Skip to main content

Advertisement

Log in

A Longitudinal Study of Religiosity, Spiritual Health Locus of Control, and Health Behaviors in a National Sample of African Americans

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

The present longitudinal study examined religious beliefs and behaviors, spiritual health locus of control (SHLOC), and selected health-related behaviors and outcomes in a national sample of 766 African American adults. Participants were interviewed by telephone three times over a 5-year period. Results indicated that stronger religious beliefs and religious behaviors were associated with greater changes in active SHLOC. There was some evidence of direct effects of religious beliefs and behaviors on changes in health behaviors. Religious behaviors were related to greater passive SHLOC over time across some health outcomes. Passive SHLOC was associated with some less desirable health outcomes over time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • American Cancer Society. (2014). American Cancer Society Guidelines for the Early Detection of Cancer. Retrieved from http://www.cancer.org/healthy/findcancerearly/cancerscreeningguidelines/american-cancer-society-guidelines-for-the-early-detection-of-cancer. Accessed 27 Nov 2017.

  • Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103(3), 411–423. https://doi.org/10.1037/0033-2909.103.3.411.

    Article  Google Scholar 

  • Bediako, S. M., Lattimer, L., Haywood, C., Jr., Ratanawongsa, N., Lanzkron, S., & Beach, M. C. (2011). Religious coping and hospital admissions among adults with sickle cell disease. Journal of Behavioral Medicine, 34(2), 120–127. https://doi.org/10.1007/s10865-010-9290-8.

    Article  PubMed  Google Scholar 

  • Belgrave, F. Z., & Allison, K. W. (2010). African American psychology: From Africa to America (2nd ed.). Los Angeles: Sage Publications.

    Google Scholar 

  • Bjorklof, G. H., Engedal, K., Selbaek, G., Maia, D. B., Coutinho, E. S., & Helvik, A. S. (2016). Locus of control and coping strategies in older persons with and without depression. Aging and Mental Health, 20(8), 831–839. https://doi.org/10.1080/13607863.2015.1040722.

    Article  PubMed  Google Scholar 

  • Blaine, B., & Crocker, J. (1995). Religiousness, race, and psychological well-being: Exploring social psychological mediators. Personality and Social Psychology Bulletin, 21(10), 1031–1041.

    Article  Google Scholar 

  • Block, G., Hartman, A. M., Dresser, C. M., Carroll, M. D., Gannon, J., & Gardner, L. A. (1986). A data-based approach to diet questionnaire design and testing. American Journal of Epidemiology, 124(3), 453–469.

    Article  CAS  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  PubMed Central  Google Scholar 

  • Clark, E. M. (2008). Locus of control. In S. Boslaugh (Ed.), Encyclopedia of epidemiology (pp. 606–610). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.mss.0000078924.61453.fb.

    Article  PubMed  Google Scholar 

  • Debnam, K., Holt, C. L., Clark, E. M., Roth, D. L., Foushee, H. R., Crowther, M., et al. (2012a). Spiritual health locus of control and health behaviors in African Americans. American Journal of Health Behavior, 36(3), 360–372. https://doi.org/10.5993/AJHB.36.3.7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Debnam, K., Holt, C. L., Clark, E. M., Roth, D. L., & Southward, P. (2012b). Relationship between religious social support and general social support with health behaviors in a national sample of African Americans. Journal of Behavioral Medicine, 35(2), 179–189. https://doi.org/10.1007/s10865-011-9338-4.

    Article  PubMed  Google Scholar 

  • Dworsky, C. K. O., Pargament, K. I., Wong, S., & Exline, J. J. (2016). Suppressing spiritual struggles: The role of experiential avoidance in mental health. Journal of Contextual Behavioral Science., 5, 258–265.

    Article  Google Scholar 

  • Ellison, C. (1993). Religious involvement and self-perception among Black Americans. Social Forces, 71, 1027–1055.

    Article  Google Scholar 

  • Ellison, C., Boardman, J., Williams, D., & Jackson, J. (2001). Religious involvement, stress, and mental health: Findings from the 1995 Detroit Area Study. Social Forces, 80(1), 215–249. https://doi.org/10.1177/0022146510378237.

    Article  Google Scholar 

  • Exline, J. J., Grubbs, J. B., & Homolka, S. J. (2015). Seeing God as cruel or distant: Links with divine struggles involving anger, doubt, and fear of God’s disapproval. International Journal for the Psychology of Religion., 25, 29–41. https://doi.org/10.1080/10508619.2013.857255.

