The spiritual framework of coping through the voices of cancer survivor narratives

Gall et al. (2005) developed a framework for spirituality by adapting and applying the transactional model of stress and coping, which is an interactive and fluid process spurred by a stressor involving spiritual appraisal, person factors, spiritual connections, spiritual coping behavior, and meaning-making impacting well-being. The components of the framework are examined through five cancer survivor narratives. The results showed that the components of the framework were experienced by the survivors, for example, various spiritual problem-solving styles were used, indication of spiritual connections to nature, others, and the transcendent. Meaning-making was common as they faced the life-threatening disease which often altered their worldview. The spirituality of the participants is reflected in the spiritual framework and the framework embraces these survivor experiences. This study has limitations due to its qualitative nature and small sample size.     

Race,SES, and Obesity Among Men

Over the last decade, obesity has increased significantly among men but few national studies have empirically examined racial and socioeconomic differences in obesity among men. In this paper, we utilized logistic regression to evaluate the potential associations that race and socioeconomic status may have with obesity among men in the National Survey of American Life: an in-person household survey of non-institutionalized U.S. blacks and whites who lived in communities where at least 10% of the community residents were black Americans. A greater proportion of black men were likely to be obese than white men, but no interaction among race, SES, and obesity was detected when potential confounding variables were included. There was not a relationship between SES and obesity for white men, but there was an apparent positive relationship between SES and obesity for black men that did not remain significant in adjusted models. No relationship was found between age and obesity among black men, though white men who were 55 and older were more likely than those 18–34 to be obese in confounder adjusted models. Among white men, no relationships were found between obesity and education, household income, or marital status. Black men in the lowest income category were less likely to be obese than those in the highest income category, in bivariate but not adjusted models. These findings suggest that the way racial, economic, stress and behavioral factors combine to affect obesity in black and white men may be different.