Religion and health: Is there an association, is it valid, and is it causal?

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Abstract

This paper reviews evidence for a relationship between religion and health. Hundreds of epidemiologic studies have reported statistically significant, salutary effects of religious indicators on morbidity and mortality. However, this does not necessarily imply that religion influences health; three questions must first be answered: “Is there an association?”, “Is it valid?”, and, “Is it causal?” Evidence presented in this paper suggests that the answers to these respective questions are “yes,” “probably,” and “maybe.” In answering these questions, several issues are addressed. First, key reviews and studies are discussed. Second, the problems of chance, bias, and confounding are examined. Third, alternative explanations for observed associations between religion and health are described. Fourth, these issues are carefully explored in the context of Hill's well-known features of a causal relationship. Despite the inconclusiveness of empirical evidence and the controversial and epistemologically complex nature of religion as an epidemiologic construct, this area is worthy of additional investigation. Further research can help to clarify these provocative findings.

References (42)

  • J.S. Levin et al.

    Is frequent religious attendance really conductive to better health?: Toward an epidemiology of religion

    Soc. Sci. Med.

    (1989)
  • J.S. Levin et al.

    Religious factors in physical health and the prevention of illness

  • W. Osler

    The faith that heals

    Br. Med. J.

    (1910)
  • J.D. Frank

    The faith that heals

    Johns Hopkins Med. J.

    (1975)
  • J.S. Billings

    Vital statistics of the Jews

    N. Am. Rev.

    (1891)
  • E. Durkheim

    La Suicide

    (1897)
  • H.Y. Vanderpool et al.

    Religion and medicine: How are they related?

    J. Religion Hlth

    (1990)
  • W. James

    The Varieties of Religious Experience: A Study in Human Nature

    (1902)
    (1917)
  • C.D. Jenkins

    Psychologic and social precursors of coronary disease

    N. Engl. J. Med.

    (1971)
    C.D. Jenkins

    Psychologic and social precursors of coronary disease

    N. Engl. J. Med.

    (1971)
  • G.W. Comstock et al.

    Church attendance and health

    J. Chron. Dis.

    (1972)
  • R.H. Fletcher et al.

    Clinical Epidemiology: The Essentials

    (1988)
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