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May 2002, Vol 92, No. 5 | American Journal of Public Health 805-810
© 2002 American Public Health Association

RESEARCH AND PRACTICE

Role of Black Churches in Health Promotion Programs: Lessons From the Los Angeles Mammography Promotion in Churches Program

Susan Markens, PhD, Sarah A. Fox, EdD, MSPH, Bonnie Taub, PhD, MPH and Mary Lou Gilbert, BA, JD

Susan Markens is with the Department of Sociology, Temple University, Philadelphia, Pa. Sarah A. Fox is with RAND and the Department of Medicine, University of California at Los Angeles. Bonnie Taub is with RAND and the Department of Community Health Sciences, School of Public Health, University of California at Los Angeles. Mary Lou Gilbert is with RAND, Santa Monica, Calif.

Correspondence: Requests for reprints should be sent to Susan Markens, PhD, Department of Sociology, Temple University, Gladfelter Hall, 7th Floor, 12th St and Berks Mall, Philadelphia, PA 19122-6089 (e-mail: markens{at}temple.edu).

Objectives. This article assesses pastor-level factors that affect the successful recruitment and implementation of community-based health promotion programs in Black churches.

Methods. Semistructured interviews with 16 pastors of Black churches were analyzed for content.

Results. We found that although the involvement of Black pastors in an array of secular activities makes them open to participate in health programs, their overcommitment to other issues can negatively influence their ability to participate. Second, although Black pastors appreciate being included in and benefiting from health research, minorities' history of being underserved and exploited can lead to suspiciousness and reluctance to participate.

Conclusions. Our findings suggest that those interested in developing church-based health programs in the Black community must be attuned to how the same factors can both facilitate and hinder a program's development.




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