Abstract
Religious leaders, particularly African–American pastors, are believed to play a key role in addressing health disparities. Despite the role African–American pastors may play in improving health, there is limited research on pastoral influence. The purpose of this study was to examine African–American pastors’ perceptions of their influence in their churches and communities. In-depth interviews were conducted with 30 African–American pastors and analyzed using a grounded theory approach. Three themes emerged: the historical role of the church; influence as contextual, with pastors using comparisons with other pastors to describe their ability to be influential; and a reciprocal relationship existing such that pastors are influenced by factors such as God and their community while these factors also aid them in influencing others. A conceptual model of pastoral influence was created using data from this study and others to highlight factors that influence pastors, potential outcomes and moderators as well as the reciprocal nature of pastoral influence.
This is a preview of subscription content, access via your institution.

References
Aaron, K. F., Levine, D., & Burstin, H. R. (2003). African American church participation and health care practices. Journal of General Internal Medicine, 18(11), 908–913.
Ammerman, A., Corbie-Smith, G., St George, D. M., Washington, C., Weathers, B., & Jackson-Christian, B. (2003). Research expectations among African American church leaders in the PRAISE! project: A randomized trial guided by community-based participatory research. American Journal of Public Health, 93(10), 1720–1727.
Ammerman, A., Washington, C., Jackson, B., Weathers, B., Campbell, M., Davis, G., et al. (2002). The PRAISE! project: A church-based nutrition intervention designed for cultural appropriateness, sustainability, and diffusion. Health Promotion Practice, 3(2), 286–301.
Armstrong, K., McMurphy, S., Dean, L. T., Micco, E., Putt, M., Halbert, C. H., et al. (2008). Differences in the patterns of health care system distrust between blacks and whites. Journal of General Internal Medicine, 23(6), 827–833.
Barrett, B. D. (2010). Faith in the inner city: The urban Black church and students’ educational outcomes. The Journal of Negro Education, 79(3), 249–262.
Baruth, M., Bopp, M., Webb, B., & Peterson, J. (2014). The role and influence of faith leaders on health-related issues and programs in their congregation. Journal of Religion and Health, 54(5), 1747–1759. https://doi.org/10.1007/s10943-014-9924-1.
Baruth, M., Wilcox, S., Laken, M., Bopp, M., & Saunders, R. (2008). Implementation of a faith-based physical activity intervention: Insights from church health directors. Journal of Community Health, 33(5), 304–312. https://doi.org/10.1007/s10900-008-9098-4.
Bopp, M., Baruth, M., Peterson, J., & Webb, B. (2013). Leading their flocks to health? Clergy health and the role of clergy in faith-based health promotion interventions. Family & Community Health, 36(3), 182–192. https://doi.org/10.1097/FCH.0b013e31828e671c.
Bopp, M., & Fallon, E. (2011). Individual and institutional influences on faith-based health and wellness programming. Health Education Research, 26(6), 1107–1119. https://doi.org/10.1093/her/cyr096.
Bopp, M., & Webb, B. (2012). Health promotion in megachurches an untapped resource with megareach? Health Promotion Practice, 13(5), 679–686.
Bopp, M., Webb, B., Baruth, M., & Peterson, J. (2014). Clergy perceptions of denominational, doctrine and seminary school support for health and wellness in churches. International Journal of Social Science Studies, 2(1), 189–199. https://doi.org/10.11114/ijsss.v2i1.274.
Brown, R. K., & Brown, R. E. (2003). Faith and works: Church-based social capital resources and African American political activism. Social Forces, 82(2), 617–641.
Campbell, M. K., Demark-Wahnefried, W., Symons, M., Kalsbeek, W. D., Dodds, J., Cowan, A., et al. (1999). Fruit and vegetable consumption and prevention of cancer: The Black Churches United for Better Health project. American Journal of Public Health, 89(9), 1390–1396.
Campbell, M., Hudson, M., Resnicow, K., Blakeney, N., Paxton, A., & Baskin, M. (2007). Church-based health promotion interventions: Evidence and lessons learned. Annual Review of Public Health, 28, 213–234.
