention, screening and early detection research: A systematic review. Prev Med 2023; 167:107412. [PMID: 36592674 DOI: 10.1016/j.ypmed.2022.107412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 11/23/2022] [Accepted: 12/28/2022] [Indexed: 12/31/2022]
Abstract
Patient and public involvement can produce high-quality, relevant research that better addresses the needs of patients and their families. This systematic review investigated the nature and impact of patient and public involvement in cancer prevention, screening and early detection research. Two patient representatives were involved as members of the review team. Databases (Medline, EMBASE, Emcare, Involve Evidence Library) were searched for English-language studies published 1995-March 2022. Titles/abstracts were screened by two reviewers independently. For eligible studies, data were extracted on study characteristics, patient and public involvement (who, when, how, and impact on research outcomes), and reporting quality using the Guidance for Reporting Involvement of Patients and the Public 2-Short Form. Of 4095 articles screened, 58 were eligible. Most research was from the United States (81%) and examined cancer screening or prevention (82%). Community members/organisations/public were the most involved (71%); fewer studies involved patients and/or carers (14%). Over half reported a high-level of involvement (i.e. partner and/or expert involvement), although this declined in later stages of the research cycle, e.g. data analysis. Common positive impacts included improved study design, research methods and recruitment, although most papers (62%) did not describe methods to determine impact. Reporting quality was sub-optimal, largely due to failure to consider challenges. This review found that high-level involvement of patients and the public in cancer prevention, screening and early detection research is feasible and has several advantages. However, improvements are needed to encourage involvement across the research cycle, and in evaluating and reporting its impact.
Collapse
Affiliation(s)
- Rebecca J Bergin
- Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia; Department of General Practice/Centre for Cancer Research, University of Melbourne, Melbourne, Australia.
| | - Camille E Short
- Melbourne Centre for Behaviour Change, Melbourne School of Psychological Sciences and Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia
| | - Nikki Davis
- Patient representative, Primary Care Collaborative Cancer Clinical Trials Group (PC4) Community Advisory Group, Melbourne, Australia
| | - Julie Marker
- Patient representative, Primary Care Collaborative Cancer Clinical Trials Group (PC4) Community Advisory Group, Melbourne, Australia; Patient representative, Cancer Voices South Australia, Adelaide, Australia
| | | | - Shakira Milton
- Department of General Practice/Centre for Cancer Research, University of Melbourne, Melbourne, Australia
| | - Mairead McNamara
- Department of General Practice/Centre for Cancer Research, University of Melbourne, Melbourne, Australia
| | - Paige Druce
- Department of General Practice/Centre for Cancer Research, University of Melbourne, Melbourne, Australia; Central Clinical School, Monash University, Melbourne, Australia
| | - Kristi Milley
- Department of General Practice/Centre for Cancer Research, University of Melbourne, Melbourne, Australia
| | - Napin Karnchanachari
- Department of General Practice/Centre for Cancer Research, University of Melbourne, Melbourne, Australia
| | - Gemma Skaczkowski
- Department of Rural Health, Allied Health and Human Performance, University of South Australia, Adelaide, Australia; School of Psychology & Public Health, La Trobe University, Melbourne, Australia
| |
Collapse
|
4
|
Woodard N, Williams RM, Fryer CS, Wang MQ, Zhang J, Knott CL. Correlates of Health Promotion in a Community Sample of African American Churches. J Community Health 2021; 45:828-835. [PMID: 32107711 DOI: 10.1007/s10900-020-00799-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Though many African American churches offer health promotion activities to their members, less is known about organizational factors that predict the availability of this programming. This study examines organizational capacity as a predictor of the amount and type of health programming offered by a convenience sample of 119 African American churches. Leaders completed a survey of health promotion activities provided in the previous 12 months and a measure of organizational capacity. Churches offered an average of 6.08 (SD = 2.15) different health programs targeting 4.66 (SD = 3.63) topics. Allocation of space and having a health ministry were positively associated with both the number of health programs and health topics addressed. When seeking to initiate health programming in an African American church setting, it is recommended that stakeholders partner with churches that have existing structures to support health promotion such as a health ministry, or help them build this capacity.
