Belief in Divine Control, Coping, and Race/Ethnicity among Older Women with Breast Cancer
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BACKGROUND: Belief in divine control is often assumed to be fatalistic. However, the assumption has rarely been investigated in racial/ethnic minorities. OBJECTIVES: This study aims to examine the association between belief in divine control and coping and how the association was moderated by ethnicity/acculturation in a multi-ethnic sample of breast cancer patients. METHODS: Latina, African American, and non-Hispanic White older women with newly diagnosed breast cancer (N=257) from a population-based survey completed the scale of Belief in Divine Control and the Brief COPE. RESULTS: Belief in divine control was positively related to approach coping (i.e., positive reframing, active coping, and planning) in all ethnic groups. Belief in divine control was positively related to acceptance and negatively related to avoidance coping (i.e., denial and behavioral disengagement) among low-acculturated Latinas. CONCLUSIONS: Negative presumptions about fatalistic implications of belief in divine control should be critically reappraised, especially when such skepticism is applied to racial/ethnic minority patients.
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Individuals who believe that God is ultimately in control of their health do not necessarily display an external locus of health control and passive coping strategies; this is often not the case.
“it may be presumed that individuals who believe that God is ultimately in control of their health display an external locus of health control and are characterized by passive coping strategies. This is often not the case (e.g., Masters & Wallston, 2005; Umezawa et al., 2012)”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Umezawa et al., 2012
Many individuals who believe God is in control of health also believe that God has charged them with responsibility to engage in certain behaviors, some health related.
“because many of those who believe God is in control also believe that God has charged them with the responsibility to engage in certain behaviors, some health related.”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Umezawa et al., 2012
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Examining Cervical Cancer Screening Utilization Among African Immigrant Women: A Literature Review
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The impact of breast cancer diagnosis and treatment on body weight and weight-related lifestyle
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Factors Associated with Psychological Constructs: A Conditional Inference Tree Analysis
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- Authors
- Umezawa, Y., Lu, Q., You, J., Kagawa-Singer, M., Leake, B., & Maly, R. C.
- Affiliations
- The University of Tokyo (JP)
- University of Houston (US)
- University of California, Los Angeles (US)
- ORCID
- You, Jin
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-04-24
- Volume
- 44
- Issue
- 1
- Pages
- 21-32
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- PMC
- PMC3873338
- OpenAlex
- W1992146237
- Cited by
- 54
- References
- 80
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 6 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 11 · 2016: 5 · 2015: 2 · 2014: 10 · 2013: 2 · 2012: 1
- FWCI
- 5.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Cancer Society (MRSGT-10-011-01-CPPB, TURSG-02-081-01-PBP, TURSG-02-081)
- Robert Wood Johnson Foundation (036833)
- Susan G. Komen for the Cure
- California Breast Cancer Research Program
- National Cancer Institute (R01CA119197, U54CA153499)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- coping, breast cancer, older women, race and ethnicity, acculturation, Hispanic women, African American women, fatalism, approach coping, avoidance coping, acceptance, positive reframing, behavioral disengagement, denial
- MeSH terms
- Acculturation, Adaptation, Psychological, Aged, Aged, 80 and over, Black or African American, Breast Neoplasms, Culture, Female, Health Surveys, Hispanic or Latino, Humans, Middle Aged, Religion and Medicine, Women, White People
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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