Skip to main content

Advertisement

Log in

Religiosity and Self-Rated Health: A Longitudinal Examination of Their Reciprocal Effects

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

Abstract

While religiosity tends to be favorably associated with physical health, further research is needed to assess the causal directions between religiosity and health. This study examined reciprocal pathways between them with a three-wave panel dataset (General Social Survey, 2006–2010). Among Christians (N = 585), religious activities were associated with improved self-rated health, while conservative religious beliefs were associated with worsened health over time. Additionally, worse health was associated with increased engagement in religious activities and greater endorsement of conservative religious beliefs over time. Results highlight the need for additional research and theory to map the complexity of the religion–health connection.

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
Fig. 2

Similar content being viewed by others

Notes

  1. Two logistic regression models were estimated to assess predictors of sample attrition. The first model predicting participation in wave 2 indicated that marital status (OR 1.56, p = .01) and education (OR 1.07, p = .03) were positive predictors of survey participation. Married respondents and those with greater years of education were more likely to participate in wave 2 compared to unmarried respondents and those with fewer years of education. The second model predicting participation in wave 3 indicated that marital status (OR 1.55, p = .01) and education (OR 1.08, p = .01) were again positive predictors of participation. Additionally, Catholics were more likely to drop out of the survey between waves 1 and 3 compared to other Protestants (OR .71, p = .05), while respondents who engaged in more religious activities were more likely to participate in wave 3 relative to those who engaged in fewer activities (OR 1.27, p = .02).

  2. We tested whether the three religious categories of Catholics, conservative Protestants, and other Protestants differed on standardized scales of religious beliefs and activities at wave 1. We expected conservative Protestants to score significantly higher on conservative religious beliefs and religious activities than both other Protestants and Catholics. A one-way between-subjects analysis of variance (ANOVA) revealed that there were significant group differences for conservative religious beliefs, F(2, 583) = 34.97, p < .001, and religious activities, F(2, 583) = 16.58, p < .001. Post hoc tests using Bonferroni correction revealed that conservative Protestants scored significantly higher on conservative religious beliefs (M = .46, SD = .49) compared to both other Protestants (M = .04, SD = .70, p < .001) and Catholics (M = −.23, SD = .49, p < .001). Further, other Protestants scored significantly higher on conservative religious beliefs compared to Catholics (p < .001). Conservative Protestants also scored significantly higher on religious activities (M = .43, SD = .76) compared to other Protestants (M = .02, SD = .82, p < .001) and Catholics (M = −.19, SD = .73, p < .001). Additionally, other Protestants scored significantly higher on religious activities compared to Catholics (p < .05).

  3. Significant predictors of religious activities at wave 1 included education (β = .22, p < .001), being employed versus other employment statuses (β = −.10, p = .04), number of children (β = .15, p < .001), being female versus male (β = .16, p < .001), and being Catholic (β = −.14, p = .01) or conservative Protestant (β = .17, p = .01) versus other Protestant. Significant predictors of religious beliefs at wave 1 included education (β = −.19, p < .001), social class (β = −.18, p < .001), being black versus white (β = .25, p < .001), and being Catholic (β = −.21, p < .001) or conservative Protestant versus being other Protestant (β = .22, p < .001). Significant predictors of self-rated health at wave 1 included age (β = −.17, p < .001), education (β = .18, p < .001), being employed versus other employment statuses (β = .13, p = .01), and social class (β = .11, p = .01). The only significant predictor of religious activities at wave 2 was being black versus white (β = .07, p = .01), and the only significant predictor of self-rated health at wave 2 was age (β = −.13, p < .001). The only significant predictor of religious activities at wave 3 was social class (β = .09, p = .04), and significant predictors of self-rated health at wave 3 included being married versus other marital statuses (β = .10, p = .01) and being of another race as compared to being white (β = −.07, p < .05).

References

  • Banthia, R., Moskowitz, J., Acree, M., & Folkman, S. (2007). Socioeconomic differences in the effects of prayer on physical symptoms and quality of life. Journal of Health Psychology, 12, 249–260.

    Article  PubMed  Google Scholar 

  • Benjamins, M. (2004). Religion and functional health among the elderly: Is there a relationship and is it constant? Journal of Aging and Health, 16, 355–374.

    Article  PubMed  Google Scholar 

  • Benjamins, M., Musick, M. A., Gold, D. T., & George, L. K. (2003). Age-related declines in activity level: The relationship between chronic illness and religious activities. The Journals of Gerontology, 58B, S377–S385.

