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Bulduk M, Can V. Stigma perception and health fatalism in parents of children with epilepsy: A cross-sectional study. Heliyon 2024; 10:e35525. [PMID: 39170317 PMCID: PMC11336770 DOI: 10.1016/j.heliyon.2024.e35525] [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: 06/30/2024] [Revised: 07/28/2024] [Accepted: 07/30/2024] [Indexed: 08/23/2024] Open
Abstract
Aim The aim of this study was to examine the factors that affect stigma perceptions and health fatalism of parents of children with epilepsy in eastern Turkey, the relationship between these and the impact of these on their social lives. Method This descriptive and cross-sectional study was conducted between August 2022 and January 2023 with the parents of children under the age of 18 who had been diagnosed with epilepsy for at least 1 year and who were followed up in the only hospital with a paediatric neurology outpatient clinic in Van province of Turkey. No sample selection was made in the study. Healthy parents (n = 123) who presented to the outpatient clinic within the specified time period and who agreed to participate in the study after being explained the purpose of the study participated in the study. Results In this study, parental age was found to have a statistically weak positive correlation with Health Fatalism Scale (HFS) (r = 0.251; p = 0.005). A weak positive correlation was also found between the years patients had epilepsy and Parent Stigma Scale (PSS) (r = 0.275; p = 0.002). In addition, a statistically positive and weak relationship was found between Parent Stigma Scale scores and Health Fatalism Scale scores (r = 0.212; p = 0.018). This study found significant relationships between stigma perception and health fatalism in parents of epileptic children. Stigma perception increased with disease duration and lower parental education levels. Conclusion While providing an important basis for understanding the difficulties experienced by parents and developing support mechanisms, the present study can contribute to more informed support for parents of patients with epilepsy in the community. Nurses can contribute to ending stigma and discrimination by identifying patients' and parents' perceptions of epilepsy, focusing on addressing gaps in knowledge and raising awareness in the community.
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Affiliation(s)
- Mehmet Bulduk
- Van Yuzuncu Yil University, Faculty of Health Sciences, Department of Pediatric Nursing, 65000, Van, Turkey
| | - Veysel Can
- Van Yuzuncu Yil University, Faculty of Health Sciences, Department of Pediatric Nursing, 65000, Van, Turkey
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2
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King JJ, Badger TA, Segrin C, Thomson CA. Loneliness, Spirituality, and Health-Related Quality of Life in Hispanic English-Speaking Cancer Caregivers: A Qualitative Approach. JOURNAL OF RELIGION AND HEALTH 2024; 63:1433-1456. [PMID: 37665415 DOI: 10.1007/s10943-023-01880-x] [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: 07/25/2023] [Indexed: 09/05/2023]
Abstract
Hispanic caregivers experiencing higher caregiving burden than their non-Hispanic cohorts, due in part to contextual factors, such as barriers to accessing health care, challenging employment environments, low education and income, immigration issues, and minority stress. Spirituality may serve as a coping strategy for Hispanic caregivers that influences health-related quality of life (HRQoL), possibly by modifying loneliness associated with caregiving. We explored these concepts using semi-structured interviews (N = 10 Hispanic caregivers). Participants shared perceptions of loneliness, spirituality, and how these factors related to HRQoL. Five themes emerged: caregiver experience, coping strategies, loneliness, religion and spirituality to gain strength. Findings suggested that spirituality and religion improved HRQoL partially by reducing loneliness. Future programs to improve HRQoL in Hispanic English-speaking cancer caregivers should address spirituality.
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Affiliation(s)
- Jennifer J King
- University of Arizona Cancer Center, University of Arizona, 1295 N. Martin Ave., Drachman Hall, A260, PO Box 245209, Tucson, AZ, 85719, USA.
| | - Terry A Badger
- College of Nursing, University of Arizona, Tucson, AZ, USA
| | - Chris Segrin
- College of Social and Behavioral Sciences, University of Arizona, Tucson, AZ, USA
| | - Cynthia A Thomson
- Department of Health Promotion Sciences, The University of Arizona Cancer Center, University of Arizona, Tucson, AZ, USA
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3
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Alsuwaidi AR, Hammad HAAK, Elbarazi I, Sheek-Hussein M. Vaccine hesitancy within the Muslim community: Islamic faith and public health perspectives. Hum Vaccin Immunother 2023; 19:2190716. [PMID: 36914409 PMCID: PMC10038058 DOI: 10.1080/21645515.2023.2190716] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023] Open
Abstract
Vaccine hesitancy is a growing public health concern that has fueled the resurgence of vaccine-preventable diseases in several Muslim-majority countries. Although multiple factors are associated with vaccine hesitancy, certain religious deliberations are significant in determining individuals' vaccine-related decisions and attitudes. In this review article, we summarize the literature on religious factors linked to vaccine hesitancy among Muslims, thoroughly discuss the Islamic law (sharia) viewpoint on vaccination and offer recommendations to address vaccine hesitancy in Muslim communities. Halal content/labeling and the influence of religious leaders were identified as major determinants of vaccination choices among Muslims. The core concepts of sharia, such as "preservation of life," "necessities permit prohibitions," and "empowering social responsibility for the greater public benefit" promote vaccination. Engaging religious leaders in immunization programs is crucial to enhance the uptake of vaccines among Muslims.
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Affiliation(s)
- Ahmed R Alsuwaidi
- Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE
| | | | - Iffat Elbarazi
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE
| | - Mohamud Sheek-Hussein
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE
- School of Public Health, Loma Linda University, Loma Linda, CA, USA
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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4
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Parveen H, Nasir S, Shahnawaz MG, Husain F, Baig J, Shankar A. Vaccine Hesitancy in India: Facilitators and Inhibitors. HEALTH EDUCATION & BEHAVIOR 2023; 50:822-834. [PMID: 37401790 DOI: 10.1177/10901981231179503] [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: 07/05/2023]
Abstract
COVID-19 is yet not completely over; however, many people are hesitant to take COVID-19 vaccines despite their availability. Vaccine hesitancy is a major roadblock to attaining normalcy and controlling the spread of the COVID-19 virus. The present research used a multitheoretical framework (Health Belief Model, 3Cs framework, fatalism, and religious fatalism) to comprehend the complexity of vaccine hesitancy. Thus, the present study aimed at exploring vaccine hesitancy in India by using key components of the Health Belief Model, 3Cs framework, fatalism, religious fatalism, and some demographics as predictors. Data were collected electronically with the help of Google Forms from 639 Indian adults following snowballing and convenience sampling techniques with standardized measures (albeit some modifications to suit the context of the study). Descriptive analysis and hierarchical regression analysis were run in SPSS (V-22) to analyze the data. Results revealed that participants of the present study scored relatively high on vaccine hesitancy. Muslims as compared with Hindus and vaccination status emerged as significant predictors of vaccine hesitancy out of the demographic factors. Fear of COVID-19, vaccine convenience, and religious fatalism also significantly predicted vaccine hesitancy. Thus, a comprehensive approach is needed to strategically use these predictors to control vaccine hesitancy.
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Affiliation(s)
- Heena Parveen
- Department of Psychology, Aligarh Muslim University, Aligarh, India
| | - Shagufta Nasir
- Amity Institute of Clinical Psychology, Amity University, Rajasthan Jaipur, India
| | | | | | - Juweria Baig
- School of Philosophy, Psychology, and Linguistic Sciences, University of Edinburgh, Edinburgh, UK
| | - Anand Shankar
- Department of Psychology, Tilka Manjhi University, Bhagalpur, India
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5
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Cummings PE, Lakoh S, Yendewa SA, Massaquoi SPE, James PB, Sahr F, Deen GF, Salata RA, Gevao P, Yendewa GA. Understanding COVID-19 Vaccine Uptake and Hesitancy among People with HIV in Freetown, Sierra Leone: A Cross-Sectional Study. Vaccines (Basel) 2023; 11:1685. [PMID: 38006017 PMCID: PMC10674940 DOI: 10.3390/vaccines11111685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 11/01/2023] [Accepted: 11/01/2023] [Indexed: 11/26/2023] Open
Abstract
People with HIV (PWH) incur a higher risk of COVID-19-related morbidity and mortality rates, yet less is known about COVID-19 vaccine uptake and hesitancy in this group. We conducted a cross-sectional study in Freetown, Sierra Leone, from April to June 2022, using the VAX scale, a validated instrument, to assess attitudes towards COVID-19 vaccination and calculate the hesitancy (VAX) scores. We used generalized linear models to identify the factors associated with vaccine hesitancy. Overall, 490 PWH were enrolled (71.4% female, median age: 38 years, median CD4 count: 412 cells/mm3). About 17.3% received ≥1 dose of a COVID-19 vaccine. The mean VAX score was 43.14 ± 7.05, corresponding to 59.9% participants being vaccine-hesitant. A preference for natural immunity (65.8%) and concerns about profiteering (64.4%) were the commonest reasons for hesitancy, followed by a mistrust of vaccine benefits (61.4%) and worries about future effects (48.0%). In the adjusted regression analysis, being a Muslim (β = 2.563, p < 0.001) and having an urban residence (β = 1.709, p = 0.010) were associated with greater vaccine hesitancy, while testing for COVID-19 was associated with reduced vaccine hesitancy (β = -3.417, p = 0.027). These findings underscore the importance of addressing vaccine hesitancy as a critical element boosting COVID-19 vaccine uptake among PWH.
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Affiliation(s)
- Peterlyn E. Cummings
- College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown 00232, Sierra Leone; (P.E.C.); (S.L.); (F.S.); (G.F.D.); (P.G.)
| | - Sulaiman Lakoh
- College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown 00232, Sierra Leone; (P.E.C.); (S.L.); (F.S.); (G.F.D.); (P.G.)
- Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Ministry of Health and Sanitation, Freetown 00232, Sierra Leone
- Ministry of Health and Sanitation, Freetown 00232, Sierra Leone; (S.A.Y.); (S.P.E.M.)
| | - Sahr A. Yendewa
- Ministry of Health and Sanitation, Freetown 00232, Sierra Leone; (S.A.Y.); (S.P.E.M.)
| | | | - Peter B. James
- Faculty of Health, Southern Cross University, Lismore, NSW 2480, Australia;
| | - Foday Sahr
- College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown 00232, Sierra Leone; (P.E.C.); (S.L.); (F.S.); (G.F.D.); (P.G.)
- Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Ministry of Health and Sanitation, Freetown 00232, Sierra Leone
| | - Gibrilla F. Deen
- College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown 00232, Sierra Leone; (P.E.C.); (S.L.); (F.S.); (G.F.D.); (P.G.)
- Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Ministry of Health and Sanitation, Freetown 00232, Sierra Leone
- Ministry of Health and Sanitation, Freetown 00232, Sierra Leone; (S.A.Y.); (S.P.E.M.)
| | - Robert A. Salata
- Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA;
- Division of Infectious Diseases and HIV Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA
| | - Pelema Gevao
- College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown 00232, Sierra Leone; (P.E.C.); (S.L.); (F.S.); (G.F.D.); (P.G.)
- Republic of Sierra Leone Armed Forces, Department of Defense, Freetown 00232, Sierra Leone
| | - George A. Yendewa
- Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH 44106, USA;
- Division of Infectious Diseases and HIV Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
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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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Hassan Raza S, Yousaf M, Zaman U, Waheed Khan S, Core R, Malik A. Unlocking infodemics and mysteries in COVID-19 vaccine hesitancy: Nexus of conspiracy beliefs, digital informational support, psychological Well-being, and religious fatalism. Vaccine 2023; 41:1703-1715. [PMID: 36754765 PMCID: PMC9894779 DOI: 10.1016/j.vaccine.2023.01.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 12/18/2022] [Accepted: 01/21/2023] [Indexed: 02/05/2023]
Abstract
Guarding against an anti-science camouflage within infodemics is paramount for sustaining the global vaccination drive. Vaccine hesitancy remains a growing concern and a significant threat to public health, especially in developing countries. Infodemics, conspiracy beliefs and religious fatalism primarily fuel vaccine hesitancy. In addition, anti-vaccine disinformation, lack of understanding, and erroneous religious beliefs also trigger vaccine hesitancy. Global behavioral strategies such as wearing face masks and long-term preventive measures (i.e., COVID-19 vaccination) have effectively limited the virus's spread. Despite the alarming rate of global deaths (i.e., over 99% being unvaccinated), a large proportion of the global population remains reluctant to vaccinate. New evidence validates the usefulness of technology-driven communication strategies (i.e., digital interventions) to address the complex socio-psychological influence of the pandemic. Hence, the present research explored the digital information processing model to assess the interface between informational support (through digital interventions) and antecedents of vaccine hesitancy. This research involved two separate studies: a focus group to operationalize the construct of infodemics, which remained ambiguous in previous literature (Study 1), followed by a cross-sectional survey (Study 2) to examine the conceptual model. Data were collected from 1906 respondents through a standard questionnaire administered online. The focus group's findings revealed a multi-dimensional nature of infodemics that was also validated in Study 2. The cross-sectional survey results substantiated infodemics, religious fatalism and conspiracy beliefs as significant predictors of vaccine hesitancy. Similarly, conspiracy beliefs negatively influence an individual's psychological well-being. Furthermore, information support (through digital intervention) affected infodemics and religious fatalism, whereas it inversely influenced the strength of their relationships with vaccine hesitancy. Information support (through digital intervention) also moderated the relationship between conspiracy beliefs and psychological well-being.
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Affiliation(s)
- Syed Hassan Raza
- Department of Communication Studies, Bahauddin Zakariya University, Multan 66000, Pakistan.
| | - Muhammad Yousaf
- Centre for Media and Communication Studies, University of Gujrat, Gujrat 50700, Pakistan.
| | - Umer Zaman
- Endicott College of International Studies, Woosong University, Jayang-Dong, Dong-gu Daejeon 34606, South Korea.
| | - Sanan Waheed Khan
- School of Multimedia Technology and Communication, Univerisiti Utara Malaysia, 0601, Malaysia.
| | - Rachel Core
- Department Chair, Sociology & Anthropology Department, Stetson University, DeLand, FL 32723, USA.
| | - Aqdas Malik
- Department of Information Systems, Sultan Qaboos University, Muscat, Oman; Department of Computer Science, Aalto University, Finland.
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8
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Mamani-Benito O, Farfán-Solís R, Huayta-Meza M, Tito-Betancur M, Morales-García WC, Tarqui EEA. Effect of religious fatalism and concern about new variants on the acceptance of COVID-19 vaccines. Front Psychiatry 2023; 14:1071543. [PMID: 36937730 PMCID: PMC10017722 DOI: 10.3389/fpsyt.2023.1071543] [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: 10/16/2022] [Accepted: 02/13/2023] [Indexed: 03/06/2023] Open
Abstract
Introduction To protect public health, it is important that the population be vaccinated against COVID-19; however, certain factors can affect vaccine acceptance. Objective The objective of this study was to determine whether religious fatalism and concern about new variants have a significant effect on the acceptance of COVID-19 vaccines. Methodology An explanatory study was conducted with 403 adults of legal age captured through non-probabilistic convenience sampling in vaccination centers in the 13 health networks of the Regional Health Directorate of Puno, Peru. Data were collected through a brief scale of religious fatalism, a scale of acceptance of vaccines against COVID-19 and a scale of concern about a new variant of COVID-19. Results The proposed model obtained an adequate fit. There was a negative effect of religious fatalism on vaccine acceptance, a positive effect of fatalism on vaccine rejection, a positive effect of concern about new variants on the acceptance of vaccines, and a positive effect of concern about new variants on vaccine rejection. Conclusion These findings provide evidence for the usefulness of considering both religious fatalism and concern about new variants affect the intention to receive the COVID-19 vaccine in adults in southern Peru.
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Affiliation(s)
- Oscar Mamani-Benito
- Facultad de Derecho y Humanidades, Universidad Señor de Sipán, Chiclayo, Peru
| | - Rosa Farfán-Solís
- Facultad de Enfermería, Universidad Nacional del Altiplano, Puno, Peru
| | - Mariné Huayta-Meza
- Facultad de Ciencias Empresariales, Universidad Peruana Unión, Juliaca, Peru
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Gao J, Raza SH, Yousaf M, Shah AA, Hussain I, Malik A. How Does Digital Media Search for COVID-19 Influence Vaccine Hesitancy? Exploring the Trade-off between Google Trends, Infodemics, Conspiracy Beliefs and Religious Fatalism. Vaccines (Basel) 2023; 11:114. [PMID: 36679959 PMCID: PMC9860569 DOI: 10.3390/vaccines11010114] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 12/27/2022] [Accepted: 12/28/2022] [Indexed: 01/06/2023] Open
Abstract
Digital media has remained problematic during COVID-19 because it has been the source of false and unverified facts. This was particularly evident in the widespread misinformation and confusion regarding the COVID-19 vaccine. Past research suggested infodemics, conspiracy beliefs, and religious fatalism as potential threats to public COVID-19 vaccine hesitancy. However, the literature is primarily void of empirical evidence associating demographic attributes with efforts to build vaccine hesitancy. Therefore, this research uses two studies: (Study 1) Google Trends and (Study 2) survey method to provide inclusive empirical insight into public use of digital media during COVID-19 and the detrimental effects of infodemics, conspiracy beliefs, and religious fatalism as they were related to building COVID-19 vaccine hesitancy. Using Google Trends based on popular keywords the public searched over one year, Study 1 explores public digital media use during COVID-19. Drawing on this exploration, Study 2 used a cross-sectional national representative survey of 2120 adult Pakistanis to describe the influence of potential hazards such as infodemics on public vaccine hesitancy. Study 2 revealed that infodemics, conspiracy beliefs, and religious fatalism predict vaccine hesitancy. In addition, gender moderates the relationship between infodemics and conspiracy beliefs and vaccine hesitancy. This implies that there is a dispositional effect of the infodemics and conspiracy beliefs spread digitally. This study's findings benefit health and other concerned authorities to help them reduce religious fatalism, vaccine hesitancy, and conspiracy theories with targeted communication campaigns on digital media.
