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Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Barriers and challenges affecting the contemporary church’s engagement in health promotion

Darshini Ayton A C , Lenore Manderson B and Ben J. Smith A
+ Author Affiliations
- Author Affiliations

A Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 6, Alfred Centre, 99 Commercial Road, Melbourne, Vic. 3004, Australia.

B School of Public Health, University of the Witwatersrand, 27 Andrews Road, Parktown 2193, South Africa.

C Corresponding author. Email: darshini.ayton@monash.edu

Health Promotion Journal of Australia 28(1) 52-58 https://doi.org/10.1071/HE15037
Submitted: 10 May 2015  Accepted: 16 May 2016   Published: 15 July 2016

Abstract

Issue addressed: Christian churches have historically undertaken welfare and community service activities to practise faith and increase their relevance to communities. However, the church in Australia has received little attention from health promotion practitioners and researchers. The objective of this qualitative study was to explore the barriers and challenges that affect church engagement in health promotion to assist practitioners’ understanding of the potential for these civil society organisations to play a role in health promotion programs and partnerships.

Methods: The research was based on interviews with five directors of church-affiliated organisations and with the church leaders (ministers, pastors, priests) of 30 churches in urban and rural Victoria. Analysis was iterative using open, axial and thematic coding.

Results: The challenges to church involvement in health promotion, as articulated by church leaders, fell under the themes of the social context of churches and the attributes of congregations. Major issues raised were perceived relevance, mistrust, contested agendas, discordant values within congregations, and risk management.

Conclusion: Although churches may take a different stance to health promotion agencies on a range of social and health issues, many have experience addressing social disadvantage and are prepared to commit resources to meet the needs of people outside their congregations. However, several factors inhibit the engagement of churches in health promotion including perceived irrelevance and community mistrust, agendas of conversion and values that conflict with health promotion.

So what?: Churches have a history of addressing social determinants of health such as housing, employment and food security. Deeper understanding of the challenges and barriers church leaders experience in undertaking health promotion work will facilitate more realistic and effective engagement by practitioners with these organisations.

Key words: church-based health promotion, public health, social action.


References

[1]  Miller RL (2007) Legacy denied: African American gay men, AIDS, and the Black Church. Soc Work 52, 51–61.
Legacy denied: African American gay men, AIDS, and the Black Church.Crossref | GoogleScholarGoogle Scholar | 17388083PubMed |

[2]  Roman Isler M, Eng E, Maman S, Adimora A, Weiner B (2014) Public health and church-based constructions of HIV prevention: black Baptist perspective. Health Educ Res 29, 470–84.
Public health and church-based constructions of HIV prevention: black Baptist perspective.Crossref | GoogleScholarGoogle Scholar | 24643141PubMed |

[3]  Krause N, Shaw B, Liang J (2011) Social relationships in religious institutions and healthy lifestyles. Health Educ Behav 38, 25–38.
Social relationships in religious institutions and healthy lifestyles.Crossref | GoogleScholarGoogle Scholar | 21169477PubMed |

[4]  Austin S, Harris G (2010) Addressing health disparities: the role of an African American Health Ministry Committee. Soc Work Public Health 26, 123–35.
Addressing health disparities: the role of an African American Health Ministry Committee.Crossref | GoogleScholarGoogle Scholar |

[5]  Boltri JM, Davis-Smith M, Okosun IS, Seale JP, Foster B (2011) Translation of the National Institutes of Health Diabetes Prevention Program in African American Churches. J Natl Med Assoc 103, 194–202.
Translation of the National Institutes of Health Diabetes Prevention Program in African American Churches.Crossref | GoogleScholarGoogle Scholar | 21671523PubMed |

[6]  Bopp M, Webb B (2012) Health promotion in megachurches: an untapped resource with megareach? Health Promot Pract 13, 679–86.
Health promotion in megachurches: an untapped resource with megareach?Crossref | GoogleScholarGoogle Scholar | 22491133PubMed |

[7]  Steinman KJ, Bambakidis A (2008) Faith-health collaboration in the United States: results from a nationally representative study. Am J Health Promot 22, 256–63.
Faith-health collaboration in the United States: results from a nationally representative study.Crossref | GoogleScholarGoogle Scholar | 18421890PubMed |

[8]  Ayton D, Manderson L, Smith BJ, Carey G (2015) Health promotion in local churches in Victoria: an exploratory study. Health Soc Care Community
Health promotion in local churches in Victoria: an exploratory study.Crossref | GoogleScholarGoogle Scholar | 26088021PubMed |

[9]  Keleher H, MacDougall C, Murphy B. Approaching health promotion. In Keleher H, MacDougall C, Murphy B, editors. Understanding Health Promotion. Melbourne: Oxford University Press; 2007.

