Religiosity and Excess Weight Among African-American Adolescents: The Jackson Heart KIDS Study

Recent studies suggest that religion and spirituality can yield health benefits for young African-Americans. We examined the relationship between religious practices, spirituality, and excess weight among African-American adolescents (N = 212) residing in the Deep South. Results from modified Poisson regression analysis indicate that adolescents who prayed daily had a lower prevalence of excess weight (PR 0.77 [95% CI 0.62–0.96]) than those who did not. This relationship was only significant for 12–15 year-old participants in age-stratified analysis. These findings suggest that preventive interventions offered to children and younger adolescents can have implications for weight status across the lifespan.

     

Widows' Spiritual Journeys: Do They Quest?

SUMMARY

Two studies examined the spiritual experiences of older women shortly after their husbands' deaths. The central question was, in the process of becoming and being a widow, do the older women begin a reflective dialogue with existential questions and initiate spiritual journeys as recent widows? One study is based on the widows within a random sample of older adults. The second study involved in-depth interviews with 15 recent widows. Both studies included Batson's measures of means, ends, and quest religious orientations. There was more evidence of an “ends” (intrinsic) orientation among the widows than “means” (extrinsic) for religious involvement; there was also no change over time in these orientations. Their quest orientation, however, became significantly less prevalent in the follow-up. It seems that women indeed quested, and by follow-up engaged their faith for religious consolation. Data from Study 2 revealed two themes: religious involvement provided a sense of continuity and direction, and through faith and prayer the women were able to (re)find meaning and purpose to life.     

Does Religion Increase the Prevalence and Incidence of Obesity in Adulthood?

Previous research reveals that religion in America is related to variations in body weight. This article examines the relationships between religion and both body mass index (BMI) and obesity, which have increased in prevalence in the United States over the past two decades. Using longitudinal data from a national sample of adults, this study prospectively examines whether dimensions of religious life are associated with weight gain and the development of obesity during eight years of follow-up. We examine four dimensions of religiosity (attendance, salience, media practice, and consolation) and religious affiliation. Ordinary least squares regression analyses reveal that high levels of religious media practice are associated with higher BMI in women. Logistic regression analyses reveal that high levels of religious media practice and affiliation with a Baptist denomination increased the risk of obesity for women, but that a high level of religious consolation reduced the risk of obesity incidence for men. Attendance at religious services was associated with a lower risk of the incidence of obesity for women, suggesting the importance of studying links between dimensions of religious life and body weight.     

Weight status misperception among Mexican young adults

Individuals who misperceive their body size are at risk for eating disorders, unhealthy weight control practices, and obesity-related diseases. This study assessed the prevalence and demographic, behavioral, and psychosocial correlates of agreement between perceived (self-reported) and actual (measured) body mass index categories in a sample of Mexican college applicants aged 18-20 years (N=3622; 52% female). Under two thirds (63.1%) accurately reported their weight status categories. Reporting accuracy was lower among overweight and obese participants. In multivariate analyses, overestimating was associated with female gender, younger age, lower level of parent education, and more hours of daily TV viewing; underestimating was associated with male gender and older age. In within-gender analyses, overestimating was associated with hours of TV among men and underestimating was positively associated with depressive symptoms among women. This study adds to a growing international literature on body weight status misperception among adolescents and young adults.     

Cultural and Religious Variation in Attitudes to Young People Consenting to Health Interventions

There is a limited amount of empirical data available regarding the cultural and religious variation in perceptions about the age when young people should be regarded as competent to make decisions in health settings. A public survey of 400 adults from diverse religious and ethnic backgrounds was conducted in the UK and Spain. Attitudes were assessed using case vignettes. It was found that high religious practice was associated with recommending a higher age of consent for medical interventions. White British adults were more likely than Spanish adults to agree that younger adolescents should be allowed to consent to medical interventions. The study suggests that there is social, cultural and religious variation in adults’ attitudes regarding the age when youngsters should consent to health interventions.

     

The rise of the nones and the changing relationships between identity,belief, and behavior

ABSTRACT

One of the more remarkable trends of the past 30 years is the dramatic rise of individuals who do not identify with any religious tradition. While this trend has been well documented, some of the underlying dynamics and consequences have not been fully appreciated or explicated. We examine the General Social Survey in the period from 1972 to 2014 to examine how the increase in the ‘nones’ is tied to changes in the strength of religious identity among US adults and, in turn, how the rise of the nones has affected the relationships between religious identity, religious belief, and religious behavior. In particular, we show that, as the percentage of US adults who do not identify with a religion has grown, the correlations between religious identification, belief, and behavior have increased. In short, the rise of the nones has led to more congruence between measures of religion.     