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Affiliation(s)
- Jiayue Gao
- The Bartlett, UCL Faculty of the Built Environment, University College London, London WC1E 6BT, UK
| | - Syed Hassan Raza
- Institute of Media and Communication Studies, Bahauddin Zakariya University, Multan 66000, Pakistan
| | - Muhammad Yousaf
- Centre for Media and Communication Studies, University of Gujrat, Gujrat 50700, Pakistan
| | - Amjad Ali Shah
- Institute of Media and Communication Studies, Bahauddin Zakariya University, Multan 66000, Pakistan
| | - Iltaf Hussain
- Department of Medicine, Health Science Centre, Xi’an Jiaotong University China, Xi’an, 710000, China
| | - Aqdas Malik
- Department of Information Systems, Sultan Qaboos University, Muscat 112, Oman
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Wong LP, Alias H, Megat Hashim MMAA, Lee HY, AbuBakar S, Chung I, Hu Z, Lin Y. Acceptability for COVID-19 vaccination: perspectives from Muslims. Hum Vaccin Immunother 2022; 18:2045855. [PMID: 35439106 PMCID: PMC9196781 DOI: 10.1080/21645515.2022.2045855] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
This study aims to assess COVID-19 vaccine acceptance among Muslims in Malaysia. A cross-sectional internet-based survey was to determine acceptance of COVID-19 vaccine. Other influential factors, namely socio-demographics, COVID-19 experience, self-perceived level of religiosity, support in immunization, COVID-19 immunization attitudes, and health fatalistic beliefs (measured using the Helpless Inevitability Subscale of the Religious Health Fatalism Questionnaire, RHFQ-HI) were investigated. The majority reported a definite intent to receive the COVID-19 vaccine (57.3%; 95% CI 55.0-59.6) followed by a probable intent (42.7%; 95% CI 40.4-45.0%). COVID-19 immunization attitudes measured by attitudinal barriers to vaccination scores were found to be the strongest influence of COVID-19 vaccination intent, whereby participants who have lower attitudinal barrier scores reported higher COVID-19 vaccination intent (OR = 6.75 ; 95% 5.20-8.75). Although religious health fatalism was not significantly associated with vaccination intent, a significantly higher proportion of participants with score 4-9 (61.9%) in the RHFQ-HI reported intent to receive COVID-19 vaccine than those with a score of 10-20 (53.5%), p < .001. Intervention for people with skeptical attitudes toward COVID-19 vaccination is warranted.
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Affiliation(s)
- Li Ping Wong
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.,Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China
| | - Haridah Alias
- Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | | | - Hai Yen Lee
- Tropical Infectious Diseases Research & Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, Malaysia
| | - Sazaly AbuBakar
- Tropical Infectious Diseases Research & Education Centre (TIDREC), Universiti Malaya, Kuala Lumpur, Malaysia.,Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Ivy Chung
- Department of Pharmacology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Zhijan Hu
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China
| | - Yulan Lin
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian, China
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11
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Jin Q, Raza SH, Yousaf M, Munawar R, Shah AA, Hassan S, Shaikh RS, Ogadimma EC. Ingraining Polio Vaccine Acceptance through Public Service Advertisements in the Digital Era: The Moderating Role of Misinformation, Disinformation, Fake News, and Religious Fatalism. Vaccines (Basel) 2022; 10:1733. [PMID: 36298598 PMCID: PMC9610005 DOI: 10.3390/vaccines10101733] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 10/11/2022] [Accepted: 10/14/2022] [Indexed: 07/30/2023] Open
Abstract
Recently, misinformation and disinformation, as well as fake news, have become global threats to public health owing to their role in spreading viral health hazard information. The growing explosive religious fatalistic views presented on social media and widespread misinformation, disinformation, and fake news can result in detrimental outcomes in adopting protective behavior. The moderating implications of misinformation and religious fatalism can be severe, leading to adverse effects on polio vaccine acceptance. Consequently, this research provides brief empirical evidence on the efficacy of risk communication strategies to address polio vaccine reluctance in a digital age landscape, an area that remains understudied. This research argues that the spread of misinformation, disinformation, fake news, and religious fatalism is not solely the bane of the polio vaccine, but rather represents the absence of risk communication strategies. The study opines that polio vaccine acceptance can be improved using risk communication strategies. Recognizing these risk factors and counter-risk communication strategies, this research tested a theoretical model using the cross-sectional survey design. Overall, data was collected from 2160 parents with children aged below five years. The results, based on structural equation modeling, revealed that public service advertisements are an effective tool to counter the inverse impacts of misinformation, disinformation, fake news, and religious fatalism. Furthermore, the inverse moderating role of misinformation, disinformation, fake news, and religious fatalism has been verified to potentially diminish polio vaccine acceptance. These results suggest that healthcare providers must identify and address all forms of digitally disseminated information that encumbers public health behaviors. Accordingly, this research recognized the utilization of evidence-based strategic communication campaigns to cultivate and encourage the literacy necessary to counter health hazard information, including misinformation. This study's findings will benefit health and other concerned authorities in utilizing strategic communication on different media platforms to reduce or eradicate the polio endemic.
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Affiliation(s)
- Qiang Jin
- Intercultural Communication Research Center, Hebei University, Baoding 071000, China
| | - Syed Hassan Raza
- Institute of Media and Communication Studies, Bahauddin Zakariya University, Multan 66000, Pakistan
| | - Muhammad Yousaf
- Centre for Media and Communication Studies, University of Gujrat, Gujrat 50700, Pakistan
| | - Rehana Munawar
- Department of Mass Communication, National University of Modern Languages, Islamabad 44000, Pakistan
| | - Amjad Ali Shah
- Institute of Media and Communication Studies, Bahauddin Zakariya University, Multan 66000, Pakistan
| | - Saima Hassan
- District Headquarter Hospital, Multan 66000, Pakistan
| | - Rehan Sadiq Shaikh
- Centre for Applied Molecular Biology, University of the Punjab, Lahore 54000, Pakistan
| | - Emenyonu C. Ogadimma
- College of Communication, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
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12
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Alyazidi AS, Muthaffar OY, Alotibi FA, Almubarak A, Tamai L, Takieddin SZ, Alghamdi M, Alraddadi YK. Evaluation of Health Science Students' Health Fatalism and Perception Towards Patients With Epilepsy: A Cross-Sectional Global Study. Cureus 2022; 14:e30030. [PMID: 36381863 PMCID: PMC9637446 DOI: 10.7759/cureus.30030] [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] [Accepted: 10/07/2022] [Indexed: 06/16/2023] Open
Abstract
Introduction The social acceptance of patients with epilepsy is largely determined by society's opinion of epilepsy; therefore, individuals with epilepsy could face prejudice and stigma as a result of negative impressions. Religious beliefs and mystical notions have been shown to influence attitudes toward epilepsy. Health fatalism could also be detrimental to society's and caregivers' approach toward such patients. In extreme settings, this could hinder them from obtaining an adequate treatment process. Methods A cross-sectional exploratory study was conducted from February 2022 to May 2022 in Saudi Arabia, Spain, Scotland, and Italy using an online questionnaire consisting of 33 questions concerning the Health Fatalism Scale (HFS), the Epilepsy Knowledge Scale (EKS), and the Epilepsy Attitude Scale (EAS). Results A total of 735 health science students (HSS) participated in the present study. The majority of participants were females (64.1%) while male participants represented 34.6% of the study. Health science students currently studying in Saudi Arabia represented the majority of participants with a percentage of 58.5%. Among the four countries, students in Saudi Arabia presented with the highest knowledge mean score. Students in Spain had the highest mean attitude score. Muslim students had the highest mean fatalism scores followed by Christian students. Conclusion In general, a high level of knowledge was observed among the participants, most notably, among Saudis who presented with the highest level of knowledge across the four countries. Regarding attitude, Spanish students presented the best attitude towards patients with epilepsy. Low fatalism scores were commonly observed across all countries regardless of their different demographic characteristics. Fatalism perception should be further detailed to ensure optimal services are delivered without prejudgment by future healthcare workers.
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Affiliation(s)
- Anas S Alyazidi
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
- Department of Medicine, King Abdulaziz University, Jeddah, SAU
| | - Osama Y Muthaffar
- Department of Pediatrics, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
- Department of Pediatrics, King Abdulaziz University Hospital, Jeddah, SAU
| | - Fahad A Alotibi
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
- Department of Medicine, King Abdulaziz University, Jeddah, SAU
| | | | - Luca Tamai
- Department of Medicine and Surgery, Università Cattolica del Sacro Cuore, Rome, ITA
| | - Siba Z Takieddin
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
| | - Maha Alghamdi
- Department of Internal Medicine, King Abdulaziz University Hospital, Jeddah, SAU
| | - Yara K Alraddadi
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
- Department of Medicine, King Abdulaziz University, Jeddah, SAU
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Goh SA, Lee JK, Seh WY, Ho EQY, Hartman M, Chou C, Wong ML. Multi-level determinants of breast cancer screening among Malay-Muslim women in Singapore: a sequential mixed-methods study. BMC Womens Health 2022; 22:383. [PMID: 36123600 PMCID: PMC9483897 DOI: 10.1186/s12905-022-01972-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 08/30/2022] [Indexed: 11/20/2022] Open
Abstract
Objective Ethnic disparity persists despite equal access to health care in Singapore, with Malay-Muslim women having the lowest mammogram uptake rate and highest breast cancer mortality rate. We sought to understand barriers to and facilitators for mammogram uptake in this community.
Methods We used a sequential mixed-methods design to first explore reasons for screening and not screening for breast cancer, then determine factors associated with screening and regular screening in a survey. We used maximum variation sampling for semi-structured in-depth interviews to select screeners and non-screeners of diverse ages and educational levels. Twenty-three Malay-Muslim women aged 40–69 years old were interviewed. Themes were categorized using thematic analysis. For the survey, we applied the Health Belief Model, Social Ecological Model, as well as themes from the interviews and findings from previous studies on factors influencing screening in Muslim women to guide questionnaire design. We surveyed 271 Malay-Muslim women aged 50–69 years old in a nationally representative sample. Multivariable logistic regression was used to determine factors associated with ever gone for mammogram and regular mammogram uptake. Results Through in-depth-interviews, we found perceived benefits of saving lives and breasts from early detection, reminders from doctors and husbands, symptoms, perceived test from God, and personal responsibility to care for one’s health facilitated screening. Barriers were perceived low susceptibility, inconvenience, cost, negative psychological effects, misinformation on mammogram triggering cancer cells, religious beliefs, perceived negative outcomes from mammography and distrust of doctor. From the survey, we found cues from health care professionals and needing symptoms before deciding to go for mammogram to be significantly associated with ever gone for mammogram and regular mammogram. Factors associated with ever gone for mammogram only included age, perceived benefits of saving lives from early detection, perceived importance of mammogram, Punishing Allah Reappraisal, and modesty. Factors associated with regular mammogram only included household income, perceived structural barriers to screening and perceived susceptibility to breast cancer. Conclusions Mammogram uptake is affected by multiple levels of influence. Interventions to promote screening should be designed with multiple stakeholders including doctors, religious leaders and women who had attended screening.
