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A paucity of research was found regarding how spirituality impacted health care promotion. A convenience sample of 21 AAW participants were used. The principal investigator administered the pre-intervention questionnaire and Spiritual Perspective Scale, followed by the educational intervention, and post-intervention questionnaire. The questionnaire captured participant knowledge regarding breast health risk factors, ACS guidelines, how spirituality affects seeking care, and barriers to overcome when seeking treatment. Statistical analyses included descriptive statistics, paired t-tests, and Wilcoxon signed ranks tests. Identified barriers to adherence to ACS guidelines were knowledge, insurance status and preventative coverage, and decreased access to health care facilities. Knowledge scores on the pre- and post- questionnaire tools showed a significant improvement from 61.7% pre-educational intervention to 76.2% post intervention, t(20) = 3.22, p = .004. No significant findings were noted for attitudes or spirituality.
Little is known about breast health behaviors in Afro-Caribbean women (ACW) residing in the United States, as they are often included in the collective group of African American women (AAW). The objective of this study was to determine the influence of a spiritually-guided intervention on breast health self-care (BHSC) attitudes in ACW residing in southeastern Florida using a concurrent triangulation mixed methods design. One hundred and seventeen women were recruited from three local south Florida Caribbean churches. Inclusion criteria included: (a) self-identification as Afro-Caribbean, (b) female aged 30 years or older, (c) living in the United States for at least 1 year, (d) able to provide informed consent, (e) able to speak and read English at the 8th grade level, and (f) no previous history of breast cancer. The research approach adopted in this dissertation is a concurrent triangulation mixed methods design. Key findings included statistically significant relationships between (a) the scripture-guided intervention and scores on the Cancer Attitude Inventory (CAI) post-test (p = .002) and (b) reported age and education (r=.515), employment (r=.594), income (r=.143), and knowledge (r=.366). Additionally, as reported employment increased, breast cancer knowledge decreased (r=.348, p.01). There were no significant relationships between reported family history and participants' knowledge (r=-.028, p.05), or between the Religious Commitment Inventory (RCI), the Spiritual Well-Being Scale (SWBS), and attitudes (p=.657). Three major themes emerged from the focus group discussions exploring participant attitudes toward breast cancer: (a) breached credibility, (b) generational silence, and (c) shared responsibility. These findings support the effectiveness of spiritually-guided interventions on breast health self-care for Afro-Caribbean women and the importance of preparing nurses to incorporate spirituality into patient assessment and plans of care. Further research is needed to refine collaborative, nurse-led spiritually-guided breast health self-care interventions, and to inform policy development related to culturally-sensitive breast health self-care initiatives in minority populations.
We are what we eat. That old expression seems particularly poignant every time we have our blood drawn for a routine physical to check our cholesterol levels. And, it's not just what we eat that affects our health. Whole ranges of behaviors ultimately make a difference in how we feel and how we maintain our health. Lifestyle choices have enormous impact on our health and well being. But, how do we communicate the language of good health so that it is uniformly received-and accepted-by people from different cultures and backgrounds? Take, for example, the case of a 66 year old Latina. She has been told by her doctor that she should have a mammogram. But her sense of fatalism tells her that it is better not to know if anything is wrong. To know that something is wrong will cause her distress and this may well lead to even more health problems. Before she leaves her doctor's office she has decided not to have a mammogram-that is until her doctor points out that having a mammogram is a way to take care of herself so that she can continue to take care of her family. In this way, the decision to have a mammogram feels like a positive step. Public health communicators and health professionals face dilemmas like this every day. Speaking of Health looks at the challenges of delivering important messages to different audiences. Using case studies in the areas of diabetes, mammography, and mass communication campaigns, it examines the ways in which messages must be adapted to the unique informational needs of their audiences if they are to have any real impact. Speaking of Health looks at basic theories of communication and behavior change and focuses on where they apply and where they don't. By suggesting creative strategies and guidelines for speaking to diverse audiences now and in the future, the Institute of Medicine seeks to take health communication into the 21st century. In an age where we are inundated by multiple messages every day, this book will be a critical tool for all who are interested in communicating with diverse communities about health issues.
This handbook examines health and medical care in the Arab world from a systems biology approach. It features comprehensive coverage that includes details of key social, environmental, and cultural determinants. In addition, the contributors also investigate the developed infrastructure that manages and delivers health care and medical solutions throughout the region.More than 25 sections consider all aspects of health, from cancer to hormone replacement therapy, from the use of medications to vitamin deficiency in emergency medical care. Chapters highlight essential areas in the wellbeing and care of this population. These topics include women’s health care, displaced and refugee women’s health needs, childhood health, social and environmental causes of disease, health systems and health management, and a wide range of diseases of various body systems. This resource also explores issues related to access and barriers to health delivery throughout the region.Health in the Arab world is complex and rapidly changing. The health burden in the region is distributed unevenly based on gender, location, as well as other factors. In addition, crises such as armed conflicts and an expanding migrant population place additional stress on systems and providers at all levels. This timely resource will help readers better understand all these major issues and more. It will serve as an ideal guide for researchers in various biological disciplines, public health, and regulatory agencies.
Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.
Today seven million African American women are living in their prime, experiencing the joys and challenges of middle age. Now, at last, here is the book that addresses ourtotalhealth needs—physical, emotional, and spiritual. Written by a distinguished physician and a clinical psychologist,Prime Timeis the first complete guide that empowers us to take charge of our lives and attain the well-being we deserve. In many ways, it’s true that we are better off today than our foremothers were: We earn more money, command more respect. Yet in spite of these advances, we still experience more chronic health problems, endure more stress, and live shorter lives than women of other races. That’s whyPrime Timeis both urgent and essential. This groundbreaking book not only lays out a detailed, practical plan for overall healing and for maintaining wellness, it also addresses the underlying attitudes and assumptions that lead so many of us to neglect ourselves and undermine our own health.Prime Timewill help you • Reframe priorities to put yourself and your own health needs first • Interpret the latest medical findings on the Big Four killers and how they affect black women in middle age • Profile your current health with worksheets, quizzes, and assessment tools • Renew sex at midlife by eliminating restricting myths and taboos and finding new paths to pleasure • Reduce anger and “attitude” that block you from attaining good health • Identify the nontraditional signs of depression and anxiety common to African American women Comprehensive, straight-talking, and grounded in science and spiritual truth,Prime Timeis at once a guide to total health in middle age and a celebration of the strength, wisdom, and beauty of African American women in their second half of life.
In 1778 Captain James Cook made his first visit to the Hawaiian Islands. The members of his expedition and subsequent visitors brought to the previously isolated Hawaiian people new things, novel ideas, and, of greatest consequence, devastating alien germs. The infectious diseases introduced since 1778 have claimed more Hawaiian lives than all other causes of death combined. During their long isolation in space and time, Hawaiians had not been exposed to the many microbes that afflicted populations in other parts of the world. They had developed no immunity to those germs and gained no experiences to enable them to endure the sicknesses the newly introduced germs caused. That terrible vulnerability to foreigners' diseases has almost destroyed Hawaiian society and culture. The nine essays in this collection discuss the impact of these "gifts of civilization" upon the native Hawaiian people and upon the social history of Hawai‘i. Dr. Bushnell constructs a concise historical framework, including an examination of the native medical profession, and interprets the few facts known about it in light of present knowledge in the medical sciences. He presents information, opinions, and conclusions harvested from many years of thinking about the fate of native Hawaiian people, studying all the relevant documents, and writing about this and related subjects.