Lewis Lisa M
Family and Community Health Department, School of Nursing, University of Pennsylvania, 420 Guardian Drive, Philadelphia, PA 19104-6096, USA.
J Relig Health. 2008 Dec;47(4):458-75. doi: 10.1007/s10943-007-9151-0.
A number of instruments have been developed for investigating relationships between spirituality and health, and have been used to assess spirituality in African-Americans. Yet, the cultural appropriateness for African-Americans of these instruments has not been investigated to date.
To evaluate the construct validity and reliability of spirituality measures used in health research from 1982 to 2005.
Systematic review of the literature.
Thirty five studies and five measures of spirituality met the inclusion criteria. Most of the spirituality measures were developed in primarily Caucasian-American samples. African-Americans were represented in 71% of the studies (n = 25) using spirituality measures in health research. Distinct cultural attributes of African-American spirituality were omitted in most of the spirituality measures. Two studies were retrieved in which psychometric evaluation was conducted in entirely African-American samples.
Spirituality is a significant cultural experience and belief that influences the health behaviors of African-Americans. The lack of a culturally appropriate measure of African-American spirituality is a major limitation of studies investigating spirituality and health in this population. Development of a culturally appropriate and sensitive measure of spirituality in African-Americans is suggested to strengthen the quality of research in this area.
已经开发了许多工具来研究灵性与健康之间的关系，并用于评估非裔美国人的灵性。然而，迄今为止尚未对这些工具对非裔美国人的文化适宜性进行研究。
评估1982年至2005年健康研究中使用的灵性测量方法的结构效度和信度。
对文献进行系统综述。
35项研究和5种灵性测量方法符合纳入标准。大多数灵性测量方法主要是在以白种人为主的样本中开发的。在健康研究中使用灵性测量方法的研究中，71%（n = 25）的研究纳入了非裔美国人。大多数灵性测量方法都忽略了非裔美国人灵性的独特文化属性。检索到两项在完全由非裔美国人组成的样本中进行心理测量评估的研究。
灵性是一种重要的文化体验和信仰，影响着非裔美国人的健康行为。缺乏一种文化上适宜的非裔美国人灵性测量方法是该人群中研究灵性与健康的主要局限。建议开发一种文化上适宜且敏感的非裔美国人灵性测量方法，以提高该领域研究的质量。
