Sociodemographic characteristics and drinking status as predictors of older women's health.

As part of a U.S. national survey of women's drinking and life experiences, the authors used responses from a subsample (n = 245) of women aged 55-90 years (M = 65.8 years) to examine the relationship of sociodemographic characteristics (income, marital status, and occupational status) and drinking status to several health outcomes (self-perceived general health, depression, sexual satisfaction, and sexual dysfunction). In all analyses, the authors controlled for respondent age. Results indicated that higher household income predicted greater lifetime and current sexual satisfaction with a partner as well as higher general health ratings. Women drinkers also reported better general health than did abstainers. An interaction between marital status (married or cohabitating vs. nonmarried) and employment status (employed vs. nonemployed) was a predictor of general health ratings. The authors found significant contrasts among the 4 groups when they controlled for age, income, and drinking status: (a) Among the employed respondents, the nonmarried women reported better general health than did the married women; and (b) among nonmarried respondents, the employed women reported better general health than did the nonemployed women.     

Positive and Negative Religious Beliefs Explaining the Religion–Health Connection Among African Americans

Theory and literature suggests that the reason religiously involved people tend to have good health outcomes is because they have healthy lifestyles and behaviors in accord with religious beliefs. Other literature suggests that religious involvement may play a negative role in health outcomes due to beliefs about illness originating as punishment for sins. These ideas were tested as part of a theoretical model of the religion–health connection in a national sample of African Americans. Outcomes included a variety of health-related behaviors. Study participants (N = 2,370) randomly selected from a U.S. national call list completed a telephone survey assessing religious involvement, health behaviors, and demographic characteristics. Structural equation modeling was used to analyze study data. Findings indicate that perceived religious influence on health behavior mediated the relationship between religious beliefs and behaviors and higher fruit consumption and lower alcohol use and smoking. Belief that illness is the result of punishment for sin mediated the relationship between (a) religious beliefs and higher vegetable consumption and lower binge drinking and (b) religious behaviors and lower vegetable consumption and higher binge drinking. These findings could be applied to health education activities conducted in African American faith-based organizations, such as health ministries, in the effort to eliminate health disparities.     

Underage drinking as a predictor of alcohol use disorder among African Americans

This study aimed to examine the effect of underage drinking (UD) on alcohol use disorder (AUD) among African Americans. Data from the 2010 National Survey of Drug Use and Health (NSDUH) (N = 19 240; age range 25–75 years) were analysed for the study. Following regression analysis, African Americans with a history of underage drinking were found to be approximately four times more likely to experience AUD than their counterparts without a history of underage drinking. Within the underage drinking history group, those who are married and who had higher levels of education were less likely to have AUD compared to single persons who had lower levels of education. Age and gender did not predict AUD among those with a history of underage drinking. The findings of this study suggest that familial relationships may moderate the risks for AUD from UD. Primary socialisation theory might explain risk for AUD from UD among African Americans by way of intergenerational transmission of health values.     

All marriages are not maintained equally: Marital type,marital quality,and the use of maintenance behaviors

Although a growing amount of research has shown that married couples enact behaviors that maintain or preserve the relationship, little attention has examined how maintenance strategies are used in different types of marriages. This study investigated differences in the use of maintenance behaviors and in perceptions of marital quality across various marital types and explored the relationship between maintenance behaviors, marital types and key indicators of marital quality. Data collected from 141 married couples indicated that couples differed in the use of maintenance behaviors among various marital types. Further, the relationship between maintenance behaviors and perceptions of the key indicators of marital quality varied depending upon couples’ideological frameworks. The findings allow for a better picture of the use of maintenance behaviors in different types of marriages.     

Predictors of hazardous drinking and internet gaming severity among a military sample

Researchers have placed a necessary focus on the mental health and substance use needs of U.S. military populations. In the present study, we examined a sequential regression model in which psychological, emotional, and spiritual factors predicted hazardous drinking and internet gaming severity in a national sample of 207 with military identities. Results indicated that posttraumatic stress disorder symptoms, shame, and negative religious coping predicted hazardous alcohol use. Additionally, religious and spiritual struggles predicted higher internet gaming severity. Future research is needed to better contextualize combat era demographics and mental health risk and protective factors associated with alcohol use and internet gaming among military populations.     

