Journal of Religion and Health

, Volume 50, Issue 3, pp 608–622 | Cite as

Extending Religion-Health Research to Secular Minorities: Issues and Concerns

Original Paper

Abstract

Claims about religion’s beneficial effects on physical and psychological health have received substantial attention in popular media, but empirical support for these claims is mixed. Many of these claims are tenuous because they fail to address basic methodological issues relating to construct validity, sampling methods or analytical problems. A more conceptual problem has to do with the near universal lack of atheist control samples. While many studies include samples of individuals classified as “low spirituality” or religious “nones”, these groups are heterogeneous and contain only a fraction of members who would be considered truly secular. We illustrate the importance of including an atheist control group whenever possible in the religiosity/spirituality and health research and discuss areas for further investigation.

Keywords

Spirituality Religion Atheism Health Medical outcomes 

References

  1. Asher, H. B. (1983). Causal modeling. Newbury Park: Sage.Google Scholar
  2. Associated Press. (2007). Military probes atheist GI’s harassment claims: Soldier alleges mistreatment by officers, peers while serving in Iraq. MSNBC Interactive News LLC. Retrieved from http://www.msnbc.msn.com/id/20922106/.
  3. Bainbridge, W. S. (2005). Atheism. Interdisciplinary Journal of Research on Religion, 1, 1–26.Google Scholar
  4. Barna Research Group. (1999). Atheists and agnostics invading Christian churches. Ventura, CA: Barna Research Group.Google Scholar
  5. Beit-Hallahmi, B., & Argyle, M. (1997). The psychology of religious behaviour, belief and experience. New York: Routledge.Google Scholar
  6. Ben-Zur, H. (2008). Personal resources of mastery-optimism, and communal support beliefs, as predictors of posttraumatic stress in uprooted Israelis. Anxiety, Stress & Coping: An International Journal, 21, 295–307.CrossRefGoogle Scholar
  7. Bjorck, J. P., & Thurman, J. W. (2007). Negative life events, patterns of positive and negative religious coping, and psychological functioning. Journal for the Scientific Study of Religion, 46, 159–167.CrossRefGoogle Scholar
  8. Blumenthal, J. A., Babyak, M. A., Ironson, G., et al. (2007). Spirituality, religion, and clinical outcomes in patients recovering from an acute myocardial infarction. Psychosomatic Medicine, 69, 501–508.PubMedCrossRefGoogle Scholar
  9. Brennan, M. (2004). Spirituality and religiousness predict adaptation to vision loss in middle-aged and older adults. International Journal for the Psychology of Religion, 14, 193–214.CrossRefGoogle Scholar
  10. Buggle, F., Bister, D., Nohe, G., et al. (2001). Are atheists more depressed than religious people? A new study tells the tale. Free Inquiry, 20, 4.Google Scholar
  11. Chang, B. H., Skinner, K. M., & Boehmer, U. (2001). Religion and mental health among women veterans with sexual assault experience. International Journal of Psychiatry and Medicine, 31, 77–95.CrossRefGoogle Scholar
  12. Christenfeld, N. J., Sloan, R. P., Carroll, D., & Greenland, S. (2004). Risk factors, confounding, and the illusion of statistical control. Psychosomatic Medicine, 66, 868–875.PubMedCrossRefGoogle Scholar
  13. Cragun, R., Kosmin, B., Kosmin, A., & Hammer, J. On the receiving end: Discrimination toward the non-religious. Unpublished manuscript.Google Scholar
  14. D’Andrea, L., & Sprenger, J. (2007). Atheism and nonspirituality as diversity issues in counseling. Counseling and Values, 51, 149–158.Google Scholar
