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Religiosity and health among Chinese older adults: a meta-analytic review

Published online by Cambridge University Press:  16 July 2020

Jia Li
Affiliation:
Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
Qi Wang*
Affiliation:
Department of Social Work and Social Administration, University of Hong Kong, Pokfulam, Hong Kong
*
*Corresponding author. Email: [email protected]

Abstract

The ageing population has been rapidly growing over recent years. Theoretically, religion seemingly plays an important role in improving older people's health. This study examines whether believing in religion is related to better health conditions among Chinese older adults through a meta-analysis. Two researchers independently extracted the studies from a comprehensive database and grey literature search and evaluated their scientific quality. From the 3,777 potentially eligible papers, just 76 were selected. The pooled effect size detected no significant difference between Chinese religious and non-religious older adults’ overall health and wellbeing. Dividing the outcomes into different categories, religious older adults reported both a higher level of anxiety (Hedge's g = −0.392, 95% confidence interval (CI) = −0.494, −0.290; p = 0.004) and yet a higher level of happiness (Hedge's g = 0.342, 95% CI = 0.074, 0.610; p = 0.018). Having a higher proportion of females in the sample is related to a smaller effect size in overall health outcomes (β = −2.205, 95% CI = −3.800, −0.613; p = 0.007) and social support specifically (β = −4.660, 95% CI = −6.261, −3.058; p < 0.0001). This study is among the first to synthesise the quantitative evidence regarding health differences between older religion believers and non-believers in China. It calls for future studies investigating the pathways underlying the religion–health relationship.

Type
Article
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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References

Abu, H, Ulbricht, C, Ding, E, Allison, J, Salmoirago-Blotcher, E, Goldberg, R and Kiefe, C (2018) Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Quality of Life Research 27, 27772797.10.1007/s11136-018-1906-4CrossRefGoogle ScholarPubMed
*Ai, JH, Zheng, KL, Hu, LZ, Gong, CT, Chen, RM and Li, XH (2015) 新疆农村哈萨克族老年人的主观幸福感及相关因素 [Subjective wellbeing and related factors of Kazakh elderly in rural Xinjiang]. Chinese Mental Health Journal 29, 130133.Google Scholar
*Ai, JH, Ding, YL, Gong, CT, Wang, Y and Li, XH (2016) 新疆维吾尔族农村老年人主观幸福感及其影响因素 [Subjective well-being of Uygur older adults in Xinjiang and its influencing factors]. Chinese Journal of Gerontology 36, 430438.Google Scholar
Allport, GW and Ross, JM (1967) Personal religious orientation and prejudice. Journal of Personality and Social Psychology 5, 432443.10.1037/h0021212CrossRefGoogle ScholarPubMed
Ano, GG and Vasconcelles, EB (2005) Religious coping and psychological adjustment to stress: a meta-analysis. Journal of Clinical Psychology 61, 461480.CrossRefGoogle ScholarPubMed
Ardelt, M (2003) Effects of religion and purpose in life on elders’ subjective well-being and attitudes toward death. Journal of Religious Gerontology 14, 5577.10.1300/J078v14n04_04CrossRefGoogle Scholar
Bailly, N, Martinent, G, Ferrand, C, Agli, O, Giraudeau, C, Gana, K and Roussiau, N (2018) Spirituality, social support, and flexibility among older adults: a five-year longitudinal study. International Psychogeriatrics 30, 17451752.10.1017/S1041610218000029CrossRefGoogle ScholarPubMed
Baker, WL, Michael White, C, Cappelleri, JC, Kluger, J and Coleman, CI (2009) Understanding heterogeneity in meta-analysis: the role of meta-regression. International Journal of Clinical Practice 63, 14261434.10.1111/j.1742-1241.2009.02168.xCrossRefGoogle ScholarPubMed
Bakhtiari, A, Yadollahpur, M, Omidvar, S, Ghorbannejad, S and Bakouei, F (2018) Does religion predict health-promoting behaviors in community-dwelling elderly people? Journal of Religion and Health 58, 452464.10.1007/s10943-018-0710-3CrossRefGoogle Scholar
Bengtson, VL, Silverstein, M, Putney, NM and Harris, SC (2015) Does religiousness increase with age? Age changes and generational differences over 35 years. Journal for the Scientific Study of Religion 54, 363379.10.1111/jssr.12183CrossRefGoogle Scholar
Bonelli, RM and Koenig, HG (2013) Mental disorders, religion and spirituality 1990 to 2010: a systematic evidence-based review. Journal of Religion and Health 52, 657673.10.1007/s10943-013-9691-4CrossRefGoogle ScholarPubMed
Boyle, K and Sheen, J (2013) Freedom of Religion and Belief: A World Report. London: Routledge.CrossRefGoogle Scholar
Brammli-Greenberg, S, Glazer, J and Shapiro, E (2018) The inverse U-shaped religion–health connection among Israeli Jews. Journal of Religion and Health 57, 738750.10.1007/s10943-018-0577-3CrossRefGoogle ScholarPubMed
