title: Specifying the effects of religion on medical helpseeking: the case of infertility.
abstract: Several recent studies have examined the connection between religion and medical service utilization. This relationship is complicated because religiosity may be associated with beliefs that either promote or hinder medical helpseeking. The current study uses structural equation modeling to examine the relationship between religion and fertility-related helpseeking using a probability sample of 2183 infertile women in the United States. We found that, although religiosity is not directly associated with helpseeking for infertility, it is indirectly associated through mediating variables that operate in opposing directions. More specifically, religiosity is associated with greater belief in the importance of motherhood, which in turn is associated with increased likelihood of helpseeking. Religiosity is also associated with greater ethical concerns about infertility treatment, which are associated with decreased likelihood of helpseeking. Additionally, the relationships are not linear throughout the helpseeking process. Thus, the influence of religiosity on infertility helpseeking is indirect and complex. These findings support the growing consensus that religiously-based behaviours and beliefs are associated with levels of health service utilization.
authors.affiliation: Alfred University, Division of Social Sciences, Alfred, NY 14802, USA. fgreil@alfred.edu
authors.forename: Arthur
authors.initials: A
authors.lastname: Greil
authors.forename: Julia
authors.initials: J
authors.lastname: McQuillan
authors.forename: Maureen
authors.initials: M
authors.lastname: Benjamins
authors.forename: David R
authors.initials: DR
authors.lastname: Johnson
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Johnson
authors.forename: Chelsea R
authors.initials: CR
authors.lastname: Heinz
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000523:psychology* / Q000628:therapy; D007407:Interviews as Topic; D008875:Middle Aged; D008962:Models, Theoretical; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D012068:Religion and Medicine; D018456:Reproductive Medicine / Q000941:ethics / Q000706:statistics & numerical data; D027724:Reproductive Techniques, Assisted / Q000706:statistics & numerical data*; D012945:Social Values