Extending Religion-Health Research to Secular Minorities: Issues and Concerns
Abstract
Claims about religion's beneficial effects on physical and psychological health have received substantial attention in popular media, but empirical support for these claims is mixed. Many of these claims are tenuous because they fail to address basic methodological issues relating to construct validity, sampling methods or analytical problems. A more conceptual problem has to do with the near universal lack of atheist control samples. While many studies include samples of individuals classified as "low spirituality" or religious "nones", these groups are heterogeneous and contain only a fraction of members who would be considered truly secular. We illustrate the importance of including an atheist control group whenever possible in the religiosity/spirituality and health research and discuss areas for further investigation.
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Peer-reviewed research indicates a magnitude of associations between RS and health outcomes ranging from small to large.
“peer-reviewed research appears to indicate a magnitude of associations between RS and health outcomes ranging from “small” to “large” (Hwang et al., 2011).”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Hwang et al., 2011
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Spirituality and HIV Disease Progression
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Forms, Frequency, and Correlates of Perceived Anti-Atheist Discrimination
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Self-citationReligion, Spirituality, and Mental Health
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Importance of Religion or Spirituality and Mental Health in Canada
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Perceived Addiction to Internet Pornography among Religious Believers and Nonbelievers
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The Influence of Religiosity and Spirituality on Health in Canada: A Systematic Literature Review
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Spiritual Struggles among Atheists: Links to Psychological Distress and Well-Being
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Doane, M. J., & Elliott, M. (2014) · Psychology of Religion and Spirituality · doi:10.1037/rel0000015 · Cited by 75 · see citing works
Mapping Religion's Other: A Review of the Study of Nonreligion and Secularity
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Self-citationAtheists, agnostics, and apostates.
Streib, H., & Klein, C. (2012) · American Psychological Association eBooks · doi:10.1037/14045-040 · Cited by 72 · see citing works
What’s God Got to Do with It? How Religiosity Predicts Atheists’ Health
Speed, D., & Fowler, K. (2015) · Journal of Religion and Health · doi:10.1007/s10943-015-0083-9 · Cited by 65 · see citing works
Emotional Well-Being Following Religious Conversion Among Women in Northeast Thailand
Charoenwong, S. C., Chirawatkul, S., & Manderson, L. H. (2015) · Journal of Religion and Health · doi:10.1007/s10943-015-0176-5 · Cited by 60 · see citing works
Unbelievable?! Theistic/Epistemological Viewpoint Affects Religion–Health Relationship
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Dimensions of Secularity (DoS): An Open Inventory to Measure Facets of Secular Identities
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What Do You Mean, “What Does It All Mean?” Atheism, Nonreligion, and Life Meaning
Speed, D., Coleman, T. J., III, & Langston, J. (2018) · SAGE Open · doi:10.1177/2158244017754238 · Cited by 47 · see citing works
Brewster, M. E., Robinson, M. A., Sandil, R., Esposito, J., & Geiger, E. (2014) · The Counseling Psychologist · doi:10.1177/0011000014528051 · Cited by 46 · see citing works
Exploring the Relationship between Secularity and Marital Behavior
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Hall, D. E., Koenig, H. G., & Meador, K. G. (2008) · EXPLORE · doi:10.1016/j.explore.2008.08.002 · Cited by 34 · see citing works
Nica, A. (2019) · Mental Health Religion & Culture · doi:10.1080/13674676.2019.1636015 · Cited by 33 · see citing works
Pérez, S., & Rohde, D. (2022) · Journal of Religion and Health · doi:10.1007/s10943-022-01550-4 · Cited by 33 · see citing works
Galen, L. W., & Kloet, J. (2011) · Archive for the Psychology of Religion · doi:10.1163/157361211x570047 · Cited by 32 · see citing works
Making Meaning without a Maker: Secular Consciousness through Narrative and Cultural Practice
Smith, J. M., & Halligan, C. (2020) · Sociology of Religion · doi:10.1093/socrel/sraa016 · Cited by 30 · see citing works
Implications of Tamarkoz on stress, emotion, spirituality and heart rate
Bahadorani, N., Lee, J. W., & Martin, L. R. (2021) · Scientific Reports · doi:10.1038/s41598-021-93470-8 · Cited by 29 · see citing works
Measuring Spiritual Fitness: Atheist Military Personnel, Veterans, and Civilians
Hammer, J. H., Cragun, R. T., & Hwang, K. (2013) · Military Psychology · doi:10.1037/mil0000010 · Cited by 27 · see citing works
Self-citationHeretic, heal thyself! Atheism, nonreligion, and health.
