Health researchers struggle to understand barriers to improving health in the African-American community. The African-American church is one of the most promising venues for health promotion, disease prevention, and disparities reduction. Religious fatalism, the belief that health outcomes are inevitable and/or determined by God, may inhibit healthy behaviors for a subset of religious persons. This study reports the development and validation of the Religious Health Fatalism Questionnaire, a measurement tool for studying faith-related health beliefs in African-Americans. Participants included 276 members of seven predominantly African-American churches. Factor analysis indicated three dimensions: (1) Divine Provision; (2) Destined Plan; and (3) Helpless Inevitability. Evidence is presented for the reliability, convergent and predictive validity of the Religious Health Fatalism Questionnaire.
Byrd, C. , Gonzalez, P. , Cortes, T. , Cohn, L.D. , Gonzalez, E. , Parada, M. , & Cortes, M. (1998). Seatbelt use and belief in destiny among Hispanic and non-Hispanic drivers . Accident Analysis & Prevention , 31, 63-65.
2.
Caplan, L.J. , & Schooler, C. (2003). The roles of fatalism, self-confidence, and intellectual resources in the disablement process in older adults . Psychology and Aging, 18, 551-561.
3.
Classen, C. , Koopman, C. , Angell, K. , & Spiegel, D. (1996). Coping styles associated with psychological adjustment to advanced breast cancer . Health Psychology, 15, 434-437.
4.
Colón, I. (1992). Race, belief in destiny, and seat belt usage: A pilot study . American Journal of Public Health, 82, 6-7.
5.
Davis, D.T. , Butamante, A. , Brown, C.P. , Wolde-Tsadik, G. , Savage, E.W. , Cheng, X. , & Howland, L. (1994). The urban church and cancer control: A source of social influence in minority communities . Public Health Reports, 109, 500-506.
6.
Dettenborn, L. , DuHamel, K. , Butts, G. , Thompson, H. , & Jandorf, L. (2004). Cancer fatalism and its demographic correlates among African-American and Hispanic women: Effects on adherence to cancer screening . Journal of Psychosocial Oncology, 22(4), 47-60.
7.
Droege, T.A. (1995). Congregations as communities of health and healing . Interpretation, 49(22), 117-129.
8.
Eng, E. , Hatch, J. , & Callan, A. (1985). Institutionalizing social support through the church and into the community . Health Education Quarterly , 12, 81-92.
9.
Farris, B.E. , & Glenn, N.D. (1976). Fatalism and familialism among Anglos and Mexican Americans in San Antonio . Sociology and Social Research, 60, 393-402.
10.
Ferraro, K.F. , & Koch, J.R. (1994). Religion and health among black and white adults: Examining social support and consolation . Journal for the Scientific Study of Religion, 33, 362-375.
11.
Gall, T.L. , Charbonneau, C. , Clarke, N.H. , Grant, K. , Joseph, A. , & Shouldice, L. (2005). Understanding the nature and role of spirituality in relation to coping and health: A conceptual framework . Canadian Psychology, 46(2), 88-104.
12.
Hatch, J.W. , & Lovelace, K.A. (1980). Involving the southern rural church and students of the health professions in health education . Public Health Reports, 95, 23-25.
13.
Holt, C.L. , Clark, E.M. , Kreuter, M.W. , & Rubio, D.M. (2003). Spiritual health locus of control and breast cancer beliefs among urban African-American women . Health Psychology , 22, 294-299.
14.
Holt, C.L. , Lewellyn, L.A. , & Rathweg, M.J. (2005). Exploring religion-health mediators among African American parishioners . Journal of Health Psychology, 10, 511-527.
15.
Hughes, C. , Fasaye, G. , LaSalle, V.H. , & Finch, C. (2003). Sociocultural influences on participation in genetic risk assessment and testing among AfricanAmerican women. Patient Education and Counseling, 51, 107-114.
16.
Levin, J. (1984). The role of the Black church in community medicine . Journal of the National Medical Association, 76, 477-483.
17.
Levin, J. (1986). Roles for the black pastor in preventive medicine . Pastoral Psychology, 35, 94-103.
18.
Levin, J. (1996). How religion influences morbidity and health: Reflections on natural history, salutogenesis and host resistance . Social Science Medicine, 43, 849-864.
19.
Levin, J. , & Schiller, P.L. (1986). Religion and the Multidimensional Health Locus of Control scales . Psychological Reports, 59, 26 .
20.
Marin, G. , Burhanstipanov, L. , Connel, C.M. , Gilen, A.C. , Hlitzer-Allen, K.L. , Morisky, D.E. et al. (1995). A research agenda for health education among undeserved populations . Health Education Quarterly, 22, 346-363.
21.
Mayo, R.M. , Ureda, J.R. , & Parker, V.G. (2001). Importance of fatalism in understanding mammography screening in rural elderly women . Journal of Women and Aging , 13, 57-72.
22.
McCrae, M.B. , Carey, P.M. , & Anderson-Scott, R. (1998). Black churches as therapeutic systems: A group process perspective . Health Education and Behavior, 25, 778-789.
23.
Miller, J.T. (1987). Wellness programs through the church: Available alternatives for health education . Health Values, 11, 3-6.
24.
Miller, S.T. , Schlundt, D.G. , Larson, C. , Reid, R. , Pichert, J.W. , Hargreaves, M. et al. (2004). Exploring ethnic disparities in diabetes, diabetes care, and lifestyle behaviors: The Nashville REACH 2010 community baseline survey . Ethnicity and Disease, 14, S38-S45.
