The Association of Health and Functional Status with Private and Public Religious Practice among Rural, Ethnically Diverse, Older Adults with Diabetes
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ABSTRACT: Purpose: This analysis describes the association of health and functional status with private and public religious practice among ethnically diverse (African American, Native American, white) rural older adults with diabetes. Methods: Data were collected using a population‐based, cross‐sectional, stratified, random sample survey of 701 community‐dwelling elders with diabetes in two rural North Carolina counties. Outcome measures were private religious practice, church attendance, religious support provided, and religious support received. Correlates included religiosity, health and functional status, and personal characteristics. Statistical significance was assessed using multiple linear regression and logistic regression models. Findings: These rural elders had high levels of religious belief, and private and public religious practice. Religiosity was associated with private and public religious practice. Health and functional status were not associated with private religious practice, but they were associated with public religious practice, such that those with limited functional status participated less in public religious practice. Ethnicity was associated with private religious practice: African Americans had higher levels of private religious practice than Native Americans or whites, while Native Americans had higher levels than whites. Conclusions: Variation in private religious practice among rural older adults is related to personal characteristics and religiosity, while public religious practice is related to physical health, functional status, and religiosity. Declining health may affect the social integration of rural older adults by limiting their ability to participate in a dominant social institution.
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Considering the 33 highest quality studies, 13 (39%) reported significantly better physical functioning among those who were more R/S (including one study at a trend level).
“Considering the 33 highest quality studies, 13 (39%) reported significantly better physical functioning among those who were more R/S (including one study at a trend level) [483–495], six (18%) found worse functioning [496–501], and five studies (15%) reported mixed results [82, 124, 502–504] (significant positive and negative associations, depending on R/S characteristic).”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [483]
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- Authors
- Arcury, T. A., Stafford, J. M., Bell, R. A., Golden, S. L., Snively, B. M., & Quandt, S. A.
- Affiliations
- Wake Forest University Health Sciences (US)
- ORCID
- Venue
- The Journal of Rural Health
- Publisher
- Wiley
- Published
- 2007-06
- Volume
- 23
- Issue
- 3
- Pages
- 246-253
- ISSN
- 0890-765X (ISSN-L)
- 1748-0361
- PMC
- PMC3653177
- OpenAlex
- W2046116649
- Cited by
- 33
- References
- 25
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 2 · 2013: 5 · 2012: 3
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (AG17587, R01AG017587)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Arts and Humanities › Religious studies › Contemporary Christian Leadership and Education
- Keywords
- religious practice, religiosity, church attendance, functional status, health status, diabetes in older adults, rural elderly, ethnic differences, African Americans, Native Americans, religious support, social integration, rural North Carolina
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Age Factors, Aged, Aged, 80 and over, Cross-Sectional Studies, Diabetes Mellitus, Female, Health Status, Health Surveys, Humans, Interviews as Topic, Male, North Carolina, Religion and Psychology, Rural Health, Social Support, Cultural Diversity, Protestantism
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