Weighing Weight: Trends in Body Weight Evaluation Among Young Adults, 1990 and 2005

Given the rising prevalence of overweight and sociocultural portrayal of increasingly thin female body ideals and muscular/lean male body ideals, we examined trends in body weight evaluation using two cross-sectional surveys of US undergraduates in 1990 (n?=?794) and 2005 (n?=?794). Trends in body weight evaluation variables were examined and compared to respondents’ current body mass index. Results suggest men are increasingly evaluating their weight in a manner reflective of heavier, more muscular societal body ideals. Women are becoming increasingly accurate in evaluating their weight and perception of being overweight is declining. However, the high, stable prevalence of potentially inappropriate weight management behavior among both genders suggests the influence of societal body ideals on behavior remains strong.     

Exploring religious and/or spiritual identities: part 1 – assessing relationships with health

ABSTRACT

There is considerable debate about the distinction between being religious and being spiritual. It is time to move beyond this issue to an examination of the health-related implications of being religious and/or spiritual. Three health outcomes are used in this study: self-rated health, depressive symptoms, and alcohol use. The data are from a large nationwide random probability survey of adults of all ages who reside in the United States (N?=?2,876–2,883). Four self-identified categories of religiousness/spirituality are examined: religious and spiritual, spiritual only, not religious/not spiritual, and religious only. Tests are performed to see if membership in each category offsets the noxious effects of lifetime trauma on the health-related outcomes. A clear pattern emerges from the data. Lifetime trauma is associated with less favourable health ratings, more symptoms of depression, and greater alcohol consumption. However, these relationships are substantially stronger among people who say they are religious only.     

Five‐Factor Model Personality Traits and the Objective and Subjective Experience of Body Weight

Research on personality and adiposity has focused primarily on middle‐aged and older adults. The present research sought to (a) replicate these associations in a young adult sample, (b) examine whether sex, race, or ethnicity moderate these associations, and (c) test whether personality is associated with the subjective experience of body weight and discrepancies between perceived and actual weight. Participants (N = 15,669; M_age = 29; 53% female; ～40% ethnic/racial minority) from Wave 4 of the National Longitudinal Study of Adolescent Health completed a Five‐Factor Model personality measure and reported their weight, height, and perception of weight category (e.g., overweight); trained staff measured participants’ height, weight, and waist circumference. Conscientiousness was associated with healthier weight, with a nearly 5 kg difference between the top and bottom quartiles. Neuroticism among women and Extraversion among men were associated with higher adiposity. Neuroticism was also associated with misperceived heavier weight, whereas Extraversion was associated with misperceived taller and leaner. The associations were similar across race/ethnic groups. Personality is associated with objective and subjective adiposity in young adulthood. Although modest, the effects are consistent with life span theories of personality, and the misperceptions are consistent with the conceptual worldviews associated with the traits.     

Weight maintenance: Self-regulatory factors underpinning success and failure

Objectives: To investigate the differences in the contributing factors involved in weight maintenance success and failure.

Design: Semi-structured interviews were conducted with both successful and unsuccessful weight maintainers. Eighteen participants were recruited (16 women), nine of who had lost 10% of their body weight and maintained this weight for a minimum of 12?months (Maintainers), and nine individuals who met the above criteria for weight loss but had subsequently regained their weight (Regainers). A thematic analysis was employed to compare the differences between the two groups.

Results and conclusions: Two main themes highlighted the differences between the two groups, these were: goal regulation and self-control. Within these overarching themes, successful weight maintenance was related to the following subthemes: long-term, realistic goal setting, consistent use of routines and self-monitoring, avoiding deprivation and effective coping skills. Unsuccessful maintenance was related to short-term unrealistic goal setting, inconsistent routines and self-monitoring, experiencing deprivation and poor coping skills. These factors are explained in terms of the interrelationships that they have on one another and their subsequent impact on weight maintenance success or failure.     

