Adams Raymond D, Johnson Waldo E
Department of Social Work, Psychology & Counseling, College of Education, Humanities, and Behavioral Sciences, Alabama A&M University, Normal, AL 35810 1, USA.
Crown Family School of Social Work, Policy, and Practice, The University of Chicago, Chicago, IL 60637 2, USA.
Int J Environ Res Public Health. 2021 Mar 18;18(6):3134. doi: 10.3390/ijerph18063134.
Conceptualized using critical race theory as a theoretical underpinning, this study analyzed the lived experiences of older, rural, African American male prostate cancer (hereafter referenced as PrCA) survivors' faith and health promotion practices within Northeast Louisiana. Qualitative data from journaling, observations, and semi-structured interviews were obtained from ten older, African American male PrCA survivors residing in four rural parishes of Louisiana. The data analysis employed a two-stage approach known as Polkinghorne's analysis of narratives and narrative analysis using an art-based methodological approach. Framed as composite character counterstories, survivors' narratives revealed how survivors made sense of and gave meaning to their PrCA diagnosis, treatment, recovery, and survivorship. Specifically, their counterstories indicate that centering and honoring the unique and often taken-for-granted perspectives of older, rural, African American male PrCA survivors offered a deeper understanding of the multiple factors influencing their quality of life, as well as the sociostructural mechanisms impacting their survivorship care. Faith was examined as both a secular and sacred source of support that these men viewed as central to the acceptance of their diagnosis, treatment, recovery, and survivorship.
本研究以批判种族理论为理论基础进行概念化，分析了路易斯安那州东北部农村地区老年非裔美国男性前列腺癌（以下简称PrCA）幸存者的信仰及健康促进实践的生活经历。通过日志记录、观察和半结构化访谈获得的定性数据，来自居住在路易斯安那州四个农村教区的十名老年非裔美国男性PrCA幸存者。数据分析采用了一种两阶段方法，即波尔金霍恩的叙事分析和基于艺术方法论的叙事分析。作为复合角色反叙事构建，幸存者的叙事揭示了他们如何理解PrCA诊断、治疗、康复和生存经历并赋予其意义。具体而言，他们的反叙事表明，以老年农村非裔美国男性PrCA幸存者独特且常被视为理所当然的视角为中心并予以尊重，能更深入地理解影响其生活质量的多种因素，以及影响其生存护理的社会结构机制。信仰被视为这些男性认为对接受诊断、治疗、康复和生存至关重要的世俗及神圣支持来源进行研究。
