Pilgrimage to wellness: an exploratory report of rural African American clergy perceptions of church health promotion capacity.
Churches serve vital roles in African American communities, where disease burden is disproportionately greater and healthcare access is more limited. Although church leadership often must approve programs and activities conducted within churches, little is known about their perception of churches as health promotion organizations, or the impact of church-based health promotion on their own health. This exploratory study assessed perceptions of church capacity to promote health among 27 rural, African American clergy leaders and report the relationship between their own health and that of their congregation. Results indicate a perceived need to increase the capacity of their churches to promote health. Most common were conducting health programs, displaying health information, kitchen committee working with the health ministry, partnerships outside of the church, and funding. Findings lay the foundation for the development of future studies of key factors associated with organizational change and health promotion in these rural church settings.
Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina, USA. lori_carter-edwards@unc.edu
Lori
L
Carter-Edwards
Elizabeth Gerken
EG
Hooten
Marino A
MA
Bruce
Forrest
F
Toms
Cheryl Lemay
CL
Lloyd
Calvin
C
Ellison
D000223:Adaptation, Psychological; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D000368:Aged; D005260:Female; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D009657:North Carolina; D010465:Perception; D011209:Power, Psychological; D012067:Religion; D012069:Religion and Psychology; D012424:Rural Population / Q000706:statistics & numerical data*; D040241:Social Marketing; D013223:Statistics as Topic; D013315:Stress, Psychological