Supplementary Information The online version contains supplementary material available at 10.1186/s12905-022-01972-y.
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Ningsih ESP, Yusuf A, Firdaus S, Ilmi B, Fitryasari R, Sriyono, Setyowati A. Psychometric properties of the Indonesia version religious health fatalism questionnaire in diabetic foot ulcer outpatients. J Public Health Res 2022; 11:22799036221106605. [PMID: 36052097 PMCID: PMC9424875 DOI: 10.1177/22799036221106605] [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: 05/19/2022] [Accepted: 05/19/2022] [Indexed: 11/24/2022] Open
Abstract
Background: Religious health fatalism belief that health outcome is only determined by
God without seeking treatment. Tools are needed to measure fatalism among
patients with chronic disease, especially diabetic foot ulcer (DFU)
patients. The aim of this study was to conduct psychometric test of
religious health fatalism questionnaire (RHFQ) including translation,
validation, reliability, and cut-off point among DFU out-patients. Design and methods: This study employed cross sectional design, using self-report questionnaire.
Data were collected from diabetes clinic in five hospitals, Indonesia. The
inclusion criteria were patients who had history of DFU more than 2 years.
Total sample in this study was 184 patients. This study was conducted from
April to June 2021. Permission to use the RHFQ was permitted by the original
author. We conducted translation and adaptation questionnaire to Bahasa. We
employed reliability test with internal consistency, construct validity, and
convergent validity. Construct validity was evaluated using exploratory
factor analysis (EFA). Cut-off point RHS was analyzed using receiver
operating characteristic (ROC). ROC was evaluated using correlation score
between total score RHFQ and CDRISC-25 Indonesia version. Previous study
mentioned that resilience is a predictor of religious. The Cronbach’s alpha
for RHFQ Indonesia version was adequate. Results: EFA showed adequate with Kaiser–Meyer-Olkin (KMO) value of 0.72 and the
Bartlett’s test of sphericity was significant. According to ROC curve
analysis, the cut-off point at a score 67.5 indicated the best sensitivity
and specificity. Conclusions: RHFQ Indonesia version had reliability and validity for screening religious
health fatalism among DFU outpatients.
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Affiliation(s)
- Endang Sri Purwanti Ningsih
- Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.,Nursing Program, Poltekkes Kemenkes Banjarmasin, Indonesia
| | - Ah Yusuf
- Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
| | | | - Bahrul Ilmi
- Nursing Program, Poltekkes Kemenkes Banjarmasin, Indonesia
| | | | - Sriyono
- Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
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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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Evaluation of nursing students' health fatalism, knowledge, and attitudes toward patients with epilepsy. Epilepsy Behav 2022; 127:108497. [PMID: 34954506 DOI: 10.1016/j.yebeh.2021.108497] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 12/03/2021] [Accepted: 12/03/2021] [Indexed: 12/25/2022]
Abstract
AIM This study was conducted to determine the relationship between nursing students' health fatalism, epilepsy knowledge, attitudes, and some sociodemographic variables. METHODS The descriptive cross-sectional study was conducted with 423 nursing department students who were studying at a state university and who agreed to participate in the study in the Elazığ province in eastern Turkey during the 2020-2021 academic year. The data were collected using a Sociodemographic Information Form, the Health Fatalism Scale (HFS), the Epilepsy Knowledge Scale (EKS), and the Epilepsy Attitude Scale (EAS). RESULTS The nursing students had total mean scores of 46.95 ± 12.98, 6.94 ± 3.81, and 50.19 ± 8.47 for the HFS, EKS, and EAS, respectively. A positive and significant correlation was found between the EKS and EAS scores. First-year students had lower HFS scores than students in their second and fourth years. Third- and fourth-year students, those living in rural areas, and those who had patients with epilepsy in their families or immediate environments had higher EKS scores. Female students and those who had patients with epilepsy in their families or immediate environments had higher EKS and EAS scores. A significant positive correlation was found between age and the EKS score, whereas a significant negative correlation was found between age and the EAS score. CONCLUSION While nursing students generally had low levels of epilepsy knowledge, they had positive attitudes toward epilepsy and moderate levels of health fatalism. The study found that students' positive attitudes toward epilepsy increased as their levels of knowledge about the disorder increased. Age, gender, educational status, place of residence, the presence of a chronic disease, and knowing someone with epilepsy all affected HFS, EKS, and EAS scores.
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Fraser GJ. Fatalism Knowledge and Inquiry in African American Family Stories of Death Premonition. AMERICAN ANTHROPOLOGIST 2021. [DOI: 10.1111/aman.13554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Determination of health fatalism and the factors affecting health fatalism in patients with epilepsy in the North of Turkey. Epilepsy Behav 2021; 115:107641. [PMID: 33341394 DOI: 10.1016/j.yebeh.2020.107641] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 11/08/2020] [Accepted: 11/16/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVE In individuals with epilepsy, health fatalism can affect their perceptions of health and their responses to solutions offered, both positively and negatively. This study aimed to investigate health fatalism in people with epilepsy in Turkey and the factors that influence their health fatalism. METHOD This descriptive and cross-sectional study was conducted between December 2019 and April 2020 with 100 epilepsy patients who were referred to a neurology outpatient clinic in the North of Turkey. The data for the study were collected using a descriptive information form and the Health Fatalism Scale (HES). RESULTS The total mean score on the Health Fatalism Scale for the study participants was found to be 56,16 ± 15,71. Significant association was found between health fatalism and educational status (p < 0,05), polytherapy (p < 0,05), and frequency of seizures (p < 0,001). CONCLUSION In this study, individuals with epilepsy expressed high levels of fatalism in their health beliefs. It was found that illiterate individuals with epilepsy held more fatalistic beliefs. In addition, it was found that participants who used polytherapy and those who had frequent seizures also had higher levels of fatalistic health beliefs.
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Evaluation of attitudes toward epilepsy and health fatalism in northeastern Turkey. Epilepsy Behav 2021; 115:107495. [PMID: 33323342 DOI: 10.1016/j.yebeh.2020.107495] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 09/04/2020] [Accepted: 09/12/2020] [Indexed: 12/29/2022]
Abstract
PURPOSE This study was carried out to identify the attitudes toward epilepsy, health fatalism, and the factors affecting these in individuals living in Artvin in the northeast of Turkey. METHOD This descriptive and cross-sectional study involved 1443 healthy individuals at a hospital in Artvin in northeastern Turkey between January and March 2020. An individual information form, an epilepsy attitude scale, and a religious health fatalism scale were used to assess their views. An independent sample t-test, Mann-Whitney U test, one-way analysis of variance (ANOVA), and Pearson correlation analysis were used to analyze the data. RESULTS The mean score of participants' attitudes on epilepsy was 48.17 (standard deviation (SD) = 12.93), while the mean of their health fatalism score was 48.43 (SD = 17.41). There was a significant negative correlation between attitude scores and health fatalism (r = -0.084, p = 0.001). Significant differences were found among attitude, health fatalism mean scores, and misconceptions associated with religion about epilepsy being a contagious, psychiatric, and incurable disease that should be hidden. Significant differences were additionally observed among attitude, health fatalism mean scores, and education, marital status, income, employment status, and presence of chronic disease (p < 0.05). CONCLUSION It was found that most individuals had moderate level attitude toward epilepsy and had high health fatalism. Individuals with a high degree of health fatalism were found to have more negative attitude toward epilepsy. Attitude was found to be more negative, and health fatalism was found to be higher in individuals with low education level, low-income level, who were married, who were unemployed, who had a chronic disease, and in those who thought epilepsy was a contagious, psychiatric, and incurable disease associated with religion that should be hidden. IMPLICATIONS It is recommended that health professionals organize training programs to increase public understanding of epilepsy, improving individual attitudes toward the condition, and minimizing health fatalism.
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Cohen M, Rosenfeld M, Greenblatt-Kimron L. Development and validation of the Fatalistic Causal Attributions of Cancer Questionnaire: A three-phase study. Psychooncology 2020; 30:35-43. [PMID: 32856371 DOI: 10.1002/pon.5531] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 07/22/2020] [Accepted: 08/13/2020] [Indexed: 11/10/2022]
Abstract
OBJECTIVES Tools have been developed to assess the existence and intensity of fatalistic beliefs. Causal attributions of cancer, referring to the foundation for fatalistic views of cancer as being predetermined or reflecting an unavoidable death, are lacking. The aim was to develop and validate the Fatalistic Causal Attributions of Cancer Questionnaire, a measurement tool for studying the causal attributions of cancer. METHODS Three-phase study. Phase I: Item extraction and development based on focus groups (N = 30) and assessment of content validity. Phase II: Assessment of quality of items and construct validity (exploratory factor analysis, confirmatory factor analysis, and convergent validity) of data from 252 participants (aged 50-75). Phase III: Confirmatory factor analysis and assessment of the discriminant validity and reliability of the questionnaire with 127 online respondents (aged 20-70). RESULTS In Phase I, an initial questionnaire was constructed. In Phase II, four factors were identified: Belief in divine providence, belief in personal resilience as a protective factor, belief in chance or luck, and belief in inevitable environmental or genetic factors. The factorial structure of an 18-item version that emerged in the confirmatory factor analysis had good fit indexes and reliability measures. In Phase III, the 18-item questionnaire and its factorial structure and reliability were confirmed. CONCLUSION The findings show acceptable psychometric properties for the questionnaire. We suggest that this questionnaire should be used with an existing questionnaire that assesses the intensity of fatalistic perceptions for a more comprehensive assessment of fatalism in research and in promoting adherence to screening.
