Religion and reduced cancer risk – What is the explanation? A review
Abstract
Several studies of members of Christian religious communities have shown significantly lower risks for certain cancers amongst members than in the general population. We identified 17 epidemiological studies of the risk for cancer amongst members of Christian communities published during the past 40 years. In the studies in which adjustment was made only for age and sex, reductions were observed in the risks for lifestyle-associated cancers, i.e. those associated with tobacco smoking, alcohol consumption, diet, physical activity and reproductive factors. In the studies in which adjustment was also made for healthy habits, no reduction in risk for cancer was observed. We conclude that the most important factor in the correlation between membership in a religious Christian community and risk for cancer is the healthy lifestyle inherent in religious practice in these communities. The epidemiological studies reviewed did not, however, differentiate the effect on cancer risk of the meaning that a certain lifestyle can give to an individual.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A review of 18 studies examining the risk for cancer in Christian and non-Christian samples concluded that lifestyle factors explained the reduced risk for cancer associated with a Christian affiliation.
“A review of 18 studies examining the risk for cancer in Christian and non-Christian samples concluded that lifestyle factors explained the reduced risk for cancer associated with a Christian affiliation (Hoff et al., 2008).”
From Advancing our understanding of religion and spirituality in the context of behavioral medicine (2017) · cites this paper as Hoff et al., 2008
Cites
Handbook of Religion and Health
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2004) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200405000-00015 · Cited by 3,262 · see citing works
The effect of diet on risk of cancer
Key, T. J., Allen, N. E., Spencer, E. A., & Travis, R. C. (2002) · The Lancet · doi:10.1016/s0140-6736(02)09958-0 · Cited by 510 · see citing works
Data Collection Mode and Social Desirability Bias in Self-Reported Religious Attendance
Presser, S., & Stinson, L. L. (1998) · American Sociological Review · doi:10.2307/2657486 · Cited by 437 · see citing works
Religiosity is associated with affective and immune status in symptomatic hiv-infected gay men
Woods, T. E., Antoni, M. H., Ironson, G. H., & Kling, D. W. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00078-6 · Cited by 214 · see citing works
God, faith, and health: exploring the spirituality-healing connection
Levin, J. S. (2001) · Cited by 205 · see citing works
Mortality among California Seventh-Day Adventists for selected cancer sites.
Phillips, R. L., Garfinkel, L., Kuzma, J. W., Beeson, W. L., Lotz, T. M., & Brin, B. N. (1980) · PubMed · Cited by 188 · see citing works
Handbook of religion and health.
Duhl, L. J. (2001) · Journal of Epidemiology & Community Health · doi:10.1136/jech.55.9.688 · Cited by 182 · see citing works
Risk Factors for Male Breast Cancer—A Case-Control Study from Scandinavia
Ewertz, M., Holmberg, L., Tretli, S., Pedersen, B. V., & Kristensen, A. (2001) · Acta Oncologica · doi:10.1080/028418601750288181 · Cited by 172 · see citing works
Bladder Cancer in a Low Risk Population: Results from the Adventist Health Study
Mills, P. K., Beeson, W. L., Phillips, R. L., & Fraser, G. E. (1991) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115867 · Cited by 144 · see citing works
Sanjoaquin, M. A., Appleby, P. N., Thorogood, M., Mann, J. I., & Key, T. J. (2004) · British Journal of Cancer · doi:10.1038/sj.bjc.6601441 · Cited by 141 · see citing works
Physical Activity and Endometrial Cancer Risk, a Systematic Review of Current Evidence
Voskuil, D. W., Monninkhof, E. M., Elias, S. G., Vlems, F. A., van Leeuwen, F. E., & Task Force Physical Activity and Cancer (2007) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-06-0742 · Cited by 133 · see citing works
Anker, M. (1997) · International Journal of Epidemiology · doi:10.1093/ije/26.5.1090 · Cited by 119 · see citing works
Phillips, R. L., Kuzma, J. W., Beeson, W. L., & Lotz, T. M. (1980) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112996 · Cited by 118 · see citing works
Kinney, A. Y. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwg264 · Cited by 93 · see citing works
The Melbourne Colorectal Cancer Study: Incidence Findings by Age, Sex, Site, Migrants and Religion
Kune, S., Kune, G. A., & Watson, L. (1986) · International Journal of Epidemiology · doi:10.1093/ije/15.4.483 · Cited by 89 · see citing works
Sarcomas of soft tissue and bone
Mazanet, R., & Antman, K. H. (1991) · Cancer · doi:10.1002/1097-0142(19910801)68:3 · Cited by 85 · see citing works
Mortality Pattern and Life Expectancy of Seventh-Day Adventists in the Netherlands
BERKEL, J., & de Waard, F. (1983) · International Journal of Epidemiology · doi:10.1093/ije/12.4.455 · Cited by 79 · see citing works
Risk factors for breast cancer in a population with high incidence rates
Wrensch, M., Chew, T., Farren, G., Barlow, J., Belli, F., Clarke, C., Erdmann, C. A., Lee, M., Moghadassi, M., Peskin-Mentzer, R., et al. (2003) · Breast Cancer Research · doi:10.1186/bcr605 · Cited by 73 · see citing works
Summary of avoidable cancers in the Nordic countries
Olsen, J. H., Andersen, A., Dreyer, L., Pukkala, ., Tryggvadóttír, L., de Verdier, M. G., & Winther, J. F. (1997) · Apmis · doi:10.1111/j.1600-0463.1997.tb05617.x · Cited by 70 · see citing works
CANCER IN UTAH MORMON MEN BY LAY PRIESTHOOD LEVEL
GARDNER, J. W., & LYON, J. L. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113409 · Cited by 69 · see citing works
Nutrition and the prevention of cancer.