*Brown, PH and Tierney, B (2009) Religion and subjective well-being among the older adults in China. Journal of Socio-economics 38, 310319.10.1016/j.socec.2008.07.014CrossRefGoogle Scholar
*Cao, C, Wang, TT, Deng, J, Yan, K, Lian, JX, Wang, Y, Yang, M and Jiang, Y (2017) 重庆市养老机构老年人老年痴呆患病率及其影响因素研究 [Prevalence and influencing factors of dementia in older adults in nursing homes in Chongqing]. Chongqing Medicine 46, 41124120.Google Scholar
Chao, LL and Yang, F (2018) Measuring religiosity in a religiously diverse society: the China case. Social Science Research 74, 187195.10.1016/j.ssresearch.2018.04.001CrossRefGoogle Scholar
Cheesman, KL, Cox, B, Smith, DM and Parmelee, PA (2019) Religion and spirituality: the relationship between global and daily levels of pain and religious coping. Innovation in Aging 3, S524.CrossRefGoogle Scholar
*Chen, XQ and Lin, DK (2012) 云南省曲靖市独居老人社会支持状况 [Social support for solo-living older adults in Qujing, Yunnan]. Chinese Journal of Gerontology 34, 62686270.Google Scholar
*Chen, XQ and Lin, DK (2014) 云南省曲靖市麒麟区高龄独居老人的社会支持 [Social support for oldest-old living alone in Qilin District, Qujing City, Yunnan]. Chinese Journal of Gerontology 37, 991993.Google Scholar
*Chen, XQ and Lin, DK (2017 a) 滇东北农村留守老人社会支持的影响因素及对策 [Influential factors and countermeasures of social support for left-behind older adults in rural areas of northeastern Yunnan]. Chinese Journal of Gerontology 37, 28262828.Google Scholar
*Chen, XQ and Lin, DK (2017 b) 曲靖市麒麟区空巢老人社会支持状况 [Social support status of empty nesters in Qilin District, Qujing City]. Chinese Journal of Gerontology 37, 23042305.Google Scholar
*Chen, XQ and Lin, DK (2017 c) 云南省农村空巢老人社会支持 [Social support for the empty nest older adults in rural Yunnan]. Chinese Journal of Gerontology 37, 15151517.Google Scholar
*Chen, YJ, Yu, WR and Ho, CY (2012) 某社區醫院安寧團隊照護模式初探 [An exploration of hospice-palliative care in a community hospital]. Taiwan Journal of Family Medicine 22, 130140.Google Scholar
Chen, Y, Wang, J, Weng, H and Wang, X (2012) History, present situation, and problems of Chinese psychology of religion. Pastoral Psychology 61, 641654.10.1007/s11089-011-0399-7CrossRefGoogle Scholar
*Chen, WT, Cheng, XM and Wu, RN (2014) 内蒙古地区患慢性病养老院老人主观幸福感调查及护理对策 [Investigation on subjective well-being and and nursing strategies of elderly people with chronic diseases in Inner Mongolia ]. Nei Mongol Journal of Traditional Chinese Medicine 18, 109110.Google Scholar
*Chen, Y, Zheng, Y and Zhuang, FJ (2018) 十堰市 3 个社区老年人慢性疼痛现状及影响因素 [Current status and influencing factors of chronic pain in the elderly in three communities of Shiyan City]. Occupation and Health 34, 689692.Google Scholar
Chida, Y, Steptoe, A and Powell, LH (2009) Religiosity/spirituality and mortality. Psychotherapy and Psychosomatics 78, 8190.10.1159/000190791CrossRefGoogle ScholarPubMed
*Chou, T (2015) Dissociation, paranormal belief, and quality of life in older people: the role of religious piety. SAGE Open 5, 1–12.10.1177/2158244015621347CrossRefGoogle Scholar
Cohen, J (1988) Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ: Erlbaum.Google Scholar
Conn, VS, Valentine, JC, Cooper, HM and Rantz, MJ (2003) Grey literature in meta-analyses. Nursing Research 52, 256261.CrossRefGoogle ScholarPubMed
Crabtree, S and Pelham, B (2009) World Gallup Poll, 2009, Religion Provides Emotional Boost to World's Poor.Google Scholar
Crowther, MR, Parker, MW, Achenbaum, WA, Larimore, WL and Koenig, HG (2002) Rowe and Kahn's model of successful aging revisited: positive spirituality – the forgotten factor. The Gerontologist 42, 613620.10.1093/geront/42.5.613CrossRefGoogle ScholarPubMed
*Cui, JJ (2015) 高龄住院患者睡眠质量调查及相关因素分析 [A survey and analysis on sleep quality and related factors of elderly hospitalized patients]. Journal of Navy Medicine 36, 354356.Google Scholar
*Cui, J, Zhang, LL, Zhu, HL and Shi, BX (2012) 社区老年慢性病患者死亡态度与生活质量的相关性研究 [Correlation between attitude to death and quality of life for community elderly patients with chronic diseases]. Chinese General Practice 15, 28962901.Google Scholar
Dalby, P (2006) Is there a process of spiritual change or development associated with ageing? A critical review of research. Aging and Mental Health 10, 412.10.1080/13607860500307969CrossRefGoogle ScholarPubMed
Deaton, A and Stone, AA (2013) Two happiness puzzles. American Economic Review 103, 591597.10.1257/aer.103.3.591CrossRefGoogle ScholarPubMed
Deeks, JJ, Macaskill, P and Irwig, L (2005) The performance of tests of publication bias and other sample size effects in systematic reviews of diagnostic test accuracy was assessed. Journal of Clinical Epidemiology 58, 882893.10.1016/j.jclinepi.2005.01.016CrossRefGoogle ScholarPubMed
Donahue, MJ (1985) Intrinsic and extrinsic religiousness: review and meta-analysis. Journal of Personality and Social Psychology 48, 400419.CrossRefGoogle Scholar
Egger, M, Smith, GD, Schneider, M and Minder, C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315, 629634.10.1136/bmj.315.7109.629CrossRefGoogle ScholarPubMed