    Article  Google Scholar 

  • Blanchard, T. C., Bartkowski, J. P., Matthews, T. L., & Kerley, K. R. (2008). Faith, morality, and mortality: The ecological impact of religion on population health. Social Forces, 86, 1591–1620.

    Article  Google Scholar 

  • Cline, K., & Ferraro, K. F. (2006). Does religion increase the prevalence and incidence of obesity in adulthood? Journal for the Scientific Study of Religion, 45, 269–281.

    Article  PubMed  PubMed Central  Google Scholar 

  • Doane, M. J. (2013). The association between religiosity and subjective well-being: The unique contribution of religious service attendance and the mediating role of perceived religious social support. The Irish Journal of Psychology, 34, 49–66.

    Article  Google Scholar 

  • Elliott, M., & Hayward, R. D. (2009). Religion and life satisfaction worldwide: The role of government regulation. Sociology of Religion, 70, 285–310.

    Article  Google Scholar 

  • Ellison, C. G. (1991). Religious involvement and subjective well-being. Journal of Health and Social Behavior, 32, 80–99.

    Article  CAS  PubMed  Google Scholar 

  • Ellison, C. G., & Burdette, A. M. (2012). Religion and the sense of control among US adults. Sociology of Religion, 73, 1–22.

    Article  Google Scholar 

  • Ellison, C. G., & Lee, J. (2010). Spiritual struggles and psychological distress: Is there a dark side of religion? Social Indicators Research, 98, 501–517.

    Article  Google Scholar 

  • Ellison, C. G., & Levin, J. S. (1998). The religion-health connection: Evidence, theory, and future directions. Health Education & Behavior, 25, 700–720.

    Article  CAS  Google Scholar 

  • Geiser, C. (2012). Data analysis with Mplus. New York: Guilford Press.

    Google Scholar 

  • Gillum, R. F. (2005). Frequency of attendance at religious services and cigarette smoking in American women and men: The Third National Health and Nutrition Examination Survey. Preventive Medicine, 41, 607–613.

    Article  CAS  PubMed  Google Scholar 

  • Gillum, R. F., & Ingram, D. D. (2006). Frequency of attendance at religious services, hypertension, and blood pressure: The Third National Health and Nutrition Examination Survey. Psychosomatic Medicine, 68, 382–385.

    Article  PubMed  Google Scholar 

  • Green, M., & Elliott, M. (2010). Religion, health, and psychological well-being. Journal of Religion and Health, 49, 149–163.

    Article  PubMed  Google Scholar 

  • Hayward, R. D., & Elliott, M. (2014). Cross-national analysis of the influence of cultural norms and government restrictions on the relationship between religion and well-being. Review of Religious Research, 56, 23–43.

    Article  Google Scholar 

  • Hill, T. D., Ellison, C. G., Burdette, A. M., & Musick, M. A. (2007). Religious involvement and healthy lifestyles: Evidence from the survey of Texas adults. Annals of Behavioral Medicine, 34, 217–222.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Hogg, M. A., Adelman, J. R., & Blagg, R. D. (2010). Religion in the face of uncertainty: An uncertainty-identity theory account of religiousness. Personality and Social Psychology Review, 14, 72–83.

    Article  PubMed  Google Scholar 

  • Hood, R. W, Jr, Hill, P. C., & Spilka, B. (2009). The psychology of religion: An empirical approach (4th ed.). New York: Guilford Press.

    Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.

    Article  Google Scholar 

  • Idler, E. L. (1995). Religion, health, and nonphysical senses of self. Social Forces, 74, 683–704.

    Article  Google Scholar 

  • Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.

    Article  CAS  PubMed  Google Scholar 

  • Idler, E. L., & Kasl, S. V. (1991). Health perceptions and survival: Do global evaluations of health status really predict mortality? Journal of Gerontology, 46, S55–S65.

    Article  CAS  PubMed  Google Scholar 

  • Idler, E. L., & Kasl, S. V. (1997). Religion among disabled and nondisabled persons II: Attendance at religious services as a predictor of the course of disability. The Journals of Gerontology, 52B, S306–S316.

    Article  Google Scholar 

  • Kelley-Moore, J. A., & Ferraro, K. F. (2001). Functional limitations and religious service attendance in later life: Barrier and/or benefit mechanism? The Journals of Gerontology, 56B, S365–S373.

    Article  Google Scholar 

  • Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press.

    Google Scholar 

  • Koenig, H. G., King, D. E., & Carson, V. B. (2012). Handbook of religion and health (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • Krause, N. (2006). Church-based social support and change in health over time. Review of Religious Research, 48, 125–140.

    Google Scholar 

  • Krause, N. (2011). Religion and health: Making sense of a disheveled literature. Journal of Religion and Health, 50, 20–35.

