AKA Biopsychosocial Religion amp Health Study Originally funded by the National Institute on Aging 1 Religion and Health He who formed our frame Made man a perfect whole And made the bodys health ID: 685508
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Adventist Religion & Health StudyA.K.A. Biopsychosocial Religion & Health Study
Originally funded by the National Institute on Aging
1Slide2
Religion and Health
He who formed our frame
Made man a perfect whole
And made the body’s health
Depend upon the living soul. – Jones Very 1863
2
Jerry W. Lee, PhD, School of Public Health Loma Linda University
29 August 2016Slide3
Sampling plan
AHS-2
97,000
PsyMRS
10,988
PsyMRS
6,508
PsyMRS
3,000?
BioMRS
508
BioMRS
335
BioMRS
280?
On-going Mortality and Morbidity monitoring by AHS-2 carried out on all participants.
Year 1
2006-2007
Year 4
2010-2011
Possible
Follow-up Grant
Random ~21,000
3
Possible matching with Medicare databases.Slide4
Our basic model
Allostatic
Load
Morbidity,
Mortality,
and Quality
of Life
Positive
Negative
Religion Related Behaviors, Beliefs, and EmotionsPositiveNegative
Lifestyle, Psycho-logical and Social
Mediators of Health
Cumulative Risk
Exposure
(including individual traumas, lifetime trauma, childhood parental relationship,
spouse relationship discrimin-ation
, stress)
4
Wear and tear on body systems
(Bruce McEwen)
e.g., Attendance
Religious support
Collaborative Religious Coping
e.g., Negative Church Interactions
God is punishing me
Spiritual discontent
40+ Measures
30+ Measures
e.g., sleep, diet, exercise, optimism companionship, self-esteem, + affect
30+ Measures
e.g., rejection, negative affect, depression, hostility, neuroticism, pessimism
30+ Measures
e.g. SF12 Physical health, SF12 Mental Health, Satisfaction with Life,
AHS2 Hospitalizations, AHS2 National Death Index
e.g., BP, BMI, Ha1c, cortisol, CRP, IL-6, lipid panel, cognitive function etc.
70+ MeasuresSlide5
21 Publications so far 6 sample findings:
5Slide6
Physical and Mental Health(First Publication)
Compared to national norms for
the SF-12 version 2
Lee, J. W., Morton, K. R., Walters, J., Bellinger, D. L., Butler, T. L., Wilson, C., . . . Fraser, G. E. (2009). Cohort profile: The biopsychosocial religion and health study (BRHS).
International Journal of Epidemiology, 38(6), 1470-1478.
6Slide7
Perceived Physical Health – Females
AGE
Percentile
35
40
45
50
55
60
35
-
44
45
-
54
55
-
64
65
-
74
> 74
U.S. Norm (n = 3,343)
Black SDA (n = 2,464)
White SDA (n = 3,776)
7Slide8
Perceived Physical Health – Males
AGE
Percentile
35
40
45
50
55
60
35
-
44
45
-
54
55
-
64
65
-
74
> 74
U.S. Norm (n = 3,343)
Black SDA (n = 2,464)
White SDA (n = 3,776)
8Slide9
AGE
Percentile
35
40
45
50
55
60
35
-
44
45
-
54
55
-
64
65
-
74
> 74
Perceived Mental Health – Females
U.S. Norm (n = 3,343)
Black SDA (n = 2,464)
White SDA (n = 3,776)
9Slide10
Perceived Mental Health – Males
AGE
Percentile
35
40
45
50
55
60
35
-
44
45
-
54
55
-
64
65
-
74
> 74
U.S. Norm (n = 3,343)
Black SDA (n = 2,464)
White SDA (n = 3,776)
10Slide11
2. If they used positive religious coping strategies (e.g., “Worked together with God as partners,” “Tried to find a lesson from God in the event”)
, Adventists who divorced in the last five years have very little more depressive symptoms than those who did not divorce
Webb, A. P., Ellison, C. G., McFarland, M. J., Lee, J. W., Morton, K., & Walters, J. (2010). Divorce, religious coping, and depressive symptoms in a conservative protestant religious group.
Family Relations, 59
(5), 544-557. doi:10.1111/j.1741-3729.2010.00622.x
11Slide12
3. Intake of a Mediterranean diet is associated with positive affect and low negative affect.
Ford, P. A., Jaceldo-
Siegl
, K., Lee, J. W., Youngberg, W., & Tonstad, S. (2013). Intake of Mediterranean foods associated with positive affect and low negative affect.
Journal of psychosomatic research, 74(2), 142-148. doi:10.1016/j.jpsychores.2012.11.002
12Slide13
4. Intrinsic religiosity (e.g., “I try hard to carry my religion over into all my other dealings in life”) is associated with lower odds of hypertension.
Charlemagne-Badal, S. J., & Lee, J. W. (2015). Intrinsic Religiosity and Hypertension Among Older North American Seventh-Day Adventists.
Journal of Religion & Health, 55
(2), 695-708. doi:10.1007/s10943-015-0102-x
13Slide14
A close relationship with God predicted a better relationship with one’s spouse and better well-being
if the relationship with God provided a sense of meaning in one’s life.
A relationship with God that did not suggest meaning in one’s own life was related to a poor relationship with one’s spouse and poor well-being.
Holland, K. J., Lee, J. W., Marshak, H. H., & Martin, L. R. (2016). Spiritual Intimacy, Marital Intimacy, and Physical/Psychological Well-Being: Spiritual Meaning as a Mediator.
Psychology of Religion and Spirituality. doi:10.1037/rel0000062
14Slide15
6. Religion and Mortality (Most recent publication)
Morton, K. R., Lee, J. W., & Martin, L. R. (2016). Pathways From Religion to Health: Mediation by Psychosocial and Lifestyle Mechanisms.
Psychology of Religion and Spirituality, No Pagination Specified. doi:10.1037/rel0000091
15Slide16
Initial Model
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Religious Engagement
Church Activity
Positive Religious Support
Negative Emotion-
ality
Healthy Diet
Exercise
MortalitySlide17
17
Fit Indices
RMSEA=.046
(95% CI: .044, .047) NFI=.917
CFI=.922
SRMR=.036.