Religious Service Attendance and Allostatic Load Among High-Functioning Elderly
Open accessAbstract
OBJECTIVE: To examine the association between frequency of religious service attendance and an index of cumulative physiological dysregulation as measured by allostatic load (AL) (systolic and diastolic blood pressure, waist/hip ratio, high-density lipoprotein and total cholesterol, glycosylated hemoglobin, cortisol, serum dihydroepiandrosterone sulfate, norepinephrine, and epinephrine). There is growing empirical evidence of a positive relationship between religious engagement and better clinical health outcomes. However, studies exploring the subclinical levels of physiological dysregulation are rare; hence, the physiological processes underpinning the religion-health relationship are not well understood. METHODS: In 1988, 853 participants from the MacArthur Successful Aging Study provided information on the frequency of religious service attendance as well as blood and urine samples needed to obtain measures for a ten-item cumulative AL index. Gender-stratified multivariate linear regression models were used to estimate the direction and magnitude of the association between weekly religious service attendance and AL. RESULTS: At least weekly religious service attendance was associated with lower AL levels among women (b = -0.47; p < .01), but not among men (b = 0.02; p = .88) in models that statistically controlled for age, income, education, marital status, and level of physical functioning. This relationship could not be attributed to the association between religious attendance and any one or two of the components of the AL index. It also was not explained by either higher physical functioning or social integration. CONCLUSION: Cumulative physiological dysregulation may be one mechanism through which religious engagement may influence a diverse range of clinically relevant health outcomes.
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- Authors
- Maselko, J., Kubzansky, L., Kawachi, I., Seeman, T., & Berkman, L.
- Affiliations
- Temple University (US)
- Harvard University (US)
- Corresponding author
- Maselko, Joanna
- Venue
- Psychosomatic Medicine
- Published
- 2007-06
- Volume
- 69
- Issue
- 5
- Pages
- 464-472
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2042594728
- Cited by
- 124
- References
- 52
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 41 · 2022: 5 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 1 · 2014: 7 · 2013: 4 · 2012: 7
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- green
- nrs.harvard.edu
- Licence
- cc-by
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Funders
- National Institute of Mental Health (MH-17119, T32MH017119)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- religious service attendance, allostatic load, religious involvement, physiological dysregulation, successful aging, older adults, sex differences, cortisol, blood pressure, cholesterol, HbA1c, norepinephrine, epinephrine, physical function, social integration
- MeSH terms
- Aged, Aged, 80 and over, Aging, Blood Pressure, Cardiovascular Diseases, Cardiovascular System, Female, Health Status, Humans, Hydrocortisone, Lipids, Male, Cohort Studies, Spirituality, Waist-Hip Ratio
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.
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