Emily SCHULZ, Ralph Curtis BAY, Eddie M. CLARK, Beverly Rosa WILLIAMS, Crystal PARK, Lijing MA, Cheryl L. KNOT

Predictors of African American Belief in Illness as Punishment for Sin

While religious participation is positively associated with health, and faith traditions often promote wholesome behavior among followers, religious beliefs endorsing the notion of illness as punishment for sin can be negatively related to health. To date, little is known about the correlates of this belief. This study examined demographic characteristics and religiosity as predictors of the belief that illness occurs as punishment for sin in a national probability sample of African American adults. Of 3,173 participants completing a telephone survey, 2,172 (68.45%) moderately endorsed belief in illness as punishment for sin (mean of 16 [SD=4.59] out of possible 32). Spearman correlations and linear regression modeling were conducted. Findings suggested that participants who were men, less educated, with lower income levels, lower religious beliefs, greater religious participation, greater use of negative religious coping, and both active and passive spiritual health locus of control beliefs, reported significantly stronger belief in illness as punishment for sin. Age, employment, and positive religious coping were not significant predictors. Psychologists, counselors, and health professionals working with African Americans may consider these findings in helping clients find healthy ways to reflect on their illnesses in collaboration with clergy, that are client-centered and respectful of their faith traditions.

Keywords:

Illness as punishment, African Americans, Religious coping, Spiritual health locus of control, Spiritual struggle, Religious beliefs, Religious behaviors,

