MISSION

To heal essential hypertension in the Church with Jesus First.

Why heal essential hypertension the church?

According to a new study, blacks reporting higher levels of religious beliefs had lower blood pressure in clinical settings, during the workday and at nighttime, than did blacks who were less religiously active, said researchers from Duke University Medical Center.

"Our findings suggest that 'religious coping' may help buffer cardiovascular disease in African-Americans," said Patrick Steffen, a researcher in Duke's Department of Psychiatry and Behavioral Sciences and lead author of the study in the journal Psychosomatic Medicine.

The researchers define "religious coping" as the extent to which the subjects put trust in God, seek God's help, try to find comfort in religion and "pray more than usual."

Other Duke researchers had already documented a connection between church attendance and daily prayer or Bible study and 40 percent lower blood pressure among a group of elderly North Carolinians, whites and blacks.

In the new study, all the participants were 25 to 45 years old and employed. Seventy-eight were African-American and 77 were white. None used tobacco products, took medications for cardiovascular disease or had blood pressure above 180 over 100, considered dangerously high.

Steffen and his colleagues measured blood pressure in the subjects using an automated blood-pressure monitor while they were in the clinic, during workday activities and during sleep. Most other studies have measured blood pressure only in a clinic.

The white subjects reported engaging in less religious activities than did the blacks, but even among whites who reported more religious practice there was no significant difference in blood pressure from other whites.

Other research has shown that religion plays an important role in the psychosocial functioning of African-Americans at all ages.

 The Jackson Heart Study followed 5,302 participants to evaluate the effects of religion and spirituality on both diastolic and systolic blood pressure. Religion and spirituality were assessed with several questionnaires that examined organized religious activities (church attendance, watching religious television), non-organized religious activities (private prayer, meditation), religious coping (integration of religious beliefs into decision-making during times of stress), and daily spiritual experiences (interaction with God). The religion items were self-administered; other questionnaires were interviewer administered with some collected during the home induction interview in the participant's home (personal and family health history, socioeconomic status, smoking, physical activity, and health care access). Statistical analyses were conducted using measures of association and linear regression to examine the effects of each religious variable on blood pressure. Potential confounding and explanatory variables including selected demographic (age, gender, socioeconomic status), sociocultural (racism, social support), psychological (depression, stress), and physiological (cortisol) were included in the statistical models.

Female gender, lower socioeconomic status, increasing age, and lower levels of cortisol were associated with more religious activities. Higher levels of religious participation were related to higher levels of body mass index (BMI) and lower levels of medication adherence. Contrary to the original hypotheses, those with more religious activities and participation were more likely to be classified as hypertensive. However, those with more religious activities had significantly lower diastolic blood pressure in an uncontrolled model, and significantly lower systolic blood pressure in a controlled model.

Previous literature involving religion and spirituality has noted a protective, or buffering effect on health outcomes. These findings support the buffering effect of religion and spirituality on blood pressure.

Why Jesus First?

We believe that African American spirituality plays an important role in healing. Traditional African religion is centered around the existence of one Supreme High God. The aboriginal African's own conception of the Great Creator was one of a holy, invisible, immortal, compassionate king who brought the divinities into being. He is the maker of everything, and everyone on earth owes their origin to Him alone. He is omnipotent because He is able to do all things and nothing can be done or created without Him. Therefore there is no room for failure. He looks kindly and mercifully on the suffering of man, and is able to smooth rough roads.

In African traditional life, spirituality is the foundation of one's being. A believer's destiny is bound up in spiritual pursuits from the time he is born until the time he dies. Ritual altars in African villages provided ways for villagers to reach out to God. Some altars were simple, especially the ones in homes, but some communities and villages had communal altars for the entire village as vehicles for channeling the positive forces from God and the ancestors to the whole community. These are some of the components of the traditional beliefs that the Africans who were brought to the Americas as slaves brought with them. They arrived in this hemisphere with the cultural imprint of the traditions of their elders, and what they retained is the very essence of contemporary black spirituality.

The Europeans who spread Christianity in Africa never understood or fully appreciated the African's own conception of the Great Creator. They saw no similarity between the God they preached about and the African's own beliefs in one supreme God and creator who was the omnipresent, omnipotent king of the universe. The desecration of Africa in the past by Western European powers affected the traditional cultures of the indigenous African people, and as a consequence, many traditional beliefs, social values, customs, and rituals, were deemed to be "pagan" or merely "superstitious" rather than valid spirituality. True culture is the basis of a society's creative survival, and the introduction of European Christianity separated the indigenous Africans from their ancient rituals and traditions, as well as their identity as a people. But despite the loss of ancient traditions, the roots of African-American spirituality were only strengthened and enhanced by finding Christian principles to merge with their own basic beliefs.

Many African-Americans today have had some grounding or early experience with the symbols and culture of Christianity. When challenged by extreme adversity such as physical suffering and illness, those long dormant beliefs may be called upon to provide strength. African-American Christian life is centered on the Bible, the collection of sacred texts that give clear statements about the existence of God and his loving intentions toward humankind. American slaves appropriated the story of Pharaoh and the children of Israel in their emotional and spiritual battles against vicious slave owners.

Many members of the African-American community who are suffering from illness keep a Bible prominently displayed on their nightstands. The scriptures empower and invigorate sufferers to sustain them through the indignity and pain of tests and procedures. And the scriptures give the patient the courage to press on no matter what the resulting report may be. African-American Christian spirituality allows believers to accept suffering, knowing that Jesus Christ has already made preparation for their ultimate deliverance, even in the face of seemingly insurmountable odds. Although doctors may offer a bleak diagnosis, and tests that seem to verify it, God is the Healer.

Medical personnel may often find patients surrounded by visitors who are praying together for healing. Parents may send deacons from the church to pray with their dying son, or a husband may stand reading the Bible for hours by the bedside of his terminally ill wife. These acts should be understood and honored as important and traditional expressions of the faith that sustains African-American Christians and plays such an important part in their everyday lives. Indeed, the African-American church is still the only viable social institution that is dominated, operated, and totally controlled by African-Americans. It is for all intents and purposes a tribal instinct which has survived intact throughout centuries of change. There is immeasurable, undeniable power in the prayers offered up by groups of people to strengthen and support the healing of an afflicted member, and such group prayers for the sick and dying can be traced directly back for centuries, to the communal altars used by African villages for channeling the healing forces from God.

Jesus Christ has promised that He will never "leave or forsake" the one who is suffering. The suffering that doctors and other health professionals see in a technical and purely clinical way is perceived entirely differently by many African-American Christians. God desires to heal the sick and return suffering people to full functioning, and it is this promise that counters despair for so many African-American patients. The suffering and triumph of Christ, the son of God, are the constant inspiration for many who struggle with illness. The traditional and cultural perspective on God's promise of deliverance from oppression, and the importance of Jesus, concern for the oppressed and excluded of the world, has given African-Americans the strength to endure centuries of strife. It is that same faith that sustains them through suffering and grave illness, and that same promise of deliverance that offers them hope for God's healing.