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Religious Influences on Preventive Health Care Use in a Nationally Representative Sample of Middle-Age Women

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Despite the many benefits of preventive services, they are often underutilized. Social factors, such as religion, can figure prominently in these discrepancies by either creating barriers or facilitating use. Using data from the Health and Retirement Survey (HRS, 1992–1996), the current study examines the relationship between religious attendance, religious salience, and denomination and three types of female preventive services in a sample of middle-age women (N = 4253). Findings indicate that women who attend religious services more frequently use more mammograms, Pap smears, and self-breast exams. In addition, women belonging to Mainline Protestant or Jewish denominations use certain preventive services more than Evangelical Protestants. Finally, women with higher levels of religious salience are more likely to conduct self-breast exams. These findings add important information to the public health literature concerning factors that influence preventive service use. They also add to the growing field of religion and health research where preventive health care use is emerging as a possible mechanism linking religion to a wide variety of physical health outcomes.

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REFERENCES

  • Amonkar, M. M., Madhavan, S., Rosenbluth, S. A., and Simon, K. J. (1999). Barriers and facilitators to providing common preventive screening services in managed care settings. J. Community Health 24(3): 229–247.

    Article  PubMed  CAS  Google Scholar 

  • Apel, M. Dean (1986). The attitudes and knowledge of church members and pastors related to older adults and retirement. J. Religion Aging 293: 31–43.

    Google Scholar 

  • Assanangkornchai, S., Conigrave, K. M., and Saunders, J. B. (2002). Religious beliefs and practice, and alcohol use in Thai men. Alcohol Alcohol 37(2): 193–197.

    PubMed  Google Scholar 

  • Baron, R. M., and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J. Personal. Soc. Psychol 51(6): 1173–1182.

    Article  CAS  Google Scholar 

  • Benjamins, M. R. (2005). Social determinants of preventive service utilization: How religion influences the use of cholesterol screening in older adults. Res Aging 27(4): 475–497.

    Article  Google Scholar 

  • Benjamins, M. R., and Brown, C. (2004). Religion and preventative health care utilization among the elderly. Soc. Sci. Med. 58(1): 109–118.

    Article  PubMed  Google Scholar 

  • Bradley, D. E. (1995). Religious involvement and social resources: Evidence from the data set Americans' changing lives. J. Sci. Study Religion 34(2): 259–267.

    Article  Google Scholar 

  • Bogg, T., and Roberts, B. W. (2004). Conscientiousness and health-related behaviors: A meta-analyses of the leading behavioral contributors to mortality. Psychol. Bull. 130(6): 887–920.

    Article  PubMed  Google Scholar 

  • Breen, N., and Kessler, L. (1994). Changes in the use of screening mammography: Evidence from the 1987 and 1990 National Health Interview Surveys. Am. J. Public Health 84(1): 62–67.

    PubMed  CAS  Google Scholar 

  • Breen, N., Wagener, D. K., Brown, M. L., Davis, W. W., and Ballard-Barbash, R. (2001). Progress in cancer screening over a decade: Results of cancer screening from the 1987, 1992, and 1998 National Health Interview Surveys. J. Natl. Cancer Inst. 93(22): 1704–1713.

    Article  PubMed  CAS  Google Scholar 

  • Call, V. R. A., and Heaton, T. B. (1997). Religious influence on marital stability. J. Sci. Study Religion 36(3): 382–392.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention (1999). Surveillance for use of preventive health-care services by older adults, 1995–1997. Morbidity Mortality Weekly Rep. 48: 51–88.

    Google Scholar 

  • Coffield, A. B., Maciosek, M. V., McGinnis, J. M., Harris, J. R., Caldwell, M. B., Teutsch, S. M., Atkins, D., Richland, J. H., and Haddix, A. (2001). Priorities among recommended clinical preventive services. Am. J. Prevent. Med. 21(1): 1–9.

