Thomas S B, Quinn S C, Billingsley A, Caldwell C
Division of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA 30329.
Am J Public Health. 1994 Apr;84(4):575-9. doi: 10.2105/ajph.84.4.575.
The Black church has a long history of addressing unmet health and human service needs, yet few studies have examined characteristics of churches involved in health promotion.
Data obtained from a survey of 635 Black churches in the northern United States were examined. Univariate and multivariate statistical procedures identified eight characteristics associated with community health outreach programs: congregation size, denomination, church age, economic class of membership, ownership of church, number of paid clergy, presence of other paid staff, and education level of the minister.
A logistic regression model identified church size and educational level of the minister as the strongest predictors of church-sponsored community health outreach. The model correctly classified 88% of churches that conduct outreach programs. Overall, the model correctly classified 76% of churches in the sample.
Results may be used by public health professionals and policy makers to enlist Black churches as an integral component for delivery of health promotion and disease prevention services needed to achieve the Year 2000 health objectives for all Americans.
黑人教会在满足未得到满足的健康和人类服务需求方面有着悠久的历史,但很少有研究考察参与健康促进的教会的特征。
对美国北部635所黑人教会的调查数据进行了分析。单变量和多变量统计程序确定了与社区健康外展项目相关的八个特征:会众规模、教派、教会年限、成员的经济阶层、教会所有权、带薪神职人员数量、其他带薪工作人员的存在以及牧师的教育水平。
一个逻辑回归模型确定教会规模和牧师的教育水平是教会赞助的社区健康外展的最强预测因素。该模型正确分类了88%开展外展项目的教会。总体而言,该模型正确分类了样本中76%的教会。
公共卫生专业人员和政策制定者可以利用这些结果,争取黑人教会成为实现所有美国人2000年健康目标所需的健康促进和疾病预防服务提供的一个组成部分。