Abstract
Despite previous work exploring linkages between religious participation and health, little research has looked at the role of religion in affecting bodyweight perceptions. Using the theoretical model developed by Levin et al. (Sociol Q 36(1):157–173, 1995) on the multidimensionality of religious participation, we develop several hypotheses and test them by using data from the 2004 Survey of Texas Adults. We estimate multinomial logistic regression models to determine the relative risk of women perceiving themselves as overweight. Results indicate that religious attendance lowers risk of women perceiving themselves as very overweight. Citizenship status was an important factor for Latinas, with non-citizens being less likely to see themselves as overweight. We also test interaction effects between religion and race. Religious attendance and prayer have a moderating effect among Latina non-citizens so that among these women, attendance and prayer intensify perceptions of feeling less overweight when compared to their white counterparts. Among African American women, the effect of increased church attendance leads to perceptions of being overweight. Prayer is also a correlate of overweight perceptions but only among African American women. We close with a discussion that highlights key implications from our findings, note study limitations, and several promising avenues for future research.
Similar content being viewed by others
Notes
Ancillary analysis using stereotype regression showed consistent results with multinomial models. Results were provided to anonymous reviewers and are available upon request.
We removed 32 (weighted) observations that reported feeling “very” or “somewhat” underweight, as well as one outlying observation with an exceedingly high BMI score of 89.77, indicating a potential data entry error.
This category also includes respondents who reported completing some “some college” but did not earn a bachelor’s degree.
The only exception is a significant effect for Other × Prayer. However, since the data do not allow for greater specificity in terms of the “other” category, we neither hypothesize nor make inferences related to this category but retain these respondents to avoid a loss of cases. The results for insignificant interaction terms were provided to anonymous reviewers and are available upon request.
References
Abara, Winston, Jason D. Coleman, Amanda Fairchild, Bambi Gaddist, and Jacob White. 2015. A faith-based community partnership to address HIV/AIDS in the Southern United States: Implementation, challenges, and lessons learned. Journal of Religion and Health 54(1): 122–133.
Abraído-Lanza, Ana F., Maria T. Chao, and Karen R. Flórez. 2005. Do healthy behaviors decline with greater acculturation? Implications for the Latino mortality paradox. Social Science and Medicine 61(6): 1243–1255.
Acevedo, Gabriel A. 2010. Collective rituals or private practice in Texas? Assessing the impact of religious factors on mental health. Review of Religious Research 52(2): 188–206.
Allison, Paul D. 2012. Handling missing data by maximum likelihood. In Paper presented at the SAS global forum (312–2012).
Antecol, Heather, and Kelly Bedard. 2006. Unhealthy assimilation: Why do immigrants converge to American health status levels? Demography 43(2): 337–360.
Ayers, John W., Veronica L. Irvin, Hae-Ryun Park, Melbourne F. Hovell, Richard C. Hofstetter, Yoonju Song, and Hee-Yong Paik. 2010. Can religion help prevent obesity? Religious messages and the prevalence of being overweight or obese among Korean women in California. Journal for the Scientific Study of Religion 49(3): 536–549.
Bates, Lisa M., Dolores Acevedo-Garcia, Margarita Alegría, and Nancy Krieger. 2008. Immigration and generational trends in body mass index and obesity in the United States: Results of the National Latino and Asian American Survey, 2002–2003. American Journal of Public Health 98(1): 70–77.
Boyatzis, Chris J., Sarah Kline, and Stephanie Backof. 2007. Experimental evidence that theistic-religious body affirmations improve women’s body image. Journal for the Scientific Study of Religion 46(4): 553–564.
Brausch, Amy M., and Kristina M. Decker. 2014. Self-esteem and social support as moderators of depression, body image, and disordered eating for suicidal ideation in adolescents. Journal of Abnormal Child Psychology 42(5): 779–789.
Brener, Nancy D., Danice K. Eaton, Richard Lowry, and Tim McManus. 2004. The association between weight perception and BMI among high school students. Obesity Research 12(11): 1866–1874.
Brown, R.Khari, Robert Joseph Taylor, and Linda M. Chatters. 2013. Religious non-involvement among African Americans, Black Caribbeans and Non-Hispanic whites: Findings from the National Survey of American Life. Review of Religious Research 55(3): 435–457.
Burdette, Amy M., and Terrence D. Hill. 2008. An examination of processes linking perceived neighborhood disorder and obesity. Social Science and Medicine 67(1): 38–46.
Chang, Virginia W., and Nicholas A. Christakis. 2003. Self-perception of weight appropriateness in the United States. American Journal of Preventive Medicine 24(4): 332–339.