    Article  CAS  Google Scholar 

  • Courtenay, B. C., Poon, L. W., Martin, P., Clayton, G. M., and Johnson, M. A. (1992). Religiosity and adaptation in the oldest-old. Int. J. Aging Human Dev. 34(1): 47–56.

    CAS  Google Scholar 

  • Darnell, A., and Sherkat, D. E. (1997). The impact of protestant fundamentalism on educational attainment. Am. Sociol. Rev. 62: 306–315.

    Article  Google Scholar 

  • Davis, D. T., Bustamante, A., Brown, P., Wolde-Tsadik, G., Savage, E. W., Cheng, X., and Howland, L. (1994). The urban church and cancer control: A source of social influence. Public Health Rep. 109(4): 500–506.

    PubMed  CAS  Google Scholar 

  • Drociuk, D. (1999). Reasons reported by medicare beneficiaries for not receiving influenza and pneumococcal vaccinations—United States, 1996. Morbidity Mortality Weekly Rep. 48(39): 556.

    Google Scholar 

  • Durkheim, E. [1897] (1951). Suicide: A Study in Sociology: Free Press, New York.

    Google Scholar 

  • Ellison, C. G. (1995). Race, religious involvement and depressive symptomatology in a Southeastern U.S. community. Soc. Sci. Med. 40(11): 1561–1572.

    Article  PubMed  CAS  Google Scholar 

  • Ellison, C. G., and George, L. K. (1994). Religious involvement, social ties, and social support in a Southeastern community. J. Sci. Study Religion 33(1): 46–61.

    Article  Google Scholar 

  • Ensel, W. M. (1986). Measuring depression: The CES-D scale. In Lin, N., Dean, A., Ensel, W. M. (Eds.), Social Support, Life Events, and Depression. Academic Press, New York.

    Google Scholar 

  • Erwin, D. O., Spatz, T. S., Stotts, R. Craig, and Hollenberg, J. A. (1999). Increasing mammography practice by African American women. Cancer Prac. 7(2): 78–85.

    Article  CAS  Google Scholar 

  • Evans, T. D., Cullen, F. T., Dunaway, G. R., and Burton, V. S., Jr. (1995). Religion and crime reexamined: The impact of religion, secular controls, and social ecology on adult criminology. Criminology 33(2): 195–224.

    Article  Google Scholar 

  • Felix Aaron, K., Levine, D., and Burstin, H. R. (2003). African American church participation and health care practices. J. Gen. Inter. Med. 18: 908–913.

    Article  Google Scholar 

  • Fonda, S., and Herzog, A. R. (2004). Documentation of physical functioning measured in the health and retirement study and the asset and health dynamics among the oldest old study. HRS/AHEAD Documentation Report Series, Survey Research Center, University of Michigan, Ann Arbor, MI, December 21, 2004.

  • Fox, S. A., Pitkin, K., Paul, C., Carson, S., and Duan, N. (1998). Breast cancer screening adherence: Does church attendance matter? Health Educ. Behav. 25(6): 742–758.

    Article  PubMed  CAS  Google Scholar 

  • Hayward, R. A., Shapiro, M. F., Freeman, H. E., and Corey, C. R. (1988). Who gets screened for cervical and breast cancer? Arch. Inter. Med. 149: 1177–1181.

    Article  Google Scholar 

  • Health and Retirement Survey website (2003). Retrieved on September 5, 2003 from http://hrsonline.isr.umich.edu/.

  • Heeringa and Connor (1995). Technical description of the health and retirement study sample design. Online version; originally published as HRS/AHEAD Documentation Report DR-002. Retrieved on September 2, 2003 from http://hrsonline.isr.umich.edu/docs/userg/HRSSAMP.pdf.

  • Hummer, R. A., Rogers, R. G., Nam, C. B., and Ellison, C. G. (1999). Religious involvement and U.S. adult mortality. Demography 36(2): 273–285.

