宗教信仰与癌症筛查有关吗？一项全国性调查的结果。
Is religiosity associated with cancer screening? Results from a national survey.
作者信息
Leyva Bryan, Nguyen Anh B, Allen Jennifer D, Taplin Stephen H, Moser Richard P
机构信息
Division of Cancer Control and Population Sciences, Behavioral Research Program, Process of Care Research Branch, National Cancer Institute, 9609 Medical Center Dr., Rockville, MD, 20850, USA,
出版信息
J Relig Health. 2015 Jun;54(3):998-1013. doi: 10.1007/s10943-014-9843-1.
This study examined the following: (1) relationships between religiosity-as measured by religious service attendance-and screening for breast, cervical, and colorectal cancers; (2) the potential mediating role of social support; and (3) the potential moderating effect of race/ethnicity. Statistical analyses showed that religiosity was associated with greater utilization of breast, cervical, and colorectal cancer screening. Social support fully mediated the relationship between religiosity and Pap screening, and partially mediated the relationship between religiosity and colorectal screening, but had no effect on the relationship between religiosity and mammography screening. Race/ethnicity moderated the relationship between religiosity and social support in the cervical cancer screening model, such that the positive association between religiosity and social support was stronger for non-Hispanic Blacks than it was for non-Hispanic Whites. These findings have implications for the role of social networks in health promotion and can inform cancer screening interventions in faith-based settings.
本研究考察了以下内容
（1）通过参加宗教仪式衡量的宗教虔诚度与乳腺癌、宫颈癌和结直肠癌筛查之间的关系；（2）社会支持的潜在中介作用；（3）种族/族裔的潜在调节作用。统计分析表明，宗教虔诚度与更多地利用乳腺癌、宫颈癌和结直肠癌筛查相关。社会支持完全中介了宗教虔诚度与巴氏涂片筛查之间的关系，部分中介了宗教虔诚度与结直肠癌筛查之间的关系，但对宗教虔诚度与乳房X线筛查之间的关系没有影响。在宫颈癌筛查模型中，种族/族裔调节了宗教虔诚度与社会支持之间的关系，即非西班牙裔黑人中宗教虔诚度与社会支持之间的正相关比非西班牙裔白人更强。这些发现对社会网络在健康促进中的作用具有启示意义，并可为基于信仰环境的癌症筛查干预提供参考。
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