Jerry W Lee

Jerry W Lee
Loma Linda University · Center for Teaching and Learning

PhD Experimental Social Psychology

About

135
Publications
46,651
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
6,025
Citations
Introduction
Religion and Health. Using structural equation modeling and a variety of regression and mediation/moderation testing techniques. Currently working on how health behaviors and religious beliefs may reduce or exacerbate the effects of Adverse Childhood Experiences (ACEs) on survival time.
Additional affiliations
July 1983 - present
Loma Linda University
Position
  • Professor (Full)

Publications

Publications (135)
Article
Purpose We examined the intrapersonal, interpersonal, community, and societal correlates of a structural indicator of social connectedness (ie, social isolation) among a sample of young adult U.S. males Design Cross-sectional. Setting: Online survey. Subjects Males (n = 495) aged 18-25 years residing in the U.S. Measures Social isolation was ass...
Article
Purpose Social disconnection, such as loneliness, is recognized as a significant public health concern in the United States, and young adult males may carry the greater burden of this issue when compared with their female peers. Little is known about the correlates of loneliness for this population. This study examines the social-ecological correla...
Article
Fitness assessments are commonly used as a motivational tool in exercise classes and fitness training. However, there is little research on their actual effect. This study explored how the feedback from a fitness assessment may affect intrinsic motivation for physical activity in college students. The study utilized a quasi-experimental design wher...
Article
Background Adverse Childhood Experiences (ACEs) consistently predict poor mental and physical health as well as early all-cause mortality. Much work examines health harming behaviors that may be used to cope with ACEs associated stress responses and dysregulation. Limited research has been conducted assessing plant-based dietary intake on the ACEs...
Article
Full-text available
Perceived stress among university students is a prevalent health issue directly correlated with poor academic performance, poor sleep quality, hopelessness, compromised physical and mental health, high risk of substance abuse, and suicidal ideation. Tamarkoz, a Sufi meditation, may reduce the impact of stressors to prevent illness among students. T...
Article
Purpose Flourishing and mental health in the prediction of health behaviors such as exercise has been understudied. Positive emotions may promote, and negative emotions hinder protective health behaviors; however, the direction of these associations is unclear. The objective here was to investigate possible associations prospectively. Design Longi...
Article
Full-text available
This study examined the relationships of perceived discrimination and religious coping with hypertension in a sample of Black and White Seventh-day Adventists. Data come from a community-based sample of 6128 White American, 2253 African American and 927 Caribbean American adults (67% women; mean age = 62.9 years). Results indicate lifetime unfair t...
Article
Objectives: Adverse childhood experiences (ACEs) are associated with increased inflammation, stress, and depression. Diet patterns rich in flavonoids may buffer the effects of ACEs on depression through neuroprotective mechanisms. No studies have examined the protective effects of dietary flavonoids on depressive symptoms after ACEs. We examine th...
Article
Objective: To evaluate the association between positive and negative affective states with stress biomarkers, biomarkers of inflammation and blood pressure in a population of healthy Seventh-day Adventists. Design: In a cross-sectional study, biomarkers were regressed on positive and negative affect and control variables among reportedly healthy...
Article
Negative physical and mental health outcomes are well documented for those who experience child sexual abuse. We explore the role of three types of dispositional forgiveness (of self, of others, and by God) as effect modifiers of the child sexual abuse and life satisfaction relationship. In 2010–2011, a sample of 5,506 Seventh‐day Adventists report...
Article
Full-text available
The emphasis on health ministry within the Seventh-day Adventist (SDA) movement led to the development of sanitariums in mid-nineteenth century America. These facilities, the most notable being in Battle Creek, Michigan, initiated the development of vegetarian foods, such as breakfast cereals and analogue meats. The SDA Church still operates a hand...