Ellison, CG (1995) Race, religious involvement and depressive symptomatology in a Southeastern US community. Social Science and Medicine 40, 15611572.10.1016/0277-9536(94)00273-VCrossRefGoogle Scholar
Ellison, CG and George, LK (1994) Religious involvement, social ties and social support in southeastern community. Journal for the Scientific Study of Religion 33, 4676.10.2307/1386636CrossRefGoogle Scholar
*Fan, XY and Yu, S (2015) 老年COPD患者主观幸福感及影响因素的研究 [Subjective well-being of elderly patients with chronic obstructive pulmonary disease and its predictors]. Chinese Journal of Modern Nursing 21, 161163.Google Scholar
*Fan, HY, Luo, YL, Wang, ZZ and Lin, QF (2016) 宁夏 55岁及以上朝觐人群与社区人群抑郁状况调查 [The prevalence of depression among Uajj and local community residents aged over 55 years old in Ningxia]. Chinese Frontier Health Quarantine 39, 445449.Google Scholar
*Feng, CQ, Wang, ZH, Gao, H and Lou, FL (2012) 老年人慢性疼痛现状及其影响因素的调查 [A study of the current situation and its related factors among elderly people with chronic pain]. Nursing Journal of Chinese People's Liberation Army 29, 935.Google Scholar
*Feng, L, Li, P, Lu, C, Tang, W, Mahapatra, T, Wang, Y, Wang, XH, Ma, Y, Ben, YL, Cao, XL, Mahapatra, S, Ling, M, Gou, AS, Wang, YN, Xiao, JQ, Hou, M, Wang, XL, Lin, B, Chen, RL, Wang, FX and Hu, Z (2014) Burden and correlates of geriatric depression in the Uyghur elderly population, observation from Xinjiang, China. PLOS ONE 9, e114139.CrossRefGoogle ScholarPubMed
Florez, IA, Allbaugh, LJ, Harris, CE, Schwartz, AC and Kaslow, NJ (2018) Suicidal ideation and hopelessness in PTSD: spiritual well-being mediates outcomes over time. Anxiety, Stress, and Coping 31, 4658.10.1080/10615806.2017.1369260CrossRefGoogle ScholarPubMed
Forgas, JP and East, R (2008) On being happy and gullible: mood effects on skepticism and the detection of deception. Journal of Experimental Social Psychology 44, 13621367.10.1016/j.jesp.2008.04.010CrossRefGoogle Scholar
*Fu, AB and Zhang, LC (2010) 宗教信仰老年人的社会支持、应对方式和幸福感的相关研究 [Research on relationship among social support coping style and wellbeing of religious older people]. Journal of Zhangzhou Normal University 4, 170180.Google Scholar
Fu, R, Gartlehner, G, Grant, M, Shamliyan, T, Sedrakyan, A, Wilt, TJ, Griffith, L, Oremus, M, Raina, P, Ismaila, A, Santaguida, P, Lau, J and Trikalinos, TA (2011) Conducting quantitative synthesis when comparing medical interventions: AHRQ and the Effective Health Care Program. Journal of Clinical Epidemiology 64, 11871197.10.1016/j.jclinepi.2010.08.010CrossRefGoogle ScholarPubMed
*Fu, JL, Feng, CQ and Lou, FL (2015) 依恋等因素对老年慢性疼痛患者心理困扰的影响 [The impacting factors of psychological distress in community-dwelling older patients with chronic pain]. China Journal of Health Psychology 23, 515519.Google Scholar
*Fung, AWT and Lam, LCW (2013) Spiritual activity is associated with better cognitive function in old age. East Asian Archives of Psychiatry 23, 102107.Google ScholarPubMed
Galen, LW and Kloet, JD (2011) Mental well-being in the religious and the non-religious: evidence for a curvilinear relationship. Mental Health, Religion and Culture 14, 673689.10.1080/13674676.2010.510829CrossRefGoogle Scholar
*Gu, DN (2007) 旅游和健身锻炼与健康长寿关系的定量研究 [A quantitative study on the relationship between tourism, fitness exercise, health and longevity]. Population Journal 3, 4751.Google Scholar
*Gu, YL (2014) 桃竹苗地區高齡者憂鬱症狀相關因素之調查 [Investigation on related factors of depression symptoms in elderly people in Taozhumiao area]. Taiwan Association of Gerontology and Geriatrics 9, 169183.Google Scholar
*Guo, SE and Chiou, CJ (1997) 高雄市老人健康檢查異常者調適行為之初探 [Coping behaviors of the elderly with positive physical examination results in Kaohsiung City]. The Kaohsiung Journal of Medical Sciences 13, 378387.Google Scholar
*Guo, ZY, Huang, Q, Li, YT, Wu, K and Shi, WX (2016) 桂林市社区老年人生活质量评价及其影响因素 [Evaluation of the quality of life of the elderly in Guilin City and its influencing factors]. Chinese Journal of Gerontology 36, 167170.Google Scholar
*Guo, YS, Chen, H, Fan, ML, Zhong, YX and Guo, Q (2018) 银川市老年人日常生活活动能力及影响因素研究 [A survey on elderly people's activities of daily living (ADL) and influential factors in Yinchuan City ]. Health Research 38, 124128.Google Scholar
Hackney, CH and Sanders, GS (2003) Religiosity and mental health: a meta-analysis of recent studies. Journal for the Scientific Study of Religion 42, 4355.CrossRefGoogle Scholar
*Han, XQ, Zhang, SF, Zhang, YB, Xu, TH and Niu, YJ (2017) 居家老年人的抑郁焦虑状况及影响因素分析 [Analysis of depression and anxiety status and influencing factors among elderly people at home]. Chinese Journal of Gerontology 36, 11201124.Google Scholar
Hassed, CS (2000) Depression: dispirited or spiritually deprived? Medical Journal of Australia 173, 545547.10.5694/j.1326-5377.2000.tb139326.xCrossRefGoogle ScholarPubMed
*He, Q, Cui, Y, Liang, L, Zhong, Q, Li, J, Li, Y, Lv, X and Huang, F (2017) Social participation, willingness and quality of life: a population-based study among older adults in rural areas of China. Geriatrics and Gerontology International 17, 15931602.Google ScholarPubMed
