Journal of Religion and Health

, Volume 27, Issue 4, pp 267–278 | Cite as

Religion, Type A behavior, and health

  • Jeffrey S. Levin
  • C. David Jenkins
  • Robert M. Rose


In a study of air traffic controllers, religious differences are found in the way Type A behavior is associated with several health status indicators. Associations between the Jenkins Activity Survey (JAS) and physical illness incidence, health-promotive behavior, diastolic and systolic blood pressure, subjective distress and impulse control problems, and alcohol consumption are examined by religious attendance, religious affiliation, and change in affiliation. Findings confirm that Type A does not vary significantly by religion. However, there are several significant findings between Type A and various health indicators. Type A is associated with illness incidence, overall and more strongly in several religion, subgroups. Type A and alcohol consumption are related positively in Protestants and converts, and negatively in churchgoing Catholics. Type A is related to impulse control problems in churchgoing Protestants and to subjective distress in churchgoing Catholics. Finally, in individuals with weak or no religious ties, Type A is associated with lower blood pressure. This last finding suggests that in some people (for example, the irreligious or unchurched), the coronary-prone behavior pattern may have cardiovascular effects which are salutary in at least one respect.


Systolic Blood Pressure Alcohol Consumption Status Indicator Lower Blood Pressure Behavior Pattern 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Weber, M.,The Protestant Ethic and the Spirit of Capitalism (1904). London, Allen & Unwin, 1930.Google Scholar
  2. 2.
    Tawney, R.H.,Religion and the Rise of Capitalism. New York, Mentor Books, 1926; Viner, J.,Religious Thought and Economic Society: Four Chapters on an Unfinished Work. Durham, N.C., Duke University Press, 1978.Google Scholar
  3. 3.
    Friedman, M., and Rosenman, R.H., “Association of Specific Overt Behavior Pattern with Blood and Cardiovascular Findings,”JAMA, 1959,169, 1286–1296.Google Scholar
  4. 4.
    Kenigsberg, D.; Zyzanski, S.J.; Jenkins, C.D.; Wardwell, W.I.; and Licciardello, A.T., “The Coronary-Prone Behavior Pattern in Hospitalized Patients with and without Coronary Heart Disease,”Psychosomatic Medicine, 1974,36, 344–350.PubMedGoogle Scholar
  5. 5.
    Zyzanski, S.J., and Jenkins, C.D., “Basic Dimensions within the Coronary-Prone Behavior Pattern,”J. Chronic Diseases, 1970,22, 781–795.Google Scholar
  6. 6.
    Matthews, K.A., “Psychological Perspectives on the Type A Behavior Pattern,”Psychological Bulletin, 1982,2, 293–323.Google Scholar
  7. 7.
    Kaplan, B.H., “A Note on Religious Beliefs and Coronary Heart Disease,”J. South Carolina Medical Association, 1976, Feb. (suppl.), 60–64.Google Scholar
  8. 8.
    Margolis, L.H.; McLeroy, K.R.; Runyan, C.W.; and Kaplan, B.H., “Type A Behavior: An Ecological Approach,”J. Behavioral Medicine, 1983,6, 254–255.Google Scholar
  9. 9.
    Kobasa, S.C.; Maddi, S.R.; and Zola, M.A., “Type A and Hardiness,”J. Behavioral Medicine, 1983,6, 41–51.Google Scholar
  10. 10.
    For a review of several religion-Type-A studies, see Yoder, L., “Modifying the Type A Behavior Pattern,”J. Religion and Health, 1987,26, 1, 57–72.Google Scholar
  11. 11.
    Jenkins, C.D., and Zyzanski, S.J., “Behavioral Risk Factors and Coronary Heart Disease,”Psychotherapy and Psychosomatics, 1980,34, 149–177; Woods, P.J., and Burns, J., “Type A Behavior and Illness in General,”J. Behavioral Medicine, 14,7, 411–415; Matthews, “Psychological Perspectives on the Type A Behavioral Pattern,op. cit. PubMedGoogle Scholar
  12. 12.
    Jenkins, C.D., “Epidemiological Studies of the Psycholsomatic Aspects of Coronary Heart Disease,”Advances in Psychosomatic Medicine, 1977,9, 1–19.Google Scholar
  13. 13.
    —, “Psychosocial Modifiers in Response to Stress.” In Barett, J.E. et al., eds.,Stress and Mental Disorder. New York, Raven Press, 1979.Google Scholar
  14. 14.
    Levin, J.S., and Schiller, P.L., “Is There a Religious Factor in Health?”J. Religion and Health, 1987,26, 1, 9–36; Levin, J.S., and Vanderpool, H.Y., “Is Frequent Religious AttendanceReally Conducive to Better Health?: Toward an Epidemiology of Religion,”Social Science and Medicine, 1987,24, 589–600; Levin, J.S., and Markides, K.S., “Religious Attendance and Subjective Health,”J. Scientific Study of Religion, 1986,25, 31–40.Google Scholar
  15. 15.
