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Subjective Religiosity, Church Attendance, and Depression in the National Survey of American Life

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Abstract

Studies have consistently indicated that blacks report lower rates of depression than whites. This study examined the association between religion and depression and whether religion explained lower rates of depression among blacks compared to whites. Data were drawn from the National Survey of American Life, a multi-ethnic sample of African Americans, Caribbean Blacks, and non-Hispanic whites (n = 6,082). African Americans and Caribbean Blacks reported higher mean levels of subjective religiosity than whites, but there were no significant differences in levels of church attendance. African Americans (OR 0.54; CI 0.45–0.65) and Caribbean Blacks (OR 0.66; CI 0.48–0.91) reported significantly lower odds of depression than whites. Differences in subjective religiosity and church attendance did not account for the association between major depression and African American and Caribbean Black race/ethnicity relative to whites. More research is needed to examine whether there are other factors that could protect against the development of depression.

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References

  • Blazer, D. G., Kessler, R. C., McGonagle, K. A., & Swartz, M. S. (1994). The prevalence and distribution of major depression in a national community sample: The National Comorbidity Survey. The American Journal of Psychiatry, 151(7), 979.

    Article  CAS  PubMed  Google Scholar 

  • Brown, E., Caldwell, C. H., & Antonucci, T. C. (2008). Religiosity as a moderator of family conflict and depressive symptoms among African American and white young grandmothers. Journal of Human Behavior in the Social Environment, 18(4), 397–413.

    Article  Google Scholar 

  • Chatters, L., Levin, J. S., & Taylor, R. J. (1992). Antecedents and dimensions of religious involvement among older black adults. Journal of Gerontology: Social Sciences, 47B, S269–S278.

    Article  Google Scholar 

  • Chatters, L. M., Taylor, R. J., Bullard, K. M., & Jackson, J. S. (2008). Spirituality and subjective religiosity among African Americans, Caribbean blacks, and non-Hispanic whites. Journal for the Scientific Study of Religion, 47(4), 725–737.

    Article  PubMed Central  PubMed  Google Scholar 

  • Chatters, L. M., Taylor, R. J., Bullard, K. M., & Jackson, J. S. (2009). Race and ethnic differences in religious involvement: African Americans, Caribbean blacks and non-Hispanic whites. Ethnic and Racial Studies, 32(7), 1143–1163.

    Article  PubMed Central  PubMed  Google Scholar 

  • Das, A. K., Olfson, M., McCurtis, H. L., & Weissman, M. M. (2006). Depression in African Americans: Breaking barriers to detection and treatment. Journal of Family Practice, 55(1), 30–39.

    PubMed  Google Scholar 

  • Dohrenwend, B. P., Levav, I., Shrout, P. E., Schwartz, S., Naveh, G., Link, B. G., et al. (1992). Socioeconomic status and psychiatric disorders: The causation-selection issue. Science, 255(5047), 946–952.

    Article  CAS  PubMed  Google Scholar 

  • Fetzer Institute, National Institute on Aging Working Group. (1999). Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, MI: John E. Fetzer Institute.

    Google Scholar 

  • Gazmararian, J. A., James, S. A., & Lepkowski, J. M. (1995). Depression in black and white women: The role of marriage and socioeconomic status. Annals of Epidemiology, 5(6), 455–463.

    Article  CAS  PubMed  Google Scholar 

  • Geronimus, A. T., Bound, J., Waidmann, T. A., Colen, C. G., & Steffick, D. (2001). Inequality in life expectancy, functional status, and active life expectancy across selected black and white populations in the United States. Demography, 38(2), 227–251.

    Article  CAS  PubMed  Google Scholar 

  • Goosby, B. J. (2007). Poverty duration, maternal psychological resources, and adolescent socioemotional outcomes. Journal of Family Issues, 28(8), 1113–1134.

    Article  Google Scholar 

  • Hackney, C. H., & Sanders, G. S. (2003). Religiosity and mental health: A meta-analysis of recent studies. Journal for the Scientific Study of Religion, 42(1), 43–55.

    Article  Google Scholar 

  • Hardaway, C. R., & McLoyd, V. C. (2009). Escaping poverty and securing middle class status: How race and socioeconomic status shape mobility prospects for African Americans during the transition to adulthood. Journal of Youth and Adolescence, 38(2), 242.