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Affiliation(s)
- Miri Cohen
- School of Social Work, University of Haifa, Haifa, Israel
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21
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de Dios MA, Childress SD, Cano MÁ, McNeill LH, Reitzel LR, Vaughan E. Elevated cholesterol among African American adults: the role of fatalistic attitudes about health. ETHNICITY & HEALTH 2020; 25:835-842. [PMID: 29716391 DOI: 10.1080/13557858.2018.1469734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 04/16/2018] [Indexed: 06/08/2023]
Abstract
Objectives: Cardiovascular disease (CVD) affects 47% of African-American adults (AAs) in the United States. Elevated cholesterol, the greatest risk factor for CVD, is highly prevalent among AAs, potentially as the result of engagement in behavioral risk factors. Religiosity has been associated with a beneficial effect in health promoting behaviors, yet findings have been mixed depending on methods employed. Religious health fatalism, defined as 'the belief that health outcomes are inevitable and/or determined by God', is a more specific domain of a religiosity that needs further exploration through scientific research. The purpose of the current study is to examine the relationship between RHFQ subscales and self-reported lifetime history of elevated cholesterol. Methods: Participants (n = 135) were recruited from a large, predominately African American church. A multiple logistic regression model was used to test whether the three subscales of the Religious Health Fatalism Questionnaire (RHFQ) were cross-sectional predictors of self-reported lifetime history of elevated cholesterol. Sets of variables were entered into a stepwise logistic regression model with the first set (Block 1) including significant demographic variables and religiosity (i.e. sex, age, level of education, employment status and scores on the Lukwago Religiosity Scale score [LRS]. The three RHFQ subscales were entered into Block 2 as our predictors of interest. Results: After adjusting for covariates, the likelihood of elevated cholesterol increased significantly (OR = 3.21, 95% CI = 1.81-5.69, p < .001) as Helpless Inevitability (RHFQ subscale) scores increased. Conclusions: A greater degree of Helpless Inevitability was found to be significantly associated with self-reported elevated cholesterol level. Future research is needed to further understand the complex interplay of factors associated with religiosity and fatalism that contribute to increased risk of elevated cholesterol among AAs.
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Affiliation(s)
- Marcel A de Dios
- Department of Psychological, Health, and Learning Sciences, College of Education, University of Houston, Houston, TX, USA
- HEALTH Research Institute, University of Houston, Houston, TX, USA
| | - Sarah D Childress
- Department of Health Disparities Research, Division of Cancer Prevention and Population Sciences, University of Texas MD Anderson Cancer Center, Houston, USA
| | - Miguel Ángel Cano
- Department of Epidemiology, College of Public Health and Social Work, Florida International University, Miami, FL, USA
| | - Lorna H McNeill
- Department of Psychological, Health, and Learning Sciences, College of Education, University of Houston, Houston, TX, USA
- HEALTH Research Institute, University of Houston, Houston, TX, USA
| | - Lorraine R Reitzel
- Department of Psychological, Health, and Learning Sciences, College of Education, University of Houston, Houston, TX, USA
- HEALTH Research Institute, University of Houston, Houston, TX, USA
| | - Ellen Vaughan
- Department of Counseling and Educational Psychology, School of Education, Indiana University, Bloomington, IN, USA
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Changing Mammography-Related Beliefs Among American Muslim Women: Findings from a Religiously-Tailored Mosque-Based Intervention. J Immigr Minor Health 2020; 21:1325-1333. [PMID: 30603838 DOI: 10.1007/s10903-018-00851-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background To advance the literature on religiously-tailored interventions and on Muslim cancer screening disparity research, we report on a behavioral intervention that used religiously-tailored messages to address salient mammography-related barrier beliefs. Methods We crafted specific, religiously-tailored messages and designed a two-session, peer-led, mosque-based educational program to deploy them. t-tests assessed pre- and post-intervention changes in mammography knowledge, intention to obtain mammography, and levels of agreement with mammography-related barrier and facilitator beliefs, while ordered logistic regression models assessed predictors of change. Results 58 women participated, 29 who were South-Asian and 18 Arab. Mean mammography knowledge increased post-intervention. Participants' overall mean agreement with facilitator beliefs trended upward and there was a significant decrease in agreement with the belief "Breast Cancer Screening is not important because God decides who will get cancer," Discussion Religiously-tailored messages provide an opportunity for addressing barriers to preventive health in a theologically consonant way.
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Bobov G, Capik C. The Reliability and Validity of the Religious Health Fatalism Scale in Turkish Language. JOURNAL OF RELIGION AND HEALTH 2020; 59:1080-1095. [PMID: 30430401 DOI: 10.1007/s10943-018-0731-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study aimed to conduct the reliability and validity study of the Religious Health Fatalism Scale in Turkish language. The study carried out in methodological type and consisted of 500 individuals. The basic component analysis was applied to the 17-item scale, and it was decided that the Turkish version of the scale would have one sub-dimension. Factor loads were over 0.30 for all items, and the explained variance of the scale was found 42.70%. The Cronbach's α coefficient was determined to be 0.91. Consequently, it was determined that the Religious Health Fatalism Scale had one dimension in the Turkish language, and it was a highly valid and reliable tool. It was determined that the elderly, females, housewives, illiterate, people with no health insurance, married individuals, those with low income, and people with chronic diseases had higher health fatalism scores.
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Affiliation(s)
- Gulruz Bobov
- Public Health Nursing Department, Faculty of Nursing, Ataturk University, University Campus, 25040, Erzurum, Turkey
| | - Canturk Capik
- Public Health Nursing Department, Faculty of Nursing, Ataturk University, University Campus, 25040, Erzurum, Turkey.
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Ly AL, Saide AR, Richert RA. Perceptions of the Efficacy of Prayer and Conventional Medicine for Health Concerns. JOURNAL OF RELIGION AND HEALTH 2020; 59:1-18. [PMID: 30315480 DOI: 10.1007/s10943-018-0704-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Previous research has associated prayer practices with positive health outcomes, but few studies have examined: (a) the perceptions of prayer in relation to perceptions of the efficacy of conventional medicine, and (b) whether the perceptions of prayer efficacy differ based on illness type, context of prayer, and whether prayer is for the self or someone else. The current study surveyed 498 emerging adults at a public university. Conventional medicine was perceived as more effective for alleviating health concerns overall, but participants perceived prayer as most effective when performed in a group setting for someone else. Individuals perceived prayer as more effective than conventional medicine when they reported greater religious activity, lower health locus of control, and higher spiritual locus of control.
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Affiliation(s)
- Albert L Ly
- Department of Psychology, Loma Linda University, Loma Linda, CA, 92350, USA.
| | - Anondah R Saide
- Department of Educational Psychology, University of North Texas, Denton, TX, 76203, USA
| | - Rebekah A Richert
- Department of Psychology, University of California, Riverside, CA, 92521, USA
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Pan SW, Carpiano RM, Smith MK, Ong JJ, Fu H, Huang W, Tang W, Tucker JD. Supernatural explanatory models of health and illness and healthcare use in China among men who have sex with men. Glob Public Health 2020; 15:83-96. [PMID: 31378138 PMCID: PMC6934899 DOI: 10.1080/17441692.2019.1649445] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Accepted: 07/11/2019] [Indexed: 10/26/2022]
Abstract
People's beliefs in supernatural explanatory models of health and illness - beliefs in divine and/or supernatural forces to inform how they perceive, interpret, and respond to health and illness - may have important implications for their use of healthcare services, especially among individuals with lower socioeconomic status (SES). However, the relevance of such research for contexts with strong Confucian and Buddhist traditions and sexual minority subpopulations remains unclear. We conducted a nation-wide survey in China of 503 men who have sex with men (MSM) to test hypotheses examining how supernatural beliefs impact commitment to a primary healthcare provider and testing history for HIV and syphilis. We also tested hypotheses regarding how SES may moderate such effects. Results indicate that strength of supernatural beliefs is associated with less commitment to a primary care provider and lower likelihood of HIV testing, particularly among men with lower educational attainment. However, among men with low income, supernatural belief was associated with higher likelihood of testing for HIV and syphilis. Belief in supernatural explanatory models of health and illness may have substantial influence on healthcare use among MSM in China. As religion and spirituality evolves within China, additional research concerning supernatural beliefs and healthcare use is warranted.