Collapse
Affiliation(s)
- Nathaniel Woodard
- Department of Behavioral and Community Health, University of Maryland, School of Public Health, 2242 Valley Dr, College Park, MD, 20742, USA.
| | - Randi M Williams
- Department of Behavioral and Community Health, University of Maryland, School of Public Health, 2242 Valley Dr, College Park, MD, 20742, USA
| | - Craig S Fryer
- Department of Behavioral and Community Health, University of Maryland, School of Public Health, 2242 Valley Dr, College Park, MD, 20742, USA
| | - Min Qi Wang
- Department of Behavioral and Community Health, University of Maryland, School of Public Health, 2242 Valley Dr, College Park, MD, 20742, USA
| | - Jing Zhang
- Department of Behavioral and Community Health, University of Maryland, School of Public Health, 2242 Valley Dr, College Park, MD, 20742, USA
| | - Cheryl L Knott
- Department of Behavioral and Community Health, University of Maryland, School of Public Health, 2242 Valley Dr, College Park, MD, 20742, USA
| |
Collapse
|
5
|
Valdez LA, Gubrium AC, Markham J, Scott L, Hubert A, Meyer J, Buchanan D. A culturally and gender responsive stress and chronic disease prevention intervention for low/no-income African American men: The MOCHA moving forward randomized control trial protocol. Contemp Clin Trials 2020; 101:106240. [PMID: 33301990 DOI: 10.1016/j.cct.2020.106240] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 11/27/2020] [Accepted: 12/01/2020] [Indexed: 02/05/2023]
Abstract
Low/no-income, African American men are disproportionally burdened by chronic disease resulting from a complex interplay of systemic, sociocultural, and individual factors. These disparities are related to poverty, racism, gender role strain, high levels of stress, low levels of physical activity, and malnutritious diet. Men of Color Health Awareness (MOCHA) is a community-driven movement to address the physical, mental, social, and spiritual needs of men of color. As part of ongoing programming, the MOCHA Standard intervention consists of a 10-week program including: (1) small group discussions of issues particularly relevant to men of color, (2) classes on health topics focusing on chronic disease control, such as nutrition, obesity, high blood pressure, fitness, and the social determinants of health; and (3) 60-min of moderately intensive aerobic exercise twice a week. While the MOCHA Standard intervention has yielded positive results, feedback from previous participants warranted an in-depth sociocultural tailoring of the curriculum to improve community receptiveness, in particular, revising the sessions to "narrativize" the materials to strengthen their potential effectiveness. This manuscript describes the novel recruitment strategies; the development of an enhanced MOCHA+ Stories Matter program that uses narrative communication strategies; and the methodology used to assess the comparative effectiveness of the MOCHA Standard relative to MOCHA+ Stories Matter program in lowering stress and risk of chronic diseases in a randomized controlled trial. The results of this research will contribute to the identification of effective interventions to address health disparities in low-income African-American men and the dissemination of effective chronic disease prevention programming.
Collapse
Affiliation(s)
- Luis A Valdez
- Department of Health Promotion and Policy, School of Public Health & Health Sciences, University of Massachusetts Amherst, Arnold House, 715 N Pleasant St, Amherst, MA 01003, United States of America.