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Abulhul, Z. (2020). Treatment of individuals with disabilities throughout history and across religions in Libya. Open Journal of Social Sciences, 8(11), 207-218. https://doi.org/10.4236/jss.2020.811019
Ai, A. L., Peterson, C., Bolling, S. F., & Koenig, H. (2002). Private prayer and optimism in middle-aged and older patients awaiting cardiac surgery. Gerontologist, 42(1), 70-81. https://doi.org/10.1093/geront/42.1.70
Anandarajah, G., Roseman, J., Mennillo, L. G., & Kelley, B. (2021). Spirituality in primary palliative care and beyond: A 20-year longitudinal qualitative study of interacting factors impacting physicians’ spiritual care provision over time. Journal of Pain and Symptom Management. https://doi.org/10.1016/j.jpainsymman.2021.05.013
American Cancer Society (2019). Cancer Facts & Figures for African Americans 2019-2021. Atlanta, GA: American Cancer Society. Retrieved From: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/cancer-facts-and-figures-for-african-americans/cancer-facts-and-figures-for-african-americans-2019-2021.pdf
Anderson, N. L., Andrews, M., Bent, K. N., Douglas, M. K., Elhammoumi, C. V., Keenan, C., ... & Mattson, S. (2010). Chapter 5: Culturally based health and illness beliefs and practices across the life span. Journal of Transcultural Nursing, 21(4 suppl 1), 152S-235S. https://doi.org/10.1177/1043659610381094
Avent Harris, J. R., Wahesh, E., Barrow, M., & Fripp, J. A. (2021). Demographics, Stigma, and Religious Coping and Christian African Americans' Help Seeking. Counseling and Values, 66(1), 73-91. https://doi.org/10.1002/cvj.12145
Bhatnagar, S., Gielen, J., Satija, A., Singh, S. P., Noble, S., & Chaturvedi, S. K. (2017). Signs of spiritual distress and its implications for practice in Indian palliative care. Indian Journal of Palliative Care, 23, 306-311. https://doi.org/10.4103/IJPC.IJPC_24_17
Blocker, D. E., Romocki, L. S., Thomas, K. B., Jones, B. L., Jackson, E. J., Reid, L., & Campbell, M. K. (2006). Knowledge, beliefs and barriers associated with prostate cancer prevention and screening behaviors among African-American men. Journal of the National Medical Association, 98(8), 1286-1295. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569547/pdf/jnma00195-0048.pdf
Brandt, M. J., & Henry, P. J. (2012). Psychological defensiveness as a mechanism explaining the relationship between low socioeconomic status and religiosity. International Journal for the Psychology of Religion, 22(4), 321-332. https://doi.org/10.1080/10508619.2011.646565
Brewer, G., Robinson, S., Sumra, A., Tatsi, E., & Gire, N. (2015). The influence of religious coping and religious social support on health behaviour, health status and health attitudes in a British Christian sample. Journal of Religion and Health, 54, 2225-2234. https://doi.org/10.1007/s10943-014-9966-4
Centers for Disease Control and Prevention. (2017). African American health: Creating equal opportunities for health. Vital Signs. Retrieved from https://www.cdc.gov/vitalsigns/aahealth/index.html
Clark, E. M., Huang, J., Roth, D. L., Schulz, E., Williams, B. R., & Holt, C. L. (2017). The relationship between religious beliefs and behaviours and changes in Spiritual Health Locus of Control over time in a national sample of African-Americans. Mental Health, Religion & Culture, 20(5), 449-463. https://doi.org/10.1080/13674676.2017.1356274.
Clark, E. M., Williams, B. R., Huang, J., Roth, D. L., & Holt, C. L. (2018). A longitudinal study of religiosity, spiritual health locus of control, and health behaviors in a national sample of African Americans. Journal of Religion and Health, 57, 2258-2278. https://doi.org/10.1007/s10943-017-0548-0
Damen, A., Exline, J., Pargament, K., Yao, Y., Chochinov, H., Emanuel, L., ... & Fitchett, G. (2021). Prevalence, predictors and correlates of religious and spiritual struggles in palliative cancer patients. Journal of Pain and Symptom Management. https://doi.org/10.1016/j.jpainsymman.2021.04.024
Daniel, S. B. (1983). The tool box approach of the Tamil to the issues of moral responsibility and human destiny. In C. F. Keyes & E. V. Daniel (Eds.), Karma: An anthropological inquiry (pp. 27-62). Berkeley, CA: University of California Press.
Debnam, K. J., Holt, C. L., Clark, E. M., Roth, D. L., Foushee, H. R., Crowther, M., … Southward, P. L. (2012). Spiritual health locus of control and health behaviors in African Americans. American Journal of Health Behavior, 36, 360-372. https://doi.org/10.5993/AJHB.36.3.7
Durham, C., & Ramcharan, P. (2018). Insight into acquired brain injury: Factors for feeling and faring better. Singapore: Springer, pp. 31-51.
Ellison, C. G., & Levin, J. S. (1998). The religion-health connection: Evidence, theory, and future directions. Health Education & Behavior, 25(6), 700-720. https://doi.org/10.1177/109019819802500603
Emlet, C. A., Harris, L., Pierpaoli, C. M., & Furlotte, C. (2018). “The journey I have been through”: The role of religion and spirituality in aging well among HIV-positive older adults. Research on Aging, 40, 257-280. https://doi.org/10.1177/0164027517697115
Fehige, Y. (2019). The Book of Job as a thought experiment: On science, religion, and literature. Religions, 10(2), 77. https://doi.org/10.3390/rel10020077