Religious Homogamy and Marital Satisfaction in South Korea: Exploring Variations across Religious Groups

This study examines whether and how the association between religious homogamy (i.e., whether spouses have the same religious affiliation) and marital satisfaction varies across religious affiliations by utilizing a unique context that four large religious groups (i.e., Buddhists, Protestants, Catholics, and religious nones) coexist in South Korea. Our results show that while religious homogamy has a positive relationship with marital satisfaction among Protestants and Catholics, there is no such association among Buddhists. This study also reveals that higher levels of religious attendance intensify the positive relationship between religious homogamy and marital satisfaction only among Protestants. Moreover, religious heterogamy is positively associated with marital relationships among religious nones compared to religious homogamy. However, this pattern held only for religious nones who married Buddhists or Catholics. We discuss the implications of our findings for research on religion and marriage from cross-cultural perspectives.     

Dependency Conflict,Marital Threat,and Alcohol Consumption in a Middle-Aged Sample

The hypothesis that dependency conflict is associated with higher levels of alcohol consumption when dependency needs are threatened or thwarted was tested with a sample of 672 middle-aged, married adults with college-age children. The subjects' current level of alcohol consumption was predicted based on the present level of threat to the marital relationship (assessed by reports from several family members) and on indices of dependency need and inhibition of dependent behavior estimated from sibship size, sibship density, and sibling position. A multiple regression analysis yielded a significant two-way interaction (p < .05) between marital threat and subject sex, and a significant three-way interaction of dependency heed, inhibition of dependent behavior, and marital threat. High marital threat was associated with higher levels of alcohol consumption in men and slightly lower levels of alcohol consumption in women. Additionally, when dependency need was high, alcohol consumption was generally low, except when both inhibition of dependent behavior and marital threat were high. However, when dependency need was low, the highest alcohol consumption score occurred when marital threat was low and inhibition was high.     

Religion,Health, and Psychological Well-Being

This study compares the effects of religiosity on health and well-being, controlling for work and family. With 2006 GSS data, we assess the effects of religiosity on health and well-being, net of job satisfaction, marital happiness, and financial status. The results indicate that people who identify as religious tend to report better health and happiness, regardless of religious affiliation, religious activities, work and family, social support, or financial status. People with liberal religious beliefs tend to be healthier but less happy than people with fundamentalist beliefs. Future research should probe how religious identity and beliefs impact health and well-being.     

Effects of physical and verbal aggression,depression, and anxiety on drinking behavior of married partners: a prospective and retrospective longitudinal examination

In an ethnically diverse sample of 195 married couples, we conducted a latent factor growth analysis to investigate the longitudinal link (4 time points over 4½ years) between marital aggression (physical and verbal aggression self‐ and partner‐reports) and individual internalizing symptoms (depression and anxiety) as they relate to trajectories of alcohol use among husbands and wives. Alcohol use was operationalized as a latent factor with self‐ and partner reports of problem drinking as measured by the Michigan Alcoholism Screening Test and the Alcohol Dependence Scale. Verbal aggression by husbands or wives, by itself, has no effect on their alcohol use over time. In conjunction with depression, however, verbally aggressive husbands do have elevated drinking levels. The effects of husbands' and wives' physical aggression on their own and their partners' drinking behavior were also significant. This study is one of the first to examine the change over time in alcohol use for marital partners as related to marital aggression and internalizing symptoms. Our results shed light on areas of marital functioning (aggression, internalizing, alcohol use) that have not been investigated in conjunction with each other in a longitudinal design. Aggr. Behav. 35:296–312, 2009. © 2009 Wiley‐Liss, Inc.     

Religious Affiliation,Denominational Homogamy,and Intimate Partner Violence Among U.S. Couples

Intimate partner violence (IPV) is a major public health issue. Few studies, however, have examined the role of religion in IPV perpetration and victimization. This study analyzed the contribution of religious factors to IPV risk and prevalence among a sample of 1,440 married couples interviewed for the 1995 National Study of Couples. Results indicate that rates of IPV did not significantly differ by couple homogamy/heterogamy or type of denominational affiliation. Attendance at religious services at least weekly was associated with lower rates of IPV perpetration among men and with lower rates of IPV victimization among men and women. These findings were attenuated in the multivariate logistic regression analyses. Study findings suggest that religion does not have a strong or direct influence on the occurrence of IPV; alcohol‐related problems, however, may be a mediating factor. Despite the null findings, religious institutions can play an important role in primary and secondary IPV prevention.     

