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Racial/ethnic differences in spiritual well-being among cancer survivors

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Abstract

This study examined racial/ethnic differences in spiritual well-being (SWB) among survivors of cancer. We hypothesized higher levels of Peace and Faith, but not Meaning, among Black and Hispanic survivors compared to White survivors, differences that would be reduced but remain significant after controlling for sociodemographic and medical factors. Hypotheses were tested with data from the American Cancer Society’s Study of Cancer Survivors-II. The FACIT-Sp subscale scores, Meaning, Peace, and Faith assessed SWB, and the SF-36 Physical Component Summary measured functional status. In general, bivariate models supported our initial hypotheses. After adjustment for sociodemographic and medical factors, however, Blacks had higher scores on both Meaning and Peace compared to Hispanics and Whites, and Hispanics’ scores on Peace were higher than Whites’ scores. In contrast, sociodemographic and medical factors had weak associations with Faith scores. The pattern with Faith in bivariate models persisted in the fully adjusted models. Racial/ethnic differences in Meaning and in Peace, important dimensions of SWB, were even stronger after controlling for sociodemographic and medical factors. However, racial/ethnic differences in Faith appeared to remain stable. Further research is needed to determine if racial/ethnic differences in SWB are related to variations in quality of life in survivors of cancer.

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Authors and Affiliations

  1. Department of Behavioral Sciences, Rush University Medical Center, 1653 W. Congress Pkwy, Chicago, IL, 60612, USA

    Andrea L. Canada

  2. Departments of Religion, Health, and Human Values and Preventive Medicine, Rush University Medical Center, Chicago, IL, USA

    George Fitchett

  3. Departments of Religion, Health, and Human Values and Psychiatry, Rush University Medical Center, Chicago, IL, USA

    Patricia E. Murphy

  4. Behavioral Research Center, American Cancer Society, Inc., Atlanta, GA, USA

    Kevin Stein & Corinne Crammer

  5. Statistics and Evaluation Center, American Cancer Society, Inc., Atlanta, GA, USA

    Kenneth Portier

  6. Department of Psychology, University of North Carolina, Charlotte, NC, USA

    Amy H. Peterman

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  1. Andrea L. Canada
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  2. George Fitchett
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  3. Patricia E. Murphy
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  4. Kevin Stein
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  5. Kenneth Portier
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  7. Amy H. Peterman
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Correspondence to Andrea L. Canada.

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Canada, A.L., Fitchett, G., Murphy, P.E. et al. Racial/ethnic differences in spiritual well-being among cancer survivors. J Behav Med 36, 441–453 (2013). https://doi.org/10.1007/s10865-012-9439-8

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