    Article  Google Scholar 

  • Exline, J. J., Hall, T. W., Pargament, K. I., & Harriott, V. A. (2017). Predictors of growth from spiritual struggle among Christian undergraduates: Religious coping and perceptions of helpful action by God are both important. Journal of Positive Psychology, 12, 501–508. https://doi.org/10.1080/17439760.2016.1228007.

    Article  Google Scholar 

  • Exline, J. J., Pargament, K. I., Grubbs, J. B., & Yali, A. M. (2014). The religious and spiritual struggles scale: Development and initial validation. Psychology of Religion and Spirituality, 6, 208–222. https://doi.org/10.1037/a0036465.

    Article  Google Scholar 

  • Goldzweig, G., Hasson-Ohayon, I., Alon, S., & Shalit, E. (2016). Perceived threat and depression among patients with cancer: The moderating role of health locus of control. Psychology, Health & Medicine, 21(5), 601–607. https://doi.org/10.1080/13548506.2016.1140902.

    Article  Google Scholar 

  • Holt, C. L., Clark, E. M., Debnam, K. J., & Roth, D. L. (2014a). Religion and health in African Americans: The role of religious coping. American Journal of Health Behavior, 38(2), 190–199. https://doi.org/10.5993/AJHB.38.2.4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Holt, C. L., Clark, E. M., & Klem, P. R. (2007). Expansion and validation of the spiritual health locus of control scale: Factorial analysis and predictive validity. Journal of Health Psychology, 12(4), 597–612. https://doi.org/10.1177/1359105307078166.

    Article  PubMed  Google Scholar 

  • Holt, C. L., Clark, E. M., Kreuter, M. W., & Rubio, D. M. (2003). Spiritual health locus of control and breast cancer beliefs among urban African American women. Health Psychology, 22(3), 294–299. https://doi.org/10.1037/0278-6133.22.3.294.

    Article  PubMed  Google Scholar 

  • Holt, C. L., Clark, E. M., & Roth, D. L. (2014b). Positive and negative religious beliefs explaining the religion-health connection among African Americans. International Journal for the Psychology of Religion, 24(4), 311–331. https://doi.org/10.1080/10508619.2013.828993.

    Article  PubMed  Google Scholar 

  • Holt, C. L., Le, D., Calvanelli, J. V., Huang, J., Clark, E. M., Roth, D. L., et al. (2015a). Participant retention in a national telephone survey of African American men and women. Ethnicity and Disease, 25(1), 187–192.

    PubMed  Google Scholar 

  • Holt, C. L., Roth, D. L., Huang, J., & Clark, E. M. (2015b). Gender differences in the roles of religion and locus of control on alcohol use and smoking among African Americans. Journal of Studies on Alcohol and Drugs, 76, 482–492.

    Article  PubMed  PubMed Central  Google Scholar 

  • Holt, C. L., Roth, D. L., Huang, J., Park, C. L., & Clark, E. M. (2017). Longitudinal effects of religious involvement on religious coping and health behaviors in a national sample of African Americans. Social Science & Medicine, 187, 11–19.

    Article  Google Scholar 

  • Holt, C. L., Schulz, E., Williams, B. R., Clark, E. M., & Wang, M. Q. (2014c). Social support as a mediator of religious involvement and physical and emotional functioning in a national sample of African-Americans. Mental Health, Religion & Culture, 17, 421–435.

    Article  Google Scholar 

  • Holt, C. L., Wang, M. Q., Clark, E. M., Williams, B. R., & Schulz, E. (2013). Religious involvement and physical and emotional functioning among African Americans: The mediating role of social support. Psychology & Health, 28, 267–283.

    Article  Google Scholar 

  • Holt, C. L., Wang, M. Q., Clark, E. M., Williams, B. R., & Schulz, E. (2014d). Positive and negative religious beliefs that explain the religion-health connection among African Americans. International Journal for the Psychology of Religion, 24, 311–331. https://doi.org/10.1080/10508619.2013.828993.

    Article  PubMed  Google Scholar 

  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. https://doi.org/10.1080/10705519909540118.