  15. Dawkins, R. (2007). Foreword. In T. Flynn (Ed.), The new encyclopedia of unbelief (pp. 10–14). Amherst, NY: Prometheus Books.Google Scholar
  16. Downey, M. (2004). Discrimination against atheists: The facts. Free inquiry, 24, 4.Google Scholar
  17. Dyer, J. (2007). How does spirituality affect physical health? A conceptual review. Holistic Nursing Practice, 21, 324–328.PubMedGoogle Scholar
  18. Ecklund, E. H., & Park, J. Z. (2007). Religious diversity and community volunteerism among Asian Americans. Journal for the Scientific Study of Religion, 46, 233–244.CrossRefGoogle Scholar
  19. Edgell, P., Gerteis, J., & Hartmann, D. (2006). Atheists as “other:” Moral boundaries and cultural membership in American society. American Sociological Review, 71, 211–234.CrossRefGoogle Scholar
  20. Egbert, N., Mickley, J., & Coeling, H. (2004). A review and application of social scientific measures of religiosity and spirituality: Assessing a missing component in health communication research. Health Communication, 16, 7–27.PubMedCrossRefGoogle Scholar
  21. Ehrlich, H. J., & Van Tubergen, G. N. (1971). Exploring the structure and salience of stereotypes. Journal of Social Psychology, 83, 113–127.CrossRefGoogle Scholar
  22. Emerson, M. O., & Hartman, D. (2006). The rise of religious fundamentalism. Annual Review of Sociology, 32, 127–144.CrossRefGoogle Scholar
  23. Emerson, M. O., & Smith, C. (2000). Divided by faith: Evangelical religion and the problem of race in America. New York: Oxford University Press.Google Scholar
  24. Exline, J. J., Yali, A. M., & Lobel, M. (1999). When God disappoints: Difficulty forgiving God and its role in negative emotion. Journal of Health Psychology, 4, 365–379.CrossRefGoogle Scholar
  25. Feather, N. T. (1967). Evaluation of religious and neutral arguments in religious and atheist student groups. Australian Journal of Psychology, 19, 3–12.CrossRefGoogle Scholar
  26. Flynn, T. (2009). Taken in the wrong spirit. Free Inquiry, 29, 14–15.Google Scholar
  27. Furnham, A., Nicholas, M., & McClelland, A. (1998). Factors affecting nonmedical participants’ allocation of scarce medical resources. Journal of Social Behavior and Personality, 12, 735–746.Google Scholar
  28. Guralnik, J. M., Land, K. C., Blazer, D., Fillenbaum, G. G., & Branch, L. G. (1993). Educational status and active life expectancy among older blacks and whites. New England Journal of Medicine, 329, 110–116.PubMedCrossRefGoogle Scholar
  29. Hadaway, C. K. (1989). Identifying American apostates: A cluster analysis. Journal for the Scientific Study of Religion, 28, 201–215.CrossRefGoogle Scholar
  30. Hadaway, C. K., Marler, P. L., & Chaves, M. (1998). Overreporting church attendance in America: Evidence that demands the same verdict. American Sociological Review, 63, 122–130.CrossRefGoogle Scholar
  31. Halama, P. (2005). Psychological aspects of religious conversion. Ceskoslovenska Psychologie, 49, 34–52.Google Scholar
  32. Hall, T. W., & Edwards, K. J. (2002). The spiritual assessment inventory: A theistic model and measure for assessing spiritual development. Journal for the Scientific Study of Religion, 41, 341–357.CrossRefGoogle Scholar
  33. Hall, D. E., Koenig, H. G., & Meador, K. G. (2008). Hitting the target: Why existing measures of “religiousness” are really reverse-scored measures of “secularism”. Explore, 4, 368–373.PubMedCrossRefGoogle Scholar
  34. Harper, M. (2007). The stereotyping of nonreligious people by religious students: Contents and subtypes. Journal for the Scientific Study of Religion, 46, 539–552.CrossRefGoogle Scholar
  35. Harris, R. C., Dew, M. A., Lee, A., et al. (1995). The role of religion in heart-transplant recipients’ long-term health and well-being. Journal of Religion and Health, 34, 17–22.CrossRefGoogle Scholar