Religion and Selected Health Behaviors Among Latinos in Texas

Though research has shown that religion provides a protective influence with respect to a number of health-related outcomes, little work has examined its influence on patterns of alcohol (especially binge drinking) and tobacco consumption among Latinos in Texas. Thus, we used a probability sample of Texas adults to test this relationship via logistic regression. Our results revealed that clear distinctions emerge on the basis of both denomination and frequency of attendance. Specifically, Protestants who regularly attend religious services are significantly more likely to be abstainers and to have never smoked, while those with no religious affiliation exhibit relatively unfavorable risk profiles. These findings persist despite a range of socio-demographic controls. Our study supports the assertion that religion may serve as an important protective influence on risky health behaviors.     

Age variations in the suicide rates and self-reported subjective well-being of married and never married persons

Previous research has established that people who never marry have higher suicide rates and lower self-reported subjective well-being than the married. The present study examines how the differences between: (1) never married persons who live alone, (2) never married cohabitees; and (3) currently married people, vary between age groups. The relevance of such age variations for status integration theory and theories of marital selection is discussed. Summing up results from previous studies of suicide rates, the relative position of the never married is found to be most unfavourable for people in their 30s and 40s; the differences are smaller among the young and the old. Data on self-reported well-being are taken from a large-scale survey of the population of one of Norway's 19 counties (n = 51 000), and are analysed by means of ordinary multiple regression. With regard to single people who were married or who never married, the results are largely consistent with the suicide findings; the advantage of marriage increases until about 40 years of age, then declines. The survey data also provide information about unmarried cohabitation, which seems to be more or less equivalent to marriage in most age groups. Neither status integration theory nor any other single theory of marriage effects or marital selection seems to be able to account for these findings in a satisfactory way.     

Marital Status and Health Beliefs: Different Relations for Men and Women

Although relations between marital status and health have been substantiated, the results of relatively few studies suggest how or why marriage is associated with health. To understand how marriage and health are associated, this study was designed to examine the role of health beliefs. Two thousand two hundred and six (2,206) adults who participated in the New Jersey Family Health Survey provided information about their marital status, proactive health beliefs, and proactive health behaviors. Results indicated that being married (vs. single) was positively associated with men's proactive health beliefs, whereas marriage did not appear to influence women's proactive health beliefs positively. Significant relations between participants' reports of proactive health beliefs and proactive health behaviors were found. Findings are discussed in terms of the importance of understanding the complex nature of associations between social relationships and health.     

Religious Involvement among Caribbean Blacks in the United States

This study examined demographic and denominational differences in religious involvement (i.e., organizational, non-organizational, subjective) among Caribbean Blacks (Black Caribbeans) residing in the U.S. using data from the National Survey of American Life. Caribbean Blacks who were born in the U.S. had lower levels of religious involvement than those who immigrated and respondents originating from Haiti (as compared to Jamaica) had higher levels of religious involvement, while persons from Trinidad-Tobago reported lower service attendance than did Jamaicans. Older persons, women and married persons generally demonstrated greater religious involvement than their counterparts, while highly educated respondents expressed lower levels of self-rated religiosity. Denominational differences indicated that Baptists reported high levels of religious involvement; however, in several cases, Pentecostals and Seventh Day Adventists reported greater involvement.     

Are Religiosity and Spirituality Associated with Obesity Among African Americans in the Southeastern United States (the Jackson Heart Study)?

There are several lines of evidence that suggest religiosity and spirituality are protective factors for both physical and mental health, but the association with obesity is less clear. This study examined the associations between dimensions of religiosity and spirituality (religious attendance, daily spirituality, and private prayer), health behaviors and weight among African Americans in central Mississippi. Jackson Heart Study participants with complete data on religious attendance, private prayer, daily spirituality, caloric intake, physical activity, depression, and social support (n = 2,378) were included. Height, weight, and waist circumference were measured. We observed no significant association between religiosity, spirituality, and weight. The relationship between religiosity/spirituality and obesity was not moderated by demographic variables, psychosocial variables, or health behaviors. However, greater religiosity and spirituality were related to lower energy intake, less alcohol use, and less likelihood of lifetime smoking. Although religious participation and spirituality were not cross-sectionally related to weight among African Americans, religiosity and spirituality might promote certain health behaviors. The association between religion and spirituality and weight gain deserves further investigation in studies with a longitudinal study design.     

Moderating Effect of Marital Status on the Association Between Combat Exposure and Post-Deployment Mental Health in Canadian Military Personnel

For military personnel, there are positive and negative aspects of marriage, which may contribute to mental health during times of high stress. The present study investigated the relationship of marital status with three mental health outcomes (general mental health, posttraumatic stress disorder [PTSD], depression) among 14,624 Canadian military personnel recently deployed in support of the mission in Afghanistan. Greater combat exposure was associated with poorer postdeployment mental health, but marital status was, on its own, only slightly associated with PTSD. Marital status significantly moderated the relationship between combat exposure and mental health: For both single and married participants, mental health declined as combat exposure increased, but this association was stronger for married members. This association could be due to the additional familial demands that married personnel may face upon their return from deployment or to the stresses associated with poor marital satisfaction. Overall, results suggest that the relationship between marital status and mental health after deployment is complex and may vary according to other factors.     

