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Ethn Health. 2019 Aug 30:1-19. doi: 10.1080/13557858.2019.1661358. [Epub ahead of print]

'Mental health and self-rated health among U.S. South Asians: the role of religious group involvement'.

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Department of Sociology, Louisiana State University , Baton Rouge , LA , USA.
National Consortium on Psychosocial Stress, Spirituality, and Health , Boston , MA , USA.
Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities , Boston , MA , USA.
Harvard Medical School , Boston , MA , USA.
Yale School of Public Health , New Haven , CT , USA.
Northwestern University Feinberg School of Medicine , Chicago , IL , USA.
San Francisco School of Medicine, University of California , San Francisco , CA , USA.


Objectives: Only one community-based study has assessed religious group involvement and health outcomes among South Asians in the U.S., with mixed results. Here, using a large, South Asian community-based sample, the effects of six religious group involvement predictors - religious tradition, attendance, group prayer, giving/receiving congregational emotional support, congregational neglect, and congregational criticism - were examined in relation to four health outcomes: self-rated health, positive mental health functioning, trait anxiety, and trait anger. Design: The study used a new religion/spirituality questionnaire in the Mediators of Atherosclerosis Among South Asians Living in America (MASALA), the largest study of mental and physical well-being among U.S. South Asians. Associations were assessed cross-sectionally using OLS regression in both the full sample (N = 928) and a subsample of congregation members (N = 312). Results: Jains reported better self-rated health compared to Hindus and Muslims. Group prayer involvement, when measured ordinally, was positively associated with self-rated health and mental health functioning. In reference group comparisons, individuals who participated in group prayer once/day or more had lower levels of anxiety and anger compared to several comparison groups in which individuals prayed less than once a day. Religious service attendance was associated with higher levels of anxiety. Giving/receiving congregational emotional support was positively associated with self-rated health and mental health functioning, and inversely associated with anxiety. Congregational criticism was associated with higher levels of anger and anxiety. Conclusions: This study provided a new assessment of religious group involvement and health in the U.S. South Asian population. Religious group participation was associated with mental and self-rated health in well-controlled models, indicating this is a fruitful area for further research. Group religious involvement may be a health-promoting resource for U.S. South Asians who are religiously active, but it is not an unalloyed boon.


Hindu; Immigrant; Jain; Muslim; South Asian; anger; anxiety; depression; mental health; religion; self-rated health; spirituality

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