Carroll, J. (2006). God’s potters. Grand Rapids, MI: William B. Eerdmans Publishing Co.
Catanzaro, A., Meador, K. G., Koenig, H. G., Kuchibhatla, M., & Clipp, E. C. (2007). Congregational health ministries: A national study of pastors’ views. Public Health Nursing, 24(1), 6–17.
Centers for Disease Control and Prevention. (2009). Behavioral risk factor surveillance system: Prevalence and trend data. Retrieved from http://apps.nccd.cdc.gov/brfss/display.asp?cat=OB&yr=2009&qkey=4409&state=UB.
Chandler, D. J. (2009). Pastoral burnout and the impact of personal spiritual renewal, rest-taking, and support system practices. Pastoral Psychology, 58(3), 273–287.
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.
Church Health. (2016). 15th annual conference for clergy and congregational leaders. Retrieved from https://churchhealth.org/event/15th-annual-conference-for-clergy-and-congregational-leaders/.
Cohall, K. G., & Cooper, B. S. (2010). Educating American Baptist pastors: A national survey of church leaders. Journal of Research on Christian Education, 19(1), 27–55.
Collins, W. L. (2015). The role of African American churches in promoting health among congregations. Social Work and Christianity, 42(2), 193–204.
Demark-Wahnefried, W., McClelland, J. W., Jackson, B., Campbell, M. K., Cowan, A., Hoben, K., et al. (2000). Partnering with African American churches to achieve better health: Lessons learned during the Black Churches United for Better Health 5 a day project. Journal of Cancer Education, 15(3), 164–167.
Dunn, L. L., Oliver, J., & Lyons, M. A. (2012). Faith communities and breast/cervical cancer prevention: Results of a Rural Alabama Survey. Online Journal of Rural Nursing and Health Care, 5(2), 83–92.
Fallon, E., Bopp, M., & Webb, B. (2012). Factors associated with faith-based health counselling in the United States: Implications for dissemination of evidence-based behavioural medicine. Health and Social Care in the Community, 21(2), 129–139.
Ferguson, T. W., Andercheck, B., Tom, J. C., Martinez, B. C., & Stroope, S. (2015). Occupational conditions, self-care, and obesity among clergy in the United States. Social Science Research, 49, 249–263.
Forney, D. G. (2010). A calm in the tempest: Developing resilience in religious leaders. Journal of Religious Leadership, 9(1), 1–33.
Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice (Vol. 5). San Francisco: Jossey-Bass.
Greenberg, A. (2000). The church and the revitalization of politics and community. Political Science Quarterly, 115(3), 377–394.
Hall, T. W. (1997). The personal functioning of pastors: A review of empirical research with implications for the care of pastors. Journal of Psychology and Theology, 25(2), 240–253.
Harmon, B. E., Adams, S. A., Scott, D., Gladman, Y. S., Ezell, B., & Hebert, J. R. (2012). Dash of faith: A faith-based participatory research pilot study. Journal of Religion and Health, 53(3), 747–759. https://doi.org/10.1007/s10943-012-9664-z.
Harmon, B. E., Blake, C. E., Armstead, C. A., & Hebert, J. R. (2013). Intersection of identities. Food, role, and the African–American pastor. Appetite, 67, 44–52. https://doi.org/10.1016/j.appet.2013.03.007.
Irwin, C. E., & Roller, R. H. (2000). Pastoral preparation for church management. Journal of Ministry Marketing & Management, 6(1), 53–67.
Isaac, E. P. (2005). The future of adult education in the urban African American church. Education and Urban Society, 37(3), 276–291.
Kegler, M., Escoffery, C., Alcantara, I. C., Hinman, J., Addison, A., & Glanz, K. (2010). Perceptions of social and environmental support for healthy eating and physical activity in rural southern churches. Journal of Religion and Health, 51(3), 799–811. https://doi.org/10.1007/s10943-010-9394-z.