Holmes, S. (2006) · PubMed · Cited by 66 · see citing works
Cancer Incidence in Mormons and Non-Mormons in Utah During 1967–75 1 2
Lyon, J., Gardner, J. W., & West, D. W. (1980) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/65.5.1055 · Cited by 65 · see citing works
ANIMAL PRODUCT CONSUMPTION AND SUBSEQUENT FATAL BREAST CANCER RISK AMONG SEVENTH-DAY ADVENTISTS
Mills, P. K., Annegers, J. F., & Phillips, R. L. (1988) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114821 · Cited by 64 · see citing works
CANCER IN UTAH MORMON MEN BY CHURCH ACTIVITY LEVEL
GARDNER, J. W., & LYON, J. L. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113410 · Cited by 59 · see citing works
Cancer incidence among California Seventh-day Adventists, 1976–1982
Mills, P., Beeson, W. L., Phillips, R. L., & Fraser, G. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.5.1136s · Cited by 52 · see citing works
Cancer incidence among Mormons and non-Mormons in Utah
Lyon, J. L., Gardner, K., & Gress, R. E. (1994) · Cited by 50 · see citing works
Cancer Risk Factors: An Analysis of Utah Mormons and Non-Mormons 1
West, D. W., Lyon, J. L., & Gardner, J. W. (1980) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/65.5.1083 · Cited by 48 · see citing works
Cancer incidence among Mormons and non-Mormons in Utah (United States) 1971–85
Lyon, J. L., Gardner, K., & Gress, R. E. (1994) · Cancer Causes & Control · doi:10.1007/bf01830261 · Cited by 45 · see citing works
Cancer Risk Among Danish Male Seventh-Day Adventists and Other Temperance Society Members 2
Jensen, O. M. (1983) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/70.6.1011 · Cited by 44 · see citing works
Cancer incidence in Mormons and non-Mormons in Utah during 1967–1975
Bingham, H. G. (1981) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-198106000-00107 · Cited by 39 · see citing works
The healthy Seventh-day Adventist lifestyle: what is the Norwegian experience?
Fønnebø, V. M. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.5.1124s · Cited by 38 · see citing works
Kune, G. A., Kune, S., & Watson, L. F. (1993) · Journal of the Royal Society of Medicine · doi:10.1177/014107689308601112 · Cited by 37 · see citing works
Cancer incidence among Mormons and non-Mormons in Utah (United States) 1995–1999
Merrill, R. M., & Lyon, J. L. (2004) · Preventive Medicine · doi:10.1016/j.ypmed.2004.10.011 · Cited by 36 · see citing works
Behavioral Factors Explaining the Low Risk for Cervical Carcinoma in Utah Mormon Women
Gardner, J. W., Sanborn, J. S., & Slattery, M. L. (1995) · Epidemiology · doi:10.1097/00001648-199503000-00019 · Cited by 30 · see citing works
Psychoneuroimmunology and cancer: an integrated review
Bauer, S. M. (1994) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.1994.tb01195.x · Cited by 25 · see citing works
Religion and cancer in Los Angeles County.
Tm, M., van Berkel, J., Bernstein, L., & Mack, W. J. (1985) · PubMed · Cited by 19 · see citing works
Female breast cancer incidence and survival in Utah according to religious preference, 1985–1999
Merrill, R. M., & Folsom, J. A. (2005) · BMC Cancer · doi:10.1186/1471-2407-5-49 · Cited by 16 · see citing works
Life-style and death patterns of the Missouri RLDS church members.
McEvoy, L., & Land, G. (1981) · American Journal of Public Health · doi:10.2105/ajph.71.12.1350 · Cited by 9 · see citing works
Cancer incidence in Indian Christians
Dj, J., Yeole, B. B., & Natekar, M. V. (1985) · British Journal of Cancer · doi:10.1038/bjc.1985.134 · Cited by 7 · see citing works
[Depression and cancer risk. A registry-based study in Denmark, 1969-1993].
