title: Intersection of identities: food, role, and the African-American pastor.
abstract: African-American pastors can foster health-related innovations as gatekeepers and advocates within their churches. Personal experiences with food and health likely influence their support of such programs. Identities or meanings attached to societal roles have been shown to motivate individuals' attitudes and behaviors. Understanding role and eating identities of African-American pastors may have important implications for participation in faith-based health promotion programs. This study aimed to describe the eating and pastoral identities of African-American pastors, explore intersections between these identities, and highlight implications for nutrition programs. In-depth interviews with 30 African-American pastors were audio-recorded and transcribed verbatim. Data were analyzed using theory-guided and grounded-theory approaches. Pastors described affinity across one or more dimensions including healthy, picky, meat, and over-eater identities. In describing themselves as pastors, the dimensions pastor's heart, teacher, motivator, and role model emerged. Pastors who described themselves as healthy eaters were more likely to see themselves as role models. Pastors with healthier eating identities and more complex pastoral identities described greater support for health programming while unhealthy, picky, and over-eaters did not. These findings provide guidance for understanding eating and role identities among pastors and should be considered when designing and implementing faith-based programs.
authors.affiliation: Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA. bharmon@cc.hawaii.edu
authors.forename: Brook E
authors.initials: BE
authors.lastname: Harmon
authors.forename: Christine E
authors.initials: CE
authors.lastname: Blake
authors.forename: Cheryl A
authors.initials: CA
authors.lastname: Armstead
authors.forename: James R
authors.initials: JR
authors.lastname: Hébert
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D002977:Clergy / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012380:Role; D013022:South Carolina
references.citation: Am J Public Health. 1999 Sep;89(9):1390-6
references.pmid: 10474558
references.citation: J Cancer Educ. 2000 Fall;15(3):164-7
references.pmid: 11019765
references.citation: Contemp Clin Trials. 2010 Jul;31(4):323-35
references.pmid: 20359549
references.citation: Health Educ Res. 2002 Oct;17(5):562-73
references.pmid: 12408201
references.citation: Am J Prev Med. 2004 Aug;27(2):97-105
references.pmid: 15261895
references.citation: J Occup Environ Med. 1999 Nov;41(11):960-6
references.pmid: 10570501
references.citation: J Natl Med Assoc. 2010 Feb;102(2):108-17
references.pmid: 20191923
references.citation: J Nutr Educ Behav. 2003 Nov-Dec;35(6):282-93
references.pmid: 14642213
references.citation: J Health Commun. 2002 May-Jun;7(3):205-19
references.pmid: 12166874
references.citation: J Nutr Educ Behav. 2002 May-Jun;34(3):128-39
references.pmid: 12047837
references.citation: Altern Ther Health Med. 2001 Mar;7(2):44-50
references.pmid: 11253416
references.citation: Health Educ Res. 2010 Apr;25(2):306-15
references.pmid: 19261690
references.citation: Public Health Nurs. 2007 Jan-Feb;24(1):6-17
references.pmid: 17214648
references.citation: J Relig Health. 2012 Mar;51(1):148-60
references.pmid: 19960262
references.citation: Annu Rev Public Health. 2007;28:213-34
references.pmid: 17155879
references.citation: Public Health Nurs. 2002 Nov-Dec;19(6):401-11
references.pmid: 12406175
references.citation: J Relig Health. 2011 Dec;50(4):996-1006
references.pmid: 20151324
references.citation: Health Promot Pract. 2007 Jan;8(1):69-78
references.pmid: 16885511
references.citation: J Natl Black Nurses Assoc. 2006 Jul;17(1):1-8
references.pmid: 17004420
references.citation: Am J Prev Med. 2007 Feb;32(2):131-8
references.pmid: 17234487
references.citation: Soc Sci Med. 2008 Jun;66(12):2585-95
references.pmid: 18378056
references.citation: Am J Clin Nutr. 2003 Sep;78(3 Suppl):539S-543S
references.pmid: 12936947
references.citation: Prev Chronic Dis. 2011 Nov;8(6):A146
references.pmid: 22005639
references.citation: Qual Health Res. 2006 Feb;16(2):268-81
references.pmid: 16394214
references.citation: Ethn Dis. 2009 Summer;19(3):288-92
references.pmid: 19769011
references.citation: Health Educ Res. 2007 Dec;22(6):815-26
references.pmid: 17138614
references.citation: Public Health Rep. 2001;116 Suppl 1:68-81
references.pmid: 11889276
references.citation: Health Psychol. 2004 Sep;23(5):492-502
references.pmid: 15367069
references.citation: Obesity (Silver Spring). 2010 Sep;18(9):1867-70
references.pmid: 20448538
references.citation: J Public Health Manag Pract. 2009 May-Jun;15(3):264-73
references.pmid: 19363407
references.citation: J Gen Intern Med. 2008 Jun;23(6):827-33
references.pmid: 18299939
references.citation: Health Educ Res. 2011 Dec;26(6):1107-19
references.pmid: 21984225
references.citation: Health Psychol. 2009 Jul;28(4):394-403
references.pmid: 19594262
references.citation: J Relig Health. 2012 Sep;51(3):799-811
references.pmid: 20838894
references.citation: Am J Public Health. 1994 Apr;84(4):575-9
references.pmid: 8154559
references.citation: J Relig Health. 2011 Sep;50(3):700-20
references.pmid: 19360471
references.citation: J Relig Health. 2013 Mar;52(1):235-46
references.pmid: 21409482
references.citation: J Health Care Poor Underserved. 2004 Nov;15(4):631-44
references.pmid: 15531820
references.citation: Qual Health Res. 2001 Jul;11(4):522-37
references.pmid: 11521609
references.citation: J Community Health. 2008 Oct;33(5):304-12
references.pmid: 18473154
references.citation: Appetite. 2008 Jul;51(1):120-8
references.pmid: 18343534
references.citation: J Gen Intern Med. 2003 Jul;18(7):531-41
references.pmid: 12848836
references.citation: Appetite. 2009 Jun;52(3):621-630
references.pmid: 19501759
references.citation: Appetite. 2012 Oct;59(2):391-8
references.pmid: 22683804