Abstract
The Black church has become a necessary refuge and haven for hope in turbulent times in the USA. In recent years, the Black pastors' role has evolved into the position of a leading figure in addressing health disparities in the church and community. Therefore, the purpose of this qualitative study was to gain a more extensive understanding of Black pastors' perceptions of their influence on health behaviors and outcomes in their churches and communities. Due to limited research in this area, a phenomenological qualitative paradigm was used to add to future research. In-depth, semi-structured interviews were conducted with 12 Black pastors. Four themes emerged: Pastoral Self-Reflection of Health; Misperception of Health Awareness from Congregants; Pastoral Leadership that Encourages Health Promotion; and the Importance of Community Resources and Health Programs. Overall, pastors viewed health as a holistic approach and included the importance of spirituality in their perspectives. According to pastors, there are suggestions for more access to resources, community partnerships, and education to address the lack of participation among black congregants.
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Adksion-Bradley, C., Johnson, D., Sanders, J. L., Duncan, L., & Holcomb-McCoy, C. (2005). Forging a collaborative relationship between the Black church and the counseling profession. Counseling and Values, 49, 147–154.
Baruth, M., Bopp, M., Webb, B. L., & Peterson, J. A. (2015). The role and influence of faith leaders on health-related issues and programs in their congregation. Journal of Religion and Health, 54(5), 1747.
Centers for Disease Control and Prevention. (2018, October). Minority health and health equity. Retrieved from https://www.cdc.gov/vitalsigns/million-hearts/index.html.
Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks: Sage.
Dowling, M., & Cooney, A. (2012). Research approaches related to phenomenology: Negotiating a complex landscape. Nursing Research, 20, 21–27.
Gamble, V. N. (2014). The tuskegee syphilis study and women’s health. Journal of the American Medical Womens Association, 52(4), 195–196.
Harmon, B. E., Strayhorn, S., Webb, B. L., & Hébert, J. R. (2018). eading god’s people: Perceptions of influence among African–American pastors. Journal of Religion and Health, 57(4), 1509–1523. https://doi.org/10.1007/s10943-018-0563-9.
Hill, C. E., Thompson, B. J., & Williams, E. N. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25(4), 517–572.
Holt, C., Roth, D., Clark, E., & Debnam, K. (2014). Positive self-perceptions as a mediator of religious involvement and health behaviors in a national sample of African Americans. Journal of Behavioral Medicine, 37(1), 102–112.
Howlader, N., Noone, A. M., Krapcho, M., Miller, D., Bishop, K., Altekruse, S. F., et al. (2019). SEER cancer statistics review, 1975–2017. MD: Bethesda.
Lewis, R. K., & Green, B. L. (2000). Assessing the health attitudes, beliefs, and behaviors of African Americans attending church: A comparison from two communities. Journal of Community Health The Publication for Health Promotion and Disease Prevention, 25(3), 211–224.
Lumpkins, C. Y., Greiner, K. A., Daley, C., et al. (2011). Promoting healthy behavior from the pulpit: Clergy share their perspectives on effective health communication in the African American church. Journal of Religion and Health, 2011(52), 1093–1107.
Okunrounmu, E., Allen-Wilson, A., Davey, M., & Davey, A. (2016). Black church leaders’ attitudes about seeking mental health services: Role of religiosity and spirituality. International Journal of Religion and Spirituality in Society, 6(4), 45–55.
Patton, M. Q. (2002). Two decades of developments in qualitative inquiry: A personal, experiential perspective. Qualitative Social Work, 1(3), 261–283.
Resnicow, K., Kramish Campbell, M., 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.
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(4), 1091–1101.
Shaw, G. (2020). It’s a public health crisis. Neurology Today, 20(13), 1, 24–125.
Skloot, R. (2010). The immortal life of Henrietta Lacks. New York: Crown Publishers.
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.
United States Department of Health and Human Services Office of Minority Health. (2017). https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=61. Retrieved Febuary 15, 2020.
U.S. Census Bureau (2018). Quick facts. Retrieved from https://www.census.gov/quickfacts/fact/table/US/PST045219.
Wesley, C. (1762). History of Hymns. "A charge to keep I have" The United Methodist Hymnal, No. 413.
Williams, L.F. (2019). Has the Black church become a change agent for health? https://blackdoctor.org/.
Acknowledgements
The authors are grateful to all the pastors who participated in this study. Reverend Dr. Bartholomew Banks, President of Progressive Missionary and Educational Baptist Convention of Florida, Inc. & St. John Progressive Missionary Baptist Church, Pastor Tampa, Florida. Reverend Brian K. Brown, Moderator of South Florida Progressive Missionary Baptist Association & St. Mark Missionary Baptist Church, Pastor St. Petersburg, Florida. Dr. Cosette Whitmore, President of Health Awareness Team, Progressive Missionary and Educational Baptist Convention of Florida.
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Williams, L.F., Cousin, L. “A Charge to Keep I Have”: Black Pastors’ Perceptions of Their Influence on Health Behaviors and Outcomes in Their Churches and Communities. J Relig Health 60, 1069–1082 (2021). https://doi.org/10.1007/s10943-021-01190-0
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DOI: https://doi.org/10.1007/s10943-021-01190-0