“Which comes first”: Religious/spiritual engagement or health? Initial observations from longitudinal analyses

Our findings demonstrate that R/S engagement predicts better SRH six years later, whereas better SRH does not significantly predict future R/S engagement. Future areas of growth in the R/S and health research field include addressing heterogeneity in the measurement of both constructs, increasing sample diversity/representation, and considering contextual nuances. Experimental methods or multiple-timepoint data, with a focus on mediators (e.g., inflammation), may help further disentangle the longitudinal relationships between R/S engagement and self-rated health.