Abstract
Much of the research on the relationships between religious participation and health comes from the United States. Studies in other geographic regions or cultural contexts is more sparse. Evidence presented by Ahrenfelt et al., and that from other research studies, is reviewed concerning the associations between religion and health within Europe and world-wide. The evidence within Europe suggests protective associations between various forms of religious participation and lower depression, lower mortality, and better self-rated health. Methodological challenges in such research are reviewed, and discussion is given as to whether a person-culture-fit explanation suffices to account for the existing data and to what other mechanisms might be operative.
Similar content being viewed by others
References
Koenig HG, King DE, Carson VB. Handbook of religion and health. 2nd ed. Oxford: Oxford University Press; 2012.
Idler EL, editor. Religion as a social determinant of public health. New York: Oxford University Press; 2014.
VanderWeele TJ. Religion and health: a synthesis. In: Peteet JR, Balboni MJ, editors. Spirituality and religion within the culture of medicine: from evidence to practice. New York: Oxford University Press; 2017. p. 357–401.
VanderWeele TJ. Religious communities and human flourishing. Curr Dir Psychol Sci. 2017. doi:10.1177/096372141772152.
VanderWeele TJ, Jackson JW, Li S. Causal inference and time-varying exposures: a case study of religion and mental health. Soc Psychiatry Psychiatr Epidemiol. 2016;51:1457–66.
Ahrenfeldt LJ, Möller S, Andersen-Ranberg K, Vitved AR, Lindahl-Jacobsen R, Hvidt NC. Religiousness and health in Europe. Eur J Epidemiol (in press).
Musick MA, House JS, Williams DR. Attendance at religious services and mortality in a national sample. J Health Soc Behav. 2004;45(2):198–213.
VanderWeele TJ, Yu J, Cozier YC, Wise L, Argentieri MA, Rosenberg L, Palmer JR, Shields AE. Religious service attendance, prayer, religious coping, and religious-spiritual identity as predictors of all-cause mortality in the Black Womens Health Study. Am J Epidemiol. 2017;185:515–22.
Maselko J, Hayward RD, Hanlon A, Buka S, Meador K. Religious service attendance and major depression: a case of reverse causality? Am J Epidemiol. 2012;175(6):576–83.
Li S, Okereke OI, Chang S-C, Kawachi I, VanderWeele TJ. Religious service attendance and depression among women—a prospective cohort study. Ann Behav Med. 2016;50:876–84.
VanderWeele TJ. Re: religious service attendance and major depression: a case of reverse causality? Am J Epidemiol. 2013;177:275–6.
Idler EL, Kasl SV. Religion among disabled and nondisabled elderly persons II: attendance at religious services as a predictor of the course of disability. J Gerontol Soc Sci. 1997;52B:S306–16.
Wasserstein RL, Lazar NA. The ASA’s statement on p-values: context, process, and purpose. Am Stat. 2016;70(2):129–33.
Greenland S, Senn SJ, Rothman KJ, Carlin JB, Poole C, Goodman SN, Altman DG. Statistical tests, P-values, confidence intervals, and power: a guide to misinterpretations. Eur J Epidemiol. 2016;31(4):337–50.
Stang A, Poole C, Kuss O. The ongoing tyranny of statistical significance testing in biomedical research. Eur J Epidemiol. 2010;25:225–30.
VanderWeele TJ. Re: the ongoing tyranny of statistical significance testing in biomedical research. Eur J Epidemiol. 2010;25:843.
VanderWeele TJ. Outcome-wide epidemiology. Epidemiology. 2017;28:399–402.
Rothman KJ, Greenland S, Lash TL. Modern epidemiology. 3rd ed. Philadelphia: Lippincott; 2008 (Chapter 25).
Wakefield J. Ecologic studies revisited. Annu Rev Public Health. 2008;29:75–90.
Diener E, Tay L, Myers DG. The religion paradox: if religion makes people happy, why are so many dropping out? J Personal Soc Psychol. 2011;101(6):1278–90.
Lim C, Putnam RD. Religion, social networks, and life satisfaction. Am Sociol Rev. 2010;75:914–33.