Speed, D., & Hwang, K. (2017) · Psychology of Religion and Spirituality · doi:10.1037/rel0000158 · Cited by 26 · see citing works
Self-citationReligious and secular spirituality: Methodological implications of definitions for health research
Chagas, C., Martins, L. B., Machado, F. R., Zangari, W., & Galduróz, J. C. F. (2022) · EXPLORE · doi:10.1016/j.explore.2022.04.004 · Cited by 25 · see citing works
Cragun, D. L., Cragun, R. T., Nathan, B., Sumerau, J. E., & Nowakowski, A. C. H. (2016) · Sociological Spectrum · doi:10.1080/02732173.2016.1198949 · Cited by 25 · see citing works
Self-citationCragun, R. T. (2016) · Handbooks of sociology and social research · doi:10.1007/978-3-319-31395-5_16 · Cited by 25 · see citing works
Self-citationWhat are atheists for? Hypotheses on the functions of non-belief in the evolution of religion
JOHNSON, D. D. P. (2012) · Religion Brain & Behavior · doi:10.1080/2153599x.2012.667948 · Cited by 20 · see citing works
A Complex Simplicity: The Relationship of Religiosity and Nonreligiosity to Life Satisfaction
Pöhls, K. (2021) · Journal for the Scientific Study of Religion · doi:10.1111/jssr.12723 · Cited by 19 · see citing works
Patients’ Needs of Religion/Spirituality Integration in Two Mental Health Clinics in the Netherlands
Amerongen-Meeuse, J. C. V. N., Schaap‐Jonker, H., Hennipman‐Herweijer, C., Anbeek, C., & Braam, A. W. (2018) · Issues in Mental Health Nursing · doi:10.1080/01612840.2018.1475522 · Cited by 19 · see citing works
Religious/secular distance: How far apart are teenagers and their parents?
Cragun, R. T., Hammer, J. H., Nielsen, M. E., & Autz, N. (2018) · Psychology of Religion and Spirituality · doi:10.1037/rel0000205 · Cited by 18 · see citing works
Self-citationCoping with COVID-19: An Examination of the Role of (Non)Religiousness/(Non)Spirituality
Abbott, D. M., & Franks, A. S. (2021) · Journal of Religion and Health · doi:10.1007/s10943-021-01284-9 · Cited by 17 · see citing works
Questions You Should Never Ask an Atheist: Towards Better Measures of Nonreligion and Secularity
Cragun, R. T. (2019) · Secularism and Nonreligion · doi:10.5334/snr.122 · Cited by 17 · see citing works
Self-citationZuckerman, P. (2014) · Palgrave Macmillan eBooks · doi:10.1057/9781137465306.0008 · Cited by 15 · see citing works
Speed, D., Barry, C., & Cragun, R. T. (2020) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.113387 · Cited by 15 · see citing works
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Farias, M., & Coleman, T. J., III (2021) · Oxford University Press eBooks · doi:10.1093/med/9780198846833.003.0016 · Cited by 14 · see citing works
Religiously/Spiritually Involved, but in Doubt or Disbelief—Why? Healthy?
