Predictors of African American Belief in Illness as Punishment for Sin

Year 2021, , 31 - 47, 15.10.2021

Emily Schulz R. Curtis Bay Eddie M. Clark Crystal Park Cheryl L. Knott

https://doi.org/10.37898/spc.2021.6.3.140

Cited By: 1

Abstract

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

References

• 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