| | - Aline C Gubrium
- Department of Health Promotion and Policy, School of Public Health & Health Sciences, University of Massachusetts Amherst, Arnold House, 715 N Pleasant St, Amherst, MA 01003, United States of America
| | - Jefferey Markham
- Department of Health Promotion and Policy, School of Public Health & Health Sciences, University of Massachusetts Amherst, Arnold House, 715 N Pleasant St, Amherst, MA 01003, United States of America
| | - Lamont Scott
- The Men of Color Health Awareness Project, 275 Chesnut St, Springfield, MA 01104, United States of America
| | - Albert Hubert
- The Men of Color Health Awareness Project, 275 Chesnut St, Springfield, MA 01104, United States of America
| | - Jerrold Meyer
- Center for Neuroendocrine Studies, University of Massachusetts Amherst, Tobin Hall, 135 Hicks Way, Amherst, MA 01003, United States of America
| | - David Buchanan
- Department of Health Promotion and Policy, School of Public Health & Health Sciences, University of Massachusetts Amherst, Arnold House, 715 N Pleasant St, Amherst, MA 01003, United States of America
| |
Collapse
|
6
|
Slade JL, Holt CL, Bowie J, Scheirer MA, Toussaint E, Saunders DR, Savoy A, Carter RL, Santos SL. Recruitment of African American Churches to Participate in Cancer Early Detection Interventions: A Community Perspective. JOURNAL OF RELIGION AND HEALTH 2018; 57:751-761. [PMID: 29488060 PMCID: PMC5916822 DOI: 10.1007/s10943-018-0586-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
This article describes the process used to engage and recruit African American churches to serve as participants in two multi-year behavioural cancer research interventions from a community perspective. Community-based organizations used purposive sampling in engaging and recruiting advisory panel members and churches to participate in these interventions. Trust, respect, open dialogue with participants, and commitment to address community health needs contributed to successful engagement and recruitment of African American churches to serve as participants in these cancer research projects. Our results may help others engage and recruit African American churches to participate in future interventions.
Collapse
Affiliation(s)
- Jimmie L Slade
- Community Ministry of Prince George's County, Post Office Box 250, Upper Marlboro, MD, 20773, USA.
| | - Cheryl L Holt
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA
| | - Janice Bowie
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | | | - Ebony Toussaint
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA
| | - Darlene R Saunders
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA
| | - Alma Savoy
- Community Ministry of Prince George's County, Post Office Box 250, Upper Marlboro, MD, 20773, USA
| | - Roxanne L Carter
- Community Ministry of Prince George's County, Post Office Box 250, Upper Marlboro, MD, 20773, USA
| | - Sherie Lou Santos
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA
| |
Collapse
|
7
|
Enhancing capacity among faith-based organizations to implement evidence-based cancer control programs: a community-engaged approach. Transl Behav Med 2018; 7:517-528. [PMID: 28733726 DOI: 10.1007/s13142-017-0513-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Evidence-based interventions (EBIs) to promote cancer control among Latinos have proliferated in recent years, though adoption and implementation of these interventions by faith-based organizations (FBOs) is limited. Capacity building may be one strategy to promote implementation. In this qualitative study, 18 community key informants were interviewed to (a) understand existing capacity for health programming among Catholic parishes, (b) characterize parishes' resource gaps and capacity-building needs implementing cancer control EBIs, and (c) elucidate strategies for delivering capacity-building assistance to parishes to facilitate implementation of EBIs. Semi-structured qualitative interviews were conducted. Key informants concurred about the capacity of Catholic parishes to deliver health programs, and described attributes of parishes that make them strong partners in health promotion initiatives, including a mission to address physical and mental health, outreach to marginalized groups, altruism among members, and existing engagement in health programming. However, resource gaps and capacity building needs were also identified. Specific recommendations participants made about how existing resources might be leveraged to address challenges include to: establish parish wellness committees; provide "hands-on" learning opportunities for parishioners to gain program planning skills; offer continuous, tailored, on-site technical assistance; facilitate relationships between parishes and community resources; and provide financial support for parishes. Leveraging parishes' existing resources and addressing their implementation needs may improve adoption of cancer control EBIs.