Chatters, Linda M., Robert Joseph Taylor, Kai McKeever Bullard, and James S. Jackson. 2009. Race and ethnic differences in religious involvement: African Americans, Caribbean Blacks and non-Hispanic whites. Ethnic and Racial Studies 32(7): 1143–1163.
Cline, Krista M.C., and Kenneth F. Ferraro. 2006. Does religion increase the prevalence and incidence of obesity in adulthood? Journal for the Scientific Study of Religion 45(2): 269–281.
DeHaven, Mark J., Irby B. Hunter, Laura Wilder, James W. Walton, and Jarett Berry. 2004. Health programs in faith-based organizations: Are they effective? American Journal of Public Health 94(6): 1030–1036.
Dixon, John B. 2010. The effect of obesity on health outcomes. Molecular and Cellular Endocrinology 316(2): 104–108.
Dodor, Bernice. 2012. The impact of religiosity on health behaviors and obesity among African Americans. Journal of Human Behavior in Social Environment 22(4): 451–462.
Dorsey, Rashida R., Mark S. Eberhardt, and Cynthia L. Ogden. 2010. Racial and ethnic differences in weight management behavior by weight perception status. Ethnicity and Disease 20(3): 244–250.
Dorsey, Rashida R., Mark S. Eberhardt, and Cynthia L. Ogden. 2009. Racial/ethnic differences in weight perception. Obesity 17(4): 790–795.
Duncan, Dustin, Kathleen Wolin, Melissa Scharoun-Lee, Eric Ding, Erica Warner, and Gary Bennett. 2011. Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese U.S. adults. International Journal of Behavioral Nutrition and Physical Activity 8(20). doi:10.1186/1479-5868-8-20.
Edgell, Penny, Douglas Hartmann, and Joseph Gerteis. 2006. Atheists as ‘other’: Noral boundaries and cultural membership in American Society. American Sociological Review 71: 211–234.
Ellison, Christopher G., Amy Burdette, and W. Bradford Wilcox. 2010. The couple that prays together: Race and ethnicity, religion, and relationship quality among working-age adults. Journal of Marriage and Family 72(4): 963–975.
Ellison, Christopher G., and Robert A. Hummer. 2010. Religion, families, and health: Population-based research in the United States. New Brunswick: Rutgers University Press.
Ellison, Christopher G., and Jeffrey S. Levin. 1998. The religion-health connection: Evidence, theory, and future directions. Health Education and Behavior 25(6): 700–720.
Ellision, Christopher G., and Jinwoo Lee. 2010. Spiritual struggles and psychologial distress: Is there a dark side of religion? Social Indicators Research 98(3): 501–517.
Garcia, Ginny, Christopher G. Ellison, Thankam S. Sunil, and Terrence D. Hill. 2013. Religion and selected health behaviors among Latinos in Texas. Journal of Religion and Health 52(1): 18–31.
Finkelstein, Eric A., Ian C. Fiebelkorn, and Guijing Wang. 2004. State-level estimates of annual medical expenditures attributable to obesity. Obesity Research 12(1): 18–24.
Fitzgibbon, Marian L., Lisa R. Blackman, and Mary E. Avellone. 2000. The relationship between body image discrepancy and body mass index across ethnic groups. Obesity Research 8(8): 582–589.
Flynn, Kristin J., and Marian Fitzgibbon. 1998. Body images and obesity risk among black females: A review of the literature. Annals of Behavioral Medicine 20(1): 13–24.
Fogelholm, M., and K. Kukkonen-Harjula. 2000. Does physical activity prevent weight gain—A systematic review. Obesity Reviews 1(2): 95–111.
Gillum, R.Frank. 2006. Frequency of attendance at religious services, overweight, and obesity in American Women and Men: The Third National Health and Nutrition Examination Survey. Annals of Epidemiology 16(9): 655–660.
Goel, Mita Sanghavi, Ellen P. McCarthy, Russel S. Phillips, and Christina C. Wee. 2004. Obesity among US immigrant subgroups by duration of residence. JAMA 292(23): 2860–2867.
Henderson, Andrea K., and Christopher G. Ellison. 2014. My body is a temple: Eating disturbances, religious involvement, and mental health among young adult women. Journal of Religion and Health 54(3): 954–976.
Herman, Katya M., Catherine M. Sabiston, Angelo Tremblay, and Gilles Paradis. 2014. Self-rated health in children at risk for obesity: Associations of physical activity, sedentary behaviour and BMI. Journal of Physical Activity and Health 11(3): 543–552.
Homan, Kristin, and Brianna N. Cavanaugh. 2013. Perceived relationship with god fosters positive body image in college women. Journal of Health Psychology 18(12): 1529–1539.
Horton, Shalonda E. B. 2015. Religion and health-promoting behaviors among emerging adults. Journal of Religion and Health 54(1): 20–34.