Article
Full-text available
s Background Waterpipe and cigarette smoking have been found to be associated with each other as cigarette smokers were more likely to be waterpipe users than non-cigarette smokers. Also, waterpipe smokers were likely to be former daily cigarette users. The aim of this study is to examine the likelihood of waterpipe use leading to cigarette use am...
Article
Purpose: To compare 2 self-report methods of measuring weekly minutes of physical activity based on the Aerobics Center Longitudinal Study (ACLS) questionnaire and question 6 of the Paffenbarger Physical Activity Questionnaire (PPAQ) to determine the better predictor of adult-onset type 2 diabetes mellitus (T2DM). Design: An observational, prosp...
Article
Full-text available
Background: Self-reported diagnosis of high blood pressure is frequently used to study representative samples of a population. Objective: Using a cross-sectional design, we examined the relationship between self-reported high blood pressure and clinical evidence for the disease, such as use of antihypertensive medications. Methods: A community-base...
Article
Objective: We assessed the relationship between positive aspects of religiosity and reduced stress in caregivers, and negative aspects of religiosity and increased caregiver burden. Method: Using data from the Biopsychosocial Religion and Health Study, we performed multiple linear regression analysis on 584 caregivers. Results: Mental health,...
Article
Objective: Describe how the burden on the communication partner (CP) from the patient's hearing loss, as perceived by both the patient and their CP, influences a patient's pursuit of hearing evaluation. Design: Cross-sectional design. Demographics, perception of patient's hearing loss, and associated burden on the CP were collected from both pat...
Article
Full-text available
The purpose of this study was to determine the role of religious involvement and related indicators - religious coping, intrinsic religiosity, forgiveness and gratitude - in reducing the negative impact of early traumatic stress on the mental and physical health of adult survivors. Multiple linear regressions were used to analyze self-reported data...
Article
Full-text available
Objective: Intimacy is an essential part of marital relationships, spiritual relationships, and is also a factor in well-being, but there is little research simultaneously examining the links among spiritual intimacy, marital intimacy, and well-being. Methods: Structural equation modeling was used to examine associations among the latent variabl...
Article
Objective: There is limited application of health behavior-based theoretical models in hearing healthcare, yet other fields utilizing these models have shown their value in affecting behavior change. The health belief model (HBM) has demonstrated appropriateness for hearing research. This study assessed factors that influence an individual with su...
Article
Trans fatty acids in Western diets increase health risks, and have been associated with the risk of depression. We hypothesized that intakes of trans fatty acids (primarily from margarines and baked goods) were inversely associated with positive affect and positively associated with negative affect in a longitudinal study. Church attendees residing...
Article
Full-text available
Religiosity, often measured as attendance at religious services, is linked to better physical health and longevity though the mechanisms linking the two are debated. Potential explanations include a healthier lifestyle, increased social support from congregational members, and/or more positive emotions. Thus far, these mechanisms have not been test...
Article
Full-text available
There is a need to longitudinally examine depression and DM2 relationship in a population that values positive health behaviors. The aim of this study was to prospectively investigate the bidirectional relationship between depression and DM2. A cohort sample of 4,746 Black (28.4%) and White (71.6%) Seventh-day Adventist adults who participated in t...
Conference Paper
Background. Although HIV treatment is readily available in Malawi, adherence is a major public health concern. The Theory of Planned Behavior’s (TPB’s) proximal variables (intention and perceived behavioral control) are considered to predict behavior. However, when TPB was used to measure HIV medication adherence in South Africa, intention did not...
Article
Seventh-day Adventists have been noted for their unique lifestyle, religious practices and longevity. However, we know little about how religion is directly related to health in this group. Specifically, we know nothing about how religious social support is related to hypertension. Using data from the Biopsychosocial Religion and Health Study, we c...
Article
A unique lifestyle based on religious beliefs has been associated with longevity among North American Seventh-day Adventists (SDAs); however, little is known about how religion is directly associated with hypertension in this group. Identifying and understanding the relationship between hypertension and its predictors is important because hypertens...