Klein, J. B., Nguyen, C. T., Saffore, L., Modlin, C., & Modlin, C. S. (2010). Racial disparities in urologic health care. Journal of the National Medical Association, 102(2), 108–117.
Leavey, G., Loewenthal, K., & King, M. (2007). Challenges to sanctuary: The clergy as a resource for mental health care in the community. Social Science and Medicine, 65(3), 548–559.
Lee, C. (2007). Patterns of stress and support among Adventist clergy: Do pastors and their spouses differ? Pastoral Psychology, 55(6), 761–771.
Lewis, C. A., Turton, D. W., & Francis, L. J. (2007). Clergy work-related psychological health, stress, and burnout: An introduction to this special issue of mental health, religion and culture. Mental Health, Religion & Culture, 10(1), 1–8.
Link, C. L., & McKinlay, J. B. (2009). Disparities in the prevalence of diabetes: Is it race/ethnicity or socioeconomic status? Results from the Boston Area Community Health (BACH) survey. Ethnicity and Disease, 19(3), 288–292.
Mamiya, L. (2006). River of struggle, river of freedom: Trends among Black churches and Black pastoral leadership. Web Page.
Markens, S., Fox, S. A., Taub, B., & Gilbert, M. L. (2002). Role of Black churches in health promotion programs: Lessons from the Los Angeles Mammography Promotion in Churches Program. American Journal of Public Health, 92(5), 805–810.
Matthews, A. K., Sellergen, S. A., Manfriedi, C., & Williams, M. (2002). Factors influencing medical information seeking among African American cancer patients. Journal of Health Communication, 7(3), 205–219.
McMinn, M. R., Lish, R. A., Trice, P. D., Root, A. M., Gilbert, N., & Yap, A. (2005). Care for pastors: Learning from clergy and their spouses. Pastoral Psychology, 53(6), 563–581.
Meek, K. R., McMinn, M. R., Brower, C. M., Burnett, T. D., McRay, B. W., Ramey, M. L., et al. (2003). Maintaining personal resiliency: Lessons learned from evangelical protestant clergy. Journal of Psychology and Theology, 31(4), 339–347.
Minkler, M. W. N. (2003). Community-based participatory research for health. San Francisco, CA: Josey-Bass.
National Center for Health Statistics. (2011). Health, United States 2011: With special feature on socioeconomic status and health. Retrieved from http://www.cdc.gov/nchs/data/hus/hus11.pdf#glance.
National Institute of Health. (2013). Fact sheet-health disparities. Retrieved from http://report.nih.gov/NIHfactsheets/ViewFactSheet.aspx?csid=124.
NVivo. (2002). QSR version 2.0.161. Melbourne, Australia: QSR International Pty Ltd.
Plescia, M., Herrick, H., & Chavis, L. (2008). Improving health behaviors in an African American community: The Charlotte Racial and Ethnic Approaches to Community Health project. American Journal of Public Health, 98(9), 1678–1684.
Proeschold-Bell, R. J., LeGrand, S., James, J., Wallace, A., Adams, C., & Tool, D. (2011). A theoretical model of the holistic health of United Methodist clergy. Journal of Religion and Health, 50(3), 700–720. https://doi.org/10.1007/s10943-009-9250-1.
Proeschold-Bell, R. J., Swift, R., Moore, H. E., Bennett, G., Li, X.-F., Blouin, R., et al. (2013). Use of a randomized multiple baseline design: Rationale and design of the Spirited Life holistic health intervention study. Contemporary Clinical Trials, 35(2), 138–152.
Proeschold-Bell, R. J., Turner, E. L., Bennett, G. G., Yao, J., Li, X.-F., Eagle, D. E., et al. (2017). A 2-year holistic health and stress intervention: Results of an RCT in clergy. American Journal of Preventive Medicine, 53(3), 290–299. https://doi.org/10.1016/j.amepre.2017.04.009.
Quinn, M. T., & McNabb, W. L. (2001). Training lay health educators to conduct a church-based weight-loss program for African American women. The Diabetes Educator, 27(2), 231–238.
