American Baptists maximize the middle.
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Reference groups, such as religious groups, are thought to provide individuals with normative frameworks which set and maintain standards for them. Persons who belong to a reference group, yet do not comply with the standards of that group, i.e. non-conformists, are thought to experience cognitive dissonance which in turn may lead to psychological discomfort and adverse physical health outcomes. In a community-based, racially mixed sample of elderly Baptists in the rural south of the United States (n = 1155), where Baptist churches proscribe alcohol use, we studied whether alcohol use was associated with adverse physical and mental health assessments. No relationship was found between non-conformist behavior among rural Baptists and adverse health outcomes for either Whites or African-Americans in controlled analyses. More frequent church attendance among African-American Baptists, but not for White Baptists, was strongly associated with abstinence from alcohol.
Research supports the potential effectiveness of health programs offered through African American churches, but pastors are often unprepared to assess the value of and help their congregations adopt such programs. This article summarizes how Nashville REACH 2010 addressed these issues via a "Faith and Health" course offered by the American Baptist College, a 4-year coeducational, liberal arts Bible college serving a predominantly African American student body. Participants became change agents by planning health-related programs for their congregations. Content analysis of student projects revealed 5 themes deemed important for program implementation and instituting systems change.
Hypotheses concerning clergymen's enjoyment of their pastoral contacts with older parishioners are examined using data from a national probability sample of 654 American Baptist parish ministers. The hypotheses test the ideas that ministers do not enjoy pastoral contacts with the elderly and that these contacts reflect the clergymen's ageist preferences and concern with instrumental over expressive values. The findings suggest that: (1) the majority of the clergy studied do not seem to have an aversion to ministering to older people; while not among the most enjoyable of their activities "ministering to the aged" clearly is not among the least enjoyable either; (2) there is some support for the view that clergy respond to the elderly in an ageist manner; comparing activities involving different age groups, the clergy prefer the young and adults to the aged; (3) those clergy who share with the elderly an interest in expressive activities are more likely to enjoy ministering to the aged.
The impact of hostile and neutral or favorable religious discourse on gay community strength, as quantified by the efficiency of six types of gay colonization of public space, was examined in 200 American cities. Baptist and Holiness-Pentecostal membership was negatively correlated with most types of colonization, pro-gay Protestant and Catholic membership was mostly irrelevant, and Jewish membership was positively correlated at significant levels. In a logistic regression on dichotomized strength, only Jewish membership was a significant covariate. Results are discussed in the context of cultural studies and queer theory.
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Socio-demographic and cultural factors have been reported to shape help-seeking behavior. However, not much effort has been made to determine the effects of these factors on help-seeking among rural populations. A telephone survey using random-digit dialing was used to explore socio-demographic characteristics and ethnic differences in the types of professionals sought for unexplained somatic and emotional problems (N = 1161) in rural eastern North Carolina. Ethnic differences in comfort with participating in support groups were also examined. The effect of a large natural disaster, Hurricane Floyd and subsequent flooding, on help-seeking choices and comfort with support groups was also assessed. Results showed that the rural population makes a sharp distinction between somatic symptoms and stress-related symptoms. This distinction seemed more pronounced for European-Americans than for African-Americans. In general African-Americans selected help-seeking from clergy more often than European-Americans, although for unexplained somatic symptoms this difference was fostered by Hurricane Floyd with its flooding. African-Americans showed markedly increased comfort with support groups after the hurricane, while European-Americans showed no changes in comfort with support groups as a function of the hurricane. The effects of Hurricane Floyd on African-Americans are interpreted as reflecting an increased salience of community support for African-Americans, significantly through the Baptist Church. Training of clergy should include recognition of stress-related somatic and emotional symptoms and the potential for an important referral role, especially following disasters.
Knowledge of human behavior in cultural context is the source from which all ethnic-sensitive social work practice emerges. Although research on resilience has burgeoned over the past several decades, relatively little is known about socialization contexts and practices that support the development of African American children. This article summarizes an ethnographic study describing the beliefs of African American adults about children's socialization and related socialization practices within the context of Sunday school, and how this knowledge was used to generate an ethnic-sensitive social work intervention designed to support the development of resilience in African American children.