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Affiliation(s)
- Stephen W Pan
- Department of Health and Environmental Sciences, Xi’an Jiaotong-Liverpool University, Suzhou, China
- UNC-Project China, Guangzhou, China
| | - Richard M Carpiano
- School of Public Policy, University of California, Riverside, CA, USA
- Department of Sociology, University of California, Riverside, CA, USA
- Center for Healthy Communities, University of California, Riverside, CA, USA
| | - M. Kumi Smith
- UNC-Project China, Guangzhou, China
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | - Jason J Ong
- UNC-Project China, Guangzhou, China
- Central Clinical School, Monash University, Clayton, Victoria, Australia
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
| | - Hongyun Fu
- Eastern Virginia Medical School, Norfolk, VA, USA
| | - Wenting Huang
- UNC-Project China, Guangzhou, China
- Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Weiming Tang
- UNC-Project China, Guangzhou, China
- Dermatology Hospital of Southern Medical University, Guangzhou, China
| | - Joseph D Tucker
- UNC-Project China, Guangzhou, China
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
- School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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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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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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Polite BN, Cipriano-Steffens TM, Hlubocky FJ, Jean-Pierre P, Cheng Y, Brewer KC, Rauscher GH, Fitchett GA. Association of externalizing religious and spiritual beliefs on stage of colon cancer diagnosis among black and white multicenter urban patient populations. Cancer 2018; 124:2578-2587. [PMID: 29579340 DOI: 10.1002/cncr.31351] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 02/25/2018] [Accepted: 02/27/2018] [Indexed: 12/22/2022]
Abstract
BACKGROUND This study explores whether externalizing religious and spiritual beliefs is associated with advanced-stage colon cancer at initial oncology presentation and whether this association is stronger for blacks than for whites. METHODS Patients who had newly diagnosed, invasive colon cancer were recruited at 9 sites in the Chicago metropolitan area. Eligible patients were non-Hispanic white or black, ages 30 to 79 years, and diagnosed with a primary invasive colon cancer. Patients were interviewed on prior screening and diagnosis. Social and attitudinal constructs were measured, including the God Locus of Health Control (GLHC) and Religious Problem Solving. The final response rate was 52% and included 407 patients. RESULTS The median age was 59 years (range, 30-79 years), and 51% of participants were black. Cancer stage was available for 389 (96%) patients and was divided between late stage (stages III-IV; 60%) and early stage (stages I-II; 40%). Multivariate analysis indicated that patients in the highest tertile of scores on the GLHC were more likely have an advanced stage of disease at presentation (odds ratio, 2.14; 95% confidence interval, 1.00-4.59; P = .05) compared with those in the lowest tertile. No significant interaction was identified between race and GLHC scores for stage at presentation (P = .78). CONCLUSIONS In a large sample of black and white individuals across diverse health care systems, higher scores on the GLHC predicted late disease stage at presentation. Although blacks had significantly higher GLHC scores, race was not associated with stage at presentation, nor was the association between GLHC and stage limited to blacks. Further work is needed to better understand this association and to develop interventions to better connect the religious and health care spheres. Cancer 2018;124:2578-87. © 2018 American Cancer Society.
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Affiliation(s)
- Blase N Polite
- Department of Medicine, University of Chicago, Chicago, Illinois
| | | | - Fay J Hlubocky
- Department of Medicine, University of Chicago, Chicago, Illinois
| | | | - Ying Cheng
- Department of Psychology, University of Notre Dame, Notre Dame, Indiana
| | - Katherine C Brewer
- Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois
| | - Garth H Rauscher
- Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois
| | - George A Fitchett
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois
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Padela AI, Malik S, Ally SA, Quinn M, Hall S, Peek M. Reducing Muslim Mammography Disparities: Outcomes From a Religiously Tailored Mosque-Based Intervention. HEALTH EDUCATION & BEHAVIOR 2018; 45:1025-1035. [PMID: 29673255 DOI: 10.1177/1090198118769371] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To describe the design of, and participant-level outcomes related to, a religiously tailored, peer-led group education program aimed at enhancing Muslim women's mammography intention. METHOD Using a community-engaged approach and mixed methods, we identified and addressed barrier beliefs impeding mammography screening among Muslim American women. Our religiously tailored, mosque-based, peer-led intervention involved facilitated discussions and expert-led didactics conveying health-related religious teachings, and information about the benefits and process of mammography. Barrier beliefs were addressed through reframing, reprioritizing, or reforming such beliefs. Participant surveys were collected preintervention, postintervention, 6 months postintervention, and 1 year postintervention. These measured changes in mammography intention, likelihood, confidence, and resonance with barrier and facilitator beliefs. RESULTS A total of 58 Muslim women (mean age = 50 years) that had not had a mammogram in the past 2 years participated in the two-session program. Self-reported likelihood of obtaining a mammogram increased significantly ( p = .01) and coincided with a positive trend in confidence ( p = .08). Individuals with higher agreement with barrier beliefs preintervention had lower odds for positive change in likelihood (odds ratio = 0.80, p = .03), while those who were married had higher odds for positive change in likelihood (odds ratio = 37.69, p = .02). At 1-year follow-up, 22 participants had obtained a mammogram. CONCLUSION Our pilot mosque-based intervention demonstrated efficacy in improving Muslim women's self-reported likelihood of obtaining mammograms, and increased their mammography utilization, with nearly 40% obtaining a mammogram within 12 months of the intervention. IMPACT Our conceptual model for religiously tailoring messages, along with its implementation curriculum, proved effective in enhancing the likelihood and receipt of mammograms among Muslim American women. Accordingly, our work advances both the theory and practice of faith-based interventions and provides a model for addressing Muslim women's cancer screening disparities.
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Affiliation(s)
| | - Sana Malik
- 1 The University of Chicago, Chicago, IL, USA.,2 Stony Brook University, Stony Brook, NY, USA
| | | | | | | | - Monica Peek
- 1 The University of Chicago, Chicago, IL, USA
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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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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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Religious coping and God locus of health control: their relationships to health quality of life among people living with HIV in Malaysia. HEALTH PSYCHOLOGY REPORT 2017. [DOI: 10.5114/hpr.2017.62724] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Padela AI, Vu M, Muhammad H, Marfani F, Mallick S, Peek M, Quinn MT. Religious beliefs and mammography intention: findings from a qualitative study of a diverse group of American Muslim women. Psychooncology 2016; 25:1175-1182. [PMID: 27424488 DOI: 10.1002/pon.4216] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Revised: 05/26/2016] [Accepted: 07/07/2016] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Studies suggest that American Muslim women underutilize mammography. While religion has a strong influence upon Muslim health behaviors, scant research has examined how religion-related beliefs inform Muslim women's intention for mammography. Our study identifies and examines such beliefs. METHODS Muslim women aged 40 years and older sampled from mosques participated in focus groups and individual interviews. Drawing upon the theory of planned behavior, interviews elicited salient behavioral, normative, and control beliefs regarding mammography and the influence of Islam upon screening intention. RESULTS Fifty women participated in 6 focus groups and 19 in semistructured interviews, with near-equal numbers of African American, South Asian, and Arab Muslims. Forty-two percent of participants had not had a mammogram within the past 2 years. Across differences in race/ethnicity and mammography status, women voiced four religion-related salient beliefs that inform mammography intention: (1) the perceived duty to care for one's health, (2) religious practices as methods of disease prevention, (3) fatalistic notions about health, and (4) comfort with gender concordant health care. CONCLUSIONS Religious beliefs influence decisions to pursue mammography across the ethnic/racial diversity of Muslim women. Notions about duty to God and the stewardship of one's body appear to enhance mammography intention. Theocentric notions of cure and illness and varied views regarding personal agency also inform decisional frames that impact mammography intention. Given the salience of religion among our participants, religiously tailored messages in interventions have the potential to enhance cancer screening.
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Affiliation(s)
- Aasim I Padela
- Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, Illinois, USA. .,Department of Medicine, The University of Chicago, Chicago, Illinois, USA. .,Comprehensive Cancer Center, The University of Chicago, Chicago, Illinois, USA.
| | - Milkie Vu
- Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, Illinois, USA
| | - Hadiyah Muhammad
- Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, Illinois, USA
| | - Farha Marfani
- Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, Illinois, USA
| | - Saleha Mallick
- Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, Illinois, USA
| | - Monica Peek
- Department of Medicine, The University of Chicago, Chicago, Illinois, USA
| | - Michael T Quinn
- Department of Medicine, The University of Chicago, Chicago, Illinois, USA
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Hayward RD, Krause N, Ironson G, Pargament KI. Externalizing religious health beliefs and health and well-being outcomes. J Behav Med 2016; 39:887-95. [DOI: 10.1007/s10865-016-9761-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Accepted: 06/18/2016] [Indexed: 11/29/2022]
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Isaac KS, Hay JL, Lubetkin EI. Incorporating Spirituality in Primary Care. JOURNAL OF RELIGION AND HEALTH 2016; 55:1065-1077. [PMID: 26832335 PMCID: PMC4814294 DOI: 10.1007/s10943-016-0190-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Addressing cultural competency in health care involves recognizing the diverse characteristics of the patient population and understanding how they impact patient care. Spirituality is an aspect of cultural identity that has become increasingly recognized for its potential to impact health behaviors and healthcare decision-making. We consider the complex relationship between spirituality and health, exploring the role of spirituality in primary care, and consider the inclusion of spirituality in existing models of health promotion. We discuss the feasibility of incorporating spirituality into clinical practice, offering suggestions for physicians.
