Skip to main content
Grant Details

Grant Number: 5R01CA154419-05 Interpret this number
Primary Investigator: Holt, Cheryl
Organization: Univ Of Maryland, College Park
Project Title: Longitudinal Study of Religion and Cancer-Related Behaviors in Black Americans
Fiscal Year: 2015


Abstract

DESCRIPTION (provided by applicant): African Americans are disproportionately affected by cancer when compared to other racial or ethnic groups. There are a number of social and cultural factors that relate to prevention and screening behaviors that impact cancer mortality rates. Religious/spiritual involvement appears to be one of these factors. We have two ongoing studies that are testing a theoretical model of religious/spiritual involvement and cancer risk, prevention, and screening behaviors, as well as physical and emotional functioning. A set of ten potential mediators are being examined among a national probability sample of African Americans. These are the first known studies to empirically test such models. During the interviews participants were asked if they would be willing to be re-contacted for a subsequent interview. Over 90 percent of participants have indicated yes. We now have a unique and time-sensitive opportunity to conduct a four-year follow-up of these two research cohorts, providing a longitudinal analysis of the relationships being examined in the parent studies. In addition, we propose to conduct a third wave of longitudinal data collection at six years post baseline. These additional waves of data collection will strengthen the meditational analyses in both of the parent studies. This would provide a much-needed longitudinal test of the religion-health connection, and to our knowledge the only longitudinal analysis of mediators of the religion-health connection. Finally, the proposed study would strengthen cause-effect interpretations, something that cannot be done with cross sectional data. The specific aims of the proposed study are to: (1) Expand two of our ongoing cross-sectional investigations into longitudinal cohort studies, by conducting a four-year and a six-year follow-up assessment among our cohort of 3,173 healthy African American adults; and (2) Develop and disseminate recommendations for practice, based on findings from Specific Aim #1. For example, we will identify mediators and outcomes that appear to be modifiable over time, and make recommendations on how to integrate important mediators through which religious/spiritual involvement impacts behavior, into existing cancer screening and prevention programs for African Americans. This could significantly improve effectiveness of programs delivered in faith-based settings, which could have an impact on cancer disparities.



Publications

Disability and Health in African Americans: Population Research and Implications for Occupational Therapy Community-Based Practice.
Authors: Schulz E. , Ghosh D. , Clark E.M. , Williams B.R. , Williams R. , Ma L. , Park C.L. , Knott C.L. .
Source: The open journal of occupational therapy, 2022 Winter; 10(1), .
PMID: 35510196
Related Citations

A longitudinal study of social, religious, and spiritual capital and physical and emotional functioning in a national sample of African-Americans.
Authors: Clark E.M. , Ma L. , Williams B.R. , Ghosh D. , Park C.L. , Schulz E. , Woodard N. , Knott C.L. .
Source: Journal of community psychology, 2022-09-17; , .
EPub date: 2022-09-17.
PMID: 36115065
Related Citations

A longitudinal examination of social support as a mediator of the personality-health relationship in a national sample of African Americans.
Authors: Clark E.M. , Ma L. , Knott C.L. , Williams B.R. , Park C.L. , Schulz E.K. , Ghosh D. .
Source: The Journal of black psychology, 2020-11-01; 46(8), p. 607-637.
EPub date: 2020-10-19.
PMID: 34354319
Related Citations

A Longitudinal Study of Religiosity, Spiritual Health Locus of Control, and Health Behaviors in a National Sample of African Americans.
Authors: Clark E.M. , Williams B.R. , Huang J. , Roth D.L. , Holt C.L. .
Source: Journal of religion and health, 2018 Dec; 57(6), p. 2258-2278.
PMID: 29322285
Related Citations

Positive and Negative Religious Coping Styles as Prospective Predictors of Well-Being in African Americans.
Authors: Park C.L. , Holt C.L. , Le D. , Christie J. , Williams B.R. .
Source: Psychology of religion and spirituality, 2018 Nov; 10(4), p. 318-326.
EPub date: 2017-04-27.
PMID: 30505376
Related Citations

