The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
Attendance at Religious Services, Interleukin-6, and other Biological Parameters of Immune Function in Older Adults
Abstract
Objective: First, to examine and explain the relationship between religious service attendance and plasma Interleukin-6 (IL-6) levels, and second, to examine the relationship between religious attendance and other immune-system regulators and inflammatory substances. Methods: During the third in-person interview (1992) of the Establishment of Populations for Epidemiologic Studies of the Elderly (EPESE) project, Duke site, 1718 subjects age sixty-five or over had blood drawn for analysis of immune regulators and inflammatory factors, including IL-6 measurements. IL-6 was examined both as a continuous variable and at a cutoff of 5 pg/ml. Information on attendance at religious services was available from the 1992 interview and two prior interviews (1986 and 1989). Results: Religious attendance was inversely related to high IL-6 levels (> 5 pg/ml), but not to IL-6 measured as a continuous variable. Bivariate analyses revealed that high religious attendance in 1989 predicted a lower proportion of subjects with high IL-6 in 1992 (beta −.10, p = .01). High religious attendance in 1992 also predicted a lower proportion of subjects with high IL-6 levels in 1992 (beta −.14, p = .0005). When age, sex, race, education, chronic illnesses, and physical functioning were controlled, 1989 religious attendance weakened as a predictor of high IL-6 (beta −.07, p = .10), but 1992 religious attendance retained its effect (beta = −.10, p = .02). When religious attenders were compared to non- attenders, they were only about one-half as likely to have IL-6 levels greater than 5 ng/ml (OR 0.58, 95% CI 0.40–0.84, p < .005). Religious attendance was also related to lower levels of the immune-inflammatory markers alpha-2 globulin, fibrin d-dimers, polymorphonuclear leukocytes, and lymphocytes. While controlling for covariates weakened most of these relationships, adjusting analyses for depression and negative life events had little effect. Conclusions: There is a weak relationship between religious attendance and high IL-6 levels that could not be explained by other covariates, depression, or negative life events. This finding provides some support for the hypothesis that older adults who frequently attend religious services have healthier immune systems, although mechanism of effect remains unknown.
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“Of the 14 studies with the highest quality ratings, eight (57%) reported positive relationships [423–430] and three (21%) reported negative relationships with cognitive function [431–433].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [429]
Citations
Cites
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
Van Snick, J. (1990) · Annual Review of Immunology · doi:10.1146/annurev.iy.08.040190.001345 · Cited by 1,890
A Measure of Primary Sociobiological Functions
Katz, S., & Akpom, C. A. (1976) · International Journal of Health Services · doi:10.2190/uurl-2ryu-wryd-ey3k · Cited by 1,250
A Guttman Health Scale for the Aged
Rosow, I., & Breslau, N. (1966) · Journal of Gerontology · doi:10.1093/geronj/21.4.556 · Cited by 1,132
IL-6 is produced by osteoblasts and induces bone resorption.
Ishimi, Y., Miyaura, C., Jin, C., Akatsu, T., Abe, E., Nakamura, Y. K., Yamaguchi, A., Yoshiki, S., Matsuda, T., Hirano, T., et al. (1990) · The Journal of Immunology · doi:10.4049/jimmunol.145.10.3297 · Cited by 1,128
Religious Involvement, Social Ties, and Social Support in a Southeastern Community
Ellison, C. G., & George, L. K. (1994) · Journal for the Scientific Study of Religion · doi:10.2307/1386636 · Cited by 844
Self-citationThe Association of Age and Depression Among the Elderly: An Epidemiologic Exploration
Blazer, D. G., Burchett, B. M., Service, C., & George, L. K. (1991) · Journal of Gerontology · doi:10.1093/geronj/46.6.m210 · Cited by 688
Self-citationFrequent attendance at religious services and mortality over 28 years.
Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A. (1997) · American Journal of Public Health · doi:10.2105/ajph.87.6.957 · Cited by 686
Religious coping and depression among elderly, hospitalized medically ill men
(1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.12.1693 · Cited by 544
Self-citationReligion, psychopathology, and substance use and abuse; a multimeasure, genetic-epidemiologic study
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.3.322 · Cited by 516
Research works printed but not linked: 6
- Koenig HG, 1995, Research on religion and aging
- Livingston IL, 1991, Ethnicity & Disease, 1, 135
- McCullough ME, Larson DB, Koenig HG, Milano MG. Systematic review of published research on religious commitment and mortality (1967–1996). Journal of the American Medical Association, in submission.
- Idler EL, Kasl SV. Religion among disabled and nondisabled elderly persons: Attendance at religious services as a predictor of the course of disability. Journal of Gerontology, in press.
- George LK, 1996, Geriatric psychiatry
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Associations of depression with C-reactive protein, IL-1, and IL-6: a meta-analysis.
Howren, M. B., Lamkin, D. M., & Suls, J. (2009) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3181907c1b · Cited by 2,766
Religion, Spirituality, and Health: The Research and Clinical Implications
Koenig, H. G. (2012) · ISRN Psychiatry · doi:10.5402/2012/278730 · Cited by 2,423
“%) reported significant positive associations [437–443] or increased immune functions in response to a R/S intervention [444–447].”
BackgroundSelf-citationEmotions, morbidity, and mortality: new perspectives from psychoneuroimmunology.
Kiecolt-Glaser, J. K., McGuire, L., Robles, T. F., & Glaser, R. (2002) · Annual Review of Psychology · doi:10.1146/annurev.psych.53.100901.135217 · Cited by 1,176
Religion, spirituality, and medicine
Sloan, R., Bagiella, E., & Powell, T. P. (1999) · The Lancet · doi:10.1016/s0140-6736(98)07376-0 · Cited by 851
TARGET ARTICLE: Explaining the Relationships Between Religious Involvement and Health
George, L. K., Ellison, C. G., & Larson, D. B. (2002) · Psychological Inquiry · doi:10.1207/s15327965pli1303_04 · Cited by 847
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Metadata
- Authors
- Koenig, H. G., Cohen, H. J., George, L. K., Hays, J. C., Larson, D. B., & Blazer, D. G.
- Affiliations
- Duke Medical Center (US)
- Venue
- The International Journal of Psychiatry in Medicine
- Publisher
- SAGE Publications
- Published
- 1997-09
- Volume
- 27
- Issue
- 3
- Pages
- 233-250
- ISSN
- 0033-278X (ISSN-L)
- 0091-2174
- 1541-3527
- OpenAlex
- W2169950097
- Cited by
- 251
- References
- 51
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 7 · 2023: 3 · 2022: 10 · 2021: 6 · 2020: 4 · 2019: 4 · 2018: 8 · 2017: 12 · 2016: 6 · 2015: 10 · 2014: 8 · 2013: 11 · 2012: 12
- FWCI
- 9.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The International Journal of Psychiatry in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07mh001138-02)
- National Institute on Aging (N01‐AG12102)
- National Institute of Mental Health (MH 01138)
- 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, interleukin-6, immune function, inflammation, older adults, immune-inflammatory markers, fibrin D-dimer, alpha2-globulin, lymphocytes, polymorphonuclear leukocytes, depression, negative life events, religiosity and health, aging and immunity, physical function, race, sex differences
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Aging, Female, Humans, Male, Psychoneuroimmunology, Quality of Life, Religion and Psychology, Geriatric Assessment, Interleukin-6, Inflammation Mediators
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