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Affiliation(s)
- Kathleen S Isaac
- Department of Psychology, The City College and The Graduate Center, City University of New York, 160 Convent Ave, North Academic Center, Rm 7/120, New York, NY, 10031, USA.
| | - Jennifer L Hay
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
| | - Erica I Lubetkin
- Department of Community Health and Social Medicine, The Sophie Davis School of Biomedical Education, The City College of New York, New York, NY, USA
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Vu M, Azmat A, Radejko T, Padela AI. Predictors of Delayed Healthcare Seeking Among American Muslim Women. J Womens Health (Larchmt) 2016; 25:586-93. [PMID: 26890129 DOI: 10.1089/jwh.2015.5517] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Delayed care seeking is associated with adverse health outcomes. For Muslim women, delayed care seeking might include religion-related motivations, such as a preference for female clinicians, concerns about preserving modesty, and fatalistic beliefs. Our study assesses associations between religion-related factors and delayed care seeking due to a perceived lack of female clinicians. MATERIALS AND METHODS Surveys were distributed to Muslim women attending mosque and community events in Chicago. Survey items included measures of religiosity, religious fatalism, discrimination, modesty, and alternative medicine utilization and worship practices. The outcome measure asked for levels of agreement to the statement "I have delayed seeking medical care when no woman doctor is available to see me." RESULTS Two hundred fifty-four women completed the survey with nearly equal numbers of African Americans (26%), Arab Americans (33%), and South Asians (33%). Fifty-three percent reported delays in care seeking due to a perceived lack of female clinicians. In multivariate analysis adjusting for sociodemographic factors, higher religiosity (odds ratio [OR] = 5.2, p < 0.01) and modesty levels (OR = 1.4, p < 0.001) were positively associated with delayed care seeking. Having lived in the United States for >20 years (OR = 0.22, p < 0.05) was negatively associated with delayed care seeking. CONCLUSION Many American Muslim women reported delays in care seeking due to a perceived lack of female clinicians. Women with higher levels of modesty and self-rated religiosity had higher odds of delaying care. Women who had lived in the United States for longer durations had lower odds of delaying care. Our research highlights the need for gender-concordant providers and culturally sensitive care for American Muslims.
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Affiliation(s)
- Milkie Vu
- 1 Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, The University of Chicago , Chicago, Illinois.,2 Section of Emergency Medicine, Department of Medicine, The University of Chicago , Chicago, Illinois
| | - Alia Azmat
- 1 Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, The University of Chicago , Chicago, Illinois
| | - Tala Radejko
- 1 Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, The University of Chicago , Chicago, Illinois
| | - Aasim I Padela
- 1 Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, The University of Chicago , Chicago, Illinois.,2 Section of Emergency Medicine, Department of Medicine, The University of Chicago , Chicago, Illinois.,3 MacLean Center for Clinical Medical Ethics, The University of Chicago , Chicago, Illinois
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Salsman JM, Fitchett G, Merluzzi TV, Sherman AC, Park CL. Religion, spirituality, and health outcomes in cancer: A case for a meta-analytic investigation. Cancer 2015; 121:3754-9. [PMID: 26258400 DOI: 10.1002/cncr.29349] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2014] [Revised: 01/15/2015] [Accepted: 02/10/2015] [Indexed: 11/10/2022]
Abstract
A growing body of research shows that a majority of patients with cancer report having religious and spiritual (R/S) beliefs, engaging in R/S behaviors, or deriving comfort from R/S experiences. These studies have been reviewed but not subjected to rigorous critical analysis. A meta-analytic approach is needed to provide a more definitive understanding of the relationships between R/S (affective, behavioral, and cognitive dimensions) and physical, mental, and social health in all phases of cancer including diagnosis, treatment, survivorship, and palliative care. A meta-analysis can quantify the degree of association between R/S dimensions and patient-reported health outcomes and the conditions under which these associations are strengthened or attenuated. Results can, in turn, help focus future work in this area by highlighting key variables for inclusion in studies of R/S and cancer and identifying particular subgroups for whom dimensions of R/S are particularly important to their health.
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Affiliation(s)
- John M Salsman
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.,Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois
| | - George Fitchett
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois
| | - Thomas V Merluzzi
- Department of Psychology, University of Notre Dame, Notre Dame, Indiana
| | - Allen C Sherman
- Behavioral Medicine, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Crystal L Park
- Department of Psychology, University of Connecticut, Storrs, Connecticut
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Padela AI, Murrar S, Adviento B, Liao C, Hosseinian Z, Peek M, Curlin F. Associations between religion-related factors and breast cancer screening among American Muslims. J Immigr Minor Health 2015; 17:660-9. [PMID: 24700026 PMCID: PMC4646415 DOI: 10.1007/s10903-014-0014-y] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
American Muslims have low rates of mammography utilization, and research suggests that religious values influence their health-seeking behaviors. We assessed associations between religion-related factors and breast cancer screening in this population. A diverse group of Muslim women were recruited from mosques and Muslim organization sites in Greater Chicago to self-administer a survey incorporating measures of fatalism, religiosity, discrimination, and Islamic modesty. 254 surveys were collected of which 240 met age inclusion criteria (40 years of age or older). Of the 240, 72 respondents were Arab, 71 South Asian, 59 African American, and 38 identified with another ethnicity. 77% of respondents had at least one mammogram in their lifetime, yet 37% had not obtained mammography within the past 2 years. In multivariate models, positive religious coping, and perceived religious discrimination in healthcare were negatively associated with having a mammogram in the past 2 years, while having a PCP was positively associated. Ever having a mammogram was positively associated with increasing age and years of US residency, and knowing someone with breast cancer. Promoting biennial mammography among American Muslims may require addressing ideas about religious coping and combating perceived religious discrimination through tailored interventions.
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Affiliation(s)
- Aasim I Padela
- Initiative on Islam and Medicine, Program on Medicine and Religion, Department of Medicine, University of Chicago, 5841 S Maryland Ave, Chicago, IL, 60637, USA,
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Jones A, Cohen D, Johnstone B, Yoon DP, Schopp LH, McCormack G, Campbell J. Relationships Between Negative Spiritual Beliefs and Health Outcomes for Individuals With Heterogeneous Medical Conditions. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2015. [DOI: 10.1080/19349637.2015.1023679] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Hess RF, Mbavu M. HIV/AIDS fatalism, beliefs and prevention indicators in Gabon:comparisons between Gabonese and Malians. AJAR-AFRICAN JOURNAL OF AIDS RESEARCH 2015; 9:125-33. [PMID: 25860521 DOI: 10.2989/16085906.2010.517479] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
HIV/AIDS fatalism may impact on individuals' health-seeking behaviour and HIV-prevention efforts. This descriptive study measured levels of HIV/AIDS fatalism and documented HIV/AIDS beliefs and practices among a sample of Gabonese and Malians living in Gabon, West Africa. The Powe Fatalism Inventory-HIV/AIDS version was used to measure levels of fatalism, while a short-answer survey was used to document personal beliefs and behaviours related to HIV and AIDS among 160 people in Gabon. The mean score of HIV/AIDS fatalism for the total sample was 6.8 on a 15-point scale. Malians had a more fatalistic outlook than Gabonese (mean scores 9.4 versus 5.3), Muslims were more fatalistic than persons of other religions (mean scores 9.2 versus 5.3), while healthcare providers were less fatalistic than non-providers (mean scores 3.8 versus 7.4). People that did not believe that HIV/AIDS is a punishment from God had a lower mean score of fatalism than those who did. Most of the sample believed that AIDS is a real disease, and most did not think that only immoral people discuss HIV and AIDS. The HIV-prevention indicators that related to lower scores of fatalism included knowing HIV-positive people, having had more years of formal education, a willingness to disclose one's HIV status (if known), and experience of HIV/AIDS education. Respondents who had tested for HIV were no less fatalistic than those who had never tested. The findings provide data from a part of the world where HIV/AIDS beliefs have rarely been documented. The results indicate a need for additional studies on correlations between HIV/ AIDS fatalism, HIV-prevention behaviours, and religious belief systems.
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Affiliation(s)
- Rosanna F Hess
- a Research for Health Inc. , 4321 Northampton Road , Cuyahoga Falls , Ohio , 44223 , United States
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Padela AI, Peek M, Johnson-Agbakwu CE, Hosseinian Z, Curlin F. Associations between religion-related factors and cervical cancer screening among Muslims in greater chicago. J Low Genit Tract Dis 2014; 18:326-32. [PMID: 24914883 PMCID: PMC4530503 DOI: 10.1097/lgt.0000000000000026] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This study aimed to assess rates of Papanicolaou (Pap) testing and associations between religion-related factors and these rates among a racially and ethnically diverse sample of American Muslim women. MATERIALS AND METHODS A community-based participatory research design was used in partnering with the Council of Islamic Organizations of Greater Chicago to recruit Muslim women attending mosque and community events. These participants self-administered surveys incorporating measures of fatalism, religiosity, perceived discrimination, Islamic modesty, and a marker of Pap test use. RESULTS A total of 254 survey respondents were collected with nearly equal numbers of Arabs, South Asians, and African American respondents. Of these respondents, 84% had obtained a Pap test in their lifetime, with individuals who interpret disease as a manifestation of God's punishment having a lower odds of having had Pap testing after controlling for sociodemographic factors (odds ratio [OR]=0.87, 95% CI=0.77-1.0). In multivariate models, living in the United States for more than 20 years (OR=4.7, 95% CI=1.4-16) and having a primary care physician (OR=7.7, 95% CI=2.5-23.4) were positive predictors of having had a Pap test. Ethnicity, fatalistic beliefs, perceived discrimination, and modesty levels were not significantly associated with Pap testing rates. CONCLUSIONS To our knowledge, this is the first study to assess Pap testing behaviors among a diverse sample of American Muslim women and to observe that negative religious coping (e.g., viewing health problems as a punishment from God) is associated with a lower odds of obtaining a Pap test. The relationship between religious coping and cancer screening behaviors deserves further study so that religious values can be appropriately addressed through cancer screening programs.