Working Together with God: Religious Coping,Perceived Discrimination,and Hypertension

This study examined the relationships of perceived discrimination and religious coping with hypertension in a sample of Black and White Seventh-day Adventists. Data come from a community-based sample of 6128 White American, 2253 African American and 927 Caribbean American adults (67% women; mean age = 62.9 years). Results indicate lifetime unfair treatment was significantly associated with hypertension regardless of race/ethnicity. Positive religious coping was associated with lower odds of hypertension and did not interact with unfair treatment. Both positive and negative religious coping were indirectly associated with increased hypertension risk through an increase in perceived discrimination.

     

Pilot Trial of Acceptance-Based Behavioral Weight Loss and Neurocognition Among American Indians

Acceptance-based behavioral therapies (ABTs) for obesity may be superior to standard behavioral therapies but have not been adequately tested with American Indians (AIs). Neurocognitive function is also unexamined in relation to behavioral weight loss among AIs despite findings that neurocognition predicts outcomes in general samples, may help explain some of the benefits of ABTs, and may be relevant to marginalized groups. The primary objective of this pilot was to examine the feasibility/acceptability of ABT in an AI sample. Exploratory analyses examined the relationship between neurocognition and weight loss. Forty-eight AI adults with overweight/obesity (ages 43.3 ± 10.3 years, 85% female; baseline body mass index = 36.8 ± 4.4 kg/m²) enrolled in a 6-month open ABT weight loss trial. Feasibility indices, including screening/enrollment, session attendance, retention rates for posttreatment assessments, and program acceptability were examined. Percent weight loss (%WL) was assessed as well as fluid and crystalized neurocognition (National Institutes of Health Toolbox Cognition Battery [NIHTB-CB]). We enrolled 79% of the eligible sample and retained 75% (N = 36) at posttreatment assessments. Program completers lost an average of 5.2 ± 4.9% of initial body weight (d_z = 1.14), whereas intent-to-treat analyses show a mean loss of 4.1 ± 4.7%. Participants reported high satisfaction, effectiveness, and cultural appropriateness. Exploratory analyses of neurocognitive domains suggested that crystalized cognition was higher among completers, and higher baseline cognitive flexibility predicted greater %WL (β = .34, p = .05). ABT resulted in clinically significant weight loss in an AI sample. A controlled trial of ABT in a larger, more diverse sample is warranted to determine whether (a) the findings are robust, generalizable, and/or superior to other treatments and (b) neurocognitive factors moderate outcomes.     

Abuse and religious experience: A study of religiously committed evangelical adults

Two hypotheses were tested: (1) in a sample of religiously-committed evangelical adults, past experience of abuse is related to more frequent (a) religious behaviour such as prayer, church attendance and Bible reading, and (b) religious experiences, such as religious visions, healings and speaking in tongues; (2) abuse is also associated with evidence of alienation from God, as noted in more frequent reports of God as distant and more frequent religious doubting. Survey data from 3424 adults attending one of four new evangelical movement churches were analysed. Controlling for socio-economic and religious socialization variables, a series of regression equations were calculated looking at the relationship between the experience of abuse and the dependent variables of three factor scores representing conventional religious behaviour, transcendent religious experience and feelings of distance from God. Self-report of the frequency of abuse was positively associated with frequency of reported transcendent religious experiences and with feelings of distance from God. A significant relationship between abuse and more conventional religious behaviour was not found. The findings provide mixed support for the idea that abuse results in ambivalent responses toward religion and God in religiously committed adults. The lack of relationship between abuse and conventional religious behaviours is somewhat inconsistent with prior results, and likely represents a ceiling effect. The positive correlation with transcendent religious experiences and distance from God are consistent with prior studies, but may suggest alternative explanations.     

Perfectionism and Eating Attitudes In Competitive Rowers: Moderating Effects of Body Mass,Weight Classification and Gender

Abstract

One purpose of the present research was to determine the relationship between perfectionism and eating attitudes among national level rowers. A second purpose was to determine if body mass, weight classification and gender moderate perfectionism-eating attitude relations. Rowers from New Zealand and Australia (W=449) completed the Positive and Negative Perfectionism Scale (PANPS; Terry-Short, Owens, Slade and Dewey, 1995), the Eating Attitude Test-40 (EAT-40; Garner and Garfinkel, 1979), and the Short Form of the Marlowe-Crowne Social Desirability Scale (MC-SDS; Reynolds, 1982). In addition, a Body Mass Index (BMI) was calculated from the height and weight measurements of each participant. Hierarchical multiple regression analyses showed that, after accounting for social desirability effects. Negative (unhealthy) Perfectionism scores were positively related to disturbed eating attitude scores, whereas Positive (healthy) Perfectionism scores were unrelated to disturbed eating attitude scores. In addition, body mass, weight classification and gender operated in a conjunctive fashion to produce a maximum moderator effect. That is, relations between Negative Perfectionism and disturbed eating attitudes were strongest for female lightweight rowers with higher BMI scores. Recommendations for future research are discussed.     

