Underwood Sandra Millon, Powell Rhonda L
University of Wisconsin Milwaukee, College of Nursing, WI 53201, USA.
ABNF J. 2006 Jan-Feb;17(1):20-31.
In spite of the diversity in the principles, expression and practice, it is believed that significant improvements can occur in the health status of African Americans if health education and outreach efforts are presented and promoted through religious, spiritual and faith-based venues. Several reports published in the peer-reviewed literature address issues related to religion, spirituality and cancer control among African Americans. This growing body of literature describes outcomes of several cancer prevention and control programs designed for and conducted within the African American faith community. However, few efforts have been undertaken to examine the influence of religion and spirituality on health/risk behavior and cancer screening practices of African Americans within the faith community. This report presents the outcomes of an exploratory study undertaken to examine the influence of religion and spirituality on the health/risk behavior and cancer screening practices of African American congregants. Data suggest a need for tailored and targeted health education, outreach and programming among the targeted group of congregants focused specifically on tobacco control, diet and nutrition, exercise and physical activity, weight management, and cancer screening. The same appears to be the case relative to the need for education, outreach and programming focused on communication with primary care providers.
尽管在原则、表现形式和实践方面存在多样性，但人们认为，如果通过宗教、精神和基于信仰的场所来开展和推广健康教育及外展工作，非裔美国人的健康状况能够得到显著改善。同行评审文献中发表的几份报告探讨了与非裔美国人的宗教、精神信仰和癌症控制相关的问题。这一不断增多的文献描述了为非裔美国人宗教团体设计并在其中开展的几个癌症预防和控制项目的成果。然而，很少有人致力于研究宗教和精神信仰对非裔美国人在宗教团体中的健康/风险行为以及癌症筛查做法的影响。本报告介绍了一项探索性研究的成果，该研究旨在考察宗教和精神信仰对非裔美国教会成员的健康/风险行为以及癌症筛查做法的影响。数据表明，有必要针对特定的教会成员群体开展量身定制且有的放矢的健康教育、外展和项目规划，尤其侧重于烟草控制、饮食与营养、锻炼与体育活动、体重管理以及癌症筛查。在与初级保健提供者沟通方面的教育、外展和项目规划需求似乎也是如此。
