Life Course Religious Attendance and Cognitive Health at Midlife: Exploring Gendered Contingencies

Abstract

A growing body of literature suggests that religious attendance might mitigate processes of cognitive decline associated with aging. However, few studies have made adequate linkages with the life course perspective. We draw from over 35 years of prospective panel data from the National Longitudinal Study of Youth (1979–2015) to assess the associations of cumulative exposures to religious attendance over the life course (childhood and midlife) for self-rated cognitive health and working memory (as assessed by the Serial 7s task). Our results suggest that midlife adults who attended religious services consistently between childhood and adulthood had higher self-rated cognitive health and better working memory. Women were also found to receive stronger benefits to self-rated cognitive health from consistent religious practice between childhood and adulthood. This pattern of findings allows for greater reflection into the neural enrichment and neural depletion arguments proposed to explain the religion/cognitive health link in previous research.

Keywords

religion cognitive health memory life course gender

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References

Alley

Suthers

Crimmins

(2007). Education and cognitive decline in older Americans: Results from the AHEAD sample. Research on Aging, 29(1), 73–94. https://doi.org/10.1177/0164027506294245

Angrisani

Jain

Lee

(2020). Sex differences in cognitive health among older adults in India. Journal of the American Geriatrics Society, 68(Suppl 3), S20–S28. https://doi.org/10.1111/jgs.16732

Blazer

D. G.

Yaffe

Karlawish

(2015). Cognitive aging: A report from the institute of medicine. Jama, 313(21), 2121–2122. https://doi.org/10.1001/jama.2015.4380

Bonhag

Upenieks

(2021). Mattering to God and to the congregation: Gendered effects in mattering as a mechanism between religiosity and mental health. Journal for the Scientific Study of Religion, 60(4), 890–913. https://doi.org/10.1111/jssr.12753

Bosworth

H. B.

Hertzog

(2009). Aging and cognition: Research methodologies and empirical advances. American Psychological Association.

Bradley

C. S.

Hill

T. D.

Burdette

A. M.

Mossakowski

K. N.

Johnson

R. J.

(2020). Religious attendance and social support: Integration or selection? Review of Religious Research, 62(1), 83–99. https://doi.org/10.1007/s13644-019-00392-z

Britt

K. C.

Richards

K. C.

Acton

Hamilton

Radhakrishnan

(2022). Older adults with dementia: Association of prayer with neuropsychiatric symptoms, cognitive function, and sleep disturbances. Religions, 13(10), 973. https://doi.org/10.3390/rel13100973

Britt

K. C.

Richards

K. C.

Acton

Hamilton

Radhakrishnan

(2023). Association of religious service attendance and neuropsychiatric symptoms, cognitive function, and sleep disturbances in all-cause dementia. International Journal of Environmental Research and Public Health, 20(5), 4300. https://doi.org/10.3390/ijerph20054300

Chatters

L. M.

Taylor

R. J.

Lincoln

K. D.

(1999). African American religious participation: A multi-sample comparison. Journal for the Scientific Study of Religion, 38(1), 132–145. https://doi.org/10.2307/1387589

10.

Ciarrocchi

J. W.

Dy-Liacco

G. S.

Deneke

(2008). Gods or rituals? Relational faith, spiritual discontent, and religious practices as predictors of hope and optimism. The Journal of Positive Psychology, 3(2), 120–136. https://doi.org/10.1080/17439760701760666

11.

Corsentino

E. A.

Collins

Sachs-Ericsson

Blazer

D. G.

(2009). Religious attendance reduces cognitive decline among older women with high levels of depressive symptoms. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 64(12), 1283–1289. https://doi.org/10.1093/gerona/glp116

12.

Csernansky

J. G.

Dong

Fagan

A. M.

Wang

Xiong

Holtzman

D. M.

Morris

J. C.

(2006). Plasma cortisol and progression of dementia in subjects with Alzheimer-type dementia. The American Journal of Psychiatry, 163(12), 2164–2169. https://doi.org/10.1176/ajp.2006.163.12.2164

13.

Das

(2022). Religious attendance and global cognitive function: A fixed-effects cross-lagged panel modeling study of older US adults. Social Science & Medicine, 292, 114580. https://doi.org/10.1016/j.socscimed.2021.114580

14.

Díaz-Venegas

Downer

Langa

K. M.

Wong

(2016). Racial and ethnic differences in cognitive function among older adults in the USA. International Journal of Geriatric Psychiatry, 31(9), 1004–1012. https://doi.org/10.1002/gps.4410

15.