    Article  PubMed  Google Scholar 

  • Krause, N., & Ellison, C. G. (2009). The doubting process: A longitudinal study of the precipitants and consequences of religious doubt in older adults. Journal for the Scientific Study of Religion, 48, 293–312.

    Article  PubMed  PubMed Central  Google Scholar 

  • Krause, N., & Wulff, K. M. (2004). Religious doubt and health: Exploring the potential dark side of religion. Sociology of Religion, 65, 35–56.

    Article  Google Scholar 

  • Levin, J. S. (1989). Religious factors in aging, adjustment, and health: A theoretical overview. Journal of Religion & Aging, 4, 133–146.

    Article  Google Scholar 

  • McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, H. G., & Thoresen, C. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 19, 211–222.

    Article  CAS  PubMed  Google Scholar 

  • McCullough, M. E., & Laurenceau, J. P. (2005). Religiousness and the trajectory of self-rated health across adulthood. Personality and Social Psychology Bulletin, 31, 560–573.

    Article  PubMed  Google Scholar 

  • McGregor, I., Haji, R., Nash, K. A., & Teper, R. (2008). Religious zeal and the uncertain self. Basic and Applied Social Psychology, 30, 183–188.

    Article  Google Scholar 

  • Meyers, L. S., Gamst, G. C., & Guarino, A. J. (2006). Applied multivariate research: Design and interpretation. Thousand Oaks: Sage.

    Google Scholar 

  • Mirowsky, J., & Ross, C. E. (2005). Education, cumulative advantage, and health. Ageing International, 30, 27–62.

    Article  Google Scholar 

  • Musick, M. A., House, J. S., & Williams, D. R. (2004). Attendance at religious services and mortality in a national sample. Journal of Health and Social Behavior, 45, 198–213.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2010). MPLUS user’s guide (6th ed.). Los Angeles: Muthén & Muthén.

    Google Scholar 

  • Myers, D. G. (2008). Religion and human flourishing. In M. Eid & R. J. Larsen (Eds.), The science of subjective well-being (pp. 323–343). New York: Guilford Press.

    Google Scholar 

  • Oman, D., & Thoresen, C. E. (2005). Do religion and spirituality influence health? In R. F. Paloutzian & C. L. Park (Eds.), Handbook of the psychology of religion and spirituality (pp. 435–459). New York: Guilford Press.

    Google Scholar 

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

    Article  Google Scholar 

  • Park, C. L. (2005). Religion as a meaning-making framework in coping with life stress. Journal of Social Issues, 61, 707–729.

    Article  Google Scholar 

  • Park, N., Klemmack, D. L., Roff, L. L., Parker, M. W., Koenig, H. G., Sawyer, P., & Allman, R. M. (2008). Religiousness and longitudinal trajectories in elders’ functional status. Research on Aging, 30, 279–298.

    Article  PubMed  PubMed Central  Google Scholar 

  • Satorra, A., & Bentler, P. M. (2001). A scaled difference Chi square test statistic for moment structure analysis. Psychometrika, 66, 507–514.

    Article  Google Scholar 

  • Seeman, T. E. (1996). Social ties and health: The benefits of social integration. Annals of Epidemiology, 6, 442–451.

    Article  CAS  PubMed  Google Scholar 

  • Stavrova, O., Fetchenhauer, D., & Schlösser, T. (2013). Why are religious people happy? The effect of the social norm of religiosity across countries. Social Science Research, 42, 90–105.

    Article  PubMed  Google Scholar 

  • Steensland, B., Robinson, L. D., Wilcox, W. B., Park, J. Z., Regnerus, M. D., & Woodberry, R. D. (2000). The measure of American religion: Toward improving the state of the art. Social Forces, 79, 291–318.

    Article  Google Scholar 

  • Wheaton, B., Muthén, B. O., Alwin, D. F., & Summers, G. F. (1977). Assessing reliability and stability in panel models. In D. R. Heise (Ed.), Sociological methodology (pp. 84–136). San Francisco: Jossey-Bass Inc.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael J. Doane.

Additional information

Data used in this study are freely available and may be obtained for the purposes of replication from the General Social Survey (http://www3.norc.org/GSS+Website/).

Order of authorship is alphabetical; contributions to this work were equal and shared.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Doane, M.J., Elliott, M. Religiosity and Self-Rated Health: A Longitudinal Examination of Their Reciprocal Effects. J Relig Health 55, 844–855 (2016). https://doi.org/10.1007/s10943-015-0056-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-015-0056-z

Keywords

Navigation