    Article  PubMed  CAS  Google Scholar 

  • Gallup, G., Jr. (1997). Religion in America: Will the vitality of churches be the surprise of the next century? U.S. Soc. Values [USIA Electronic Journal] 2(1): 1–7.

    Google Scholar 

  • Gallup Report (1987). Religion in America. The Gallup Report, No. 259.

  • Hewitt, M., Devesa, S., and Breen, N. (2002). Papanicolaou test use among reproductive-age women at high risk for cervical cancer: Analyses of the 1995 national survey of family Growth. Am. J. Public Health 92: 666–669.

    PubMed  Google Scholar 

  • Homola, M., Knudsen, D., and Marshall, H. (1995). Religion and socio-economic achievement. J. Sci. Study Religion 26(2): 201–217.

    Article  Google Scholar 

  • Idler, E., and Kasl, S. (1997). Religion among disabled and nondisabled persons: II. Attendance at religious services as a predictor of the course of disability. J. Gerontol. 52B: 306–316.

    Google Scholar 

  • Jacobs, L. A., and Giarelli, E. (2001). Jewish culture, health belief systems, and genetic risk for cancer. Nurs. Forum 36(2): 5–13.

    Article  Google Scholar 

  • Janes, G. R., Blackman, D. K., Bolen, J. C., Kamimoto, L. A., Rhodes, L., Caplan, L. S., Nadel, M. R., Tomar, S. L., Lando, J. F., Greby, S. M., Singleton, J. A., Strikas, R. A., and Wooten, K. G. (1999). Surveillance for use of preventive health-care services by older adults, 1995–1997. Morbidity Mortality Weekly Rep. 48(8): 51–88.

    CAS  Google Scholar 

  • Kiecolt, K. J., and Nelsen, H. M. (1988). The structuring of political attitudes among liberal and conservative protestants. J. Sci. Study Religion 27(1): 48–59.

    Article  Google Scholar 

  • Koenig, H. G., George, L. K., Cohen, H. J., Hays, J. C., Larson, D. B., and Blazer, D. G. (1998). The relationship between religious activities and cigarette smoking in older adults. J. Gerontol. 53: 426–434.

    Google Scholar 

  • Koenig, H. G., George, L. K., Meador, K. G., Blazer, D. G., and Dyck, P. B. (1994). Religious affiliation and psychiatric disorder among protestant baby boomers. Hospital Community Psychiatry 45(6): 586–596.

    PubMed  CAS  Google Scholar 

  • Koenig, H. G., Kvale, J. N., and Ferrel, C. (1988). Religion and well-being in later life. Gerontologist 28(1): 18–28.

    Article  PubMed  CAS  Google Scholar 

  • Koenig, H. G., McCullough, M., and Larson, D. (2001). The Handbook of Religion and Health. Oxford University Press, New York.

    Google Scholar 

  • Koenig, H. G., Shelp, F., Goli, V., Cohen, H. J., and Blazer, D. G. (1989). Survival and health-care utilization in elderly medical inpatients with major depression. J. Am. Geriatr. Soc. 5(2): 123–131.

    Google Scholar 

  • Krause, N. (2003). Race, religion, and abstinence from alcohol in late life. J. Aging Health 15(2): 508–533.

    Article  PubMed  Google Scholar 

  • Lasater, T. M., Wells, B. L., Carleton, R. A., and Elder, J. P. (1986). The role of churches in disease prevention research studies. Public Health Rep. 101(2): 125–131.

    PubMed  CAS  Google Scholar 

  • Lehrer, E. (1996). The role of the husband's religious affiliation in the economic and demographic behavior of families. J. Sci. Study Religion 35(2): 145–155.

    Article  Google Scholar 

  • Lehrer, E. (1999). Religion as a determinant of education attainment: An economic perspective. Soc. Sci. Res. 28: 358–379.

    Article  Google Scholar 

  • Lehrer, E. and Chiswick, C. U. (1993). Religion as a determinant of marital stability. Demography 30(3): 385–404.