Eagle

D. E.

(2011). Changing patterns of attendance at religious services in Canada, 1986–2008. Journal for the Scientific Study of Religion, 50(1), 187–200. https://doi.org/10.1111/j.1468-5906.2010.01559.x

16.

Edgell

(2017). An agenda for research on American religion in light of the 2016 election. Sociology of Religion, 78(1), 1–8. https://doi.org/10.1093/socrel/srw057

17.

Ellison

C. G.

Lee

(2010). Spiritual struggles and psychological distress: Is there a dark side of religion? Social Indicators Research, 98, 501–517.

18.

Farina

M. P.

Hayward

M. D.

Kim

J. K.

Crimmins

E. M.

(2020). Racial and educational disparities in dementia and dementia-free life expectancy. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 75(7), e105-e112. https://doi.org/10.1093/geronb/gbz046

19.

Fenelon

Danielsen

(2016). Leaving my religion: Understanding the relationship between religious disaffiliation, health, and well-being. Social Science Research, 57, 49–62. https://doi.org/10.1016/j.ssresearch.2016.01.007

20.

Garcia

M. A.

Downer

Chiu

C. T.

Saenz

J. L.

Rote

Wong

(2019). Racial/ethnic and nativity differences in cognitive life expectancies among older adults in the United States. The Gerontologist, 59(2), 281–289. https://doi.org/10.1093/geront/gnx142

21.

Gervais

W. M.

Norenzayan

(2012). Analytic thinking promotes religious disbelief. Science, 336(6080), 493–496. https://doi.org/10.1126/science.1215647

22.

Gur

R. C.

Gunning-Dixon

Bilker

W. B.

Gur

R. E.

(2002). Sex differences in temporo-limbic and frontal brain volumes of healthy adults. Cerebral Cortex, 12(9), 998–1003. https://doi.org/10.1093/cercor/12.9.998

23.

Hale

J. M.

Schneider

D. C.

Mehta

N. K.

Myrskylä

(2020). Cognitive impairment in the US: Lifetime risk, age at onset, and years impaired. SSM - Population Health, 11, 100577. https://doi.org/10.1016/j.ssmph.2020.100577

24.

Haslam

Cruwys

Haslam

S. A.

Jetten

(2015). Social connectedness and health. Encyclopaedia of Geropsychology, 46–51.

25.

Hayward

R. D.

Krause

(2016). Classes of individual growth trajectories of religious coping in older adulthood: Patterns and predictors. Research on Aging, 38(5), 554–579. https://doi.org/10.1177/0164027515593347

26.

Henderson

A. K.

Walsemann

K. M.

Ailshire

J. A.

(2022). Religious involvement and cognitive functioning at the intersection of race–ethnicity and gender among midlife and older adults. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 77(1), 237–248. https://doi.org/10.1093/geronb/gbab034

27.

Hill

T. D.

(2008). Religious involvement and healthy cognitive aging: Patterns, explanations, and future directions. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 63(5), 478–479. https://doi.org/10.1093/gerona/63.5.478

28.

Hill

T. D.

Angel

J. L.

Ellison

C. G.

Angel

R. J.

(2005). Religious attendance and mortality: An 8-year follow-up of older Mexican Americans. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 60(2), S102–S109. https://doi.org/10.1093/geronb/60.2.s102

29.

Hill

T. D.

Burdette

A. M.

Angel

J. L.

Angel

R. J.

(2006). Religious attendance and cognitive functioning among older Mexican Americans. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61(1), P3–P9. https://doi.org/10.1093/geronb/61.1.p3

30.

Hill

T. D.

Burdette

A. M.

Idler

(2011). Religious involvement, health status, and mortality risk. In Settersten

Angel

(Eds), Handbook of sociology of aging (pp. 533–546). Springer.

31.

Hill

T. D.

Carr

D. C.

Burdette

A. M.

Dowd-Arrow

(2020). Life-course religious attendance and cognitive functioning in later life. Research on Aging, 42(7-8), 217–225. https://doi.org/10.1177/0164027520917059

32.

Hosseini

Chaurasia

Oremus

(2019). The effect of religion and spirituality on cognitive function: A systematic review. The Gerontologist, 59(2), e76-e85. https://doi.org/10.1093/geront/gnx024

33.

Inzelberg

Afgin

A. E.

Massarwa

Schechtman

Israeli-Korn

S. D.

Strugatsky

Abuful

Kravitz

Farrer

L. A.

Friedland

R. P.

(2013). Prayer at midlife is associated with reduced risk of cognitive decline in Arabic women. Current Alzheimer Research, 10(3), 340–346. https://doi.org/10.2174/1567205011310030014

34.