Hunt, Larry L. 1999. Hispanic Protestantism in the United States: Trends by decade and generation. Social Forces 77(4): 1601–1624.
Jacobs-Pilipski, M.Joy, Andrew Winzelberg, Denise E. Wilfley, Susan W. Bryson, and C. Barr Taylor. 2005. Spirituality among young women at risk for eating disorders. Eating Behaviors 6(4): 293–300.
Kaplan, Mark S., Nathalie Huguet, Jason T. Newsom, and Bentson H. McFarland. 2004. The association between length of residence and obesity among Hispanic immigrants. American Journal of Preventive Medicine 27(4): 323–326.
Kim, Karen Hye-cheon, Jeffery Sobal, and Elaine Wethington. 2003. Religion and body weight. International Journal of Obesity 27(4): 469–477.
Kim, Karen Hye-cheon. 2007. Religion, weight perception, and weight control behavior. Eating Behaviors 8(1): 121–131.
Klos, Lori A., and Jeffery Sobal. 2013. Marital status and body weight, weight perception, and weight management among U.S. adults. Eating Behaviors 14(4): 500–507.
Kluger, Jeffrey. 2012. Blessed are the sleek? Why god wants you to be thin. TIME Magazine.
Koenig, Harold, Dana King, and Verna B. Carson. 2012. Handbook of religion and health. Oxford: Oxford University Press.
Krause, Neal. 2010. The social milieu of the church and religious coping responses: A longitudinal investigation of older whites and older blacks. International Journal For The Psychology Of Religion 20(2): 109–129.
Krause, Neal. 2002. Exploring race differences in a comprehensive battery of church-based social support measures. Review of Religious Research 44(2): 126–149.
Krause, Neal, and Keith M. Wulff. 2005. Church-based social ties, a sense of belonging in a congregation, and physical health status. The International Journal for the Psychology of Religion 15(1): 73–93.
Lancaster, K.J., L. Carter-Edwards, S. Grilo, C. Shen, and A.M. Schoenthaler. 2014. Obesity interventions in African American faith-based organizations: A systematic review. Obesity Reviews 15: 159–176.
Lemon, Stephenie C., Milagros C. Rosal, Jane Zapka, Amy Borg, and Victoria Andersen. 2009. Contributions of weight perceptions to weight loss attempts: Differences by body mass index and gender. Body Image 6(2): 90–96.
Levin, Jeffrey S., Robert Joseph Taylor, and Linda M. Chatters. 1995. A multidimensional measure of religious involvement for African Americans. Sociological Quarterly 36(1): 157–173.
Lovejoy, Meg. 2001. Disturbances in the social body: Differences in body image and eating problems among African and White women. Gender and Society 15(2): 239–261.
Martin, Molly A., Jennifer L. Van Hook, and Susana Quiros. 2015. Is socioeconomic incorporation associated with a healthier diet? Dietary patterns among Mexican-origin children in the United States. Social Science and Medicine 147: 20–29.
Martin, Molly A., Ashleigh L. May, and Michelle L. Frisco. 2010. Equal weights but different perceptions among U.S. adolescents. Journal of Health Psychology 15(4): 493–504.
Martinez, Joseph, Jamie Powell, April Agne, Isabel Scarinci, and Andrea Cherrington. 2012. A focus group study of Mexican immigrant men’s perceptions of weight and lifestyle. Public Health Nursing 29(6): 490–498.
Mason, Philip B., Xu Xiaohe, and John P. Bartkowski. 2013. The risk of overweight and obesity among latter-day saints. Review of Religious Research 55(1): 131–147.
Miller, Alan S., and John P. Hoffmann. 1995. Risk and religion: An explanation of gender differences in religiosity. Journal for the Scientific Study of Religion 34(1): 63–75.
New, Christin, Lan Xiao, and Jun Ma. 2013. Acculturation and overweight-related attitudes and behavior among obese hispanic adults in the U.S. Obesity 21(11): 2396–2404.
Nieri, Tanya, Stephen Kulis, Verna M. Keith, and Donna Hurdle. 2005. Body image, acculturation, and substance abuse among boys and girls in the Southwest. The American Journal of Drug and Alcohol Abuse 31(4): 617–639.
O’Dea, Jennifer A., and Suzanne Abraham. 2000. Improving the body image, eating attitudes, and behaviors of young male and female adolescents: A new educational approach that focuses on self-esteem. International Journal of Eating Disorders 28(1): 43–57.
Okosun, Ike S., Simon Choi, Tara Matamoros, and G.E. Alan Dever. 2001. Obesity is associated with reduced self-rated general health status: Evidence from a representative sample of White, Black, and Hispanic Americans. Preventive Medicine 32(5): 429–436.