[10]  Campbell MK, Hudson MA, Resnicow K, Blakeney N, Paxton A, Baskin M (2007) Church-based health promotion interventions: evidence and lessons learned. Annu Rev Public Health 28, 213–34.
Church-based health promotion interventions: evidence and lessons learned.Crossref | GoogleScholarGoogle Scholar | 17155879PubMed |

[11]  Agadjanian V, Sen S, Agadjanian V, Sen S (2007) Promises and challenges of faith-based AIDS care and support in Mozambique. Am J Public Health 97, 362–6.
Promises and challenges of faith-based AIDS care and support in Mozambique.Crossref | GoogleScholarGoogle Scholar | 17138912PubMed |

[12]  Scott T. L (2002) Choices, constraints, and calling: conservative Protestant women and the meaning of work in the US. Int J Sociol Soc Pol 22, 1–38.
Choices, constraints, and calling: conservative Protestant women and the meaning of work in the US.Crossref | GoogleScholarGoogle Scholar |

[13]  Schenker JG (2000) Women’s reproductive health: monotheistic religious perspectives. Int J Gynaecol Obstet 70, 77–86.
Women’s reproductive health: monotheistic religious perspectives.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M%2FhsFentA%3D%3D&md5=afe6195c33aa21e104c8f8d70a866668CAS | 10884536PubMed |

[14]  Australian Bureau of Statistics (ABS). Cultural diversity in Australia: reflection a nation: stories from the 2011 census. Canberra: ABS; 2013. Available from http://www.abs.gov.au/ausstats/abs@.nsf/lookup/2071.0main+features902012-2013 [Verified 5 June 2016]

[15]  Bellamy J, Castle K. 2001 church attendance estimates. National Church Life Survey Research Occasional Paper 3. Sydney: National Church Life Survey Research; 2004.

[16]  Maddox M (2012) ‘In the Goofy parking lot’: growth churches as a novel religious form for late capitalism. Soc Compass 59, 146–58.
‘In the Goofy parking lot’: growth churches as a novel religious form for late capitalism.Crossref | GoogleScholarGoogle Scholar |

[17]  The White House Office for Faith-Based and Neighborhood Partnerships. Partnerships for the common good – a partnership guide for faith-based and neighborhood organizations. Washington D.C.: White House Office for Faith-Based and Neighborhood Partnerships; n.d. Available from http://www.whitehouse.gov/sites/default/files/faithbasedtoolkit.pdf [Verified 5 June 2016]

[18]  Ayton D, Carey G, Joss N, Keleher H, Smith B (2012) Exploring the partnership networks of churches and church-affiliated organisations in health promotion. Aust J Prim Health 18, 148–57.
Exploring the partnership networks of churches and church-affiliated organisations in health promotion.Crossref | GoogleScholarGoogle Scholar | 22551837PubMed |

[19]  Ayton D, Carey G, Keleher H, Smith B (2012) Historical overview of church involvement in health and wellbeing in Australia: implications for health promotion partnerships. Aust J Prim Health 18, 4–10.
Historical overview of church involvement in health and wellbeing in Australia: implications for health promotion partnerships.Crossref | GoogleScholarGoogle Scholar | 22394656PubMed |

[20]  Marmot M, Atkinson T, Bell J, Black C, Broadfoot P, Cumberlege J, et al. Fair society, healthy lives: strategic review of health inequalities in England post-2010. The Marmot Review. 2010. Available from: https://www.instituteofhealthequity.org/projects/fair-society-healthy-lives-the-marmot-review [Verified 24 May 2016].

[21]  Goode H, McGee H, O’Boyle C. Time to listen: confronting child sexual abuse by Catholic clergy in Ireland. Dublin: The Liffey Press; 2003.

[22]  Commonwealth of Australia. Royal Commission into institutional responses to child sexual abuse: interim report volume 1. Attorney General’s Department. 2014. Available from: http://www.childabuseroyalcommission.gov.au/about-us/our-reports/interim-report-volume-1-final-020714_lr_web [Verified 24 May 2016]

[23]  Kegler MC, Hall SM, Kiser M (2010) Facilitators, challenges, and collaborative activities in faith and health partnerships to address health disparities. Health Educ Behav 37, 665–79.
Facilitators, challenges, and collaborative activities in faith and health partnerships to address health disparities.Crossref | GoogleScholarGoogle Scholar | 20696884PubMed |

[24]  Wier A (2014) Faith-based social action below the radar: a study of the UK charismatic-evangelical urban church. Vol Sect Rev 5, 29–45.
Faith-based social action below the radar: a study of the UK charismatic-evangelical urban church.Crossref | GoogleScholarGoogle Scholar |

[25]  Martinez JM (2003) Liability and volunteer organizations: a survey of the law. Nonprofit Manag Leadersh 14, 151–69.
Liability and volunteer organizations: a survey of the law.Crossref | GoogleScholarGoogle Scholar |

[26]  Schmiesing RJ, Henderson J (2001) Identification of volunteer screening practices for selected Ohio youth organizations. J Extension 39, 1FEA2