Jang

J. B.

Hicken

M. T.

Mullins

Esposito

Sol

Manly

J. J.

Judd

Wadley

Clarke

P. J.

(2022). Racial segregation and cognitive function among older adults in the United States: Findings from the reasons for geographic and racial differences in stroke study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 77(6), 1132–1143. https://doi.org/10.1093/geronb/gbab107

35.

Kalleberg

A. L.

(2003). Flexible firms and labor market segmentation: Effects of workplace restructuring on jobs and workers. Work and Occupations, 30(2), 154–175. https://doi.org/10.1177/0730888403251683

36.

Keister

L. A.

(2003). Religion and wealth: The role of religious affiliation and participation in early adult asset accumulation. Social Forces, 82(1), 175–207.

37.

Koenig

H. G.

King

Carson

V. B.

(2012). Handbook of religion and health. Oxford University Press.

38.

Köhncke

Laukka

E. J.

Brehmer

Kalpouzos

T. Q.

Fratiglioni

Bäckman

Lövdén

(2016). Three-year changes in leisure activities are associated with concurrent changes in white matter microstructure and perceptual speed in individuals aged 80 years and older. Neurobiology of Aging, 41, 173–186. https://doi.org/10.1016/j.neurobiolaging.2016.02.013

39.

Koster

Penninx

B. W.

Bosma

Kempen

G. I.

Newman

A. B.

Rubin

S. M.

Satterfield

Atkinson

H. H.

Ayonayon

H. N.

Rosano

Yaffe

Harris

T. B.

Rooks

R. N.

Van Eijk

J. T.

Kritchevsky

S. B.

(2005). Socioeconomic differences in cognitive decline and the role of biomedical factors. Annals of Epidemiology, 15(8), 564–571. https://doi.org/10.1016/j.annepidem.2005.02.008

40.

Kraal

A. Z.

Sharifian

Zaheed

A. B.

Sol

Zahodne

L. B.

(2019). Dimensions of religious involvement represent positive pathways in cognitive aging. Research on Aging, 41(9), 868–890. https://doi.org/10.1177/0164027519862745

41.

Krause

Ingersoll-Dayton

Liang

Sugisawa

(1999). Religion, social support, and health among the Japanese elderly. Journal of Health and Social Behavior, 40(4), 405–421. https://doi.org/10.2307/2676333

42.

Langa

K. M.

Larson

E. B.

Crimmins

E. M.

Faul

J. D.

Levine

D. A.

Kabeto

M. U.

Weir

D. R.

(2017). A comparison of the prevalence of dementia in the United States in 2000 and 2012. JAMA Internal Medicine, 177(1), 51–58. https://doi.org/10.1001/jamainternmed.2016.6807

43.

Lee

Shih

Feeney

Langa

K. M.

(2014). Gender disparity in late-life cognitive functioning in India: Findings from the longitudinal aging study in India. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 69(4), 603–611. https://doi.org/10.1093/geronb/gbu017

44.

Lehrer

E. L.

(2004). Religion as a determinant of economic and demographic behavior in the United States. Population and development review, 30(4), 707–726.

45.

Levine

D. A.

Gross

A. L.

Briceño

E. M.

Tilton

Giordani

B. J.

Sussman

J. B.

Hayward

R. A.

Burke

J. F.

Hingtgen

Elkind

M. S. V.

Manly

J. J.

Gottesman

R. F.

Gaskin

D. J.

Sidney

Sacco

R. L.

Tom

S. E.

Wright

C. B.

Yaffe

Galecki

A. T.

(2021). Sex differences in cognitive decline among US adults. JAMA Network Open, 4(2), e210169-e210169. https://doi.org/10.1001/jamanetworkopen.2021.0169

46.

Liu

M. M.

Telles

Tucker

K. L.

Falcon

L. M.

Jiménez Velázquez

I. Z.

Dow

W. H.

(2022). Race/ethnic differences, skin tone, and memory among older Latinos in the United States. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 77(11), 2038–2048. https://doi.org/10.1093/geronb/gbac043

47.

Masci

(2016). How income varies among US religious groups. PEW Research Center 11 October 2016 https://www.pewresearch.org/short-reads/2016/10/11/how-income-varies-among-u-s-religious-groups/

48.