Higgins, JP, Thompson, SG, Deeks, JJ and Altman, DG (2003) Measuring inconsistency in meta-analyses. BMJ 327, 557560.10.1136/bmj.327.7414.557CrossRefGoogle ScholarPubMed
*Ho, SC, Woo, J, Lau, J, Chan, SG, Yuen, YK, Chan, YK and Chi, I (1995) Life satisfaction and associated factors in older Hong Kong Chinese. Journal of the American Geriatrics Society 43, 252255.10.1111/j.1532-5415.1995.tb07331.xCrossRefGoogle ScholarPubMed
Hosseini, S, Chaurasia, A and Oremus, M (2017) The effect of religion and spirituality on cognitive function: a systematic review. The Gerontologist 2, e76e85.Google Scholar
Howell, AN, Carleton, RN, Horswill, SC, Parkerson, HA, Weeks, JW and Asmundson, GJ (2019) Intolerance of uncertainty moderates the relations among religiosity and motives for religion, depression, and social evaluation fears. Journal of Clinical Psychology 75, 95115.10.1002/jclp.22691CrossRefGoogle ScholarPubMed
*Huang, LH and Lin, YC (2002) The health status and needs of community elderly living alone. Journal of Nursing Research 10, 227236.CrossRefGoogle ScholarPubMed
*Huang, F, Shang, Y, Luo, Y, Wu, P, Huang, X, Tan, X, Lu, X, Zhen, L and Hu, X (2016) Lower prevalence of Alzheimer's disease among Tibetans: association with religious and genetic factors. Journal of Alzheimer's Disease 50, 659667.10.3233/JAD-150697CrossRefGoogle ScholarPubMed
*Hui, VKY and Coleman, PG (2012) Do reincarnation beliefs protect older adult Chinese Buddhists against personal death anxiety? Death Studies 36, 949958.CrossRefGoogle ScholarPubMed
Hunter, JE and Schmidt, FL (1990) Methods of Meta-analysis: Correcting Error and Bias in Research Findings. Newbury Park, CA: Sage.Google Scholar
Jahn, DR, Poindexter, EK, Graham, RD and Cukrowicz, KC (2012) The moderating effect of the negative impact of recent life events on the relation between intrinsic religiosity and death ideation in older adults. Suicide and Life-threatening Behavior 42, 589601.CrossRefGoogle ScholarPubMed
*Jia, SM, Shi, YJ, Zhou, H, Fu, J, and Lv, B (2007) 上海市社区老人焦虑状况及其影响因素研究 [Anxiety of community-dwelling older people in Shanghai and its influencing factors]. Chinese Nursing Research 12, 32243226.Google Scholar
Jim, HS, Pustejovsky, JE, Park, CL, Danhauer, SC, Sherman, AC, Fitchett, G, Merluzzi, TV, Munoz, AR, George, L, Snyder, MA and Salsman, JM (2015) Religion, spirituality, and physical health in cancer patients: a meta-analysis. Cancer 121, 37603768.10.1002/cncr.29353CrossRefGoogle ScholarPubMed
*Jin, H, Wang, SQ, Cheng, P, Qian, J, Chi, J, Wang, XL and Wang, Y (2017) 皖东地区老年人群社会支持状况调查分析 [Investigation and analysis of social support status of the elderly in Eastern Anhui province]. Journal of Chuzhou University 19, 2226Google Scholar
Jung, JH (2014) Religious attendance, stress, and happiness in South Korea: do gender and religious affiliation matter? Social Indicators Research 118, 11251145.10.1007/s11205-013-0459-8CrossRefGoogle Scholar
Kapteyn, A, Lee, J, Tassot, C, Vonkova, and Zamarro, G (2015) Dimensions of subjective well-being. Social Indicators Research 123, 625660.10.1007/s11205-014-0753-0CrossRefGoogle ScholarPubMed
Kirby, SE, Coleman, PG and Daley, D (2004) Spirituality and well-being in frail and nonfrail older adults. Journals of Gerontology: Psychological Sciences and Social Sciences 59B, 123129.10.1093/geronb/59.3.P123CrossRefGoogle Scholar
Koenig, HG (2009) Research on religion, spirituality, and mental health: a review. Canadian Journal of Psychiatry 54, 283291.10.1177/070674370905400502CrossRefGoogle ScholarPubMed
Koenig, HG, King, D and Carson, VB (2012) Handbook of Religion and Health. New York, NY: Oxford University Press.Google Scholar
Krause, N, Ironson, G and Hill, P (2018) Religious involvement and happiness: assessing the mediating role of compassion and helping others. Journal of Social Psychology 158, 256270.CrossRefGoogle ScholarPubMed
*Lan, YH, Zhuang, ZM, Lin, ZQ and Zhao, SY (2008) 社區老人生活安適感、希望感、與死亡態度及其相關之探討 [Discussion on the sense of safety, hope, and attitude towards death among the elderly in the community]. Community Development Journal Quarterly 121, 303321.Google Scholar
Landis, JR and Koch, GG (1977) The measurement of observer agreement for categorical data. Biometrics 33, 159174.10.2307/2529310CrossRefGoogle ScholarPubMed
Larson, DB, Sherrill, KA, Lyons, JS, Craigie, FC, Thielman, SB, Greenwold, MA and Larson, SS (1992) Associations between dimensions of religious commitment and mental health reported in the American Journal of Psychiatry and Archives of General Psychiatry: 1978–1989. American Journal of Psychiatry 149, 557559.Google ScholarPubMed
Levin, JS and Chatters, LM (1998) Religion, health, and psychological well-being in older adults: findings from three national surveys. Journal of Aging and Health 10, 504531.10.1177/089826439801000406CrossRefGoogle ScholarPubMed
