Demark-Wahnefried W, McClelland J W, Jackson B, Campbell M K, Cowan A, Hoben K, Rimer B K
Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
J Cancer Educ. 2000 Fall;15(3):164-7. doi: 10.1080/08858190009528686.
African Americans (AAs) are at increased risk for many diseases, including cancer, but health promotion efforts often fail to reach them. Effective partnerships can be established with African American churches to deliver health-based interventions. In an NCI-funded study aimed at increasing fruit and vegetable consumption among rural AAs, investigators at three academic institutions and the North Carolina State Health Department partnered successfully with 50 churches to promote dietary change. This study adds to the increasing body of research in support of the African American church as an able partner in delivering health-based interventions. In conducting interventions and research through this channel, the health professional should gain support from regional secular associations; respect the power of the pastor; incorporate the strengths of the congregation; respect the mission of the church; establish open communication and develop trust; provide ample support and training to assure fidelity to interventions and integrity of data; and be patient and persevere.
非裔美国人（AAs）患包括癌症在内的多种疾病的风险更高，但健康促进措施往往无法惠及他们。可以与非裔美国人教会建立有效的伙伴关系，以提供基于健康的干预措施。在一项由美国国立癌症研究所（NCI）资助的旨在增加农村非裔美国人水果和蔬菜摄入量的研究中，三所学术机构的研究人员与北卡罗来纳州卫生部门成功地与50所教会合作，以促进饮食改变。这项研究进一步丰富了越来越多的研究成果，这些研究支持非裔美国人教会作为提供基于健康的干预措施的有力伙伴。在通过这一渠道开展干预措施和研究时，卫生专业人员应获得地区世俗协会的支持；尊重牧师的权力；整合会众的优势；尊重教会的使命；建立开放的沟通并发展信任；提供充分的支持和培训，以确保对干预措施的忠诚和数据的完整性；并且要有耐心并坚持不懈。