Zuckerman P. Atheism, secularity, and well-being: how the findings of social science counter negative stereotypes and assumptions. Sociol Compass. 2009;3(6):949–71.
Zuckerman P. Society without god: what the least religious nations can tell us about contentment. New York: New York University Press; 2008.
Hummer RA, Rogers RG, Nam CB, Ellison CG. Religious involvement and US adult mortality. Demography. 1999;36(2):273–85.
Strawbridge WJ, Cohen RD, Shema SJ, Kaplan GA. Frequent attendance at religious services and mortality over 28 years. Am J Public Health. 1997;87(6):957–61.
Chida Y, Steptoe A, Powell LH. Religiosity/spirituality and mortality. A systematic quantitative review. Psychother Psychosom. 2009;78(2):81–90.
Li S, Stamfer M, Williams DR, VanderWeele TJ. Association between religious service attendance and mortality among women. JAMA Intern Med. 2016;176(6):777–85.
Teinonen T, Vahlberg T, Isoaho R, Kivela SL. Religious attendance and 12-year survival in older persons. Age Ageing. 2005;34(4):406–9.
la Cour P, Avlund K, Schultz-Larsen K. Religion and survival in a secular region. A twenty year follow-up of 734 Danish adults born in 1914. Soc Sci Med. 2006;62(1):157–64.
Litwin H. What really matters in the social network–mortality association? A multivariate examination among older Jewish-Israelis. Eur J Ageing. 2007;4(2):71–82.
Yeager D, Glei DA, Au M, Lin H-S, Sloan RP, Weinstein M. Religious involvement and health outcomes among older persons in Taiwan. Soc Sci Med. 2006;63(8):2228–41.
Stavrova O. Religion, self-rated health, and mortality: whether religiosity delays death depends on the cultural context. Soc Psychol Personal Sci. 2015;6(8):911–22.
Durkheim E. Suicide: a study in sociology. New York: Free Press; 1897. p. 1951.
Spoerri A, Zwahlen M, Bopp M, Gutzwiller F, Egger M, Swiss National Cohort Study. Religion and assisted and non-assisted suicide in Switzerland: national cohort study. Int J Epidemiol. 2010;39(6):1486–94.
VanderWeele TJ, Li S, Tsai A, Kawachi I. Association between religious service attendance and lower suicide among U.S. women. JAMA Psychiatry. 2016;73:845–51.
Hayward RD, Elliott M. Cross-national analysis of the influence of cultural norms and government restrictions on the relationship between religion and well-being. Rev Relig Res. 2014;56:23–43.
VanderWeele TJ. Explanation in causal inference: methods for mediation and interaction. New York: Oxford University Press; 2015.
VanderWeele TJ. Religious community in health, health behaviors, and well-being. In: Kivimaki M, Batty GD, Kawachi I, Steptoe A, editors. Handbook of psychosocial epidemiology. London: Routledge; 2017.
Krause N, Hayward RD. Religion, meaning in life, and change in physical functioning during late adulthood. J Adult Dev. 2012;19:158–69.
Johnson BR, Jang SJ, Larson DB, Li SD. Does adolescent religious commitment matter? A reexamination of the effects of religiosity on delinquency. J Res Crime Delinq. 2001;38:22–44.
Johnson BR. More god, less crime: why faith matters and how it could matter more. West Conshohocken: Templeton Press; 2011.
Li S, Kubzansky LD, VanderWeele TJ. Religious service attendance, divorce, and remarriage among U.S. Women. Social Science Research Network. 2016. SSRN: https://ssrn.com/abstract=2891385 or http://dx.doi.org/10.2139/ssrn.2891385.
Wilcox WB, Wolfinger NH. Soul mates: religion, sex, love, and marriage among African Americans and Latinos. New York: Oxford University Press; 2016.
VanderWeele TJ. On the promotion of human flourishing. Proc Natl Acad Sci USA. 2017;31:8148–56.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
VanderWeele, T.J. Religion and health in Europe: cultures, countries, context. Eur J Epidemiol 32, 857–861 (2017). https://doi.org/10.1007/s10654-017-0310-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10654-017-0310-7