*Li, F, Wang, XH, Wang, JH, Jiang, ZY, Deng, KS, Fu, HM and Zhang, J (2018) 贵阳市老年人体育锻练与健康自评的相关性 [Correlation between physical exercise and self-evaluated health of older adults in Guiyang]. Journal of Guizhou Medical University 43, 299304.Google Scholar
Lim, C and Putnam, RD (2010) Religion, social networks, and life satisfaction. American Sociological Review 75, 914933.10.1177/0003122410386686CrossRefGoogle Scholar
*Lin, AHMH (2003) Factors related to attitudes toward death among American and Chinese older adults. Omega: Journal of Death and Dying 47, 323.CrossRefGoogle Scholar
*Lin, PC and Wang, HH (2011) Factors associated with depressive symptoms among older adults living alone: an analysis of sex difference. Aging and Mental Health 15, 10381044.10.1080/13607863.2011.583623CrossRefGoogle ScholarPubMed
*Lin, KP, Chou, YC, Chen, JH, Chen, CD, Yang, SY, Chen, TF, Sun, Y, Wen, LL, Yip, PK, Chu, YM and Chen, YC (2015) Religious affiliation and the risk of dementia in Taiwanese elderly. Archives of Gerontology and Geriatrics 60, 501506.CrossRefGoogle ScholarPubMed
*Lin, HP, He, WJ, He, GR, Gao, Y, Liu, MM and Gu, YT (2016) 老年人健康商数及影响因素调查分析 [Investigation and analysis of health quotient of the elderly and its influencing factors]. Journal of Qilu Nursing 22, 5153.Google Scholar
Lin, L, Chu, H, Murad, MH, Hong, C, Qu, Z, Cole, SR and Chen, Y (2018) Empirical comparison of publication bias tests in meta-analysis. Journal of General Internal Medicine 33, 12601267.10.1007/s11606-018-4425-7CrossRefGoogle ScholarPubMed
Liu, EY (2011) Religion and mental health in China. In Blasi, AJ (ed.), Toward a Sociological Theory of Religion and Health. Boston, MA: Brill, pp. 141-174.Google Scholar
*Liu, YN (2016) 养老机构老年人主观幸福感及其影响因素 [Subjective well-being of the elderly in nursing homes and influencing factors]. Journal of Huzhou University 38, 100104.Google Scholar
Liu, EY and Koenig, HG (2013) Measuring intrinsic religiosity: scales for use in mental health studies in China – a research report. Mental Health, Religion and Culture 16, 215224.CrossRefGoogle Scholar
*Liu, SZ, Zhou, LX and Liu, RH (2012) 上海市某区敬老院老人的郁状况 [Depression symptoms of older adults in nursing homes in one district of Shanghai]. Chinese Journal of Gerontology 32, 353355.Google Scholar
*Liu, TT, Chen, JQ, Zhang, YY and Hu, F (2018) 天津市养老机构老人生活状态及满意度调查研究 [Investigation of the living condition and life satisfaction among elderly in nursing homes at Tianjin]. Journal of Nurses Training 33, 177180.Google Scholar
Loewenthal, K (2006) Religion, Culture and Mental Health. Cambridge: Cambridge University Press.Google Scholar
Lu, YF (2014) 当代中国宗教状况报告——基于 CFPS (2012) 调查数据 [Report on contemporary Chinese religions based on data of CFPS 2012]. The World Religious Cultures 1, 1125.Google Scholar
Lu, X, O'Leary, R and Li, Y (2016) Who are the believers in religion in China? In Day, A (ed.), Religion and the Individual: Belief, Practice, Identity. Aldershot, UK: Ashgate, 47-64.Google Scholar
*Luo, YN, He, P, Guo, C and Zheng, XY (2017) 中国老年人宗教参与与认知障碍关系 [Association of religious participation with cognitive impairment among the elderly in China]. Chinese Journal of Public Health 33, 13351340.Google Scholar
*Ma, J, Xi, SH and Zhu, LM (2009) 社区高龄独居老人社会支持状况调查分析 [Investigation and analysis of social support status of old people living alone in the community]. Nursing Journal of Chinese People's Liberation Army 26, 2325.Google Scholar
Mahmoodabad, SSM, Ehrampoush, MH, Tabei, SZ, Nami, M, Fallahzadeh, H, NamavarJahromi, B, Shayan, A and Forouhari, S (2016) Extrinsic or intrinsic religious orientation may have an impact on mental health. Research Journal of Medical Sciences 10, 232236.Google Scholar
McFadden, SH (2005) Points of connection: gerontology and the psychology of religion. In Paloutzian, RF and Park, CL (eds), Handbook of the Psychology of Religion and Spirituality. New York, NY: Guilford, pp.162-176.Google Scholar
McFadden, SH and Kozberg, RC (2008) Religious and spiritual supports for late-life meaning. Generations 32, 611.Google Scholar
McFarland, MJ (2010) Religion and mental health among older adults: do the effects of religious involvement vary by gender? Journals of Gerontology: Psychological Sciences and Social Sciences 65B, 621630.CrossRefGoogle Scholar
McSherry, W (2000) Education issues surrounding the teaching of spirituality. Nursing Standard 14, 4043.10.7748/ns2000.07.14.42.40.c2875CrossRefGoogle ScholarPubMed
Moons, P, Luyckx, K, Dezutter, J, Kovacs, AH, Thomet, C, Budts, W, Enomoto, J, Sluman, M, Yang, HL, Jackson, J, Khairy, P, Subramanyan, R, Alday, L, Eriksen, K, Dellborg, M, Berghammer, M, Johansson, B, Mackie, AS, Menahem, S, Caruana, M, Veldtman, G, Soufi, A, Fernandes, SM, White, K, Callus, E, Kutty, S, Apers, S, on behalf of the on behalf of the APPROACH-IS Consortium and the International Society for Adult Congenital Heart Disease (2019) Religion and spirituality as predictors of patient-reported outcomes in adults with congenital heart disease around the globe. International Journal of Cardiology 274, 9399.CrossRefGoogle ScholarPubMed