Hagger, M. S., & Orbell, S. (2021). The common sense model of illness self-regulation: A conceptual review and proposed extended model. Health Psychology Review, 1-31. https://doi.org/10.1080/17437199.2021.1878050
Holt, C. L., Clark, E. M., Debnam K. J., & Roth, D. L. (2014). Religion and health in African Americans: The role of religious coping. American Journal of Health Behavior, 38, 190-199. https://doi.org/10.5993/AJHB.38.2.4
Holt, C. L., Clark, E. M., Kreuter, M. W., & Rubio, D. M. (2003). Spiritual health locus of control and breast cancer beliefs among urban African American women. Health Psychology, 22, 294-299. https://doi.org/10.1037/0278-6133.22.3.294
Holt, C. L., Clark, E. M., & Roth, D. L. (2014). Positive and negative religious beliefs explaining the religion–health connection among African Americans. The International Journal for the Psychology of Religion, 24(4), 311-331. https://doi.org/10.1080/10508619.2013.828993
Holt, C. L., Clark, E. M., Roth, D., Crowther, M., Kohler, C., Fouad, M., ... Southward, P. L. (2009). Development and validation of instruments to assess potential religion-health mechanisms in an African American population. Journal of Black Psychology, 35(2), 271-288. https://doi.org/10.1177/0095798409333593
Holt, C. L., Lewellyn, L. A., & Rathweg, M. J. (2005). Exploring religion-health mediators among African American parishioners. Journal of Health Psychology, 10(4), 511-527. https://doi.org/10.1177/1359105305053416
Holt, C. L., Lukwago, S. N., & Kreuter, M. W. (2003). Spirituality, breast cancer beliefs and mammography utilization among urban African American women. Journal of Health Psychology, 8(3), 383-396.
Holt, C. L., Roth, D. L., Clark, E. M., & Debnam, K. (2014). Positive self-perceptions as a mediator of religious involvement and health behaviors in a national sample of African Americans. Journal of Behavioral Medicine, 37, 102-112. https://doi.org/10.1007/s10865-012-9472-7
Hulett, J. M., Armer, J. M., Leary, E., Stewart, B. R., McDaniel, R., Smith, K., ... Millspaugh, J. (2018). Religiousness, spirituality, and salivary cortisol in breast cancer survivorship: A pilot study. Cancer Nursing, 41, 166-175. https://doi.org/10.1097/NCC.0000000000000471
Kapoor, A., Harris, S. T., & Baker, E. A. (2018). Fear vs. faith: How a 46 year old woman beat breast cancer. Spiritual Care, 7, 191-196. https://doi.org/10.1515/spircare-2017-0037
Klonoff, E. A., & Landrine, H. (1994). Culture and gender diversity in commonsense beliefs about the causes of six illnesses. Journal of Behavioral Medicine, 17(4), 407-418. https://doi.org/10.1007/bf01858011
Koenig, H. G., King, D. E., & Carson, V. B. (2012). Handbook of religion and health (2nd ed.). New York, NY: Oxford University Press.
Lee, J. A., Nguyen, H., Park, J., Tran, L., Nguyen, T., & Huynh, Y. (2017). Usages of computers and smartphones to develop dementia care education program for Asian American family caregivers. Healthcare Informatics Research, 23, 338-342. https://doi.org/10.4258/hir.2017.23.4.338
Lukwago, S. N., Kreuter, M. W., Bucholtz, D. C., , C. L., & Clark, E. M. (2001). Development and validation of brief scales to measure collectivism, religiosity, racial pride, and time orientation in urban African American women. Family and Community Health, 24(3), 63-71. https://doi.org/10.1097/00003727-200110000-00008
Mahamid, F. A., & Bdier, D. (2021). The association between positive religious coping, perceived stress, and depressive symptoms during the spread of coronavirus (Covid-19) among a sample of adults in Palestine: A cross sectional study. Journal of Religion and Health, 60(1), 34-49.
Masci, D. (2018, February 7). 5 facts about the religious lives of African Americans. Pew Research Center. Retrieved from http://www.pewresearch.org/fact-tank/2018/02/07/5-facts-about-the-religious-lives-of-african-americans/
Mills, S. D., Arredondo, E. M., Perez, L. G., Haughton, J., Roesch, S. C., & Malcarne, V. L. (2017). Psychometric Evaluation of the Spanish versions of the Perceived Religious Influence on Health Behavior scale and the Illness as Punishment for Sin scale in a Sample of Churchgoing Latinas. The International Journal for the Psychology of Religion, 27(4), 188-198. https://doi.org/10.1080/10508619.2017.1378973
Newport, F. (2016, June 29). Most Americans still believe in God. Gallup. Retrieved from https://news.gallup.com/poll/193271/americans-believe-god.aspx
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric Theory (McGraw-Hill Series in Psychology) (Vol. 3). New York: McGraw-Hill.
O'Malley, P. M., & Johnston, L. D. (2002). Epidemiology of alcohol and other drug use among American college students. Journal of Studies on Alcohol, Supplement, (14), 23-39. https://doi.org/10.15288/jsas.2002.s14.23
Pargament, K., Feuille, M., & Burdzy, D. (2011). The Brief RCOPE: Current psychometric status of a short measure of religious coping. Religions, 2, 51-76. https://doi.org/10.3390/rel2010051
Park, C. L., Edmondson, D., Hale-Smith, A., & Blank, T. O. (2009). Religiousness/spirituality and health behaviors in younger adult cancer survivors: Does faith promote a healthier lifestyle? Journal of Behavioral Medicine, 32, 582-591. https://doi.org/10.1007/s10865-009-9223-6