Relations Among Milk and Non-Milk Beverage Consumption, Calcium, and Relative Weight in High-Weight Status Children

Relations among weight, calcium, and milk have received considerable attention, but inconsistencies remain regarding strength and direction of associations. Calcium, milk, other beverages, and weight status associations were examined among children >75th BMI percentile from three studies. Results indicated negative relations between z-BMI and non-whole milk and calcium in one sample, with lower z-BMI and percent body fat among older children drinking any non-whole milk. In one older child sample, z-BMI and percent body fat were higher for whole milk consumers. The only significant relation observed for other beverages was the negative association between juice and percent body fat in younger children. Milk, calcium, and child weight status associations are inconsistent, and appear dependent on milk type and child age.     

Spiritual and Religious Implications of Aging with HIV: A Conceptual and Methodological Review

ABSTRACT

Spirituality and religious practices can buffer people from stressful life circumstances and promote positive biopsychosocial outcomes. The beneficial effects of spirituality and religious practices have been documented in aging and HIV. Unfortunately, little is known about spirituality and religious practices in older adults with HIV. As the number of older adults with HIV increases, with an estimated 91,000 adults over 50 being diagnosed with this disease in the United States, spirituality and religious practices may help HIV-positive people to age successfully. Crisis competence and spiritual trajectories are ways of conceptualizing spiritual development when confronting aging with a life-changing event such as a being diagnosed with HIV. Methodological issues in studying spirituality in adults aging with HIV are identified including defining spirituality and religiosity, heterogeneity of the population, timing of diagnosis, mode of transmission, sexual orientation, religious and cultural stigma, and hardiness. Implications for possible interventions are also posited.     

“Let the heavens be glad,and the earth rejoice”: religion and life satisfaction among emerging adults in the United States

Although previous research suggests that religion contributes to greater life satisfaction, there is still disagreement about what aspects of religion predict greater life satisfaction. Despite a growing body of theory and research on emerging adulthood as a life stage that is distinct from adolescence and young adulthood, there has also been limited research on the relationship between religion and life satisfaction among emerging adults. Based on the third wave of the National Study of Youth and Religion, our results suggest that two measures of private religiosity, private devotion and religious efficacy, are significantly related to greater life satisfaction among emerging adults. In contrast, other dimensions of private and public religiosity, such as participation in organised religion, religious salience, otherworldly beliefs, and number of religious friends, are not related to greater life satisfaction. Finally, among emerging adults, being spiritual but not religious is not significantly related to life satisfaction.     

Is Conservative Religiousness Inherently Associated with Poorer Health for Sexual Minorities?

Results of path analysis involving sexual minority participants (N?=?1317) from diverse sociopolitical contexts revealed health outcomes to be associated with internalized homonegativity and the resolution of conflict between religious and sexual minority identities. Contrary to expectations, several markers of religiousness were not directly associated with either improved or worsened health outcomes for depression or anxiety. However, religious activity moderated the influence of internalized homonegativity (IH) on depression such that IH was less strongly related to depression among individuals who frequently attended religious services than among individuals who infrequently attended religious services. These findings have special salience for advancing a more accurate understanding of conservatively religious sexual minorities and directing culturally sensitive research, clinical services, and public policy.

     

A Case Series of Family-Based Therapy for Weight Restoration in Young Adults with Anorexia Nervosa

This case series aims to examine the preliminary efficacy, acceptability and feasibility of Family-Based Treatment to promote weight restoration in young adults with anorexia nervosa. Four young adults with sub/threshold anorexia nervosa were provided 11–20 sessions of Family-Based Treatment for young adults with pre-, post- and follow-up assessments. At post- and follow-up, 3/4 participants were in the normal weight range, 3/4 were in the non-clinical range on the Eating Disorders Examination and reported being not/mildly depressed. At post-treatment, 2/4 were in the good psychosocial functioning range and by follow-up, 3/4 were in this range. These results suggest that Family-Based Treatment for young adults with anorexia nervosa is a promising treatment.