    Article  Google Scholar 

  • Jackson, B. R., & Bergeman, C. S. (2011). How does religiosity enhance well-being? The role of perceived control. Psychology of Religion and Spirituality, 3, 149–161.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jang, S. J., & Johnson, B. R. (2004). Explaining religious effects on distress among African Americans. Journal for the Scientific Study of Religion, 43, 239–260.

    Article  Google Scholar 

  • Kinney, A. Y., Emery, G., Dudley, W. N., & Croyle, R. T. (2002). Screening behaviors among African American women at high risk for breast cancer: Do beliefs about God matter? Oncology Nursing Forum, 29, 835–843.

    Article  PubMed  Google Scholar 

  • Kreuter, M. W., Skinner, C. S., Holt, C. L., Clark, E. M., Haire-Joshu, D., Fu, Q., et al. (2005). Cultural tailoring for mammography and fruit and vegetable consumption among low-income African American women in urban public health centers. Preventive Medicine, 41, 53–62. https://doi.org/10.1016/j.ypmed.2004.10.013.

    Article  PubMed  Google Scholar 

  • Landor, A., Simons, L. G., Simons, R. L., Brody, G. H., & Gibbons, F. X. (2011). The role of religiosity in the relationship between parents, peers, and adolescent risky sexual behavior. Journal of Youth and Adolescence, 40, 296–309. https://doi.org/10.1007/s10964-010-9598-2.

    Article  PubMed  Google Scholar 

  • Latimer, A. E., Katulak, N. A., Mowad, L., & Salovey, P. (2005). Motivating cancer prevention and early detection behaviors using psychologically tailored messages. Journal of Health Communication, 10(S1), 137–155. https://doi.org/10.1080/10810730500263364.

    Article  PubMed  Google Scholar 

  • Levin, J. S., Taylor, R. J., & Chatters, L. M. (1994). Race and gender differences in religiosity among older adults: Findings from four national surveys. Journal of Gerontology, 49, S137–S145.

    Article  CAS  PubMed  Google Scholar 

  • Lukwago, S. L., Kreuter, M. W., Bucholtz, D. C., Holt, C. L., & Clark, E. M. (2001). Development and validation of brief scales to measure collectivism, religiosity, racial pride, and time orientation in urban African American women. Family and Community Health, 24, 63–71.

    Article  CAS  PubMed  Google Scholar 

  • MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York: Lawrence Erlbaum Associates.

    Google Scholar 

  • Makambi, K. H., Williams, C. D., Taylor, T. R., Rosenberg, L., & Adams-Campbell, L. L. (2009). An assessment of the CES-D scale factor structure in black women: The Black Women’s Health Study. Psychiatry Research, 168, 163–170.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mattis, J. S., & Watson, C. R. (2009). Religion and spirituality. Handbook of African American psychology (pp. 91–102). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Mohamed, I. E., Skeel Williams, K., Tamburrino, M., Wryobeck, J., & Carter, S. (2005). Understanding locally advanced breast cancer: What influences a woman’s decision to delay treatment? Preventive Medicine, 41, 399–405. https://doi.org/10.1016/j.ypmed.2004.12.012.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2013). Mplus user’s guide (7th ed.). CA: Los Angeles.

    Google Scholar 

  • National Center for Health Statistics. (2007). Chartbook on trends in the health of Americans. Retrieved from https://www.cdc.gov/nchs/data/hus/hus07.pdf. Accessed 27 Nov 2017.

  • Pargament, K. I., Kennell, J., Hathaway, W., Grevengoed, N., Newman, J., & Jones, W. (1988). Religion and the problem solving-process: Three coping styles. Journal for the Scientific Study of Religion, 27, 90–104.

    Article  Google Scholar 

  • Park, C. L., Masters, K. S., Salsman, J. M., Wachholtz, A., Clements, A. D., Salmoirago-Blotcher, E., et al. (2017). Advancing our understanding of religion and spirituality in the context of behavioral medicine. Journal of Behavioral Medicine, 40, 39–51. https://doi.org/10.1007/s10865-016-9755-5.

    Article  PubMed  Google Scholar 

  • Pew Forum US. (2009). A religious portrait of African-Americans. Retrieved from http://www.pewforum.org/A-Religious-Portrait-of-African-Americans.aspx. Accessed 27 Nov 2017.

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Article  Google Scholar 

  • Roth, D. L., Ackerman, M. L., Okonkwo, O. C., & Burgio, L. D. (2008). The four-factor model of depressive symptoms in dementia caregivers: A structural equation model of ethnic differences. Psychology and Aging, 23, 567–576. https://doi.org/10.1037/a0013287.