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Upenieks, L., & Ford‐Robertson, J. (2022) · Journal of Religion and Health · doi:10.1007/s10943-022-01540-6 · Cited by 11 · see citing works
Throw BABE Out With the Bathwater? Canadian Atheists are No Less Healthy than the Religious
Speed, D. (2022) · Journal of Religion and Health · doi:10.1007/s10943-022-01558-w · Cited by 11 · see citing works
Manning, C. J. (2023) · Journal of Religion Spirituality & Aging · doi:10.1080/15528030.2023.2243855 · Cited by 10 · see citing works
More than Nothing: Examining the Worldview Influences of Nonreligious College Students
Scheitle, C. P., & Corcoran, K. E. (2019) · Review of Religious Research · doi:10.1007/s13644-019-00391-0 · Cited by 10 · see citing works
Influence of religiosity on self-reported response to psychological therapies
Paterson, J., & Francis, A. J. P. (2017) · Mental Health Religion & Culture · doi:10.1080/13674676.2017.1355898 · Cited by 9 · see citing works
Spiritual Caregiving and Assessments for America’s Religious ‘Nones’: A Chaplaincy Perspective
Potts, G. W., Hewitt, S., Moore, M., Mui, A., & Lubrano, B. (2023) · Journal of Religion and Health · doi:10.1007/s10943-023-01757-z · Cited by 8 · see citing works
Lalani, N. S., & Ali, G. (2020) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2020.26.7.362 · Cited by 7 · see citing works
Speed, D. (2021) · Journal of Religion and Health · doi:10.1007/s10943-020-01169-3 · Cited by 7 · see citing works
UNTANGLING FALSE ASSUMPTIONS REGARDING ATHEISM AND HEALTH
Morgan, J. (2013) · Zygon® · doi:10.1111/j.1467-9744.2012.01316.x · Cited by 7 · see citing works
Physical health in a Canadian Old Order Mennonite community
Fisher, K., Newbold, K. B., Eyles, J. D., & Elliott, S. J. (2013) · Rural and Remote Health · doi:10.22605/rrh2252 · Cited by 7 · see citing works
Is Irreligion a Risk Factor for Suicidality? Findings from the Nashville Stress and Health Study
Daniels, C. L., Ellison, C. G., DeAngelis, R. T., & Klee, K. (2023) · Journal of Religion and Health · doi:10.1007/s10943-023-01906-4 · Cited by 6 · see citing works
(Non)Religious Coping with a Natural Disaster in a Rural U.S. Community
Abbott, D. M., Franks, A. S., Cook, C., & Mercier, C. M. (2021) · Secularism and Nonreligion · doi:10.5334/snr.139 · Cited by 6 · see citing works
Mental health in a Canadian Old Order Mennonite community
Fisher, K., Newbold, K. B., Eyles, J. D., & Elliott, S. J. (2013) · Health · doi:10.4236/health.2013.53a073 · Cited by 5 · see citing works
The Spiritual Care and Nurture of the Non-religious in the Caring Professions
Watson, J. (2016) · Springer eBooks · doi:10.1007/978-3-319-31380-1_5 · Cited by 5 · see citing works
Chagas, C., Strelhow, M. R. W., Zangari, W., & Galduróz, J. C. F. (2022) · Mental Health Religion & Culture · doi:10.1080/13674676.2021.2013788 · Cited by 5 · see citing works
Chagas, C., Martins, L. B., de Paula, T. C. S., Zangari, W., & Galduróz, J. C. F. (2024) · International Journal for the Psychology of Religion · doi:10.1080/10508619.2024.2439716 · Cited by 4 · see citing works
Teodorczyk, P., Najechalski, P., Walędziak, M. S., & Różańska-Walędziak, A. M. (2025) · Healthcare · doi:10.3390/healthcare13080882 · Cited by 4 · see citing works
Abdelwahab, S. İ., Taha, M. M. E., Farasani, A. M., Jerah, A. A., Abdullah, S. M., Oraibi, B., Babiker, Y. O. H., Alfaifi, H. A., Alzahrani, A. H., Alamer, A. S., et al. (2024) · Journal of Religion and Health · doi:10.1007/s10943-024-02203-4 · Cited by 4 · see citing works
Oncology and Suffering: Strategies on Coping With Grief for Health Care Professionals
Brenner, K. O., Nathanson, A., & Sławkowski-Rode, M. (2025) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk-25-482244 · Cited by 4 · see citing works
Jankowski, P. J., & Zamboanga, B. L. (2019) · Journal of Child and Family Studies · doi:10.1007/s10826-019-01510-9 · Cited by 4 · see citing works
Esfahan, M. M., & Rostami, A. (2016) · Modern Applied Science · doi:10.5539/mas.v10n6p188 · Cited by 3 · see citing works
God May save your Life, but you have to Find your Own Keys
Cragun, R. T., & Sumerau, J. E. (2015) · Archive for the Psychology of Religion · doi:10.1163/15736121-12341307 · Cited by 3 · see citing works
Self-citationDogmatism, coping, and spirituality : predicting mental health among the religious and the secular.