    Article  PubMed  CAS  Google Scholar 

  • Levin, J. S. (1984). The role of the Black church in community medicine. J. Natl. Med. Assoc. 76: 477–483.

    PubMed  CAS  Google Scholar 

  • Levin, J. S., and Chatters, L. M. (1998). Religion, health, and psychological well-being in older adults: Findings from three national surveys. J. Aging Health 10(4), 504–532.

    Article  PubMed  CAS  Google Scholar 

  • Levin, J. S., and Markides, K. S. (1985). Religion and health in Mexican Americans. J. Religion Health 24(1): 60–69.

    Article  Google Scholar 

  • Long, J. S. (1997). Regression Models for Categorical and Limited Dependent Variables. Sage Publications, Thousand Oaks, CA.

    Google Scholar 

  • MacDonald, D. A. (2000). Spirituality: Description, measurement, and relation to the five factor model of personality. J. Personal. 68: 153–197.

    CAS  Google Scholar 

  • Markides, K. S., Levin, J. S., and Ray, L. A. (1987). Religion, aging, and life satisfaction: An eight-year, three-wave longitudinal study. Gerontologist 27(5): 660–665.

    PubMed  CAS  Google Scholar 

  • McCullough, M. E., Tsang, J.-A., and Brion, S. (2003). Personality traits in adolescence as predictors of religiousness in early adulthood: Findings from the Terman longitudinal study. Personal. Soc. Psychol. Bull. 29(8): 980–991.

    Article  Google Scholar 

  • Miller, A. M., and Champion, V. L. (1993). Mammography in women >50 years of age. Cancer Nurs. 16(4): 260–269.

    Article  PubMed  CAS  Google Scholar 

  • Miller, S. L., Norcross, W. A., and Bass, R. A. (1980). Breast self-examination in the primary care setting. J. Fam. Pract. 10(5): 811–815.

    PubMed  CAS  Google Scholar 

  • Mosher, W. D., Johnson, D. P., and Horn, M. C. (1986). Religion and fertility in the United States: The importance of marriage patterns and hispanic origin. Demography 23(3): 367–379.

    Article  PubMed  CAS  Google Scholar 

  • Murray, M., and McMillan, C. (1993). Social and behavioral predictors of women's cancer screening practices in Northern Ireland. J. Public Health Med. 15(2): 147–153.

    PubMed  CAS  Google Scholar 

  • Musick, M. A. (1996). Religion and subjective health among black and White elders. J. Health Soc. Behav. 37(3): 221–237.

    Article  PubMed  CAS  Google Scholar 

  • Musick, M. A., Blazer, D. B., and Hays, J. C. (2000). Religious activity, alcohol use, and depression in a sample of elderly baptists. Res. Aging 22(2): 91–116.

    Article  Google Scholar 

  • Naguib, S. M., Geiser, P. B., and Comstock, G. W. (1968). Responses to a program of screening for cervical cancer. Public Health Rep. 83: 990–998.

    PubMed  CAS  Google Scholar 

  • National Center for Health Statistics (2004). Health, United States, 2004, with Chartbook on Trends in the Health of Americans. Hyattsville, Maryland.

    Google Scholar 

  • National Cancer Institute Cancer Screening Consortium for Underserved Women (1995). Breast and cervical cancer screening among underserved women. Arch. Fam. Med. 4: 617–624.

    Article  Google Scholar 

  • Nonnemaker, J. M., McNeely, C. A., and Blum, R. W. (2003). Public and private domains of religiosity and adolescent health risk behaviors: Evidence from the national longitudinal study of adolescent health. Soc. Sci. Med. 57: 2049–2054.

    Article  PubMed  Google Scholar 

  • Oman, D., and Reed, D. (1998). Religion and mortality among the community-dwelling elderly. Am. J. Public Health 88: 469–1475.