Dalton, S. O., Mellemkjær, L., Olsen, J. H., Mortensen, P. B., & Johansen, C. (2004) · PubMed · Cited by 1 · see citing works
Self-citationDurie, B. G. M., & Salmon, S. E. (1975) · Cancer · doi:10.1002/1097-0142(197509)36:3
Flagged first, then by citations
1 of the 43 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
State-Level Cancer Mortality Attributable to Cigarette Smoking in the United States
Lortet‐Tieulent, J., Sauer, A. G., Siegel, R. L., Miller, K. D., Islami, F., Fedewa, S. A., Jacobs, E. J., & Jemal, A. (2016) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2016.6530 · Cited by 134 · see citing works
Advancing our understanding of religion and spirituality in the context of behavioral medicine
Park, C. L., Masters, K. S., Salsman, J. M., Wachholtz, A., Clements, A. D., Salmoirago-Blotcher, E., Trevino, K., & Wischenka, D. M. (2017) · Journal of Behavioral Medicine · doi:10.1007/s10865-016-9755-5 · Cited by 119 · see citing works
Religiousness and lifestyle among Europeans in SHARE
Ahrenfeldt, L. J., Möller, S., Hvidt, N. C., & Lindahl‐Jacobsen, R. (2018) · Public Health · doi:10.1016/j.puhe.2018.09.009 · Cited by 89 · see citing works
Self-citationReligion and healthy lifestyle behaviors among postmenopausal women: the women’s health initiative
Salmoirago-Blotcher, E., Fitchett, G., Ockene, J. K., Schnall, E., Crawford, S., Granek, I., Manson, J., Ockene, I., O’Sullivan, M. J., Powell, L., et al. (2011) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9322-z · Cited by 81 · see citing works
Religiousness and Diseases in Europe: Findings from SHARE
Ahrenfeldt, L. J., Hvidt, N. C., Kjøller, S. T., Möller, S., & Lindahl‐Jacobsen, R. (2018) · Journal of Religion and Health · doi:10.1007/s10943-018-0664-5 · Cited by 62 · see citing works
Self-citationThe role of religion and spirituality in cancer care: An umbrella review of the literature
Kelly, E. P., Paredes, A. Z., Tsilimigras, D. I., Hyer, J. M., & Pawlik, T. M. (2020) · Surgical Oncology · doi:10.1016/j.suronc.2020.05.004 · Cited by 53 · see citing works
Religious Involvement Measurement Model in a National Sample of African Americans
Roth, D. L., Mwase, I. M. T., Holt, C. L., Clark, E. M., Lukwago, S. N., & Kreuter, M. W. (2011) · Journal of Religion and Health · doi:10.1007/s10943-011-9475-7 · Cited by 50 · see citing works
FRUIT AND VEGETABLE CONSUMPTION BY ECOLOGICAL ZONE AND SOCIOECONOMIC STATUS IN GHANA
Amo‐Adjei, J., & Kumi-Kyereme, A. (2014) · Journal of Biosocial Science · doi:10.1017/s002193201400025x · Cited by 49 · see citing works
Masters, K. S., & Hooker, S. A. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0030813 · Cited by 45 · see citing works
Brewer, G., Robinson, S. J., Sumra, A., Tatsi, E., & Gire, N. (2014) · Journal of Religion and Health · doi:10.1007/s10943-014-9966-4 · Cited by 46 · see citing works
Rasmussen, P. V., Johansen, C., Hvidt, N. C., Kørup, A. K., Søndergaard, J., & Thygesen, L. C. (2016) · Journal of Religion and Health · doi:10.1007/s10943-016-0331-7 · Cited by 42 · see citing works
Self-citationAshat, M., Puri, S., Pandey, A. K., Goel, N. K., Singh, A., & Kaushal, V. (2014) · Indian Journal of Cancer · doi:10.4103/0019-509x.134593 · Cited by 30 · see citing works
Spiritual-Religious Coping – Health Services Empowering Patients’ Resources
Saad, M., & de, R. (2012) · InTech eBooks · doi:10.5772/50443 · Cited by 28 · see citing works
Quality of life, religious attitude and cancer coping in a sample of Iranian patients with cancer.