Collapse
|
8
|
Holt CL, Le D, Slade JL, Muwwakkil B, Saunders DR, Williams R, Atkinson NL, Naslund M. Can Women Facilitate Men's Prostate Cancer Screening Informed Decision-Making? The M-PACT Trial. JOURNAL OF HEALTH COMMUNICATION 2017; 22:964-973. [PMID: 29173037 DOI: 10.1080/10810730.2017.1382616] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The M-PACT study compared an all-male with a mixed-sex intervention to increase informed decision-making for prostate cancer screening among African-American men in church settings. We recruited 262 men in 18 churches randomized to the two intervention approaches. Trained and certified lay peer community health advisors in each church led a series of four men's health workshops on informed decision-making for prostate cancer screening. African-American male workshop participants completed baseline, post-workshop, and 12-month follow-up surveys. Contrary to our expectations, including women in the workshops did not result in increased intervention efficacy for the informed decision-making outcomes as both groups showed significant improvement over time in several study outcomes including stage of decision-making for prostate cancer screening, preference for role in decision-making, prostate cancer knowledge, and self-reports of prostate specific antigen testing. Finally, men who attended multiple workshops had better informed decision-making outcomes on several indicators. The current findings suggest mixed results from including women in this men's health educational intervention. Future work should consider optimal ways of providing family support for African-American men's health promotion.
Collapse
Affiliation(s)
- Cheryl L Holt
- a Department of Behavioral and Community Health, School of Public Health , University of Maryland , College Park , Maryland , USA
| | - Daisy Le
- a Department of Behavioral and Community Health, School of Public Health , University of Maryland , College Park , Maryland , USA
| | - Jimmie L Slade
- b Community Ministry of Prince George's County , Upper Marlboro , Maryland , USA
| | - Bettye Muwwakkil
- c Access to Wholistic & Productive Living, Inc ., Lanham , Maryland , USA
| | - Darlene R Saunders
- a Department of Behavioral and Community Health, School of Public Health , University of Maryland , College Park , Maryland , USA
| | - Ralph Williams
- c Access to Wholistic & Productive Living, Inc ., Lanham , Maryland , USA
| | | | - Michael Naslund
- e Department of Urology, University of Maryland Medical Center , Baltimore , Maryland , USA
| |
Collapse
|
9
|
Tagai EK, Scheirer MA, Santos SLZ, Haider M, Bowie J, Slade J, Whitehead TL, Wang MQ, Holt CL. Assessing Capacity of Faith-Based Organizations for Health Promotion Activities. Health Promot Pract 2017; 19:714-723. [PMID: 29058956 DOI: 10.1177/1524839917737510] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Faith-based organizations (FBOs) are important venues for health promotion, particularly in medically underserved communities. These organizations vary considerably in their structural capacities, which may be linked to variability in implementation success for health promotion initiatives. Lacking an existing validated assessment of organizational capacity specific to FBOs, an initial prototype assessment was developed. METHOD The Faith-Based Organization Capacity Inventory (FBO-CI) assesses three structural areas of capacity: Staffing and Space, Health Promotion Experience, and External Collaboration. The multidisciplinary team, including FBO leaders, codeveloped the initial instrument. The initial reliability from a convenience sample of 34 African American churches including descriptions of FBOs representing three capacity levels is reported. RESULTS The FBO-CI demonstrated feasibility of administration using an in-person interview format, and the three subscales had acceptable internal reliability (α ~ .70). Most churches had an established health ministry (n = 23) and had conducted activities across an average of seven health areas in the previous 2 years. CONCLUSIONS This initial FBO-CI prototype is promising, and future work should consider validation with a larger sample of churches and domain expansion based on the conceptual model. The FBO-CI has a number of potential uses for researchers, FBO leaders, and practitioners working with FBOs in health promotion initiatives.
