Intrinsic Religiousness as a Mediator Between Fatalism and Cancer-Specific Fear: Clarifying the Role of Fear in Prostate Cancer Screening
- 290 Downloads
Understanding factors that influence screening receptivity may enhance African-American men’s receptivity to prostate cancer screening. Men of African descent (N = 481) between the ages of 40 and 70 were recruited. The hypotheses that Fatalism would be related to Intrinsic Religiousness and Fear, Intrinsic Religiousness would act as a mediator between Fatalism and Fear, and Fatalism as well as Prostate Cancer-Specific Fear would be negatively related to past Prostate-Specific Antigen Testing and Screening Intent were supported. This meditational finding suggests that when religious beliefs are a motivating force, the fear-inducing effects of fatalism are reduced.
KeywordsIntrinsic religiousness Fatalism Fear Prostate cancer screening African-American men
This research was supported by the Cancer Research Fund under Interagency Agreement #97-12013 (University of California, Davis contract #98—00924 V) with the Department of Health Services, Cancer Research Program. We appreciate the contributions of the churches, Alex Plummer, Jr., Rev. Bernadette Hickman-Maynard, Gabrielle Taylor, and Larry Seidlitz.
- Allport, G. W. (1950). The individual and his religion: A psychological interpretation. New York: MacMillan.Google Scholar
- American Cancer Society. (2005). Cancer facts and figures for African-Americans 2005–2006. Atlanta, GA: American Cancer Society.Google Scholar
- American Cancer Society. (2009). Cancer facts and figures for African Americans 2009–2010. Atlanta, GA: American Cancer Society.Google Scholar
- Barocas, D. A., Grubb, R., Black, A., Penson, D. F., Fowke, J. H., Andriole, G. L., et al. (2011). Racial variation in follow-through of a positive screening test for prostate cancer in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial (PLCO). Journal of the American College of Surgeons, 213, S109. doi: 10.1016/j.jamcollsurg.2011.06.255.Google Scholar
- Cameron, L. D., & Leventhal, H. (2003). Self-regulation of health and illness behaviour. New York: Routledge.Google Scholar
- Cotton, S., Puchalski, C. M., Sherman, S. N., Mrus, J. M., Peterman, A. H., Feinberg, J., et al. (2006). Spirituality and religion in patients with HIV/AIDS. JGIM: Journal of General Internal Medicine, 21, S5–S13. doi: 10.1111/j.1525-1497.2006.00642.x.
- Gorsuch, R. L. (1994). Toward motivational theories of intrinsic religious commitment. In B. Spilka & D. McIntosh (Eds.), The psychology of religion: Theoretical approaches (pp. 11–22). Boulder, CO: Westview Press.Google Scholar
- Hettler, T. R., & Cohen, L. H. (1998). Intrinsic religiousness as a stress-moderator for adult Protestant churchgoers. Journal of Community of Psychology, 26(6), 597–609. doi: 10.1002/(SICI)1520-6629(199811)26:6<597:AID-JCOP6>3.0.CO;2-M.CrossRefGoogle Scholar
- Myers, R. E., Wolf, T. A., McKee, L., McGrory, G., Burgh, D. Y., Nelson, G., et al. (1996). Factors associated with intention to undergo annual prostate cancer screening among African American men in Philadelphia. Cancer, 78(3), 471–479. doi: 10.1002/(SICI)1097-0142(19960801)78:3<471:AID-CNCR14>3.0.CO;2-W.PubMedCrossRefGoogle Scholar
- Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology 1982 (pp. 290–312). San Francisco: Jossey-Bass.Google Scholar