Mortality Differentials and Religion in the U.S.: Religious Affiliation and Attendance

Using data from the Health and Retirement Study, I examine the relationship between adult mortality and religious affiliation. I test whether mortality differences associated with religious affiliation can be attributed to differences in socioeconomic status (years of education and household wealth), attendance at religious services, or health behaviors, particularly cigarette and alcohol consumption. A baseline report of attendance at religious services is used to avoid confounding effects of deteriorating health. Socioeconomic status explains some but not all of the mortality difference. While Catholics, Evangelical Protestants, and Black Protestants benefit from favorable attendance patterns, attendance (or lack of) at services explains much of the higher mortality of those with no religious preference. Health behaviors do not mediate the relationship between mortality and religion, except among Evangelical Protestants. Not only does religion matter, but studies examining the effect of "religiosity" need to consider differences by religious affiliation.     

A review of marital rape

The current paper represents a comprehensive review of marital rape, including its legal history and numerous aspects of its perpetration and victimization. Specifically, this review focuses on theories and forms of marital rape, the scope of the problem, risk factors, resistance strategies, and marital rape's psychological and physical effects, and help-seeking behaviors and interventions for victims. Historically, marital rape has not been recognized as a criminal act; only recently has marital rape become illegal in all 50 states. Marital rape is a serious societal issue that is experienced by 10% to 14% of all married women and 40% to 50% of battered women. Marriages in which marital rape occurs have significantly higher rates of non-sexual violence and marital dissatisfaction, as well as lower ratings of marital quality. Victims who resist marital rape often employ verbal means of resistance. However, most of marital rape victims are either unable or afraid to resist sexual aggression by their husbands. Victims of marital rape experience significant levels of posttraumatic stress disorder (PTSD), depression, gynecological problems, and negative physical health symptoms. Victims of marital rape seek help from a variety of different resources. Seeking help from social service agencies and the law appears to be the most effective behaviors for ending marital rape. Stress inoculation therapy and cognitive processing therapy are promising treatments for victims of marital rape. The literature on marital rape is characterized by considerable methodological problems, and further research is needed to gain a better understanding of this problem.     

Religious Orientation Among a Random Sample of Community-Dwelling Adults: Relations With Health Status and Health-Relevant Behaviors

This empirical study was designed as the first to describe the distribution of the four religious orientation types in the general population, based on Allport and Ross's Intrinsic/Extrinsic typology, and to test whether differences in health status and health relevant behaviors based on religious type exist. Throughout 2005–2006 individuals (N = 157) were randomly telephoned and administered a measure of religious orientation. They reported health status, height/weight, use of tobacco and alcohol, and engagement in aerobic exercise. All four religious orientation types were represented (Intrinsic = 19.1%, Extrinsic = 22.3%, Pro-religious = 36.9%, Non-religious = 21.7%). Intrinsic and Non-religious types reported the most favorable health perceptions and lowest body mass indexes. Intrinsic and Pro-religious types were least likely to smoke tobacco or drink alcohol. Religious orientation is a useful construct pertaining to health status and health relevant behaviors and further demonstrates the multidimensional nature of religion.     

Religious perceptions of alcohol consumption and drinking behaviours among religious and non-religious groups

Evidence indicates that religious involvement is associated with lower levels of alcohol consumption. However, mechanisms underlying the specific effects of religion on alcohol behaviours are still not entirely clear. This study examined potential differences in religious perceptions of alcohol consumption (RePAC) among Christian, Buddhist, Muslim, and non-religious individuals, and between Catholic and Baptist Christian denominations. We also assessed whether these perceptions were associated with quantity and frequency of drinking. Participants (N?=?495; 79% female) aged 18 and above completed self-report measures of alcohol consumption and religious perceptions of alcohol use. Findings indicated that non-religious individuals and Buddhists reported higher RePAC scores (i.e., more favourable attitudes toward alcohol use), followed by Christians and then Muslims. Drinking quantity was more strongly associated with RePAC for Buddhists and Christians than the same association for non-religious participants. These results provide preliminary evidence linking religious perceptions of alcohol to drinking behaviours across religious affiliations.