Payán, D. D., Flórez, K. R., Bogart, L. M., Kanouse, D. E., Mata, M. A., Oden, C. W., & Derose, K. P. (2017). Promoting health from the pulpit: A process evaluation of HIV sermons to reduce HIV stigma and promote testing in African American and Latino churches. Health Communication. Advance online publication. https://doi.org/10.1080/10410236.2017.1384352
Phillips, R. E., & Stein, C. H. (2007). God's will, God's punishment, or God's limitations? Religious coping strategies reported by young adults living with serious mental illness. Journal of Clinical Psychology, 63(6), 529-540.
Rabkin, J. G. (1972). Opinions about mental illness: A review of the literature. Psychological Bulletin, 77(3), 153-171. https://doi.org/10.1037/h0032341
Rai, S. S., Peters, R. M., Syurina, E. V., Irwanto, I., Naniche, D., & Zweekhorst, M. B. (2020). Intersectionality and health-related stigma: Insights from experiences of people living with stigmatized health conditions in Indonesia. International Journal for Equity in Health, 19(1), 1-15. https://doi.org/10.1186/s12939-020-01318-w
Ransome, Y. (2020). Religion, spirituality, and health: New considerations for epidemiology. American Journal of Epidemiology, 189(8), 755-758. https://doi.org/10.1093/aje/kwaa022
Ravindran, N., & Myers, B. J. (2012). Cultural influences on perceptions of health, illness, and disability: A review and focus on autism. Journal of Child and Family Studies, 21(2), 311-319. https://doi.org/10.1007/s10826-011-9477-9
Retief, M., & Letšosa, R. (2018). Models of disability: A brief overview. HTS Teologiese Studies/Theological Studies, 74, a4738. https://doi.org/10.4102/hts.v74i1.4738
Reynolds, N., Mrug, S., Wolfe, K., Schwebel, D., & Wallander, J. (2016). Spiritual coping, psychosocial adjustment, and physical health in youth with chronic illness: A meta-analytic review. Health Psychology Review, 10, 226-243. https://doi.org/10.1080/17437199.2016.1159142
Satterly, L. (2001). Guilt, shame, and religious and spiritual pain. Holistic Nursing Practice, 15(2), 30-39. https://doi.org/10.1097/00004650-200101000-00006
Schieman, S., Nguyen, K., & Elliott, D. (2003). Religiosity, socioeconomic status, and the sense of mastery. Social Psychology Quarterly, 202-221. https://doi.org/https://doi.org/10.2307/1519822
Schulz, E., Bay, R. C., Williams, B. R., Clark, E.M., Huang, J., & Holt, C. L. (2017). Fruit and vegetable consumption, and physical activity with partner and parental status in African American adults. Journal of Family Medicine and Community Health, 4(4), 1115. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891144/pdf/nihms893603.pdf
Selman, L. E., Brighton, L. J., Sinclair, S., Karvinen, I., Egan, R., Speck, P., ... InSpirit Collaborative. (2018). Patients’ and caregivers’ needs, experiences, preferences and research priorities in spiritual care: A focus group study across nine countries. Palliative Medicine, 32, 216-230. https://doi.org/10.1177/0269216317734954
Shiri, F. H., Mohtashami, J., Manoochehri, H., Nasiri, M., & Rohani, C. (2020). Care Plan for Reducing Stigma in Cancer Disease. Open Journal of Nursing, 10(11), 1142-1154. https://doi.org/10.4236/ojn.2020.1011081
Siler, S., Arora, K., Doyon, K., & Fischer, S. M. (2021). Spirituality and the illness experience: perspectives of African American older adults. American Journal of Hospice and Palliative Medicine, 38(6), 618-625. https://doi.org/10.1177/1049909120988280
Stainton, T. (2008). Reason, grace and charity: Augustine and the impact of church doctrine on the construction of intellectual disability. Disability & Society, 23(5), 485-496. https://doi.org/10.1080/09687590802177056
Stanford, M. S. (2007). Demon or disorder: A survey of attitudes toward mental illness in the Christian church. Mental Health, Religion & Culture, 10(5), 445-449. https://doi.org/10.1080/13674670600903049
Subramaniam, S., Camacho, L. M., Carolan, M. T., & López-Zerón, G. (2017). Resilience in low-income African American women living and aging with HIV. Journal of Women & Aging, 29, 543-550. https://doi.org/10.1080/08952841.2016.1256735
Taylor, R. J., Chatters, L., Woodward, A. T., Boddie, S., & Peterson, G. L. (2021). African Americans’ and Black Caribbeans’ religious coping for psychiatric disorders. Social Work in Public Health, 36(1), 68-83. https://doi.org/10.1080/19371918.2020.1856749
Thompson, E. H., Futterman, A. M., & McDonnell, M. O. (2020). The legacy of the Black Church: older African Americans’ religiousness. Journal of Religion, Spirituality & Aging, 32(3), 247-267. https://doi.org/10.1080/15528030.2019.1611521
Wesselmann, E. D., & Graziano, W. G. (2010). Sinful and/or possessed? Religious beliefs and mental illness stigma. Journal of Social and Clinical Psychology, 29(4), 402-437. https://doi.org/10.1521/jscp.2010.29.4.402
Wittink, M. N., Joo, J. H., Lewis, L. M., & Barg, F. K. (2009). Losing faith and using faith: Older African Americans discuss spirituality, religious activities, and depression. Journal of General Internal Medicine, 24, 402-407. https://doi.org/10.1007/s11606-008-0897-1

Spiritual Psychology and Counseling-Cover

ISSN: 2458-9675
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2016
Yayıncı: Halil Ekşi

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