OBJECTIVE: To assess current, desired and best body image in the opposite sex and examine correlates of body image dissatisfaction. METHODS: We conducted a cross-sectional analysis at baseline of 185 (141 women, 44 men) African Americans with type 2 diabetes in Project Sugar 1, a randomized controlled trial of primary care-based interventions to improve diabetic control. RESULTS: Women had a significantly lower desired body image compared to their current body image (BMI approximately 27.7 versus approximately 35.3). Men preferred a body image for women that was similar to the body image that women desired for themselves (BMI approximately 28.3 versus approximately 27.7). Significant correlates of body image dissatisfaction included self-perception of being overweight and attempting weight-loss (P < 0.05). PRACTICAL IMPLICATIONS: Among overweight and obese African-American women with diabetes, it is important to first address an individual's perceived body image, perceived risk of disease, desired body image, and weight-loss perceptions. In addition to the aesthetic benefits of weight-loss, there is a need to focus on the health benefits in order to intervene among African Americans with diabetes.
BACKGROUND: African Americans experience high rates of obesity and other chronic diseases, which may be related, in part, to diet. However, little is known about dietary patterns in this population, particularly from population-based data sources. METHODS: A cross-sectional analysis was conducted of 2,172 African-American adults in Project DIRECT (Diabetes Interventions Reaching and Educating Communities Together). A baseline assessment was conducted using a multistaged population-based probability sample from Raleigh and Greensboro, NC. Daily fruit, vegetable and fat intake was evaluated using a modified version of the Block questionnaire, and then stratified results were analyzed by sociodemographic, health and behavior characteristics. STATA Survey commands were used to account for the complex survey design. RESULTS: Overall, a very small number of participants met national recommendations for > or = 2 servings of fruit (8%) and > or = 3 servings of vegetables (16%) per day. Many participants reported eating high-fat foods; the average daily fat intake was 86 g, and the average daily intake from saturated fat was 24 g. People with more education and higher incomes had a higher average daily fruit intake (all p < 0.05). CONCLUSIONS: The data suggest that participants' fruit, vegetable and fat intake deviated greatly from national guidelines; older people, women, participants with higher socioeconomic status and those who were physically active consumed healthier foods. These data may be useful in developing dietary and weight loss interventions for African Americans.
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It is well established that about half of Americans suffering with a broad range of psychiatric diseases seek ministerial counseling instead of help from the medical community. Less well established is the influence of demographics, such as population density, on the mental health work of ministers. This study compares the counseling activities of Baptist ministers in rural and urban counties of West Virginia. Ministers responded to a questionnaire that assessed basic demographic data as well as attitudes regarding mental illness and counseling activity. County population density was then used to rank respondents. The respondents, who were almost exclusively male, were middle-aged and averaged greater than 20 years of experience in the ministry. They had an average church size of over 200 people. Although greater than 70% reported recent training in ministerial counseling, 85% indicated interest in a workshop focusing on common mental illnesses. No minister reported charging fees for their counseling. Significantly more counseling was reported by ministers from more urban areas with higher per capita incomes and larger congregations.
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This article reports the results of a pathoepidemiological study of a cohort of black men who had prostatic surgery at Howard University Hospital between 1968 and 1989. The median age of patients at diagnosis of prostate cancer increased by 8 years during the study period, indicating either a delay in seeking medical care or a true delay in onset of the disease. The trends of prevalence of biopsies with cancer in various age groups suggested a sharp rise in the incidence of prostate cancer after the age of 70. The significant increase in popularity of needle biopsy during the period 1982 to 1989 after a 7-year plateau is an indication of increased perceived value of this procedure with experience and technical improvement. The prevalence of biopsies with cancer in all successive time periods of the study showed a bimodal distribution with an early hump in the 50- to 54-year-old age group. This hump is analogous to the break in the rising incidence of breast cancer between the ages of 47 and 52 (Clemmesen hook). This similarity could be explained on the basis of hormonal dependence of the two cancers.