Collapse
Affiliation(s)
| | | | | | | | | | - Jimmie Slade
- 4 Community Ministry of Prince George's County, Upper Marlboro, MD, USA
| | | | - Min Qi Wang
- 1 University of Maryland, College Park, MD, USA
| | | |
Collapse
|
10
|
Bowie JV, Bell CN, Ewing A, Kinlock B, Ezema A, Thorpe RJ, LaVeist TA. Religious Coping and Types and Sources of Information Used in Making Prostate Cancer Treatment Decisions. Am J Mens Health 2017; 11:1237-1246. [PMID: 28193130 PMCID: PMC5675355 DOI: 10.1177/1557988317690977] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2016] [Revised: 10/26/2016] [Accepted: 12/19/2016] [Indexed: 11/17/2022] Open
Abstract
Treatment experiences for prostate cancer survivors can be challenging and dependent on many clinical and psychosocial factors. One area that is less understood is the information needs and sources men utilize. Among these is the influence of religion as a valid typology and the value it may have on treatment decisions. The objective of this study was to assess the relationship between race, religion, and cancer treatment decisions in African American men compared with White men. Data were from the Diagnosis and Decisions in Prostate Cancer Treatment Outcomes Study that consisted of 877 African American and White men. The main dependent variables sought respondents' use of resources or advisors when making treatment decisions. Questions also assessed men perceptions of prostate cancer from the perspective of religious coping. After adjusting for age, marital status, education, and insurance status, race differences in the number of sources utilized were partially mediated by cancer was a punishment from God (β = -0.46, SE = 0.012, p < .001), cancer was a test of faith (β = -0.49, SE = 0.013, p < .001), and cancer can be cured with enough prayer (β = -0.47, SE = 0.013, p < .001). Similarly, race differences in the number of advisors utilized in making the treatment decision were partially mediated by cancer was a punishment from God (β = -0.39, SE = 0.014, p = .006), and cancer was a test of faith (β = -0.39, SE = 0.014, p = .006). Religious views on prostate cancer may play an important role in explaining race differences in information used and the number of advisors utilized for treatment decision making for prostate cancer.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Thomas A. LaVeist
- Johns Hopkins University, Baltimore, MD, USA
- George Washington University, Washington, DC, USA
| |
Collapse
|
11
|
Bowie JV, Parker LJ, Beadle-Holder M, Ezema A, Bruce MA, Thorpe RJ. The Influence of Religious Attendance on Smoking Among Black Men. Subst Use Misuse 2017; 52:581-586. [PMID: 28033482 PMCID: PMC10041884 DOI: 10.1080/10826084.2016.1245342] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND Cigarette smoking poses a major public health problem that disproportionately affects Blacks and men. Religious attendance has been shown to be positively associated with health promotion and disease prevention among the Black population. In light of this evidence, this study examined if a similar relationship could be found for religious attendance and smoking in Black men. METHODS The National Survey of American Life (NSAL) study sampled 1,271 African American men and 562 Black Caribbean men. Multivariate logistic regression was used to determine the association between religious attendance and cigarette smoking. RESULTS After adjusting for age, marital status, household income, education, foreign born status, importance of prayer and major stress, men who reported attending religious services almost every day (odds ratio (OR) = 0.21, 95% confidence interval (CI) = 0.07, 0.62) and weekly (OR = 0.47, 95% CI = 0.29, 0.77) had lower odds of being a current smoker compared to men who reported never attending religious services. Conclusions/Importance: Findings suggest a health benefit in attending religious services on cigarette smoking among Black men in a nationally representative sample. In spite of lower church attendance in Black men in general, our results demonstrate that religious service attendance may still serve as a buffer against cigarette use. Given the emergent attention on faith-based health promotion among men, this conclusion is relevant and timely.