Maselko

Kubzansky

L. D.

(2006). Gender differences in religious practices, spiritual experiences and health: Results from the US General Social Survey. Social Science & Medicine, 62(11), 2848–2860. https://doi.org/10.1016/j.socscimed.2005.11.008

49.

Mazure

C. M.

Swendsen

(2016). Sex differences in Alzheimer’s disease and other dementias. The Lancet. Neurology, 15(5), 451–452. https://doi.org/10.1016/S1474-4422(16)00067-3

50.

McFarland

M. J.

(2010). Religion and mental health among older adults: Do the effects of religious involvement vary by gender? The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 65(5), 621–630. https://doi.org/10.1093/geronb/gbp112

51.

Mize

T. D.

(2019). Best practices for estimating, interpreting, and presenting nonlinear interaction effects. Sociological Science, 6, 81–117.

52.

Muñoz

Robins

R. W.

Sutin

A. R.

(2022). Perceived ethnic discrimination and cognitive function: A 12-year longitudinal study of Mexican-origin adults. Social Science & Medicine, 311, 115296. https://doi.org/10.1016/j.socscimed.2022.115296

53.

Nelson

I. S.

Kezios

Elbejjani

Yaffe

Zeki Al Hazzouri

(2023). Associations of religious service attendance with cognitive function in midlife: Findings from the CARDIA study. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 78(4), 684–694. https://doi.org/10.1093/geronb/gbac165

54.

Nieuwenhuis

Need

Van Der Kolk

(2012). Institutional and demographic explanations of women's employment in 18 OECD countries, 1975–1999. Journal of Marriage and Family, 74(3), 614–630. https://doi.org/10.1111/j.1741-3737.2012.00965.x

55.

Noguchi

Kubo

Hayashi

Tomiyama

Ochi

Hayashi

(2021). Social isolation and self-reported cognitive decline among older adults in Japan: A longitudinal study in the COVID-19 pandemic. Journal of the American Medical Directors Association, 22(7), 1352–1356.e2. https://doi.org/10.1016/j.jamda.2021.05.015

56.

Orr

Ward

Kenny

R. A.

McGarrigle

C. A.

(2021). Mini-mental state examination trajectories after age 50 by religious affiliation and practice in Ireland. European Journal of Ageing, 18(4), 565–574. https://doi.org/10.1007/s10433-020-00597-0

57.

Paiva

A. F.

Cunha

Voss

Delerue Matos

(2021). The interrelationship between social connectedness and social engagement and its relation with cognition: A study using SHARE data. Ageing and Society, 43(8), 1735–1753. https://doi.org/10.1017/s0144686x2100129x

58.

Pargament

K. I.

Mahoney

(2005). Theory: Sacred matters: Sanctification as a Vital topic for the psychology of religion. International Journal for the Psychology of Religion, 15(3), 179–198. https://doi.org/10.1207/s15327582ijpr1503_1

59.

Pennycook

Cheyne

J. A.

Koehler

D. J.

Fugelsang

J. A.

(2016). Is the cognitive reflection test a measure of both reflection and intuition? Behavior Research Methods, 48(1), 341–348. https://doi.org/10.3758/s13428-015-0576-1

60.

Read

Comas-Herrera

Grundy

(2020). Social isolation and memory decline in later-life. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 75(2), 367–376. https://doi.org/10.1093/geronb/gbz152

61.

Reuter-Lorenz

P. A.

Park

D. C.

(2014). How does it STAC up? Revisiting the scaffolding theory of aging and cognition. Neuropsychology Review, 24(3), 355–370. https://doi.org/10.1007/s11065-014-9270-9

62.

Royston

(2005). Multiple imputation of missing values: Update of ice. The Stata Journal: Promoting Communications on Statistics and Stata, 5(4), 527–536. https://doi.org/10.1177/1536867x0500500404

63.

Schieman

Bierman

Ellison

C. G.

(2013). Religion and mental health. In Aneshensel

Phelan

J. C.

Bierman

(Eds), Handbook of the sociology of mental health (2nd, pp. 457–478). Springer.

64.

Schnabel

(2017). Gendered religiosity. Review of Religious Research, 59(4), 547–556. https://doi.org/10.1007/s13644-017-0302-9

65.

Schnabel

(2018). More religious, less dogmatic: Toward a general framework for gender differences in religion. Social Science Research, 75, 58–72. https://doi.org/10.1016/j.ssresearch.2018.06.010

66.

Scott

(2016). Recommended reading: The relatively wealthy American UMC. 10 November 2016 https://um-insight.net/in-the-church/umc-global-nature/recommended-reading-the-relatively-wealthy-american-umc/

67.