    Article  PubMed  PubMed Central  Google Scholar 

  • Roth, D. L., Mwase, I., Holt, C. L., Clark, E. M., Lukwago, S., & Kreuter, M. W. (2012). Religious involvement measurement model in a national sample of African Americans. Journal of Religion and Health, 51, 567–578. https://doi.org/10.1007/s10943-011-9475-7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Roth, D. L., Usher, T., Clark, E. M., & Holt, C. L. (2016). Religious involvement and health over time: Predictive effects in a national sample of African Americans. Journal for the Scientific Study of Religion, 55, 417–424.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rotter, J. B. (1954). Social learning and clinical psychology. Englewood Cliffs, NJ: Prentice Hall.

    Book  Google Scholar 

  • Ryan, M. E., & Francis, A. J. P. (2012). Locus of control beliefs mediate the relationship between religious functioning and psychological health. Journal of Religion and Health, 51, 774–785.

    Article  PubMed  Google Scholar 

  • Schieman, S., Nguyen, K., & Elliott, D. (2003). Religiosity, socioeconomic status, and the sense of mastery. Social Psychology Quarterly, 66, 202–221.

    Article  Google Scholar 

  • Schieman, S., Pudrovska, T., & Milkie, M. A. (2005). The sense of divine control and the self-concept: A study of race differences in later life. Research on Aging, 27, 165–196. https://doi.org/10.1177/0164027504270489.

    Article  Google Scholar 

  • Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312. https://doi.org/10.2307/270723.

    Article  Google Scholar 

  • Stein, A. D., Lederman, R. I., & Shea, S. (1993). The Behavioral Risk Factor Surveillance System questionnaire: Its reliability in a statewide sample. American Journal of Public Health, 83, 1768–1772. https://doi.org/10.2105/AJPH.83.12.1768.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • U.S. Census Bureau. (2015a). American community survey 1-year estimates. Retrieved from https://www.census.gov/newsroom/facts-for-features/2017/cb17-ff01.html. Accessed 27 Nov 2017.

  • U. S. Census Bureau. (2015b). Educational attainment in the United States. Retrieved from https://www.census.gov/library/publications/2016/demo/p20-578.html. Accessed 27 Nov 2017.

  • Waldron-Perrine, B., Rapport, L. J., Hanks, R. A., Lumley, M., Meachen, S. J., & Hubbarth, P. (2011). Religion and spirituality in rehabilitation outcomes among individuals with traumatic brain injury. Rehabilitation Psychology, 56, 107–116. https://doi.org/10.1037/a0023552.

    Article  PubMed  Google Scholar 

  • Wallston, K. A., Malcarne, V. L., Flores, L., Hansdottir, I., Smith, C. A., Stein, M. J., et al. (1999). Does God determine your health? The God locus of health control scale. Cognitive Therapy and Research, 23, 131–142.

    Article  Google Scholar 

  • Ware, J. E., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233. https://doi.org/10.1097/00005650-199603000-00003.

    Article  PubMed  Google Scholar 

  • Wolin, K. Y., Heil, D. P., Askew, S., Matthews, C. E., & Bennett, G. G. (2008). Validation of the International Physical Activity Questionnaire-Short among Blacks. Journal of Physical Activity and Health, 5, 746–760.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The team would like to acknowledge the work of OpinionAmerica and Tina Madison who conducted participant recruitment/retention and data collection activities for the present study.

Funding

This study was funded by grants from the National Cancer Institute, (#1 R01 CA 105202; #1 R01 CA154419) and a grant from the Duke University Center for Spirituality, Theology, and Health, through the John Templeton Foundation (#11993). The study was approved by the University of Maryland Institutional Review Board (#373528-1).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eddie M. Clark.

Ethics declarations

Conflict of interest

All authors declare that they have no conflict of interest.

Human Rights Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments and the ethical standards of the American Psychological Association.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Clark, E.M., Williams, B.R., Huang, J. et al. A Longitudinal Study of Religiosity, Spiritual Health Locus of Control, and Health Behaviors in a National Sample of African Americans. J Relig Health 57, 2258–2278 (2018). https://doi.org/10.1007/s10943-017-0548-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-017-0548-0

Keywords

Navigation