Resnicow, K., Campbell, M. K., Carr, C., McCarty, F., Wang, T., Periasamy, S., et al. (2004). Body and soul. A dietary intervention conducted through African–American churches. American Journal of Preventive Medicine, 27(2), 97–105. https://doi.org/10.1016/j.amepre.2004.04.009.
Spencer, M. S., Rosland, A.-M., Keiffer, E. C., Sinco, B. R., Valerio, M., Palmisano, G., et al. (2011). Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: A randomized controlled trial. American Journal of Public Health, 101(12), 1–17. https://doi.org/10.2105/AJPH.2010.300106.
Stewart, J. M. (2015). A developing framework for the development, implementation and maintenance of HIV interventions in the African American church. Journal of Health Care for the Poor and Underserved, 26(1), 211–222.
Taylor, R. J., & Chatters, L. M. (1986). Church-based informal support among elderly Blacks. The Gerontologist, 26(6), 637–642.
Taylor, R. J., Ellison, C. G., Chatters, L. M., Levin, J. S., & Lincoln, K. D. (2000). Mental health services in faith communities: The role of clergy in black churches. Social Work, 45(1), 73–87.
Torrence, W. A., Phillips, D. S., & Guidry, J. J. (2005). The assessment of rural African–American churches’ capacity to promote health prevention activities. American Journal of Health Education, 36(3), 161–164.
Two Feathers, J., Kieffer, E. C., Palmisano, G., Anderson, M., Sinco, B., Janz, N., et al. (2005). Racial and Ethnic Approaches to Community Health (REACH) Detroit partnership: Improving diabetes-related outcomes among African American and Latino adults. American Journal of Public Health, 95(9), 1552–1560.
Valente, T. W., & Davis, R. L. (1999). Accelerating the diffusion of innovations using opinion leaders. The Annals of the American Academy of Political and Social Science, 566(1), 55–67.
Wallace, A. C., Proeschold-Bell, R. J., Legrand, S., James, J., Swift, R., Toole, D., et al. (2012). Health programming for clergy: An overview of protestant programs in the United States. Pastoral Psychology, 61(1), 113–143.
Webb, B., Bopp, M., & Fallon, E. A. (2013a). Factors associated with obesity and health behaviors among clergy. Journal of Health Behavior and Public Health, 3(1), 20–28.
Webb, B., Bopp, M., & Fallon, E. A. (2013b). A qualitative study of faith leaders’ perceptions of health and wellness. Journal of Religion and Health, 52(1), 235–246.
Wells, C. R., Probst, J., McKeown, R., Mitchem, S., & Whiejong, H. (2012). The relationship between work-related stress and boundary-related stress within the clerical profession. Journal of Religion and Health, 51(1), 215–230.
Wilcox, S., Laken, M., Anderson, T., Bopp, M., Bryant, D., Carter, R., et al. (2007). The Health-e-AME faith-based physical activity initiative: Description and baseline findings. Health Promotion Practice, 8(1), 69–78. https://doi.org/10.1177/1524839905278902.
Williams, R. M., Glanz, K., Kegler, M. C., & Davis, E., Jr. (2012). A study of rural church health promotion environments: Leaders’ and members’ perspectives. Journal of Religion and Health, 51(1), 148–160. https://doi.org/10.1007/s10943-009-9306-2.
Yeary, K. (2011). Religious authority in African American churches: A study of six churches. Religions, 2(4), 628–648.
Acknowledgements
We would like to thank the participants of this study for sharing their time and insight. This work was supported by the National Institutes of Health, National Center on Minority and Health and Health Disparities Grant #1R24MD002769-01.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no competing interests.
Ethical Approval
All procedures performed involving human participants were in accordance with the ethical standards of the institutional Internal Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Harmon, B.E., Strayhorn, S., Webb, B.L. et al. Leading God’s People: Perceptions of Influence Among African–American Pastors. J Relig Health 57, 1509–1523 (2018). https://doi.org/10.1007/s10943-018-0563-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-018-0563-9
Keywords
- Health disparities
- African Americans
- Church
- Clergy
- Conceptual model