Mowat, H and O'Neill, M (2013) Spirituality and Ageing: Implications for the Care and Support of Older People. Institute for Research and Innovation in Social Services. Available at http://www.iriss.org.uk/sites/default/files/iriss-insight-19.pdf.Google Scholar
Munley, PH (1975) Erik Erikson's theory of psychosocial development and vocational behavior. Journal of Counseling Psychology 22, 314319.10.1037/h0076749CrossRefGoogle Scholar
Murat, SARI (2017) The impacts of the age factor on religiosity. Fırat Üniversitesi Sosyal Bilimler Dergisi 27, 257264.Google Scholar
Musick, MA, Koenig, HG, Hays, JC and Cohen, HJ (1998) Religious activity and depression among community-dwelling elderly persons with cancer: the moderating effect of race. Journals of Gerontology: Psychological Sciences and Social Sciences 53B, S218S227.10.1093/geronb/53B.4.S218CrossRefGoogle Scholar
Oman, D (ed.) (2018) Why Religion and Spirituality Matter for Public Health: Evidence, Implications, and Resources, Vol. 1. Cham, Switzerland: Springer.CrossRefGoogle Scholar
Oman, D and Riley, LW (2018) Infectious diseases, religion, and spirituality. In Oman, D (ed.), Why Religion and Spirituality Matter for Public Health. Religion, Spirituality and Health: A Social Scientific Approach, Vol 2. Cham, Switzerland: Springer, pp.153-163.Google Scholar
Oman, D and Thoresen, CE (2005) Do religion and spirituality influence health. In Paloutzian, RF and Park, CL (eds), Handbook of the Psychology of Religion and Spirituality. New York, NY: Guilford, pp.435–459.Google Scholar
Padela, AI, Malik, S, Vu, M, Quinn, M and Peek, M (2018) Developing religiously-tailored health messages for behavioral change: introducing the reframe, reprioritize, and reform (‘3R’) model. Social Science and Medicine 204, 9299.10.1016/j.socscimed.2018.03.023CrossRefGoogle Scholar
Palmer, DA and Siegler, E (2017) Dream Trippers: Global Daoism and the Predicament of Modern Spirituality. Chicago, IL: University of Chicago Press.10.7208/chicago/9780226484983.001.0001CrossRefGoogle Scholar
Pargament, KI, Koenig, HG, Tarakeshwar, N and Hahn, J (2001) Religious struggle as a predictor of mortality among medically ill elderly patients: a 2-year longitudinal study. Archives of Internal Medicine 161, 18811885.10.1001/archinte.161.15.1881CrossRefGoogle ScholarPubMed
Payne, IR, Bergin, AE, Bielema, KA and Jenkins, PH (1991) Review of religion and mental health: prevention and the enhancement of psychosocial functioning. Prevention in Human Services 9, 1140.10.1300/J293v09n02_02CrossRefGoogle Scholar
*Peng, SY, Fu, GF and Wu, GQ (2012) 广东贫困县老年人主观幸福感调研报告 [Investigation on subjective wellbeing of the elderly in a poor county of Guangdong]. Journal of Strategy and Decision-making 3, 89-97.Google Scholar
Potter, PB (2003) Belief in control: regulation of religion in China. The China Quarterly 174, 317337.CrossRefGoogle Scholar
*Rong, XS, Peng, YQ and Wang, H (2016) 社区老年慢性心力衰竭患者自我管理现状及人口学因素分析 [Self-management and demographic factors of elderly patients with chronic heart failure in the community]. Chinese Journal of Modern Nursing 22, 22212225.Google Scholar
Rosenthal, R (1991) Meta-analytic Procedures for Social Research. Newbury Park, CA: Sage.CrossRefGoogle Scholar
Sadler, E and Biggs, S (2006) Exploring the links between spirituality and ‘successful ageing’. Journal of Social Work Practice 20, 267280.CrossRefGoogle Scholar
Schuurmans-Stekhoven, JB (2011) Is it God or just the data that moves in mysterious ways? How well-being research may be mistaking faith for virtue. Social Indicators Research 100, 313330.10.1007/s11205-010-9630-7CrossRefGoogle Scholar
Schuurmans-Stekhoven, JB (2017) Spirit or fleeting apparition? Why spirituality's link with social support might be incrementally invalid. Journal of Religion and Health 56, 12481262.CrossRefGoogle ScholarPubMed
Schuurmans-Stekhoven, JB (2018) Conviction, character and coping: religiosity and personality are both uniquely associated with optimism and positive reappraising. Mental Health, Religion and Culture 21, 763779.10.1080/13674676.2018.1542422CrossRefGoogle Scholar
Schuurmans-Stekhoven, JB (2019) Auspicious or suspicious – does religiosity really promote elder well-being? Examining the belief-as-benefit effect among older Japanese. Archives of Gerontology and Geriatrics 81, 129135.CrossRefGoogle ScholarPubMed
Seybold, KS and Hill, PC (2001) The role of religion and spirituality in mental and physical health. Current Directions in Psychological Science 10, 2124.CrossRefGoogle Scholar
*Shi, CH, Wu, XL and Lei, LX (2017) 郴州市社区老年人抑郁现状及相关因素研究 [Study on the status quo and related factors of depression in the elderly in Chenzhou City]. Journal of Xiangnan University (Medical Sciences) 3, 41-44.Google Scholar
