Details:

Alternative Title:
J Health Commun
Personal Author:
BEST, ALICIA L. ; SPENCER, S. MELINDA ; FRIEDMAN, DANIELA B. ; HALL, INGRID J. ; BILLINGS, DEBORAH
BEST, ALICIA L. ; SPENCER, S. MELINDA ; FRIEDMAN, DANIELA B. ; HALL, INGRID J. ; BILLINGS, DEBORAH Less -
Description:
Spiritual framing of breast cancer communication may provide a useful strategy for addressing disparate rates of breast cancer mortality among African American women. The efficacy of a spiritually framed breast cancer screening (BCS) message was compared with that of a traditional BCS message. Specifically, 200 African American women were randomly assigned to review either a spiritually framed or traditional BCS message and complete a self-administered survey, including a thought-listing form. Message efficacy was measured by number of thoughts generated (elaboration), ratio of positive to negative thoughts (polarity), and intention to obtain and/or recommend a mammogram. Multiple linear regression and structural equation modeling were used to assess direct and indirect (mediated) associations among variables. Spiritual framing was positively associated with greater elaboration (β = .265, SE = .36, p < .001) and more positive polarity (β = .237, SE = .04, p < .001) . Spiritual framing also had a significant indirect effect on mammography intentions through polarity (standardized indirect effect = .057, 95% confidence interval [.024, .106], p < .001). These results indicate that spiritual framing may improve the efficacy of BCS messages among African American women by eliciting more positive thoughts about screening. Interventions targeting African American women might consider the role of spirituality when tailoring messages to encourage regular mammography use.
Subjects:
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Adult Aged Aged, 80 And Over Black Or African American Breast Neoplasms Early Detection Of Cancer Female Health Care Surveys Health Communication Humans Intention Mammography Middle Aged Spirituality
Source:
J Health Commun. 21(6):620-628
Pubmed ID:
27142231
Pubmed Central ID:
PMC4946341
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:0eb719d1e4393f60bf5242f64ed45842d36ce93c9486a710bec1f9cbe1563aee
Download URL:
https://stacks.cdc.gov/view/cdc/40415/cdc_40415_DS1.pdf
File Type:

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