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Affiliation(s)
- Aasim I. Padela
- Initiative on Islam and Medicine, Program on Medicine and Religion, University of Chicago, Chicago, IL
- Section of Emergency Medicine, University of Chicago, Chicago, IL
- Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL
- Comprehensive Cancer Center, University of Chicago, Chicago, IL
| | - Monica Peek
- Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL
| | - Crista E. Johnson-Agbakwu
- Refugee Women’s Health Clinic, Maricopa Integrated Health System, Arizona State University, Phoenix, AZ
- Southwest Interdisciplinary Research Center, Arizona State University, Phoenix, AZ
| | - Zahra Hosseinian
- Initiative on Islam and Medicine, Program on Medicine and Religion, University of Chicago, Chicago, IL
| | - Farr Curlin
- Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL
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Park CL, Hale A. Religious/Spiritual Meaning Systems: Multiple Pathways to Well-Being. CROSS-CULTURAL ADVANCEMENTS IN POSITIVE PSYCHOLOGY 2014. [DOI: 10.1007/978-94-017-8950-9_10] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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HAZELTON ANTHONYGARRETT, SEARS SAMUELF, FORD JESSICA, CAHILL JOHN, NEKKANTI RAJASEKHAR, DEANTONIO HARRY, OTTOBONI LINDA, NORTON LINDA, WANG PAUL. Decisional Balance among Potential Implantable Cardioverter Defibrillator Recipients: Development of the ICD-Decision Analysis Scale (ICD-DAS). PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2013; 37:63-72. [DOI: 10.1111/pace.12253] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Revised: 06/20/2013] [Accepted: 07/11/2013] [Indexed: 11/29/2022]
Affiliation(s)
| | - SAMUEL F. SEARS
- Department of Psychology; East Carolina University; Greenville North Carolina
- Department of Cardiovascular Sciences; East Carolina University; Greenville North Carolina
| | - JESSICA FORD
- Department of Psychology; East Carolina University; Greenville North Carolina
| | - JOHN CAHILL
- Department of Cardiovascular Sciences; East Carolina University; Greenville North Carolina
| | - RAJASEKHAR NEKKANTI
- Department of Cardiovascular Sciences; East Carolina University; Greenville North Carolina
| | - HARRY DEANTONIO
- Department of Cardiovascular Sciences; East Carolina University; Greenville North Carolina
| | - LINDA OTTOBONI
- Department of Cardiovascular Medicine; Stanford University Medical Center; Stanford California
| | - LINDA NORTON
- Department of Cardiovascular Medicine; Stanford University Medical Center; Stanford California
| | - PAUL WANG
- Department of Cardiovascular Medicine; Stanford University Medical Center; Stanford California
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Fallon EA, Bopp M, Webb B. Factors associated with faith-based health counselling in the United States: implications for dissemination of evidence-based behavioural medicine. HEALTH & SOCIAL CARE IN THE COMMUNITY 2013; 21:129-139. [PMID: 23039832 DOI: 10.1111/hsc.12001] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Health counselling is an evidence-based behavioural medicine approach and the most commonly reported form of faith-based health interventions. Yet, no research has explored the factors influencing the implementation of faith-based health counselling. Therefore, this study examined individual, organisational and environmental factors associated with offering/not offering faith-based health counselling programmes within faith-based organisations. A national, internet-based, opt-in, cross-sectional survey of faith leaders (N = 676) was conducted (March-December 2009) to assess faith leaders' demographic information, health status, fatalism, health-related attitudes and normative beliefs, attitudes towards health counselling, institutional and occupational information, and perceptions of parent organisation support for health and wellness interventions. Most faith leaders reported offering some type of health counselling in the past year [n = 424, 62.7%, 95% CI (59.0, 66.3)]. Results of a multivariate logistic regression showed that faith leaders reporting greater proxy efficacy (OR = 1.40, P = 0.002), greater comfort in speaking with church members about health (OR = 1.25, P = 0.005), greater perceived health (OR = 1.27, P = 0.034), and who worked at larger churches (OR ≥ 3.2, P ≤ 0.001) with greater parent organisation support (OR = 1.33, P = 0.002) had significantly higher odds of offering faith-based health counselling. Church size and parent organisation support for faith-based health interventions appear to be important factors in the presence of faith leader health counselling. The content of faith leader health counselling training should aim to increase faith leaders' confidence that church members will successfully change their health behaviours as a result of the health counselling and increase faith leaders' comfort in speaking with church members about health. Future research is needed to examine efficacious and effective dissemination methods such as the use of internet trainings, CD ROM materials and incorporating health counselling into seminary school.
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Affiliation(s)
- Elizabeth A Fallon
- Health Studies Program, University of Rhode Island, Kingston, RI 02881, USA.
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Karvinen KH, Carr LJ. Does the perception that God controls health outcomes matter for health behaviors? J Health Psychol 2013; 19:521-30. [PMID: 23431129 DOI: 10.1177/1359105312474914] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The purpose of this study was to examine the associations between God Locus of Health Control, health behaviors, and beliefs utilizing a cross-sectional online survey (N = 549). Results indicated that God Locus of Health Control was correlated with alcohol use, physical activity, perceived risk of chronic disease, and beliefs that poor health behaviors contribute to chronic disease (all p values < .05). Multiple regression analyses including covariates and other locus of control variables revealed that God Locus of Health Control was only an independent correlate of the belief that physical inactivity contributed to chronic disease. Insights from this study may be important for future faith-based health behavior change interventions.
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Bopp M, Fallon EA. Individual and institutional influences on faith-based health and wellness programming. HEALTH EDUCATION RESEARCH 2011; 26:1107-19. [PMID: 21984225 DOI: 10.1093/her/cyr096] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The majority of the US population is affiliated with faith-based organizations (FBO). Health and wellness activities (HWAs) within FBOs have great potential for reach, though the factors influencing faith-based HWA are not well understood. The purpose of this study was to examine individual faith leader and institutional influences on HWAs offered within FBOs. A national convenience sample of faith leaders (N = 844) completed an online survey assessing individual (demographics, health, health behaviors and attitudes) and institutional influences (size, location and external support) on health and HWA within FBO. Respondents were primarily White (93%), male (72%), middle-aged and affiliated with Methodist (42.5%) or Lutheran (20.2%) religions. Respondents reported 4.8 ± 3.2 HWA within their FBO per year. Faith leader education, length of service to the FBO, physical activity and fruit/vegetable intake were positively related to HWA and body mass index was negatively related. Denomination, congregation diversity, location and size were also related to HWA. Results show a strong relationship between faith leaders' health and HWA, indicating the influence of the social environment on health promotion in FBOs. Institutional variables, though not modifiable, were significant predictors of HWA and should be considered when delivering interventions to achieve a significant impact.
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Affiliation(s)
- Melissa Bopp
- Department of Kinesiology, 268R Recreation Building, The Pennsylvania State University, University Park, PA 16802, USA.
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Drew EM, Schoenberg NE. Deconstructing fatalism: ethnographic perspectives on women's decision making about cancer prevention and treatment. Med Anthropol Q 2011; 25:164-82. [PMID: 21834356 PMCID: PMC3156035 DOI: 10.1111/j.1548-1387.2010.01136.x] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Researchers have long held that fatalism (the belief in a lack of personal power or control over destiny or fate) constitutes a major barrier to participation in positive health behaviors and, subsequently, adversely affects health outcomes. In this article, we present two in-depth, ethnographic studies of rural women's health decisions surrounding cancer treatments to illustrate the complexity and contestability of the long-established fatalism construct. Narrative analyses suggest that for these women, numerous and complex factors--including inadequate access to health services, a legacy of self-reliance, insufficient privacy, combined with a culturally acceptable idiom of fatalism--foster the use of, but not necessarily a rigid conviction in, the notion of fatalism.
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Affiliation(s)
- Elaine M Drew
- Department of Family and Community Medicine, Medical College of Wisconsin, USA
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Abstract
OBJECTIVES To review the concept of fatalism among African Americans by discussing how religiosity/spirituality may guide them in seeking cancer care in a positive rather than a fatalistic way. DATA SOURCES Nursing, social science, and medical journals. CONCLUSION Using culturally targeted faith-based interventions to educate African Americans about cancer can serve as a strategy to increase cancer knowledge, decrease cancer fatalism, and ultimately increase cancer screening and treatment resulting in cancer activism. IMPLICATIONS FOR NURSING PRACTICE Nurses should advocate for faith-based initiatives to help address fatalism in the African American community, and to assist them in developing a more proactive role in cancer screening, treatment, and survivorship.
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Affiliation(s)
- Phyllis D Morgan
- Department of Nursing, Fayetteville State University, Fayetteville, NC 28301, USA.
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Franklin MD, Schlundt DG, McClellan LH, Kinebrew T, Sheats J, Belue R, Brown A, Smikes D, Patel K, Hargreaves M. Religious fatalism and its association with health behaviors and outcomes. Am J Health Behav 2008; 31:563-72. [PMID: 17691869 PMCID: PMC4144788 DOI: 10.5555/ajhb.2007.31.6.563] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022]
Abstract
OBJECTIVE To examine the association between religious fatalism and health care utilization, health behaviors, and chronic illness. METHODS As part of Nashville's REACH 2010 project, residents (n=1273) participated in a random telephone survey that included health variables and the helpless inevitability subscale of the Religious Health Fatalism Questionnaire. RESULTS Religious health fatalism was higher among African Americans and older participants. Some hypotheses about the association between fatalism and health outcomes were confirmed. CONCLUSION Religious fatalism is only partially predictive of health behaviors and outcomes and may be a response to chronic illness rather than a contributor to unhealthy behaviors.
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Affiliation(s)
- Monica D Franklin
- Department of Psychology, Vanderbilt University, Nashville, TN 37217, USA.
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