Article
Full-text available
p> Background . With the increase in scaling up of antiretroviral therapy (ART), knowledge of the need for adherence to ART is pivotal for successful treatment outcomes. Design and Methods. A cross-sectional study was carried out between October and December 2013. We administered theory of planned behaviour (TPB) and adherence questionnaires to 35...
Article
Full-text available
This study aimed to determine gender and race variations in regards to the influence of religious involvement (RI) as a moderator of the effects of early traumatic stress (ETS) on health-related quality of life among adult survivors of child abuse. A cross-sectional predictive design was used to study Seventh-day Adventist adults in North America (...
Article
We examined whether there is a relationship between trans fatty acid intakes and emotion regulation, mediated by positive or negative affect. Archival data on 1699 men and 3293 women were used to measure trans fatty acid intake at baseline, positive, and negative affects and emotion regulation at follow-up. Higher trans fatty acid intake related to...
Article
Tobacco use is high among Pacific Islanders in general and little tobacco research has been done in Yap, Micronesia. This study aimed to explore perceptions of tobacco use coupled with chewing of betel (areca) nut among adults in Yap using self-administered questionnaires based on the health belief model. A Likert scale (ranging from strongly disag...
Article
Full-text available
Background. The purpose of this study was to explore healthcare providers’ perspectives on antiretroviral (ART) adherence in two ART clinics in southern Malawi. Nonadherence to ART is a significant hindrance to the success of HIV/AIDS treatment. Methods. A one-on-one semistructured interview was conducted with eight healthcare providers in two ART...
Conference Paper
Full-text available
Background: Non-adherence to antiretroviral (ART) medication is a significant hindrance to the success of HIV/AIDS treatment. The purpose of this study was to explore the perspectives of healthcare providers on ART medication adherence in two HIV treatment centers in southern Malawi. Methods: A one-on-one semi-structured interview was conducted wit...
Conference Paper
Full-text available
Objective: To examine the impact of food insecurity and medication side effects on intentions to adhere to antiretroviral (ART) medication among reproductive age women receiving care in rural and urban hospitals in southern Malawi. Methods: A cross-sectional study design was carried out in two hospitals in southern Malawi between October and Decemb...
Article
Sensory stimuli/inactivity may affect sleep. Sleep problems are associated with multiple health problems. We assessed TV habits in the Adventist Health Study-2 at baseline and sleep problems in the Biopsychosocial Religion and Health Study 1 to 4 years later. After exclusions, 3914 subjects split equally into TV watchers less than 2 hours per day o...
Article
Prior research showing positive relationships between indicators of religiousness and health has generally defined and measured religion broadly. In addition, researchers have not given much attention to the pathways through which the relationship between religion and health is maintained. The result is a lack of specificity that fails to address q...
Article
Wellbeing and life satisfaction instruments are increasingly used in health outcome research, and by health professionals. Despite their usefulness, the absence of an agreed on conceptual definition of wellbeing, and corresponding inconsistencies in operationalization, makes it difficult for researchers to operationalize the concept, and for health...
Article
To translate and adapt the Acculturation Rating Scale of Mexican-Americans II (ARSMA-II) for Arab Americans. A multistage translation process followed by a pilot and a large study. The translated and adapted versions, Acculturation Rating Scale for Arabic Americans-II Arabic and English (ARSAA-IIA, ARSAA-IIE), were validated in a sample of 297 Arab...
Article
Perinatal grief following stillbirth is a significant social and mental health burden. We examined associations among the following latent variables: autonomy, social norms, self-despair, strained coping, and acute grief-among poor, rural women in India who experienced stillbirth. A structural equation model was built and tested using quantitative...
Article
This longitudinal study evaluated the effect a prostate cancer-specific online support group had for self-assessed quality of life. Participants (N = 40) were randomly assigned to an online support group or the control group. Data consisted of four previously validated quality-of-life measurements. Analysis determined that over time, quality of lif...