    Article  PubMed Central  PubMed  Google Scholar 

  • Heeringa, S. G., & Liu, J. (2006). Complex sample design effects and inference for mental health survey data. New York: Wiley.

    Google Scholar 

  • Heeringa, S. G., Wagner, J., Torres, M., Duan, N. H., Adams, T., & Berglund, P. (2004). Sample designs and sampling methods for the Collaborative Psychiatric Epidemiology Studies (CPES). International Journal of Methods in Psychiatric Research, 13(4), 221–240.

    Article  PubMed  Google Scholar 

  • Jackson, J. S., Knight, K. M., & Rafferty, J. A. (2009). Race and unhealthy behaviors: Chronic stress, the HPA axis, and physical and mental health disparities over the life course. American Journal of Public Health, 100(5), 933–939.

    Article  PubMed  Google Scholar 

  • Jackson, J. S., Neighbors, H. W., Nesse, R. M., Trierweiler, S. J., & Torres, M. (2004a). Methodological innovations in the National Survey of American Life. International Journal of Methods in Psychiatric Research, 13(4), 289–298.

    Article  PubMed  Google Scholar 

  • Jackson, J. S., Torres, M., Caldwell, C. H., Neighbors, H. W., Nesse, R. M., Taylor, R. J., et al. (2004b). The National Survey of American Life: A study of racial, ethnic and cultural influences on mental disorders and mental health. International Journal of Methods in Psychiatric Research, 13(4), 196–207.

    Article  PubMed  Google Scholar 

  • Kaufman, J. S., Cooper, R. S., & McGee, D. L. (1997). Socioeconomic status and health in blacks and whites: The problem of residual confounding and the resiliency of race. Epidemiology, 8(6), 621–628.

    CAS  PubMed  Google Scholar 

  • Kendler, K. S., Liu, X.-Q., Gardner, C. O., McCullough, M. E., Larson, D., & Prescott, C. A. (2003). Dimensions of religiosity and their relationship to lifetime psychiatric and substance use disorders. American Journal of Psychiatry, 160(3), 496–503.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005a). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005b). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617–627.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kessler, R. C., & Üstün, T. B. (2004). The World Mental Health (WMH) survey initiative version of the World Helath Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research, 13, 93–121.

    Article  PubMed  Google Scholar 

  • Koenig, H. G., & Büssing, A. (2010). The duke university religion index (DUREL): A five-item measure for use in epidemological studies. Religions, 1, 78–85.

    Article  Google Scholar 

  • Koenig, H. G., McCullough, M., & Larson, D. (2001). The handbook of religion and health. New York: Oxford University Press.

    Book  Google Scholar 

  • Kristeller, J., Sheets, V., Johnson, T., & Frank, B. (2011). Understanding religious and spiritual influences on adjustment to cancer: Individual patterns and differences. Journal of Behavioral Medicine, 34(6), 550–561.

    Article  PubMed  Google Scholar 

  • Maselko, J., & Buka, S. (2008). Religious activity and lifetime prevalence of psychiatric disorder. Social Psychiatry and Psychiatric Epidemiology, 43(1), 18–24.

    Article  PubMed  Google Scholar 

  • Maselko, J., Gilman, S. E., & Buka, S. (2009). Religious service attendance and spiritual well-being are differentially associated with risk of major depression. Psychological Medicine, 39(06), 1009–1017.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • McGuire, T. G., & Miranda, J. (2008). New evidence regarding racial and ethnic disparities in mental health: policy implications. Health Affairs, 27(2), 393–403.

    Article  PubMed Central  PubMed  Google Scholar 

  • Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged social statuses confer more stress and fewer coping resources? Social Science and Medicine, 67(3), 368–379.

    Article  PubMed Central  PubMed  Google Scholar 

  • Purnell, J. Q., & Andersen, B. L. (2009). Religious practice and spirituality in the psychological adjustment of survivors of breast cancer. Counseling and Values, 53(3), 165–182.

    Article  PubMed Central  PubMed  Google Scholar 

  • Reese, A. M., Thorpe, R. J., Bell, C. N., Bowie, J. V., & LaVeist, T. A. (2012). The effect of religious service attendance on race differences in depression: Findings from the EHDIC-SWB study. Journal of Urban Health, 89(3), 510–518.