Collapse
Affiliation(s)
- Janice V Bowie
- a Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.,b Department of Health, Behavior and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA
| | - Lauren J Parker
- a Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.,b Department of Health, Behavior and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA
| | - Michelle Beadle-Holder
- a Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.,c Department of Sociology , University of Maryland , College Park , Maryland , USA
| | - Ashley Ezema
- a Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.,d Undergraduate Program in Public Health Studies, Johns Hopkins University , Baltimore , Maryland , USA
| | - Marino A Bruce
- e Center for Health of Minority Males, University of Mississippi Medical Center , Jackson , Mississippi , USA.,f Department of Sociology and Criminal Justice , Jackson State University , Jackson , Mississippi , USA
| | - Roland J Thorpe
- a Program for Research on Men's Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.,b Department of Health, Behavior and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.,d Undergraduate Program in Public Health Studies, Johns Hopkins University , Baltimore , Maryland , USA.,g Center for Biobehavioral Health Disparities Research, Duke University , Durham , North Carolina , USA
| |
Collapse
|
12
|
Walker DM, McAlearney AS, Sova LN, Lin JJ, Abramson S, Bickell NA. Comparing Prostate Cancer Treatment Decision Making in a Resource-rich and a Resource-poor Environment: A Tale of two Hospitals. J Natl Med Assoc 2016; 108:211-219. [PMID: 27979006 DOI: 10.1016/j.jnma.2016.08.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2016] [Accepted: 08/08/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Black men with prostate cancer are diagnosed later, have poorer treatment outcomes, and higher mortality from the disease than all other racial groups. While existing literature has explored differences in the treatment decision making process between black and white men with localized prostate cancer, little is known about how environmental factors may affect the treatment decision process for men with clinically significant disease for whom treatment improves survival. The aim of this study was to compare and contrast the treatment decision process, from both patients' and treating physicians' perspectives, in a resource-rich and a resource-poor hospital. METHODS Qualitative interviews and focus groups were conducted with patients and their treating physicians from two urban hospitals. Patients were identified through retrospective review of pathology and tumor registries; their charts abstracted to ascertain treatments. Treating physicians were identified and contacted to discuss the treatment decision process. Physicians were also asked to discuss patients who did not receive definitive treatment. Transcripts were analyzed deductively using themes from the Health Belief Model, and inductively to explore emergent themes. RESULTS Overall, patients and physicians discussed similar factors that influenced the decision making process at both hospitals. However, a few important differences were found: providers at the resource-poor hospital discussed cost as a barrier, highlighted having limited treatment options for their patients, and noted issues with follow-up as external factors affecting treatment decisions. Patients at the resource-poor hospital expressed greater fear and anxiety, and less self-efficacy and motivation in comparison to patients treated at the hospital with greater resources. Importantly, patients at both hospitals described significant trust in their physician, yet only at the resource-poor hospital did patients suggest that they lacked knowledge regarding treatment side-effects, despite physicians at both hospitals describing their attempt to disclose all side-effects. CONCLUSION These findings identify both medical-system factors, and practice-level factors that can help guide the development of interventions to reduce prostate cancer treatment disparities.
Collapse
Affiliation(s)
- Daniel M Walker
- Department of Family Medicine, College of Medicine, Ohio State University, Columbus, OH, USA.
| | - Ann Scheck McAlearney
- Department of Family Medicine, College of Medicine, Ohio State University, Columbus, OH, USA; Division of Health Services Management and Policy, College of Public Health, Ohio State University, Columbus, OH, USA
| | - Lindsey N Sova
- Department of Family Medicine, College of Medicine, Ohio State University, Columbus, OH, USA
| | - Jenny J Lin
- Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Center for Health Equity & Community Engaged Research, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place; Box 1077, New York, NY 10029, USA
| | - Sarah Abramson
- Center for Health Equity & Community Engaged Research, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place; Box 1077, New York, NY 10029, USA
| | - Nina A Bickell
- Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Center for Health Equity & Community Engaged Research, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place; Box 1077, New York, NY 10029, USA
| |
Collapse
|
13
|
Photovoice: a Link between Research and Practice for Prostate Cancer Advocacy in Black Communities. J Racial Ethn Health Disparities 2016; 4:364-375. [PMID: 27129857 DOI: 10.1007/s40615-016-0237-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2015] [Revised: 04/07/2016] [Accepted: 04/11/2016] [Indexed: 10/21/2022]
Abstract
Persisting high rates of prostate cancer incidence and mortality in Black communities have led to the development of many community-based interventions aimed at raising knowledge levels among these communities. There is limited research examining how advocates are reaching out to communities, or how advocates see their work impacting the communities. Using photovoice methods, four self-identified Black prostate cancer advocates were invited to document their experiences through photographs about what advocacy means to them and how they advocate. Meaningful photographs were taken by advocates and accompanied by powerful narratives. The advocates focused their projects on reaching men on their level, advocacy as an active process, and providing insight into the experiences surrounding prostate cancer. These photographs also have potential to be integrated in future outreach interventions. This project promotes further understanding of how these men advocate for prostate cancer awareness within Black and underserved communities, and how the research method of photovoice can be leveraged in future outreach programs and interventions.
