Steven M. Frenk

U.S. Congregations’ Provision of Programs or Activities for People Living with HIV/AIDS

Using data from a nationally representative sample of U.S. congregations, this study estimates the proportion of congregations that provide programs or activities that serve people living with HIV/AIDS (PLWHA) and examines the effects of congregational characteristics on the likelihood of having them. The analysis finds that 5.6% (95% confidence interval [CI], 0.034–0.078) of U.S. congregations (roughly 18,500 (95% CI, 11,300–25,800) congregations) provide programs or activities to PLWHA. Numerous congregational characteristics increase the likelihood that congregations provide them: the presence of openly HIV positive people in the congregation, having a group that assesses their community’s needs, religious tradition, and openness to gays and lesbians. By building on previous research, this study provides further information about the scope of religious congregations’ involvement with PLWHA and also insight into which congregations may be willing to collaborate with other organizations to provide care for PLWHA.ResumenUtilizando datos de una muestra nacional representativa de las congregaciones de los EEUU, este estudio estima el porcentaje de las congregaciones que ofrecen programas o actividades que atienden a personas que viven con VIH/SIDA (PVVS Personas Viviendo con VIH y SIDA) y examina los efectos de las caracteristicas de la congregación, en la probabilidad que les afectan. El análisis revela que el 5,6% (95% intervalo de confianza [IC], 0.034 a 0.078) de las congregaciones de EE.UU. (alrededor de 18.500 (IC 95% 11.300–25.800) congregaciones) ofrecen programas o actividades para las PVVS. Muchas características de la congregación aumentan la probabilidad que las congregaciones ofrecen: la presencia de personas abiertamente VIH positivas en la congregación, la presencia de un grupo que evalúa las necesidades de su comunidad, la tradición religiosa, y la aceptación a los gays y lesbianas. Al basarse en la investigación anterior, este estudio provee más información sobre el alcance de la participación de las congregaciones religiosas con las PVVS y también comprender cuales congregaciones pueden estar dispuestas a colaborar con otras organizaciones para brindar atención a las PVVS.

Social Network Ties and Inflammation in U.S. Adults with Cancer

The growing evidence linking social connectedness and chronic diseases such as cancer calls for a better understanding of the underlying biophysiological mechanisms. This study assessed the associations between social network ties and multiple measures of inflammation in a nationally representative sample of adults with a history of cancer (N = 1,075) from the National Health and Nutrition Examination Survey III (1988–94). Individuals with lower social network index (SNI) scores showed significantly greater inflammation marked by C-reactive protein and fibrinogen, adjusting for age and sex. Compared to fully socially integrated individuals (SNI = 4), those who were more socially isolated or had a SNI score of 3 or less exhibited increasingly elevated inflammation burdens. Specifically, the age- and sex-adjusted odds ratios (95%CI) for SNIs of 3, 2, and 0–1 were 1.49 (1.08, 2.06), 1.69 (1.21, 2.36), and 2.35 (1.62, 3.40), respectively (p < .001). Adjusting for other covariates attenuated these associations. The SNI gradients in the risks of inflammation were particularly salient for the lower socioeconomic status groups and remained significant after adjusting for other social, health behavioral, and illness factors. This study provided initial insights into the immunological pathways by which social connections are related to morbidity and mortality outcomes of cancer in particular and aging-related diseases in general.

Proportion of US Congregations that have People Living with HIV

Surveillance studies monitor the prevalence and incidence of HIV, and this information is used by policy makers to design prevention programs and facilitate care for people living with HIV (PLWHIV). Although most of these studies monitor the presence of PLWHIV in the general population or specific communities, some assess the presence of PLWHIV in organizations. One type of organization that has not been examined, yet could potentially play a large role in caring for PLWHIV, is the religious congregation. In this study, we estimate the proportion of US religious congregations that have PLWHIV and examine whether congregations that are in contact with populations with high HIV prevalence and incidence rates are more likely to have PLWHIV using data from a nationally representative sample of congregations and the 2000 Census. Over 10,000 congregations have PLWHIV, and congregations containing, open to, or located in areas with populations with high HIV prevalence and incidence rates are more likely to have them. This study offers new insight into the presence of HIV in the United States and provides information about which congregations may be amenable to serving as sites of HIV programs.

“It’s Medically Proven!”: Assessing the Dissemination of Religion and Health Research

The recent proliferation of research on the connection between religion and health has raised concerns among some scholars about how these studies affect people’s understanding of that connection. However, such concerns assume that religion and health research reaches religious audiences and informs their understanding of the connection between religion and health. We explore the veracity of these assumptions, asking two questions: (1) Is religion and health research disseminating into the American public? (2) Do religious persons incorporate religion and health research into their understanding of the connection between religion and health? We conduct two studies to answer these questions. First, we search three newspapers (The New York Times, The Los Angeles Times, and The Atlanta Journal-Constitution) and three news magazines (Newsweek, Time, and U. S. News and World Report) for articles that mention religion and health research. In the second study, we analyze interview transcripts for respondents’ mentions of religion and health research when discussing the relationship between religion and health. Our results indicate substantial growth over time in media reporting on religion and health research but reveal that only a limited portion of religious persons cite such research in explaining their conceptualizations of the connection between religion and health.