    Article  PubMed Central  PubMed  Google Scholar 

  • Schmidley, A. D., & Gibson, C. (1999). US Census Bureau, current population reports. Washington, DC: US Government Printing Office.

    Google Scholar 

  • Smith, T. B., McCullough, M. E., & Poll, J. (2003). Religiousness and depression: Evidence for a main effect and the moderating influence of stressful life events. Psychological Bulletin, 129(4), 614–636.

    Article  PubMed  Google Scholar 

  • Tabak, M. A., & Mickelson, K. D. (2009). Religious service attendance and distress: The moderating role of stressful life events and race/ethnicity. Sociology of Religion, 70(1), 49–64.

    Article  Google Scholar 

  • Taylor, R. J., Chatters, L. M., & Jackson, J. S. (2007). Religious participation among older black Caribbeans in the United States. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62(4), S251–S256.

    Article  Google Scholar 

  • Taylor, R., Chatters, L., & Joe, S. (2011). Non-organizational religious participation, subjective religiosity, and spirituality among older African Americans and black Caribbeans. Journal of Religion and Health, 50(3), 623–645.

    Article  PubMed  Google Scholar 

  • Turner, R. J., & Avison, W. R. (2003). Status variations in stress exposure: Implications for the interpretation of research on race, socioeconomic status, and gender. Journal of Health and Social Behavior, 44(4), 488–505.

    Article  PubMed  Google Scholar 

  • Turner, R. J., & Lloyd, D. A. (1999). The stress process and the social distribution of depression. Journal of Health and Social Behavior, 40(4), 374–404.

    Article  CAS  PubMed  Google Scholar 

  • Üstün, T. B., Ayuso-Mateos, J. L., Chatterji, S., Mathers, C., & Murray, C. J. L. (2004). Global burden of depressive disorders in the year 2000. The British Journal of Psychiatry, 184(5), 386–392.

    Article  PubMed  Google Scholar 

  • Walsemann, K. M., Gee, G. C., & Geronimus, A. T. (2009). Ethnic differences in trajectories of depressive symptoms: Disadvantage in family background, high school experiences, and adult characteristics. Journal of Health and Social Behavior, 50(1), 82–98.

    Article  PubMed Central  PubMed  Google Scholar 

  • Williams, D. R., & Collins, C. (1995). US socioeconomic and racial differences in health: Patterns and explanations. Annual Review of Sociology, 21(1), 349–386.

    Article  Google Scholar 

  • Williams, D. R., Gonzalez, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., et al. (2007a). Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: Results from the National Survey of American Life. Archives of General Psychiatry, 64(3), 305–315.

    Article  PubMed  Google Scholar 

  • Williams, D. R., Haile, R., Gonzalez, H. M., Neighbors, H., Baser, R., & Jackson, J. S. (2007b). The mental health of black Caribbean immigrants: Results from the National Survey of American Life. American Journal of Public Health, 97(1), 52–59.

    Article  PubMed Central  PubMed  Google Scholar 

  • Williams, D. R., Takeuchi, D. T., & Adair, R. K. (1992). Marital status and psychiatric disorders among blacks and whites. Journal of Health and Social Behavior, 33(2), 140–157.

    Article  CAS  PubMed  Google Scholar 

  • Wittchen, H.-U., Kessler, R. C., & Üstün, T. B. (2001). Properties of the Composite International Diagnostic Interview (CIDI) for measuring mental health outcome. In G. Thornicroft & M. Tansella (Eds.), Mental health outcome measures (2nd ed., pp. 212–227). London: Gaskell.

  • Zavala, M. W., Maliski, S. L., Kwan, L., Fink, A., & Litwin, M. S. (2009). Spirituality and quality of life in low-income men with metastatic prostate cancer. Psycho-Oncology, 18(7), 753–761.

    Article  PubMed  Google Scholar 

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Correspondence to Darrell L. Hudson.

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Hudson, D.L., Purnell, J.Q., Duncan, A.E. et al. Subjective Religiosity, Church Attendance, and Depression in the National Survey of American Life. J Relig Health 54, 584–597 (2015). https://doi.org/10.1007/s10943-014-9850-2

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