Vahid, M. K. A., Nasr-Esfahani, M., Esfeedvajani, M. S., Naji, H., Shojaei, M. R., Masoumeh, Y. M., & Goushegir, S. A. (2011) · PubMed Central · Cited by 27 · see citing works
Cancer incidence among Danish Seventh-day Adventists and Baptists
Thygesen, L. C., Hvidt, N. C., Hansen, H. P., Hoff, A., Ross, L., & Johansen, C. (2012) · Cancer Epidemiology · doi:10.1016/j.canep.2012.08.001 · Cited by 25 · see citing works
Self-citationThe Danish religious societies health study
Thygesen, L. C., Hvidt, N. C., Juel, K., Hoff, A., Ross, L., & Johansen, C. (2011) · International Journal of Epidemiology · doi:10.1093/ije/dyr089 · Cited by 17 · see citing works
Self-citationKanser Hastalarında Yaşam Kalitesini Etkileyen Din ve Maneviyat Üzerine Teorik Yaklaşımlar
Albayrak, A., Yıldırım, İ., & Kurt, E. (2019) · Sakarya Universitesi Ilahiyat Fakultesi dergisi/Sakarya Üniversitesi İlahiyat Fakültesi dergisi · doi:10.17335/sakaifd.605552 · Cited by 15 · see citing works
Stripp, T. A., Wehberg, S., Büssing, A., Andersen‐Ranberg, K., Jensen, L. H., Henriksen, F. L., Laursen, C. B., Søndergaard, J., & Hvidt, N. C. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-058257 · Cited by 9 · see citing works
Self-citationRisk for cardiovascular disease among Seventh-day Adventists and Baptists in Denmark, 1977–2009
Jarlstrup, N. S., Schmidt, A. W., Johansen, C., Ross, L., Hvidt, N. C., & Thygesen, L. C. (2015) · International Journal of Cardiology · doi:10.1016/j.ijcard.2015.03.131 · Cited by 8 · see citing works
Self-citationIs Religiousness Associated with Better Lifestyle and Health Among Danes? Findings from SHARE
Herold, S. C., Hvidt, N. C., Möller, S., Christensen, K., & Ahrenfeldt, L. J. (2020) · Journal of Religion and Health · doi:10.1007/s10943-020-01050-3 · Cited by 5 · see citing works
Self-citationThe relationship between religious beliefs and coping with the stress of COVID-19
Петров, А. М., Poltarykhin, A. L., Alekhina, N., Nikiforov, S., & Gayazova, S. (2021) · HTS Teologiese Studies / Theological Studies · doi:10.4102/hts.v77i1.6487 · Cited by 5 · see citing works
Spirituality/Religiosity as a Resource for Coping in Soldiers: A Summary Report
Büssing, A. (2015) · Medical Acupuncture · doi:10.1089/acu.2014.1062 · Cited by 5 · see citing works
Kørup, A. K., Thygesen, L. C., Christensen, R. D., Johansen, C., Søndergaard, J., & Hvidt, N. C. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010128 · Cited by 4 · see citing works
Self-citationCoping strategies during the COVID-19 pandemic and compliance with precautionary health behaviors
Alyami, H., Alyami, M. M., Krägeloh, C. U., Nemenqani, D. M., & Henning, M. A. (2021) · Saudi Journal for Health Sciences · doi:10.4103/sjhs.sjhs_222_20 · Cited by 4 · see citing works
Primary care for cancers: epidemiology, causes, prevention and classification- a narrative review
Chew, B., & Taher, S. W. (2014) · Universiti Putra Malaysia Institutional Repository (Universiti Putra Malaysia) · Cited by 3 · see citing works
Rajaei, A., Kadkani, H., & Sadeghi, M. (2016) · Journal of Research and Health · doi:10.18869/acadpub.jrh.6.5.512 · Cited by 1 · see citing works
Ting, C. Y. P. (2015) · Swinburne figshare (Swinburne University of Technology) · doi:10.25916/sut.26269708 · Cited by 1 · see citing works
Lim, J., Jang, J.-D., & Lee, M. (2016) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2016.17.7.656
Glaube versetzt Berge – Berge versetzen Glauben
Hvidt, N. C. (2017) · Spiritual Care · doi:10.1515/spircare-2016-0174
Self-citation(2013) · Elsevier eBooks · doi:10.1016/b978-3-437-31628-9.16001-8
Varkel, L., Goldbourt, U., & Gerber, Y. (2026) · Epidemiologia · doi:10.3390/epidemiologia7020038
- Authors
- Hoff, A., Johannessen-Henry, C. T., Ross, L., Hvidt, N. C., & Johansen, C.
- Affiliations
- Danish Cancer Society (DK)
- University of Southern Denmark (DK)
- Corresponding author
- Johansen, Christoffer
- Venue
- European Journal of Cancer
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 44
- Issue
- 17
- Pages
- 2573-2579
- ISSN
- 0959-8049 (ISSN-L)
- OpenAlex
- W2085852714
- Cited by
- 31
- References
- 43
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 6 · 2015: 3 · 2014: 4 · 2013: 1 · 2012: 3
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Cancer (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- religion, cancer risk, Christian community, healthy lifestyle, smoking, alcohol consumption, diet, physical activity, reproductive factors, religious practice, meaning of life
- MeSH terms
- Christianity, Humans, Life Style, Neoplasms, Risk Factors, Spirituality
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review