Collapse
|
14
|
Saunders DR, Holt CL, Le D, Slade JL, Muwwakkil B, Savoy A, Williams R, Whitehead TL, Wang MQ, Naslund MJ. Recruitment and Participation of African American Men in Church-Based Health Promotion Workshops. J Community Health 2015; 40:1300-10. [PMID: 26089253 DOI: 10.1007/s10900-015-0054-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Health promotion interventions in African American communities are frequently delivered in church settings. The Men's Prostate Awareness Church Training (M-PACT) intervention aimed to increase informed decision making for prostate cancer screening among African American men through their churches. Given the significant proportion and role of women in African American churches, the M-PACT study examined whether including women in the intervention approach would have an effect on study outcomes compared with a men-only approach. The current analysis discusses the men's participation rates in the M-PACT intervention, which consisted of a series of 4 bimonthly men's health workshops in 18 African American churches. Data suggest that once enrolled, retention rates for men ranged from 62 to 69 % over the workshop series. Among the men who were encouraged to invite women in their lives (e.g., wife/partner, sister, daughter, friend) to the workshops with them, less than half did so (46 %), suggesting under-implementation of this "health partner" approach. Finally, men's participation in the mixed-sex workshops were half the rate as compared to the men-only workshops. We describe recruitment techniques, lessons learned, and possible reasons for the observed study group differences in participation, in order to inform future interventions to reach men of color with health information.
Collapse
Affiliation(s)
- Darlene R Saunders
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, 2369 School of Public Health Building (255), College Park, MD, 20742, USA.
| | - Cheryl L Holt
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, 2369 School of Public Health Building (255), College Park, MD, 20742, USA.
| | - Daisy Le
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, 2369 School of Public Health Building (255), College Park, MD, 20742, USA
| | - Jimmie L Slade
- Community Ministry Prince of George's County, Upper Marlboro, MD, USA
| | - Bettye Muwwakkil
- Access to Wholistic and Productive Living Institute, Inc., Lanham, MD, USA
| | - Alma Savoy
- Community Ministry Prince of George's County, Upper Marlboro, MD, USA
| | - Ralph Williams
- Access to Wholistic and Productive Living Institute, Inc., Lanham, MD, USA
| | - Tony L Whitehead
- Department of Anthropology, University of Maryland, College Park, MD, USA
| | - Min Qi Wang
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, 2369 School of Public Health Building (255), College Park, MD, 20742, USA
| | | |
Collapse
|
15
|
Holt CL, Le D, Saunders DR, Wang MQ, Slade JL, Muwwakkil B, Williams R, Atkinson NL, Whitehead TL, Naslund M. Informed Decision-Making and Satisfaction with a Church-Based Men's Health Workshop Series for African-American Men: Men-Only vs. Mixed-Gender Format. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2015; 30:530-534. [PMID: 25330866 DOI: 10.1007/s13187-014-0731-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Prostate cancer incidence and mortality are highest among African-American men, and coupled with the controversy around routine prostate cancer screening, reaching African-American men with interventions to help them make an informed decision about whether or not to be screened is critical. This study compares two approaches to delivering a church-based peer community health advisor intervention consisting of a series of four men's health workshops on informed decision-making for prostate cancer screening. In the men-only group, male community health advisors teach group workshops consisting only of men. In the health partner group, male-female pairs of community health advisors teach workshops in a mixed-gender format in which enrolled men are asked to invite a significant woman in their lives (e.g., wife/partner, sister, daughter, friend) with them to the workshops. Eighteen African-American churches were randomized to receive one of the two approaches, and 283 eligible men enrolled in the intervention. Main findings suggested that the workshops had an impact on stage of decision-making, and this increased significantly over time in the health partner group only. The intervention was highly rated by men in both groups, and these ratings increased over time, with some study group differences. Within-workshop study group differences favored the health partner group in some instances; however, men in the men-only groups reported greater increases in their ratings of trust in the workshops over time. The health partner intervention strategy appears to be promising for reaching men of color with health information.