25.
Mohamed, I. , Williams, K.S. , Tamburrino, M.B. , Wryobeck, J.M. , & Carter, S. (2005). Understanding locally advanced breast cancer: What influences a woman's decision to delay treatment . Preventive Medicine, 41, 399-405.
26.
Natera, G. , Herrejon, M.E. , & Casco, M. (1988). Locus of control in couples with different patterns of alcohol consumption . Drug and Alcohol Dependence, 22, 179-186.
27.
Nelson, K. , Geiger, A.M. , & Mangione, C. (2002). Effect of health beliefs on delays in care for abnormal cervical cytology in a multiethnic population . Journal of General Internal Medicine, 17, 709-716.
28.
Plante, T.G. , & Boccaccini, M. (1997). Reliability and validity of the Santa Clara Strength of Religious Faith questionnaire . Pastoral Psychology, 45, 429-437.
29.
Plante, T. G. , & Sherman, A. C. (Eds.). (2001). Faith and health: Psychological perspectives . New York: The Guilford Press .
30.
Powe, B.D. (1995). Cancer fatalism among elderly Caucasians and African-Americans . Oncology Nursing Forum, 22, 1355-1359.
31.
Powe, B.D. (2001). Cancer fatalism among elderly African-American women: Predictors of the intensity of the perceptions . Journal of Psychosocial Oncology, 19, 85-95.
32.
Powe, B.D. , & Finnie, R. (2003). Cancer fatalism: The state of the science . Cancer Nursing, 26(6), 454-466.
33.
Ramirez, J.R. , Crano, W.D. , Quist, R. , Burgoon, M. , Alvara, E.M. , & Grandpre, J. (2002). Effects of fatalism and family communication on HIV/AIDS awareness variations in Native American and Anglo parents and children . AIDS Education and Prevention, 14, 29-40.
34.
Schnoll, R.A. , Malstrom, M. , James, C. , Rothman, R.L. , Miller, S.M. , Ridge, J.A. et al. (2002). Correlates of tobacco use among smokers and recent quitters diagnosed with cancer . Patient Education and Counseling, 46, 137-145.
35.
Schnoll, R.A. , Rothman, R.L. , Newman, H. , Lerman, C. , Miller, S.M. , Movsas, B. et al. (2004). Characteristics of cancer patients entering a smoking cessation program and correlates of quit motivation: Implications for the development of tobacco control programs for cancer patients . Psycho-Oncology, 5, 356-358.
36.
Sharf, B.F. , Stellies, L.A. , & Gordon, H.S. (2005). A little bitty spot and I'm a big man: Patients' perspectives on refusing diagnosis or treatment for lung cancer . Psycho-Oncology, 14, 636-646.
37.
Sherman, A.C. , Plante, T.G. , Simonton, S. , Adams, D.C. , Burris, S.K. , & Harbison, C. (1999). Assessing religious faith in medical patients: Cross-validation of the Santa Clara Strength of Religious Faith questionnaire . Pastoral Psychology, 48, 129-143.
38.
Smedly, B. D. , Stith, A. Y. , & Nelson, A. R. (Eds.). (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: Institute of Medicine.
39.
Somlai, A.M. , Kelly, J.A. , Heckman, T.G. , Hackl, K. , Runge, L. , & Wright, C. (2000). Life optimism, substance use, and AIDS-specific attitudes associated with HIV risk behavior among disadvantaged inner-city women . Journal of Women's Health and Gender-based Medicine , 9, 1101-1111.
40.
Storch, E.A. , Roberti, J.W. , Bravata, E. , & Storch, J.B. (2004). Psychometric investigation of the Santa Clara Strength of Religious Faith Questionnaire-short form . Pastoral Psychology, 52, 479-483.
41.
Suchman, E.A. (1967). Preventive health behavior: A model for research on community health campaigns . Journal of Health and Social Behavior, 8, 197-209.
42.
Sutherland, M. , Hale, C.D. , & Harris, G.J. (1995). Community health promotion: The church as a partner . Journal of Primary Prevention, 16, 201-216.
43.
Wallston, K.A. (2005). The validity of the Multidimensional Health Locus of Control scales . Journal of Health Psychology, 10, 623-631.
44.
Wallston, K.A. , Malcarne, V.L. , Flores, L. , Hansdottir, I. , Smith, C.A. , Stein, M.J. et al. (1999). Does God determine your health? The God Locus of Health Control scale . Cognitive Therapy and Research , 23, 131-142.
45.
Wallston, K.A. , Wallston, B.S. , & DeVellis, R. (1978). Development of the multidimensional health locus of control (MHLC) scales . Health Education Monographs, 6, 160-170.
46.
Walsh, F. (Ed.). (1999). Spiritual resources in family therapy. New York: The Guilford Press.
47.
Watson, M. , Greer, S. , & Bliss, J. (1989). Mental Adjustment to Cancer (MAC) scale: User's manual. Surrey , UK: CRC Psychological Medicine Research Group .
48.
Wilson, L.C. (2000). Implementation and evaluation of church-based health fairs . Journal of Community Health Nursing, 17, 39-48.
49.
Wyszynski, A.A. (2005). Psychological issues in medical patients: Autonomy, fatalism and adaptation to illness. In A. A. Wyszynski & B. Wyszynski (Eds.), Manual of psychiatric care for the medically ill. Washington, DC: American Psychiatric Publishing.