Overstreet, Nicole M., Diane M. Quinn, and V. Bede Agocha. 2010. Beyond thinness: The influence of a curvaceous body ideal on body dissatisfaction in Black and White women. Sex Roles 63(1–2): 91–103.
Paeratakul, Sahasporn, Marney A. White, Donald A. Williamson, Donna H. Ryan, and George A. Bray. 2002. Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obesity Research 10(5): 345–350.
Passel, Jeffrey S., D. Cohn, and Mark Hugo Lopez. 2011. Hispanics account for more than half of nation’s growth in past decade. Pew Hispanic Center. Accessed December 2013. http://pewhispanic.org/files/reports/140.pdf.
Pesa, Jacqueline A., Thomas R. Syre, and Elizabeth Jones. 2000. Psychosocial differences associated with body weight among female adolescents: The importance of body image. Journal of Adolescent Health 26(5): 330–337.
Rauscher, Lauren, Kerrie Kauer, and Bianca D.M. Wilson. 2013. The healthy body paradox: Organizational and interactional influences on preadolescent girls’ body image in Los Angeles. Gender and Society 27(2): 208–230.
Reeves, Roy R., Claire E. Adams, Patricia M. Dubbert, DeMarc A. Hickson, and Sharon B. Wyatt. 2012. Are religiosity and spirituality associated with obesity Among African Americans in the Southeastern United States (the Jackson Heart Study)? Journal of Religion and Health 51(1): 32–48.
Reutter, Kirby K., and Silvia M. Bigatti. 2014. Religiosity and spirituality as resiliency resources: Moderation, mediation, or moderated mediation? Journal for the Scientific Study of Religion 53(1): 56–72.
Robinson, Seronda A., Jennifer B. Webb, and Phoebe T. Butler-Ajibade. 2012. Body image and modifiable weight control behaviors among Black females: A review of the literature. Obesity 20(2): 241–252.
Rowland, Michael L., and E.Paulette Isaac-Savage. 2014. As i see it: A study of African American Pastors’ views on health and health education in the Black church. Journal of Religion and Health 53(4): 1091–1101.
Ruiz, Andrea L., and Gabriel A. Acevedo. 2015. True believers? Religion, physiology, and perceived body weight in Texas. Journal of Religion and Health 54(1): 1–17.
Ruiz, John M., Patrick Steffen, and Timothy B. Smith. 2013. Hispanic mortality paradox: A systematic review and meta-analysis of the longitudinal literature. American Journal of Public Health 103(3): e52–e60.
Schieman, Scott, Tetyana Pudrovska, and Rachel Eccles. 2007. Perceptions of body weight among older adults: Analyses of the intersection of gender, race, and socioeconomic status. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 62(6): S415–S423.
Schooler, Deborah, and Elizabeth A. Daniels. 2014. ‘I am not a skinny toothpick and i am proud of it’: Latina adolescents’ ethnic identity and responses to mainstream media images. Body Image 11(1): 11–18.
Taylor, Robert Joseph, Jacqueline Mattis, and Linda M. Chatters. 1999. Subjective religiosity among African Americans: A synthesis of findings from five national samples. Journal of Black Psychology 25(4): 524–543.
Thompson, Wanda M., Diane Berry, and Hu Jie. 2013. A church-based intervention to change attitudes about physical activity among Black adolescent girls: A feasibility study. Public Health Nursing 30(3): 221–230.
Hook, Van, Susana Quiros Jennifer, and Michelle L. Frisco. 2015. The food similarity index: A new measure of dietary acculturation based on dietary recall data. Journal of Immigrant and Minority Health 17(2): 441–449.
Williams, David R., and Michelle J. Sternthal. 2007. Spirituality, religion and health: Evidence and research directions. Medical Journal of Australia 186(10): S47.
Wuthnow, Robert. 2014. Rough country: How Texas became America’s most powerful Bible-Belt State. Princeton, NJ: Princeton University Press.
Yaemsiri, S., M.M. Slining, and S.K. Agarwal. 2010. Perceived weight status, overweight diagnosis, and weight control among U.S. adults: The NHANES 2003–2008 study. International Journal of Obesity 35(8): 1063–1070.
Yang, Fenggang, and Helen Rose Ebaugh. 2001. Transformations in new immigrant religions and their global implications. American Sociological Review 66(2): 269–288.
Yeary, Karen Hye-cheon Kim, Lori A. Klos, and Laura Linnan. 2012. The examination of process evaluation use in church-based health interventions a systematic review. Health Promotion Practice 13(4): 524–534.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ramos, A.I., Acevedo, G.A. & Ruiz, A.L. Bodyweight Perceptions Among Texas Women: The Effects of Religion, Race/Ethnicity, and Citizenship Status. Rev Relig Res 58, 433–455 (2016). https://doi.org/10.1007/s13644-016-0249-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13644-016-0249-2