Role of religious social support in longitudinal relationships between religiosity and health-related outcomes in African Americans.
Authors: Holt C.L. , Roth D.L. , Huang J. , Clark E.M. .
Source: Journal of behavioral medicine, 2018 Feb; 41(1), p. 62-73.
EPub date: 2017-08-03.
PMID: 28776192
Related Citations

CervixCheck: A Spiritually-Based Text Messaging Intervention to Promote Cervical Cancer Awareness and Pap Test Screening Intention among African-American Women.
Authors: Le D. , Holt C.L. .
Source: Journal of health communication, 2018; 23(9), p. 842-853.
EPub date: 2018-10-09.
PMID: 30300091
Related Citations

Longitudinal effects of religious involvement on religious coping and health behaviors in a national sample of African Americans.
Authors: Holt C.L. , Roth D.L. , Huang J. , Park C.L. , Clark E.M. .
Source: Social science & medicine (1982), 2017 Aug; 187, p. 11-19.
EPub date: 2017-06-15.
PMID: 28645040
Related Citations

The relationship between religious beliefs and behaviors and changes in spiritual health locus of control over time in a national sample of African Americans.
Authors: Clark E.M. , Huang J. , Roth D.L. , Schulz E. , Williams B.R. , Holt C.L. .
Source: Mental health, religion & culture, 2017; 20(5), p. 449-463.
EPub date: 2017-10-11.
PMID: 29398951
Related Citations

Religious Involvement and Health over Time: Predictive Effects in a National Sample of African Americans.
Authors: Roth D.L. , Usher T. , Clark E.M. , Holt C.L. .
Source: Journal for the scientific study of religion, 2016 Jun; 55(2), p. 417-424.
EPub date: 2016-08-09.
PMID: 28502992
Related Citations

Religion and health in African Americans: the role of religious coping.
Authors: Holt C.L. , Clark E.M. , Debnam K.J. , Roth D.L. .
Source: American journal of health behavior, 2014 Mar; 38(2), p. 190-9.
PMID: 24629548
Related Citations

Positive self-perceptions as a mediator of religious involvement and health behaviors in a national sample of African Americans.
Authors: Holt C.L. , Roth D.L. , Clark E.M. , Debnam K. .
Source: Journal of behavioral medicine, 2014 Feb; 37(1), p. 102-12.
EPub date: 2012-11-11.
PMID: 23143382
Related Citations

Positive and Negative Religious Beliefs Explaining the Religion-Health Connection Among African Americans.
Authors: Holt C.L. , Clark E.M. , Roth D.L. .
Source: The International journal for the psychology of religion, 2014; 24(4), p. 311-331.
EPub date: 2013-08-05.
PMID: 28546736
Related Citations

Spiritual health locus of control and health behaviors in African Americans.
Authors: Debnam K.J. , Holt C.L. , Clark E.M. , Roth D.L. , Foushee H.R. , Crowther M. , Fouad M. , Southward P.L. .
Source: American journal of health behavior, 2012 Mar; 36(3), p. 360-72.
PMID: 22370437
Related Citations

Development and validation of an instrument to assess perceived social influence on health behaviors.
Authors: Holt C.L. , Clark E.M. , Roth D.L. , Crowther M. , Kohler C. , Fouad M. , Foushee R. , Lee P.A. , Southward P.L. .
Source: Journal of health psychology, 2010 Nov; 15(8), p. 1225-35.
EPub date: 2010-06-03.
PMID: 20522506
Related Citations

Development and Validation of Instruments to Assess Potential Religion-Health Mechanisms in an African American Population.
Authors: Holt C.L. , Clark E.M. , Roth D. , Crowther M. , Kohler C. , Fouad M. , Foushee R. , Lee P.A. , Southward P.L. .
Source: The Journal of black psychology, 2009-05-01; 35(2), p. 271-288.
PMID: 19774107
Related Citations




Back to Top