Journal of Religion and Health

, Volume 55, Issue 5, pp 1786–1799 | Cite as

Physical Health Screenings Among African-American Church and Community Members

  • Erin W. Moore
  • Jannette Y. Berkley-Patton
  • Marcie Berman
  • Christine Burleson
  • Abigail Judah
Original Paper


This study sought to identify characteristics, including religiosity, related to having received health screenings among persons who attend African-American churches or receive church-based community outreach services. A sample of 602 was recruited during two phases as part of a larger project. Blood pressure, cholesterol, and blood glucose screenings were the most frequently reported screenings ever and in the last 12 months. Although religiosity was significantly related to several of the health screenings in bivariate analysis, it is not a predictor of health screenings in multivariate analyses. Innovative strategies are needed to promote screenings such as church-based health fairs.


Health screenings African-Americans Church 


  1. Aycock, D. M., Kirkendoll, K. D., & Gordon, P. M. (2013). Hypertension education and screening in African American churches. Journal of Community Health Nursing, 30, 16–27.CrossRefPubMedGoogle Scholar
  2. Bazargan, M., Bazargan, S. H., Farooq, M., & Baker, R. S. (2004). Correlates of cervical cancer screening among underserved Hispanic and African-American women. Preventive Medicine, 39, 465–473.CrossRefPubMedGoogle Scholar
  3. Berkley-Patton, J., Thompson, C. B., Bradley-Ewing, A., Hawes, S., Moore, E., Williams, E., et al. (2010). Taking it to the pews: A CBPR-guided HIV awareness and screening project with black churches. AIDS Education and Prevention, 22(3), 218–237.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Boltri, J., Davis-Smith, Y., Seale, J., Shellenberger, S., Okosun, I., & Cornelius, M. (2008). Diabetes prevention in a faith-based setting: Results of translational research. Journal of Public Health Management & Practice, 14, 29–32.CrossRefGoogle Scholar
  5. Bowie, J. V., Wells, A. M., Juon, H., Sydnor, K. D., & Rodriguez, E. M. (2008). How old are African American women when they receive their first mammogram? Results from a church-based study. Journal of Community Health, 33(4), 183–191.CrossRefPubMedGoogle Scholar
  6. Campbell, M. K., James, A., Hudson, M. A., Carr, C., Jackson, E., Oakes, V., et al. (2004). Improving multiple behaviors for colorectal cancer prevention among African American church members. Health Psychology, 23, 492.CrossRefPubMedGoogle Scholar
  7. Centers for Disease Control and Prevention (CDC). (2011). National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services.
  8. Connors, G. J., Tonigan, J. S., & Miller, W. R. (1996). A measure of religious background and behavior for use in behavior change research. Psychology of Addictive Behaviors, 10, 90–96.CrossRefGoogle Scholar
  9. Datta, G. D., Colditz, G. A., Kawachi, I., Subramanian, S. V., Palmer, J. R., & Rosenberg, L. (2006). Individual-, neighborhood-, and state-level socioeconomic predictors of cervical carcinoma screening among U.S. Black women: A multilevel analysis. Cancer, 106, 664–669.CrossRefPubMedGoogle Scholar
  10. Davis-Smith, Y., Boltri, J., Seale, J., Shellenberger, S., Blalock, T., & Tobin, B. (2007). Implementing a diabetes prevention program in a rural African-American church. Journal of the National Medical Association, 99(4), 440–446.PubMedPubMedCentralGoogle Scholar
  11. Dodani, S., Sullivan, D., Pankey, S., & Champagne, C. (2011). HEALS: A faith-based hypertension control and prevention program for African American churches: Training of church leaders as program interventionists. International Journal of Hypertension. doi: 10.4061/2011/820101.Google Scholar
  12. Felix-Aaron, K., Levine, D., & Burstin, H. R. (2003). African American church participation and health care practices. Journal of General Internal Medicine, 18, 908–913.CrossRefPubMedGoogle Scholar
  13. Ford, C., Kim, M. J., & Dancy, B. (2009). Perceptions of hypertension and contributing personal and environmental factors among rural southern African American women. Ethnicity and Disease, 19, 407–413.PubMedPubMedCentralGoogle Scholar
  14. Frank, D., & Grubbs, L. (2008). A faith-based screening/education program for diabetes, CVD, and stroke in rural African Americans. The ABNF Journal, 19, 96–101.PubMedGoogle Scholar
  15. Hamman, M. K., & Kapinos, K. A. (2015). Mandated coverage of preventive care and reduction in disparities: Evidence from colorectal cancer screening. American Journal of Public Health, 105, S508–S516.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Holt, C. L., Litaker, M. S., Scarinci, I. C., Debnam, K. J., McDavid, C., McNeal, S. F., et al. (2012). Spiritually based intervention to increase colorectal cancer screening among African Americans: Screening and theory-based outcomes from a randomized trial. Health Education & Behavior, 40, 458–468.CrossRefGoogle Scholar
  17. Holt, C. L., Shipp, M., Eloubeidi, M., Fouad, M. N., Britt, K., & Norena, M. (2011). Your body is the temple: Impact of a spiritually based colorectal cancer educational intervention delivered through community health advisors. Health Promotion Practice, 12, 577–588.CrossRefPubMedGoogle Scholar