Collapse
Affiliation(s)
- Cheryl L Holt
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, 2369 School of Public Health Building (255), College Park, MD, 20742, USA,
| | | | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Le D, Holt CL, Saunders DR, Wang MQ, Coriolan A, Savoy AD, Slade JL, Muwwakkil B, Atkinson NL. Feasibility and acceptability of SMS text messaging in a prostate cancer educational intervention for African American men. Health Informatics J 2015; 22:932-947. [PMID: 26324051 DOI: 10.1177/1460458215598636] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
African Americans' greater access to mobile phones makes short messaging service technology a promising complement to health promotion interventions. Short messaging service text messages were added to the Men's Prostate Awareness Church Training project, a men's health intervention for African American men. We report on the feasibility and acceptability of the use of short messaging service text messages in the intervention. Short messaging service text messages served as (1) workshop reminders; (2) post-workshop message reinforcement; (3) spiritual/motivational messages; and (4) participant retention. At workshop 4, over 65 percent of participants wished to continue receiving the messages. While there was an increase in recall over time, more than one-third of the participants did not recall receiving the 53 text messages. However, recall was considerably greater among men who attended the Men's Prostate Awareness Church Training workshops. Overall, the inclusion of text messages in health promotion interventions targeting mature African American men was found to be feasible and acceptable.
Collapse
Affiliation(s)
- Daisy Le
- University of Maryland, USA .,Community Ministry of Prince George's County, USA .,Access to Wholistic and Productive Living Institute, Inc., USA .,Westat, USA
| | - Cheryl L Holt
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
| | - Darlene R Saunders
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
| | - Min Qi Wang
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
| | | | - Alma D Savoy
- University of Maryland, USA.,Community Ministry of Prince George's County, USA.,Access to Wholistic and Productive Living Institute, Inc., USA.,Westat, USA
| | | | | | | |
Collapse
|
17
|
Sewali B, Pratt R, Abdiwahab E, Fahia S, Call KT, Okuyemi KS. Understanding cancer screening service utilization by Somali men in Minnesota. J Immigr Minor Health 2015; 17:773-80. [PMID: 24817627 PMCID: PMC4227966 DOI: 10.1007/s10903-014-0032-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This study examined factors that influence use of cancer screening by Somali men residing in Minnesota, USA. To better understand why recent immigrants are disproportionately less likely to use screening services, we used the health belief model to explore knowledge, beliefs, and attitudes surrounding cancer screening. We conducted a qualitative study comprised of 20 key informant interviews with Somali community leaders and 8 focus groups with Somali men (n = 44). Somali men commonly believe they are protected from cancer by religious beliefs. This belief, along with a lack of knowledge about screening, increased the likelihood to refrain from screening. Identifying the association between religion and health behaviors may lead to more targeted interventions to address existing disparities in cancer screening in the growing US immigrant population.
Collapse
Affiliation(s)
- Barrett Sewali
- Program in Health Disparities Research, University of Minnesota, Minneapolis, MN
| | - Rebekah Pratt
- Corresponding author: Barrett Sewali, Department of Family Medicine and Community Health, 717 Delaware St. SE. Ste. 166, Minneapolis, MN 55414, Phone: 612-625-4912, Fax: 612-626-6782,
| | - Ekland Abdiwahab
- Program in Health Disparities Research, University of Minnesota, Minneapolis, MN
| | - Saeed Fahia
- Confederation of Somali Community in Minnesota, Minneapolis, MN
| | - Kathleen Thiede Call
- Program in Health Disparities Research, University of Minnesota, Minneapolis, MN
- Center for Health Equity, University of Minnesota, Minneapolis, MN
- Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN
| | - Kolawole S. Okuyemi
- Program in Health Disparities Research, University of Minnesota, Minneapolis, MN
- Center for Health Equity, University of Minnesota, Minneapolis, MN
- Masonic Cancer Center, University of Minnesota, Minneapolis, MN
| |
Collapse
|