Shiah, YJ, Chang, F, Chiang, SK and Tam, WCC (2016) Religion and subjective well-being: Western and Eastern religious groups achieved subjective well-being in different ways. Journal of Religion and Health 55, 12631269.CrossRefGoogle ScholarPubMed
Smith, TB, McCullough, ME and Poll, J (2003) Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events. Psychological Bulletin 129, 614-636.CrossRefGoogle ScholarPubMed
Song, E and Sung, YW (1991) The China–Hong Kong Connection: The Key to China's Open Door Policy. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
*Su, X, Shang, L, Xu, Q, Li, N, Chen, J, Zhang, L, Zhang, L and Hua, Q (2014) Prevalence and predictors of mild cognitive impairment in Xi'an: a community-based study among the elders. PLOS ONE 9, e83217.10.1371/journal.pone.0083217CrossRefGoogle ScholarPubMed
*Su, XN, Hua, QZ, Chen, JH, Li, NN and Zhang, LP (2016) 社区老年人认知障碍与生活方式的相关性研究 [Correlation between lifestyle and mild cognitive impairment among community-dewelling seniors]. Journal of Nursing (China) 23, 3033.Google Scholar
*Su, S, Huang, SQ and Liang, YY (2017) 上海某社区老年人死亡态度及其影响因素研究 [Death attitudes of older adults in a community of Shanghai and the influential factors]. Geriatric Health Care 23, 413416.Google Scholar
Sun, Y (2017) The rise of Protestantism in post-Mao China: state and religion in historical perspective. American Journal of Sociology 122, 16641725.CrossRefGoogle Scholar
*Sun, MX, Li, GP, Li, JH and Liao, GX (2011) 养老院老年人主观幸福感影响因素的路径分析 [Path analysis of factors affecting subjective well-being of elderly people in nursing homes]. Chinese Journal of Gerontology 31, 31403143.Google Scholar
Sun, Y, Ma, W, Wu, Y, Koenig, HG and Wang, Z (2018) The mediating effect of depression in religiosity and cognitive function among Chinese Muslim elderly. Neuropsychiatry (London) 8, 10461053.Google Scholar
Suurmond, R, van Rhee, H and Hak, T (2017) Introduction, comparison, and validation of Meta-Essentials: a free and simple tool for meta-analysis. Research Synthesis Methods 8, 537553.CrossRefGoogle ScholarPubMed
Svob, C, Wickramaratne, PJ, Reich, L, Zhao, R, Talati, A, Gameroff, MJ, Saeed, R and Weissman, MM (2018) Association of parent and offspring religiosity with offspring suicide ideation and attempts. JAMA Psychiatry 75, 10621070.10.1001/jamapsychiatry.2018.2060CrossRefGoogle ScholarPubMed
Tabak, MA and Mickelson, KD (2009) Religious service attendance and distress: the moderating role of stressful life events and race/ethnicity. Sociology of Religion 70, 4964.CrossRefGoogle Scholar
*Tian, Z, Guo, W, Zhang, K, Chen, J, Zhou, S, Chen, W, Jin, Y and Zhang, XB (2010) 社会转型期农村’空巢’老人生活满意度分析 [Analysis of life satisfaction of rural ‘empty nest’ elderly people in the period of social transformation]. Chinese Journal of Gerontology 30, 820822.Google Scholar
Travagnin, S (2016) Religion and Media in China: Insights and Case Studies from the Mainland, Taiwan and Hong Kong. Abingdon, UK: Taylor & Francis.CrossRefGoogle Scholar
*Tsoh, J, Chiu, HF, Duberstein, PR, Chan, SS, Chi, I, Yip, PS and Conwell, Y (2005) Attempted suicide in elderly Chinese persons: a multi-group, controlled study. American Journal of Geriatric Psychiatry 13, 562571.CrossRefGoogle ScholarPubMed
United Nations (2016) Concise Report on Strengthening Demographic Evidence Base for the Post-2015 Development Agenda. New York, NY: Department of Economic and Social Affairs, United Nations.Google Scholar
Viechtbauer, W (2010) Conducting meta-analyses in R with the metafor package. Journal of Statistical Software 36, 148.10.18637/jss.v036.i03CrossRefGoogle Scholar
*Wang, WL (2015) 民族地区老年妇女信教状况及影响因素研究 [Study on the status and influencing factors of old women's religious beliefs in ethnic areas]. Journal of Yunnan Minzu University (Social Sciences) 32, 8086.Google Scholar
*Wang, CW, Chan, CLW, Ng, SM and Ho, AHY (2008) The impact of spirituality on health-related quality of life among Chinese older adults with vision impairment. Aging and Mental Health 12, 267275.CrossRefGoogle ScholarPubMed
*Wang, JY, Yao, BX and Fang, SH (2009) 芜湖市93名老年人生活满意度现状调查 [Survey on the status of life satisfaction of 93 elderly people in Wuhu City]. Soft Science of Health 23, 405407.Google Scholar
*Wang, X, Wang, T and Han, B (2012) The mental health of older Buddhists after the Wenchuan earthquake. Pastoral Psychology 61, 841850.10.1007/s11089-011-0402-3CrossRefGoogle Scholar
*Wang, P, Ji, F, Cui, YL, Zhao, WY, Duan, XM and Wang, DD (2014) 老年人孤独感及其团体心理辅导的干预作用 [The role of loneliness in the elderly and the intervention of group psychological counseling]. China Journal of Health Psychology 22, 13981400.Google Scholar
*Wang, X, Wei, LL and Wang, DK (2016) 甘肃天水地区老年基督教徒的宗教卷入与生活满意度的调查 [Investigation on religious involvement and life satisfaction of elderly Christians in Tianshui District of Gansu Province]. Chinese Journal of Gerontology 36, 48854887.Google Scholar
*Wang, ZL, Liu, HX, Xu, WL and Wang, CY (2017) 住院老年慢性病病人死亡焦虑现状及影响因素调查 [Survey of death anxiety and influencing factors of hospitalized elderly patients with chronic diseases]. Nursing Research 31, 33403343.Google Scholar
