Identifying pathways to religious service attendance among older adults: A lagged exposure-wide analysis

PLoS One. 2022 Nov 29;17(11):e0278178. doi: 10.1371/journal.pone.0278178. eCollection 2022.

Abstract

We used prospective data (spanning 8 years) from a national sample of older U.S. adults aged > 50 years (the Health and Retirement Study, N = 13,771) to evaluate potential factors that lead to subsequent religious service attendance. We applied a lagged exposure-wide epidemiologic design and evaluated 60 candidate predictors of regular subsequent religious service attendance. Candidate predictors were drawn from the following domains: health behaviors, physical health, psychological well-being, psychological distress, social factors, and work. After rigorous adjustment for a rich set of potential confounders, we observed modest evidence that changes in some indices of physical health, psychological well-being, psychological distress, and social functioning predicted regular religious service attendance four years later. Our findings suggest that there may be opportunities to support more regular religious service attendance among older adults who positively self-identify with a religious/spiritual tradition (e.g., aid services for those with functional limitations, psychological interventions to increase hope), which could have downstream benefits for various dimensions of well-being in the later years of life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Health Behavior*
  • Prospective Studies
  • Psychological Distress*
  • Psychosocial Intervention
  • Retirement

Grants and funding

This work was supported by grants from the Michael Smith Foundation for Health Research and the John Templeton Foundation (61075). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.