    Article  Google Scholar 

  • Patterson, E. (2004). Different religions, different politics? Religion and political attitudes in Argentina and Chile. J. Sci. Study Religion 43(3): 345–362.

    Article  Google Scholar 

  • Princeton Religious Research Center (1994). Importance of religion climbing again. PRRC Emerging Trends 16(1): 1–4.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Appl. Psychol. Measure. 1(3): 385–401.

    Article  Google Scholar 

  • Roof, W. C. (1979). Socioeconomic differentials among white socioreligious groups in the United States. Soc. Forces 58(1): 280–289.

    Article  Google Scholar 

  • Salovey, P., Rothman, A. J., Detweiler, J. B., and Steward, W. T. (2000). Emotional states and physical health. Am. Psychol. 55: 110–121.

    Article  PubMed  CAS  Google Scholar 

  • Schiller, P. L., and Levin, J. S. (1988). Is there a religious factor in health care utilization? A review. Soc. Sci. Med. 27(12): 1369–1379.

    Article  PubMed  CAS  Google Scholar 

  • Simon, G. E., Ormel, J., VonKorff, M., and Barlow, W. (1995). Health care costs associated with depressive and anxiety disorders in primary care. Am. J. Psychiatry 152: 352–357.

    PubMed  CAS  Google Scholar 

  • Smith, C., and Faris, R. (2005). Socioeconomic inequality in the American religious system: An update and assessment. J. Sci. Study Religion 44(1): 98–104.

    Article  Google Scholar 

  • Strawbridge, W. J., Cohen, R. D., Shema, S. J., and Kaplan, G. J. (1997). Frequent attendance at religious services and mortality over 28 years. Am. J. Public Health 87: 957–961.

    PubMed  CAS  Google Scholar 

  • Swinney, J., Anson-Wonkka, C., Maki, E., and Corneau, J. (2001). Community assessment: A church community and the parish nurse. Public Health Nurs. 18(1): 40–44.

    Article  PubMed  CAS  Google Scholar 

  • Turner, D. C. (1996). The role of culture in chronic illness. Am. Behav. Sci. 39(6): 717–728.

    Article  Google Scholar 

  • Voorhees, C. C., Stillman, F. A., Swank, R. T., Hagerty, P. J., Levine, D. M., and Becker, D. M. (1996). Heart, body and soul: Impact of church-based smoking cessation interventions on readiness to quit. Prev. Med. 25: 277–285.

    Article  PubMed  CAS  Google Scholar 

  • White, R. H. (1968). Toward a theory of religious influence. Pacific Sociol. Rev. Spring: 23–28.

  • Whooley, M. A., Boyd, A. L., Gardin, J. M., and Williams, D. R. (2002). Religious involvement and cigarette smoking in young adults. Arch. Inter. Med. 162: 1604–1610.

    Article  Google Scholar 

  • Worthington, E. L., Jr., Berry, J. W., and Parrott, L., III (2001). Unforgiveness, forgiveness, religion, and health. In Plante, T. G. and Sherman, A. C. (Eds.), Faith and Health. Guilford Press, New York.

    Google Scholar 

  • Yi, J. K. (1994). Factors association with cervical cancer screening behavior among Vietnamese women. J. Community Health 19(3): 189–200.

    Article  PubMed  CAS  Google Scholar 

  • Yi, J. K. (1998). Acculturation and Pap smear screening practices among college-aged Vietnamese women in the United States. Cancer Nurs. 21(5): 335–341.

    Article  PubMed  CAS  Google Scholar 

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ACKNOWLEDGMENTS

I would like to thank Robert Hummer, Christopher Ellison, Paula Lantz, John Mirowsky, and Marc Musick for their helpful comments on earlier drafts of this paper

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Benjamins, M.R. Religious Influences on Preventive Health Care Use in a Nationally Representative Sample of Middle-Age Women. J Behav Med 29, 1–16 (2006). https://doi.org/10.1007/s10865-005-9035-2

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