*Wang, J, Li, W, Yue, L, Hong, B, An, N, Li, G and Xiao, S (2018) The study of white matter hyperintensity (WMH) and factors related to geriatric late-onset depression. Shanghai Archives of Psychiatry 30, 12-19.Google Scholar
Willits, FK and Crider, DM (1988) Religion and well-being: men and women in the middle years. Review of Religious Research 29, 281294.10.2307/3511225CrossRefGoogle Scholar
Witter, RA, Stock, WA, Okun, MA and Haring, MJ (1985) Religion and subjective wellbeing in adulthood: a quantitative synthesis. Review of Religious Research 26, 332342.CrossRefGoogle Scholar
*Xiang, H, Wang, H, Ma, H, He, M, Ma, N, Wu, XM, Guo, Q, Huang, X and Yu, X (2012) 地震后7~9个月老年受灾群众心理卫生状况 [Mental health status of the elderly affected by earthquake after 7 to 9 months]. Chinese Journal of Gerontology 32, 23482350.Google Scholar
Xie, Z (2017) Religious Diversity and Public Religion in China. Abingdon, UK: Routledge.CrossRefGoogle Scholar
Yang, CK (1967) Religion in Chinese Society: A Study of Contemporary Social Functions of Religion and Some of Their Historical Factors. Berkeley, CA: University of California Press.Google Scholar
Yang, F (2013) A research agenda on religious freedom in China. Review of Faith and International Affairs 11, 617.10.1080/15570274.2013.808042CrossRefGoogle Scholar
Yang, F and Hu, A (2012) Mapping Chinese folk religion in mainland China and Taiwan. Journal for the Scientific Study of Religion 51, 505521.CrossRefGoogle Scholar
*Yang, YL, Song, XX, Su, and Liu, Q (2006) 克拉玛依市区老人抑郁焦虑状况的调查分析 [Investigation and analysis of depression and anxiety status of the elderly in Karamay City]. Modern Medicine Journal of China 8, 5154.Google Scholar
*Yang, KF, Hsu, CH, Tang, YJ and Kung, CC (2012) 社區老人日常生活活動、生活品質與幸福感之相關研究 [Correlation among activities of daily living, quality of life, and sense of well-being in elderly community dwellers]. Taiwan Association of Gerontology and Geriatrics 7, 217232.Google Scholar
*Yang, J, Dong, J, Yan, X and Qin, XX (2012) 老年住院患者孤独感与社会支持的关系 [The effects of group counseling on loneliness of the elderly]. Psychological Exploration 33, 570573.Google Scholar
*Yang, Y, Zhou, JH, Li, X and Dong, BR (2017) 老年综合评估软件在社区老人多维评估中的实用性 [The practicality of the comprehensive evaluation software for the elderly in the multidimensional assessment of the elderly in the community]. Chinese Journal of Gerontology 37, 56935695.Google Scholar
Yeager, DM, Glei, DA, Au, M, Lin, HS, Sloan, RP and Weinstein, M (2006) Religious involvement and health outcomes among older persons in Taiwan. Social Science & Medicine 63, 22282241.10.1016/j.socscimed.2006.05.007CrossRefGoogle ScholarPubMed
*Zeng, Y, Gu, D and George, LK (2011) Association of religious participation with mortality among Chinese old adults. Research on Aging 33, 5183.10.1177/0164027510383584CrossRefGoogle ScholarPubMed
Zhan, HJ, Luo, B and Zhang, G (2013) Faith and health: meanings of faith for Chinese elders with diverse religious backgrounds. Ageing International 38, 343363.10.1007/s12126-013-9182-7CrossRefGoogle Scholar
Zhang, W (2010) Religious participation, gender differences, and cognitive impairment among the oldest-old in China. Journal of Aging Research 2010, 160294.CrossRefGoogle ScholarPubMed
*Zhang, DM, Zhi, HU, Orton, S, Wang, JJ, Zheng, JZ, Xia, QIN and Chen, RL (2013) Socio-economic and psychosocial determinants of smoking and passive smoking in older adults. Biomedical and Environmental Sciences 26, 453467.Google ScholarPubMed
*Zhang, W, Hu, ZM and Li, HJ (2014) 城市老年人主观幸福感的影响因素分析 [Factors influencing subjective wellbeing of urban older people]. Population and Development 20, 7175.Google Scholar
*Zhang, H, Zhang, B, Li, CL, Peng, Y and Lan, H (2016) 分析探讨老年人生活方式对其发生轻度认知障碍的影响 [Analysis and discussion of the influence of lifestyle on older adults' mild cognitive impairment]. World Latest Medicine Information 16, 44–44.Google Scholar
*Zhao, ML, Wen, WS, Wang, WX and Xu, YF (2007) 百岁老人的认知能力和主观幸福感及其影响因素调查 [Characteristics and determinants of cognitive function and subjective wellbeing of centenarians in Xiaoshan District]. Chinese Journal of Primary Medicine and Pharmacy 14, 4446.Google Scholar
*Zhao, JW, Zhao, XG, Liu, H, Wu, HM, WeiF, , Wang, Y, Qiu, ZM, Huang, M and Gao, HY (2015) 上海市嘉定区 2373 名社区老年人社会支持情况及其影响因素分析 [An analysis of social support and influencing factors of 2373 community-dwelling older adults in Jiading, Shanghai]. Chinese Health Education 31, 1127.Google Scholar
*Zheng, XD, Su, BZ and Fang, XM (2018) 子女代际支持对老年人宗教信仰的影响 [The impact of children's intergenerational support on the religious belief of the elderly]. Population and Development 24, 109126.Google Scholar
*Zhou, MJ, Yao, LQ and Xu, JH (2002) 道家思想对老人心理及主观幸福度影响 [Influence of Taoist education on subjective well-being of older people]. Chinese Mental Health Journal 3, 174–176.Google Scholar
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