Shenhav

Rand

D. G.

Greene

J. D.

(2012). Divine intuition: Cognitive style influences belief in God. Journal of Experimental Psychology. General, 141(3), 423–428. https://doi.org/10.1037/a0025391

68.

Sherkat

D. E.

(2010). Religion and verbal ability. Social Science Research, 39(1), 2–13. https://doi.org/10.1016/j.ssresearch.2009.05.007

69.

Sherkat

D. E.

(2011). Religion and scientific literacy in the United States. Social Science Quarterly, 92(5), 1134–1150. https://doi.org/10.1111/j.1540-6237.2011.00811.x

70.

Singh

P. K.

Jasilionis

Oksuzyan

(2018). Gender difference in cognitive health among older Indian adults: A cross-sectional multilevel analysis. SSM - Population Health, 5, 180–187. https://doi.org/10.1016/j.ssmph.2018.06.008

71.

Stokes

J. E.

Prasad

Barooah

Stam

E. J.

(2023). Longitudinal dyadic associations between loneliness and cognition among older couples in the United States. The Journals of Gerontology: Series B, gbad050, 78(7), 1204–1214. https://doi.org/10.1093/geronb/gbad050

72.

Sullins

D. P.

(2006). Gender and religion: Deconstructing universality, constructing complexity. American Journal of Sociology, 112(3), 838–880. https://doi.org/10.1086/507852

73.

Sutin

A. R.

Stephan

Luchetti

Terracciano

(2020). Loneliness and risk of dementia. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 75(7), 1414–1422. https://doi.org/10.1093/geronb/gby112

74.

Uecker

J. E.

Mayrl

Stroope

(2016). Family formation and returning to institutional religion in young adulthood. Journal for the Scientific Study of Religion, 55(2), 384–406.

75.

Upenieks

Schafer

M. H.

(2020). Religious attendance and physical health in later life: A life course approach. Journal of Health and Social Behavior, 61(4), 486–502. https://doi.org/10.1177/0022146520961363

76.

Upenieks

Schafer

M. H.

Mogosanu

(2021). Does childhood religiosity delay death? Journal of Religion and Health, 60(1), 420–443. https://doi.org/10.1007/s10943-019-00936-1

77.

Upenieks

Thomas

P. A.

(2021). Gaining faith, losing faith: How education shapes the relationship between religious transitions and later depression. Journal of Health and Social Behavior, 62(4), 582–598. https://doi.org/10.1177/00221465211046356

78.

Vance

D. E.

(2004). Spiritual activities for adults with Alzheimer’s disease: The cognitive components of dementia and religion. Journal of Religion, Spirituality & Aging, 17(1–2), 109–130. https://doi.org/10.1300/j496v17n01_06

79.

Van Ness

P. H.

Kasl

S. V.

(2003). Religion and cognitive dysfunction in an elderly cohort. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58(1), S21–S29. https://doi.org/10.1093/geronb/58.1.s21

80.

Welch

M. R.

Sikkink

Loveland

M. T.

(2007). The radius of trust: Religion, social embeddedness and trust in strangers. Social Forces, 86(1), 23–46. https://doi.org/10.1353/sof.2007.0116

81.

Yeager

D. M.

Glei

D. A.

Lin

H. S.

Sloan

R. P.

Weinstein

(2006). Religious involvement and health outcomes among older persons in Taiwan. Social Science & Medicine, 63(8), 2228–2241. https://doi.org/10.1016/j.socscimed.2006.05.007

82.

Ysseldyk

Haslam

S. A.

Haslam

(2013). Abide with me: Religious group identification among older adults promotes health and well-being by maintaining multiple group memberships. Aging & Mental Health, 17(7), 869–879. https://doi.org/10.1080/13607863.2013.799120

83.

Zahodne

L. B.

Stern

Manly

J. J.

(2015). Differing effects of education on cognitive decline in diverse elders with low versus high educational attainment. Neuropsychology, 29(4), 649–657. https://doi.org/10.1037/neu0000141

84.

Zhang

Hayward

M. D.

Y. L.

(2016). Life course pathways to racial disparities in cognitive impairment among older Americans. Journal of Health and Social Behavior, 57(2), 184–199. https://doi.org/10.1177/0022146516645925

85.

Zhou

Mao

Han

Fang

(2020). Social engagement and cognitive impairment in older Chinese adults: The mediating role of psychological well-being. Journal of Aging and Health, 32(7-8), 573–581. https://doi.org/10.1177/0898264319839594

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