  36. Hayes, B. C. (2000). Religious independents within western industrialized nations: A socio-demographic profile. Sociology of Religion, 61, 191–207.CrossRefGoogle Scholar
  37. Heaton, T. B., Bahr, S. J., & Jacobson, C. K. (2005). A statistical profile of Mormons: Health, wealth, and social life. Lewiston: Edwin Mellen Press.Google Scholar
  38. Heiner, R. (1992). Evangelical heathens: The deviant status of freethinkers in Southland. Deviant Behavior, 13, 1–20.CrossRefGoogle Scholar
  39. Hill, P. C. (2005). Measurement in the psychology of religion and spirituality: Current status and evaluation. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (pp. 43–61). New York: Guilford Press.Google Scholar
  40. Hill, P. C., & Hood, R. W., Jr. (Eds.). (1999). Measures of religiosity. Birmingham, Alabama: Religious Education Press.Google Scholar
  41. Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. American Psychologist, 58, 64–74.PubMedCrossRefGoogle Scholar
  42. Hill, P. C., Pargament, K. J., Hood, R. W., et al. (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour, 30, 51–77.CrossRefGoogle Scholar
  43. Hoge, D. R. (1981). Converts, dropouts, returnees: A study of religious change among Catholics. New York: Pilgrim Press.Google Scholar
  44. Hood, R. W., Jr., Spilka, B., Hunsberger, B., & Gorsuch, R. (1996). The psychology of religion: An empirical approach (2nd ed.). New York: Guilford.Google Scholar
  45. House, J. (2001). Social isolation kills, but how and why? Psychosomatic Medicine, 63, 273–274.PubMedGoogle Scholar
  46. Hout, M., & Fischer, C. (2002). Why more Americans have no religious preference: Politics and generations. American Sociological Review, 67, 165–190.CrossRefGoogle Scholar
  47. Hunsberger, B., & Altemeyer, B. (2006). Atheists: A groundbreaking study of America’s nonbelievers. Buffalo: Prometheus Books.Google Scholar
  48. Hunsberger, B., Pratt, M., & Pancer, S. M. (2001). Religious versus nonreligious socialization: Does religious background have implications for adjustment? International Journal for the Psychology of Religion, 11, 105–128.CrossRefGoogle Scholar
  49. Hwang, K. (2008). Experiences of atheists with spinal cord injury: Results of an internet-based exploratory survey. SCI Psychosocial Process, 20, 4–17.Google Scholar
  50. Ironson, G., Stuetzle, R., & Fletcher, M. A. (2006). An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV. Journal of General Internal Medicine, 21(Suppl 5), S62–S68.PubMedCrossRefGoogle Scholar
  51. James, A., & Wells, A. (2002). Death beliefs, superstitious beliefs and health anxiety. British Journal of Clinical Psychology, 41, 43–53.PubMedCrossRefGoogle Scholar
  52. Jantos, M., & Kiat, H. (2007). Prayer as medicine: How much have we learned? Medical Journal of Australia, 21, S51–S53.Google Scholar
  53. Jenks, R. J. (1986). Perceptions of two deviant and two nondeviant groups. The Journal of Social Psychology, 126, 783–790.PubMedCrossRefGoogle Scholar
  54. Jindra, I. (2008). Religious stage development among converts to different religious groups. International Journal for the Psychology of Religion, 18, 195–215.CrossRefGoogle Scholar
  55. Johnstone, B., Glass, B. A., & Oliver, R. E. (2007). Religion and disability: Clinical, research and training considerations for rehabilitation professionals. Disability and Rehabilitation, 15, 1153–1163.Google Scholar
  56. Jones, J. M. (2007). Some Americans reluctant to vote for Mormon, 72-year old presidential candidates. Gallup, Inc. Retrieved from http://www.gallup.com/poll/26611/Some-Americans-Reluctant-Vote-Mormon-72YearOld-Presidential-Candidates.aspx.
