Marc A. Musick

Measuring multiple dimensions of religion and spirituality for health research: Conceptual background and findings from the 1998 general social survey

Progress in studying the relationship between religion and health has been hampered by the absence of an adequate measure of religiousness and spirituality. This article reports on the conceptual and empirical development of an instrument to measure religiousness and spirituality, intended explicitly for studies of health. It is multidimensional to allow investigation of multiple possible mechanisms of effect, brief enough to be included in clinical or epidemiological surveys, inclusive of both traditional religiousness and noninstitutionally based spirituality, and appropriate for diverse Judeo-Christian populations. The measure may be particularly useful for studies of health in elderly populations in which religious involvement is higher. The measure was tested in the nationally representative 1998 General Social Survey (N = 1,445). Nine dimensions have indices with moderate-to-good internal consistency, and there are three single-item domains. Analysis by age and sex shows that elderly respondents report higher levels of religiousness in virtually every domain of the measure.

Doing Well By Doing Good: Volunteering and Occupational Achievement among American Women.

The popular assumption that volunteer work helps people get good jobs is tested using panel data from the Young Womens Module of the National Longitudinal Survey of Labor Market Experience. Volunteering while a young adult has no effect on whether women will be working for pay eighteen years later, but it has a positive effect on the occupational status of those who are. Length of time spent in the labor force between early adulthood and middle age suppresses the positive effect of volunteering on occupational status. A separate analysis of women who display more commitment to working for pay by being in the labor force in both 1973 and 1991 shows the same positive effect of volunteer work on occupational status.

The African American Minister as a Source of Help for Serious Personal Crises: Bridge or Barrier to Mental Health Care?

Using data from the National Survey of Black Americans, this article explores the role of African American ministers in the help seeking of African Americans for serious emotional problems. The authors explore which demographic characteristics and psychosocial factors are related to contacting Black clergy for help, whether certain types of personal problems increase the likelihood of clergy contact, and whether those who go to ministers are also likely to seek help from other professional help sources. Results indicate that women are more likely than men to seek help from ministers. People with economic problems are less likely to contact clergy, while those with death or bereavement problems are more likely to seek help from the clergy. Regardless of the type or severity of the problem, those who contact clergy first are less likely to seek help from other professionals. It is recommended that African American clergy and mental health professionals engage in a mutual exchange of information to increase access to professional care among African Americans with serious personal problems.

Forgiveness and Health: Age Differences in a U.S. Probability Sample

Forgiveness is a variable closely related to religiousness and spirituality that has been hypothesized to be protective of mental and physical health. However, we do not clearly understand which aspects of forgiveness are most clearly associated with health outcomes, and the conditions under which these relationships occur. This study used national probability data to systematically examine age differences in the association between forgiveness, religiousness/ spirituality, and respondent reports of mental and physical health. Results showed age differences in the levels of forgiveness of others and feeling forgiven by God. In both cases, middle and old age adults showed higher levels of these forms of forgiveness than young adults. Furthermore, the relationship between forgiveness of others and respondent reports of mental and physical health varies by age. Forgiveness of others was more strongly related to self-reported mental and physical health for middle and old age adults than for young adults.

Attendance at Religious Services and Mortality in a National Sample

Research and theory increasingly suggest that attendance at religious services is protective against premature mortality. However, prior studies are limited and do not extensively explore potential explanations for the relationship, especially in terms of religious beliefs and behaviors associated with service attendance. This study estimates the impact of service attendance on mortality in a national probability sample and provides the most extensive empirical examination of potential explanations. Individuals who report attending religious services once a month or more (just over 50 percent of the population) have a 30–35 percent reduced risk of death over a 7.5 year follow-up period after adjusting for potential confounding factors. Consistent with prior research, 20–30 percent of this effect may be explained by better health behaviors (especially physical activity) among regular service attendees. Surprisingly, other religious beliefs and behaviors do not explain, and often tend to suppress, the association between service attendance and mortality.

Religion and subjective health among black and white elders.

This study examines the effect of religion on subjective health in a sample of Black and White elderly adults living in a southern community of the United States. The analyses lead to several conclusions. First, the findings indicate that future analyses examining the link between religion and subjective health should incorporate measures of functional health. Second, the differences found between Blacks and Whites warrant separation by race in future studies of religion and health. Third, the effects of religion on subjective health seem to be greatest for those suffering from physical health problems. This last finding emphasizes the comfort role of religion suggested by other researchers.

Spirituality in Physical Health and Aging

A variety of research has documented the association between various measures of religion/spirituality and physical health outcomes. The purpose of this paper is to review the literature on this topic. The paper also discusses the mechanisms that are thought to underlie the associations found in the literature. Further, the paper presents several avenues along which future research might proceed in order to advance our understanding of these issues. The paper concludes by making a case for the need for empirical examinations of these issues in countries other than the United States. Particular focus is paid here to religion among older adults in Japan.

Correlates of self-perceptions of spirituality in American adults

To advance knowledge in the study of spirituality and physical health, we examined sociodemographic, behavioral, and attitudinal correlates of self-perceptions of spirituality. Participants were a nationally representative sample of 1,422 adult respondents to the 1998 General Social Survey. They were asked, among other things, to rate themselves on the depth of their spirituality and the depth of their religiousness. Results indicated that, after adjustment for religiousness, self-perceptions of spirituality were positively correlated with being female (r = .07, p < .01), having a higher education (r = .12, p < .001), and having no religion (r = .10, p < .001) and inversely correlated with age (r = -.06, p < .05) and being Catholic (r = -.08, p < .01). After adjustment for these sociodemographic factors, self-perceptions of spirituality were associated with high levels of religious or spiritual activities (range in correlations = .12–.38, all p < .001), low cynical mistrust, and low political conservatism (both r = -.08, p < .01). The population was divided into 4 groups based on their self-perceptions of degree of spirituality and degree of religiousness. The spiritual and religious group had a higher frequency of attending services, praying, meditating, reading the Bible, and daily spiritual experience than any of the other 3 groups (all differences p < .05) and had less distress and less mistrust than the religious-only group (p < .05 for both). However, they were also more intolerant than either of the nonreligious groups (p < .05 for both) and similar on intolerance to the religious-only group. We conclude that sociodemographic factors could confound any observed association between spirituality and health and should be controlled. Moreover, individuals who perceive themselves to be both spiritual and religious may be at particularly low risk for morbidity and mortality based on their good psychological status and ongoing restorative activities.

Conservative Protestantism and Public Opinion toward Science

Using data from the 1988 General Social Survey, the A. analyse the multifaceted relationships between conservative protestantism and public opinion toward science. Findings indicate that three specific aspects of conservative theology -biblical literalism, theological orthodoxy and the perceived ubiquity of sin- are associated with moral criticisms of science. Theological factors generally mediate the relationships between conservative protestant denominational ties and these science attitudes. However, the member of such groups are also more skeptical of the value of science on pragmatic grounds for reasons that do not appear associated with these theological factors

Editorial: Religion, Spirituality, and Medicine: A Rebuttal to Skeptics

A recent article by Sloan et al. in the Lancet has presented the skeptical side in the scientific debate on the religion-health relationship [1]. The interest in this topic and its relevance to medicine is underscored by the fact over 60 of 126 medical schools in the United States have initiated courses on religion/spirituality, and more are planning to do so. While we agree with Sloan et al. that the