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Kopecký, R., Boschetti, S., & Jaroslav Flegr, A. (2019) · doi:10.31234/osf.io/3kr6n · Cited by 3 · see citing works
Relationship between primary care access through free clinics and emergency room usage
Trask, J. T. (2011) · Illinois Digital Environment for Access to Learning and Scholarship (University of Illinois at Urbana-Champaign) · Cited by 2 · see citing works
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Purpose in Life: a Comparison between Communities of the Non-religious and the Religious
Robbins, M., & Longden, G. (2024) · Journal of Empirical Theology · doi:10.1163/15709256-20240003 · Cited by 1 · see citing works
Meaning-making and well-being among exiters of religious fundamentalism
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Łowicki, P., & Barker, S. B. (2024) · Archive for the Psychology of Religion · doi:10.1177/00846724241279441 · Cited by 1 · see citing works
Religiosity is Declining BUT Giving is Increasing: Can the Nonreligious Really Be Less Generous?
Cragun, R. T., Rodriguez, A., Smith, J., & Speed, D. (2026) · Secularism and Nonreligion · doi:10.5334/snr.164 · Cited by 1 · see citing works
Self-citationCragun, R. T. (2026) · International Journal for the Psychology of Religion · doi:10.1080/10508619.2026.2675189 · Cited by 1 · see citing works
Self-citationExploring How Christians and Atheists Deal with Issues Related to Their Disability
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RELIGIOUS BELIEFS AND MENTAL HEALTH AMONG HANDICAPPED COMMUNITY MEMBER
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The sleep of reason: do atheists improve the stock?
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Development of a Theistic-Atheistic Strength of Worldview Scale
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Fishing in a Puddle of Doubt and Disbelief?: A Rejoinder to the Speed et al. Commentary
Mrdjenovich, A. J. (2021) · Journal of Religion and Health · doi:10.1007/s10943-021-01200-1
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Fundamentalism and Hope in a Religiously Diverse Sample in the United States
Warlick, C. A., Alsayer, A. A., Shumate, C., & Templin, J. L. (2025) · Pastoral Psychology · doi:10.1007/s11089-025-01212-8
Trombley, C. (2026) · Journal of Religion and Health · doi:10.1007/s10943-026-02704-4
Definitional Challenges and Contextual Information
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- Authors
- Hwang, K., Hammer, J. H., & Cragun, R. T.
- Affiliations
- Kessler Foundation (US)
- Iowa State University (US)
- University of Tampa (US)
- Corresponding author
- Hwang, Karen
- Venue
- Journal of Religion and Health
- Published
- 2009-10-28
- Volume
- 50
- Issue
- 3
- Pages
- 608-622
- ISSN
- 0022-4197 (ISSN-L)
- 1573-6571
- OpenAlex
- W2005211471
- Cited by
- 92
- References
- 135
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 8 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 6 · 2013: 4 · 2012: 6
- FWCI
- 3.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Religion and Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Arts and Humanities › Philosophy › Study and Philosophy of Religion
- Keywords
- religion and health, atheists, religious nones, construct validity, sampling methods, control groups, religiosity, spirituality, physical health, mental health
- MeSH terms
- Female, Humans, Interviews as Topic, Male, Middle Aged, Religion and Medicine, Research, United States, Spirituality, Secularism
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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