Social and Behavioral Sciences Commons^™

Influence Of Physicians’ Beliefs On Propensity To Include Religion/Spirituality In Patient Interactions, Aaron B. Franzen

Faculty Publications

This study examines physicians’ beliefs, their perceptions of whether religion impacts health outcomes, and their propensity to discuss religion/spirituality with patients. It is not uncommon for patients to want religious/spiritual conversations, but the occurrence is infrequent. This study adds to knowledge regarding which physicians include these topics. Using a nationally representative sample of physicians and a mediated bi-factor structural equation model, the author finds that “religious and spiritual” physicians connect religion and patient health more than other religious/spiritual orientations. As a result, “religious and spiritual” physicians include religion/spirituality most often (indirect path). After this variation is accounted for, “spiritual but …

Physicians' Moral Dispositions, Role Perceptions, And Patient Interactions: Exploratory Findings From Physicians In The Midwestern United States, Aaron B. Franzen

Faculty Publications

We know that patients and their well-being is important to physicians, but what this means in terms of their practice is not always as clear. One potentially fruitful approach to understanding this variation is to look to physicians' value dispositions and moral foundations. Prior work within the general population has highlighted the place and importance of religion/spirituality, but very little is known about physicians and how moral foundations matter for medicine more broadly. The purpose of this research note is to explore these issues with a sample of physicians in Michigan. We find that individual characteristics are related to physicians' …

Patient Or Physician Centered Care?: Structural Implications For Clinical Interactions And The Overlooked Patient, Aaron B. Franzen

Faculty Publications

Patient-centered care is widely supported by physicians, but this wide-spread support potentially obscures the social patterning of clinical interactions. We know that patients often want religious/spiritual conversations in the context of medical care but the provision is infrequent. As there is regional variance in religiosity, a gap in the literature exists regarding whether patient populations’ religiosity is connected to physicians’ self-reported religious/spiritual interactions. Using a national sample of U.S. physicians linked to county-level measures, the author test whether both physicians’ background and patient population characteristics are related to religious/spiritual interactions. Specifically, do physicians in more religious locations report more frequent …

A Longitudinal Study Of Resident Emotional Stability, Self-Reported Health And Perceptions Of Programmatic Support, Aaron B. Franzen, Benjamin R. Doolittle

Faculty Publications

Purpose: Certain characteristics such as acceptance, planning, and humility have correlated with less burnout among resident physicians. However, less is known about residency program culture, socialization, and support. The purpose of this study is to investigate social isolation, solidarity, stress, and frustration over time, their self-reported health, as well as the programmatic support.

Methods: A longitudinal self-administered survey implemented within an academic pediatric residency program to track resident characteristics over time.

Results: In Wave 1, among 101 residents, 78 (77%) responded. In Wave 2, among 98 residents, 73 (74%) responded. 45 residents were in both Wave 1 and 2. All …

Stress Buffer Or Identity Threat?: Negative Media Portrayal, Public And Private Religious Involvement, And Mental Health In A National Sample Of Us Adults, Samuel Stroope, Mark H. Walker, Aaron B. Franzen

Faculty Publications

Guided by the stress process tradition, complex links between religion and mental health have received growing attention from researchers. This study gauges individuals’ public and private religiosity, uses a novel measure of environmental stress—negative media portrayal of religion—and presents two divergent hypotheses: (1) religiosity as stress-exacerbating attachment to valued identities producing mental health vulnerability to threat and (2) religiosity as stress-buffering social psychological resource. To assess these hypotheses, we analyze three mental health outcomes (generalized anxiety, social anxiety, and general mental health problems) in national U.S. data from 2010 (N = 1,714). Our findings align with the stress-buffering perspective. Results …

Is This Relevant? Physician Perceptions, Clinical Relevance, And Religious Content In Clinical Interactions, Aaron B. Franzen

Faculty Publications

Despite wide support among physicians for practicing patient-centered care, clinical interactions are primarily driven by physicians’ perception of relevance. While some will perceive a connection between religion and patient health, this relevance will be less apparent for others. I argue that physician responses when religious/spiritual topics come up during clinical interactions will depend on their own religious/spiritual background. The more central religion is for the physician, the greater his or her perception of religion's impact on health outcomes and his or her inclusion of religion/spirituality within clinical interactions. Using a nationally representative sample of physicians in the United States and …

Work-Family Conflict: The Effects Of Religious Context On Married Women’S Participation In The Labor Force, Jenna Griebel Rogers, Aaron B. Franzen

Faculty Publications

Past work shows religion’s effect on women’s career decisions, particularly when these decisions involve work-family conflict. This study argues that the religious context of a geographic area also influences women’s solutions to work-family conflict through more or less pervasive normative expectations within the community regarding women’s roles and responsibilities to the family. We use the American Community Survey linked with community-level religious proportions to test the relationship between religious contexts and women’s participation in the labor force in the contiguous United States–2054 census geographic areas. Using spatial analysis, we find that community religious concentration is related to the proportion of …

Is Being "Spiritual" Enough Without Being Religious? A Study Of Violent And Property Crimes Among Emerging Adults, Sung Joon Jang, Aaron B. Franzen

Faculty Publications

While prior research tends to confirm a negative association between religiousness and crime, criminologists have been slow to incorporate new concepts and emergent issues from the scientific study of religion into their own research. The self-identity phrase “spiritual but not religious” is one of them, which has been increasingly used by individuals who claim to be “spiritual” but disassociate themselves from organized religion. This study first examines differences in crime between “spiritual but not religious” individuals and their “religious and spiritual,” “religious but not spiritual,” and “neither religious nor spiritual” peers in emerging adulthood. Specifically, we hypothesize that the spiritual-but-not-religious …