  18. Holt, C. L., Wynn, T. A., Litaker, M. S., Southward, P., Jeames, S., & Schulz, E. (2009). A comparison of a spiritually-based and non-spiritually based educational intervention for informed decision making for prostate cancer screening among church-attending African-American men. Urologic Nursing, 29(4), 249–258.PubMedPubMedCentralGoogle Scholar
  19. Husaini, B. A., Emerson, J. S., Hull, P. C., Sherkat, D. E., Levine, R. S., & Cain, V. A. (2005). Rural–urban differences in breast cancer screening among African American women. Journal of Health Care for the Poor and Underserved, 16(4), 1–10.CrossRefPubMedGoogle Scholar
  20. Husaini, B., Reece, M., Emerson, J., Scales, S., Hull, P., & Levine, R. (2008). A church-based program on prostate cancer screening for African American men: Reducing health disparities. Ethnicity and Disease, 18(Suppl 2), 179–184.Google Scholar
  21. Hyman, D. J., & Pavlik, V. N. (2001). Characteristics of patients with uncontrolled hypertension in the United States. The New England Journal of Medicine, 345(7), 479–486.CrossRefPubMedGoogle Scholar
  22. Jemal, A., Siegel, R., Ward, E., Murray, T., Xu, J., & Thun, M. J. (2007). Cancer statistics 2007. CA Cancer Journal for Clinicians, 57, 43–66.CrossRefGoogle Scholar
  23. Katz, M. L., James, A. S., Pignone, M. P., Hudson, M. A., Jackson, E., Oates, V., & Campbell, M. K. (2004). Colorectal cancer screening among African America church members: A qualitative and quantitative study of patient-provider communication. BMC Public Health, 4.
  24. Katz, M. L., Kauffman, R. M., Tatum, C. M., & Paskett, E. D. (2008). Influence of church attendance and spirituality in a randomized controlled trial to increase mammography use among a low-income, tri-racial, rural community. Journal of Religion and Health, 47, 227–236.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Lumpkins, C. Y., Greiner, K. A., Daley, C., Mabachi, N. M., & Neuhaus, K. (2013). Promoting healthy behavior from the pulpit: Clergy share their perspectives on effective health communication in the African American church. Journal of Religion and Health, 52, 1093–1107.CrossRefPubMedPubMedCentralGoogle Scholar
  26. Matthews, A. K., Berrios, N., Darnell, J. S., & Calhoun, E. (2006). A qualitative evaluation of a faith-based breast and cervical cancer screening intervention for African American women. Health Education & Behavior, 33, 643–663.CrossRefGoogle Scholar
  27. Nelson, W., Moser, R. P., Gaffey, A., & Waldron, W. (2009). Adherence to cervical cancer screening guidelines for U.S. women aged 25–64: Data from the 2005 Health Information National Trends Survey (HINTS). Journal of Women’s Health, 18, 1759–1768.CrossRefPubMedPubMedCentralGoogle Scholar
  28. O’Malley, M. S., Earp, J. A., Hawley, S. T., Schell, M. J., Mathews, H. F., & Mitchell, J. (2001). The association of race/ethnicity, socioeconomic status, and physician recommendation for mammography: Who gets the message about breast cancer screening? American Journal of Public Health, 91, 49–54.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Odedosu, T., Shoenthaler, A., Dorice, V. L., Agyemang, C., & Ogedegbe, G. (2012). Overcoming barriers to hypertension control in African Americans. Cleveland Clinic Journal of Medicine, 79, 46–56. doi: 10.3949/ccjm.79a.11068.CrossRefPubMedGoogle Scholar
  30. Office of Minority Health. (2012). Diabetes and African Americans. Retrieved from
  31. Ostchega, Y., Yoon, S. S., Hughes, J., & Louis, T. (2008). Hypertension awareness, treatment, and control-continued disparities in adults: United States, 2005–2006. NCHS Data Brief, 3, 1–8.PubMedGoogle Scholar
  32. Pew Forum on Religion and Public Life. (2009). A Religious Portrait of African Americans, U.S. Religious Landscape Survey. Washington, DC: Pew Research Center. Retrieved June 1, 2012, from
  33. Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., et al. (2012). Heart disease and stroke statistics—2012 update: A report from the American Heart Association. Circulation, 125(1), e2–e220.CrossRefPubMedGoogle Scholar
  34. Rowland, M. L., & Isaac-Savage, E. P. (2014). As I see it: A study of African American pastors’ views on health and health education in the Black church. Journal of Religion and Health, 53, 1091–1101.CrossRefPubMedGoogle Scholar
  35. Tessaro, I., Eng, E., & Smith, J. (1994). Breast cancer screening in older African-American women: Qualitative research findings. American Journal of Health Promotion, 8, 286–293.CrossRefPubMedGoogle Scholar
  36. U.S. Cancer Statistics Working Group. (2012). United States cancer statistics: 19992008 incidence and mortality web-based report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute.

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Erin W. Moore
    • 1
  • Jannette Y. Berkley-Patton
    • 2
  • Marcie Berman
    • 3
  • Christine Burleson
    • 3
  • Abigail Judah
    • 3
  1. 1.Department of PsychologyStetson UniversityDeLandUSA
  2. 2.School of MedicineUniversity of Missouri-Kansas CityKansas CityUSA
  3. 3.Department of PsychologyUniversity of Missouri-Kansas CityKansas CityUSA

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