  57. Keysar, A., Mayer, E., & Kosmin, B. A. (2003). No religion—a profile of America’s unchurched. Public Perspective, 14, 28–32.Google Scholar
  58. Kier, F., & Davenport, D. S. (2004). Unaddressed problems in the study of spirituality and health. American Psychologist, 59, 53–54.PubMedCrossRefGoogle Scholar
  59. Koenig, H. G. (2004). Religion, spirituality, and medicine: Research findings and implications for clinical practice. Southern Medical Journal, 97, 1194–1200.PubMedCrossRefGoogle Scholar
  60. Koenig, H. G. (2008). Concerns about measuring “spirituality” in research. Journal of Nervous and Mental Disease, 196, 349–355.PubMedCrossRefGoogle Scholar
  61. Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York: Oxford University Press.Google Scholar
  62. Koproske, C. (2006). Living without religion: The secular stigma. Free Inquiry, 27, 49–50.Google Scholar
  63. Kosmin, B. A. (2007). Introduction: Contemporary secularity and secularism. In A. Keysar & B. A. Kosmin (Eds.), Secularism and secularity: Contemporary international perspectives (pp. 1–16). Hartford, CT: Institute for the Study of Secularism in Society and Culture.Google Scholar
  64. Kosmin, B., & Keysar, G. (2009). American religious identification survey 2008: Summary report. Hartford, CT: Trinity College.Google Scholar
  65. Kosmin, B., & Lachman, S. (1993). One nation under God. New York: Harmony Books.Google Scholar
  66. Kosmin, B., Mayer, E., & Keysar, G. (2001). American religious identification survey 2001. New York: Graduate Center, City University of New York.Google Scholar
  67. Laubmeier, K. K., Zakowski, S. G., & Bair, J. P. (2004). The role of spirituality in the psychological adjustment to cancer: A test of the transactional model of stress and coping. International Journal of Behavioral Medicine, 11, 48–55.PubMedCrossRefGoogle Scholar
  68. Lauder, W., Mummery, K., & Sharkey, S. (2006). Social capital, age and religiosity in people who are lonely. Journal of Clinical Nursing, 15, 334–340.PubMedCrossRefGoogle Scholar
  69. Levin, J. S. (1994). Religion and health: Is there an association, is it valid, and is it causal? Social Science and Medicine, 38, 1475–1482.PubMedCrossRefGoogle Scholar
  70. Levin, J. S., & Vanderpool, H. Y. (1987). Is frequent religious attendance really conducive to better health? Toward an epidemiology of religion. Social Science and Medicine, 24, 539–550.Google Scholar
  71. Luskin, F. (2000). Review of the effect of spiritual and religious factors on mortality and morbidity with a focus on cardiovascular and pulmonary diseases. Journal of Cardiopulmonary Rehabilitation, 20, 8–15.PubMedCrossRefGoogle Scholar
  72. Matheis, E. N., Tulsky, D. S., & Matheis, R. J. (2006). The relation between spirituality and quality of life among individuals with spinal cord injury. Rehabilitation Psychology, 51, 265–271.CrossRefGoogle Scholar
  73. McNicholas, J., Gilbey, A., & Rennie, A. (2005). Pet ownership and human health: A brief review of evidence and issues. British Medical Journal, 33, 1252–1254.CrossRefGoogle Scholar
  74. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.PubMedCrossRefGoogle Scholar
  75. Miller, L., & Kelley, B. (2005). Relationships of religiosity and spirituality with mental health and psychopathology. In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (pp. 459–478). New York, NY: Guilford Press.Google Scholar
  76. Miller, W. R., & Thoreson, C. E. (2003). Spirituality, religion, and health. An emerging research field. American Psychologist, 58, 24–35.PubMedCrossRefGoogle Scholar
  77. Mohr, L. B. (1990). Understanding significance testing (1st ed.). Thousand Oaks, CA: Sage Publications, Inc.Google Scholar
  78. Nairn, R. C., & Merluzzi, T. V. (2003). The role of religious coping in adjustment to cancer. Psychooncology, 12, 428–441.PubMedCrossRefGoogle Scholar
  79. Newport, F. (2006). Democrats view religious groups less positively than Republicans. Gallup, Inc. Retrieved from http://www.gallup.com/poll/24385/Democrats-View-Religious-Groups-Less-Positively-Than-Republicans.aspx.