    Levin, J.S., and Schiller, P.L., “Religion and the Multidimensional Health Locus of Control Scales,”Psychological Reports, 1986,59, 26.PubMedGoogle Scholar
  16. 16.
    Rose, R.M.; Jenkins, C.D.; and Hurst, M.W.,Air Traffic Controller Health Change Study. A Report to the FAA on Research Performed under Contract No. DOT-FA73WA-3211 Awarded to Boston University, 1978; Rose, R.M.; Jenkins, C.D.; and Hurst, M.W., “Health Change in Air Traffic Controllers: A Prospective Study. I. Background and Description,”Psychosomatic Medicine, 1978,40, 142–165.Google Scholar
  17. 17.
    Jenkins, C.D.; Zyzanski, S.J.; and Rosenman, R.H.,Jenkins Activity Survey Manual. New York, The Psychological Corporation, 1979.Google Scholar
  18. 18.
    This variable was selected instead of the one covering the interval between rounds one and two for three reasons: (1) the JAS was not administered until round two, and it makes little sense, theoretically, to expect physical illness incidence to precede Type A score; (2) the average of three intervals of data may provide a more stable indicator of physical illness incidence than just one interval of data; and, (3) most critically, there were some technical problems with the physical illness reporting during the interval before the round two examination.Google Scholar
  19. 19.
    The four drinking behavior items are frequency, amount, variability, and kind of alcohol usage.Google Scholar
  20. 20.
    Nie, N.H.; Hull, C.H.; Jenkins, J.G.; Steinbrenner, K.; and Bent, D.H.,SPSS, 2nd ed. New York, McGraw-Hill, 1975.Google Scholar
  21. 21.
    Reported levels of significance are not, of course, direct reflections of absolute values ofr, owing to variations in sample size and also to the numerous statistical analyses run using the same variables.Google Scholar
  22. 22.
    Levin, J.S., and Markides, K.S., “Religion and Health in Mexican Americans,”J. Religion and Health, 1985,24, 1, 60–69; Levin and Vanderpool, “Is Frequent Religious AttendanceReally Conducive to Better Health?”op. cit. Google Scholar
  23. 23.
    King, H., and Locke, F.B., “American White Protestant Clergy as a Low-Risk Population for Mortality Research,”J. National Cancer Institute, 1980,65, 1115–1124; Lehr, I.; Messinger, H.B.; and Rosenman, R.H., “A Sociobiological Approach to the Study of Coronary Heart Disease,”J. Chronic Diseases, 1973,26, 13–30; MacDonald, C.B., and Luckett, J.B., “Religious Affiliation and Psychiatric Diagnoses,”J. Scientific Study of Religion, 1983,22, 15–37.Google Scholar
  24. 24.
    Graham, S.; Gibson, R.; Lilienfeld, A.; Schuman, L.; Levin, M.; “Religion and Ethnicity in Leukemia,”Amer. J. Public Health, 1970,60, 266–274; Ross, D.c., and Thomas, C.B., “Precursors of Hypertension and Coronary Artery Disease among Healthy Medical Students: Discriminant Function Analysis, III. Using Ethnic Origin as the Criterion, with Observations on Parental Hypertension and Coronary Disease and on Religion,”Bulletin of the Johns Hopkins Hospital, 1965,117, 37–57.Google Scholar
  25. 25.
    Levin and Markides, “Religion and Health in Mexican Americans,”op. cit.; Levin and Vanderpool, “Is Frequent Religious AttendanceReally Conducive to Better Health?”op. cit. Google Scholar
  26. 26.
    Griffith, E.E.H., and Mathewson, M.A., “Communitas and Charisma in a Black Church Service,”J. National Medical Association, 1981,73, 1023–1027.Google Scholar
  27. 27.
    Lazerwitz, B., “Membership in Voluntary Associations and Frequency of Church Attendance,”J. Scientific Study of Religion, 1962,2, 74–84.Google Scholar
  28. 28.
    Matthews, K.A., and Haynes, S.G., “Type A Behavior Pattern and Coronary Disease Risk: Update and Critical Evaluation,”Amer. J. Epidemiology, 1986,6, 923–960.Google Scholar
  29. 29.
    Radley, A.R., “Theory and Data in the Study of ‘Coronary Proneness’ (Type A Behaviour Pattern),”Social Science and Medicine, 1982,16, 107–114.PubMedGoogle Scholar
  30. 30.
    Rosenberg, M., “The Logical Status of Suppressor Variables,”Public Opinion Quarterly, 1973,37, 359–372.Google Scholar

Copyright information

© Institutes of Religion and Health 1988

Authors and Affiliations

  • Jeffrey S. Levin
    • 1
  • C. David Jenkins
    • 2
  • Robert M. Rose
    • 3
  1. 1.Institute of Gerontology at the University of Michigan in Ann Arbor
  2. 2.Department of Preventive Medicine and Community Health at the University of Texas Medical Branch in Galveston
  3. 3.University of Texas Medical Branch in Galveston

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