  80. Nooney, J., & Woodrum, E. (2002). Religious coping and church-based social support as predictors of mental health outcomes: Testing a conceptual model. Journal for the Scientific Study of Religion, 41, 359.CrossRefGoogle Scholar
  81. Paloutzian, R. F., Richardson, J. T., & Rambo, L. R. (1999). Religious conversion and personality change. Journal of Personality, 67, 1047–1079.CrossRefGoogle Scholar
  82. Pargament, K. I. (2002). The bitter and the sweet: An evaluation of the costs and benefits of religiousness. Psychological Inquiry, 13, 168–181.CrossRefGoogle Scholar
  83. Pasquale, F. (2007). Unbelief and irreligion, empirical study and neglect of. In T. Flynn (Ed.), The new encyclopedia of unbelief (pp. 760–766). Amherst, NY: Prometheus Books.Google Scholar
  84. Perry, E. L., Davis, J. H., Doyle, R. T., & Dyble, J. E. (1980). Toward a typology of unchurched Protestants. Review of Religious Research, 21, 388–404.CrossRefGoogle Scholar
  85. Persaud, R. (2007). Spirituality and HIV disease progression. Journal of General Internal Medicine, 22, 12–20.CrossRefGoogle Scholar
  86. Pesut, B., Fowler, M., Taylor, E. J., et al. (2008). Conceptualising spirituality and religion for healthcare. Journal of Clinical Nursing, 17, 2803–2810.PubMedCrossRefGoogle Scholar
  87. Peterman, A. H., Fitchett, G., Brady, M. J., et al. (2002). Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24, 49–58.PubMedCrossRefGoogle Scholar
  88. Pew Forum on Religion. (2008). Many Americans say other faiths can lead to eternal life. The Pew Forum on Religion and Public Life. Retrieved from http://pewforum.org/docs/?DocID=380.
  89. Pew Research Center for the People and the Press. (2005). Views of Muslim-Americans hold steady after London bombings. Pew Research Center. Retrieved from http://people-press.org/report/252/views-of-muslim-americans-hold-steady-after-london-bombings.
  90. Phelps, A. C., Maciejewski, P. K., Nilsson, M., Balboni, T. A., Wright, A. A., Paulk, M. E., et al. (2009). Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. Journal of the American Medical Association, 301, 1140–1147.PubMedCrossRefGoogle Scholar
  91. Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality. Linkages to physical health. American Psychologist, 58, 36–52.PubMedCrossRefGoogle Scholar
  92. Presser, S., & Stinson, L. (1998). Data collection mode and social desirability bias in self-reported religious attendance. American Sociological Review, 63, 137–145.CrossRefGoogle Scholar
  93. Rettig, S., & Pasamanick, B. (1959). Moral codes of American and Korean college students. Journal of Social Psychology, 50, 65–73.CrossRefGoogle Scholar
  94. Riley, J., Best, S., & Charlton, B. G. (2005). Religious believers and strong atheists may both be less depressed than existentially-uncertain people. QJM: Monthly Journal of the Association of Physicians, 98, 840.PubMedGoogle Scholar
  95. Sharkey, P. W., & Maloney, H. N. (1986). Religiosity and emotional disturbance: A test of Ellis’s thesis in his own counseling center. Psychotherapy, 23, 640–641.CrossRefGoogle Scholar
  96. Shaver, P., Lenauer, M., & Sadd, S. (1980). Religiousness, conversion, and subjective well-being: The “healthy-minded” religion of modern American women. American Journal of Psychiatry, 137, 1563–1568.PubMedGoogle Scholar
  97. Sherkat, D. E. (2008). Beyond belief: Atheism, agnosticism, and theistic certainty in the United States. Sociological Spectrum, 28, 438–459.CrossRefGoogle Scholar
  98. Silverman, D. (2002). Coming out: The other closet. American Atheists. Retrieved January 6, 2009 from http://atheists.org/atheism/coming_out.
  99. Simonton, D. K. (2002). Creativity. In C. R. Snyder & S. Lopez (Eds.), Handbook of positive psychology (pp. 189–201). New York: Oxford University Press.Google Scholar
  100. Sloan, R. (2006). Blind faith. New York: St. Martin’s Press.Google Scholar
  101. Sloan, R. P., & Bagiella, E. (2001). Religion and health. Health Psychology, 20, 228.PubMedCrossRefGoogle Scholar
  102. Sloan, R. P., & Bagiella, E. (2002). Claims about religious involvement and health outcomes. Annals of Behavioral Medicine, 24, 14–21.PubMedCrossRefGoogle Scholar
  103. Smith, G. H. (1980). Atheism: The case against God (1st ed., p. 355). Amherst, NY: Prometheus Books. Retrieved January 23, 2007.Google Scholar
  104. Smith, R. E., Wheeler, G., & Diener, E. (1975). Faith without works: Jesus people, resistance to temptation, and altruism. Journal of Applied Social Psychology, 5, 320–330.CrossRefGoogle Scholar
  105. Stefanek, M., McDonald, P. G., & Hess, S. A. (2006). Religion, spirituality, and cancer: Current status and methodological challenges. Psychooncology, 14, 450–463.Google Scholar
  106. Thuné-Boyle, I. C., Stygall, J. A., Keshtgar, M. R., & Newman, S. P. (2006). Do religious/spiritual coping strategies affect illness adjustment in patients with cancer? A systematic review of the literature. Social Science and Medicine, 63, 151–164.PubMedCrossRefGoogle Scholar
  107. Vance, D. E., Struzick, T. C., & Raper, J. L. (2008). Biopsychosocial benefits of spirituality in adults aging with HIV: Implications for nursing practice and research. Journal of Holistic Nursing, 26, 119–125.PubMedCrossRefGoogle Scholar
  108. Vernon, G. M. (1968). The religious “nones”: A neglected category. Journal for the Scientific Study of Religion, 7, 219–229.CrossRefGoogle Scholar
  109. Vetter, G. B., & Green, M. (1932). Personality and group factors in the making of atheists. Journal of Abnormal and Social Psychology, 27, 179–194.CrossRefGoogle Scholar
  110. Waite, L. J., & Lehrer, E. L. (2003). The benefits from marriage and religion in the United States: A comparative analysis. Population Development Review, 29, 255–276.CrossRefGoogle Scholar
  111. Wenneberg, S. R., Schneider, R. H., Walton, K. G., et al. (1997). A controlled study of the effects of the Transcendental Meditation program on cardiovascular reactivity and ambulatory blood pressure. International Journal of Neuroscience, 89, 15–28.PubMedCrossRefGoogle Scholar
  112. West, E. M. (2006). Religious tests of office-holding. In P. Finkelman (Ed.), Encyclopedia of American civil liberties (pp. 1314–1315). New York: Routledge.Google Scholar
  113. Wong, J. Y., Rew, L., & Slaikeu, K. D. (2006). A systematic review of recent research on adolescent religiosity/spirituality and mental health. Issues in Mental Health Nursing, 27, 161–183.PubMedCrossRefGoogle Scholar
  114. Wulff, D. M. (1997). Psychology of religion: Classic and contemporary (2nd ed.). New York: Wiley.Google Scholar
  115. Yohannes, A. M., Koenig, H. G., Baldwin, R. C., & Connolly, M. J. (2008). Health behavior, depression and religiosity in older patients admitted to intermediate care. International Journal of Geriatric Psychiatry, 23, 735–740.PubMedCrossRefGoogle Scholar
  116. Zinnbauer, B. J., Pargament, K. I., Cole, B., Rye, M. S., Butter, E. M., Belavich, T. G., et al. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36, 549–564.CrossRefGoogle Scholar
  117. Zorn, E. (2008). Rep. Monique Davis to atheist Rob Sherman: `It’s dangerous for our children to even know that your philosophy exists!’ Tribune Interactive, Inc. Retrieved from http://blogs.chicagotribune.com/news_columnists_ezorn/2008/04/rep-monique-dav.html.
  118. Zuckerman, P. (2006). Atheism: Contemporary numbers and patterns. In M. Martin (Ed.), The Cambridge companion to atheism (pp. 47–68). Cambridge: Cambridge University Press.Google Scholar
  119. Zuckerman, P. (2008). Society without God: What the least religious nations can tell us about contentment. New York: New York University Press.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Karen Hwang
    • 1
  • Joseph H. Hammer
    • 2
  • Ryan T. Cragun
    • 3
  1. 1.Department of Outcomes Research, Kessler Foundation Research CenterUniversity of Medicine and Dentistry of New JerseyWest OrangeUSA
  2. 2.Iowa State UniversityAmesUSA
  3. 3.University of TampaTampaUSA

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