Article
Objective: To examine associations between consumption of foods typical of Mediterranean versus Western diets with positive and negative affect. Nutrients influence mental states yet few studies have examined whether foods protective or deleterious for cardiovascular disease affect mood. Methods: Participants were 9255 Adventist church attendees...
Article
Full-text available
In a structural equation model, associations among latent variables - Child Poverty, Risky Family exposure, Religious Engagement, Negative Social Interactions, Negative Emotionality, and Perceived Physical Health - were evaluated in 6,753 Black and White adults aged 35-106 years (M = 60.5, SD = 13.0). All participants were members of the Seventh-da...
Conference Paper
Introduction: Given the rates of childhood obesity in the US, it is important that prevention and treatment programs focus on increasing physical activity (PA). Thus, there is a need to examine what influences children to be physically active so effective programs can be developed and implemented. The purpose of this study was to determine the infl...
Conference Paper
Falling is a serious health concern among older adults. The National Health Research Institutes in Taiwan indicated that one-fifth of older adults fell in 2005. Although empirical evidences have shown that strength and balance training (SBT) programs are effective in preventing falls, older adults rarely participate. Based on the theory of panned b...
Article
Full-text available
INTRODUCTION: Few in Western society would argue the potentially devastating impact of stillbirth related grief; but in many developing countries where stillbirth remains the highest in the world, perinatal grief is barely recognized as an issue. The purpose of this study was to explore how poor, rural central Indian women perceive and cope with st...
Article
To determine the relationship between acculturation and health status among Arab Americans in southern California. A cross-sectional survey with 297 adult Arab Americans used (a) a demographic and health survey, SF-36 Version-1, to assess physical and mental health and (b) the Acculturation Rating Scale for Arab Americans-II to assess acculturation...
Article
This study explored if moral norms as applied to the theory of planned behavior (TPB) account for additional variance in predicting intention to consume alcohol, smoke cigarettes, and engage in sexual activity among youth at a high school in Mexico. Additionally, it investigated if moral norms provide a moderating influence on the constructs of the...
Article
Full-text available
INTRODUCTION: Few in Western society would argue the potentially devastating impact of stillbirth related grief; but in many developing countries where stillbirth remains the highest in the world, perinatal grief is barely recognized as an issue. The purpose of this study was to explore how poor, rural central Indian women perceive and cope with st...
Article
The recent global focus on the promotion of faith-based health and social interventions requires two major empirical data sets: (a), an understanding of how the health needs of churches relate to the assets they hold and (b) the collective capacity of members to use needed resources to help address a wide range of health issues including HIV/AIDS t...
Article
Full-text available
Stillbirth is a globally significant public health problem with many medical causes. There are also indirect causal pathways including social and cultural factors which are particularly salient in India's traditional society. The purpose of this study was to explore women's perceptions of stillbirth and to determine how issues of gender and power,...
Article
Uncontrolled stress can lead to poorly controlled upsurges of cortisol and deregulation of the hypothalamus pituitary-adrenal axis (HPA), thereby leading to major depression. Psychoneuroimmunology (PNI) is the area of medicine dealing with the bidirectional pathways connecting the influences of brain, neuroendocrine, and immune system. Individual P...
Article
Literature on responsibility of adult children for aging parents reflects lack of conceptual clarity. We examined filial concepts across five cultural groups: African-, Asian-, Euro-, Latino-, and Native Americans. Data were randomly divided for scale development (n = 285) and cross-validation (n = 284). Exploratory factor analysis on 59 items iden...
Article
Full-text available
Inflammation is a common pathophysiological pathway for a number of chronic diseases, and is strongly influenced by sociodemographic factors and lifestyle. Less is known about factors that may influence the inflammatory response in individuals of distinct ethnic backgrounds. Therefore, this study examined the relationship between ethnicity and bloo...
Article
Family members caring for aging parents experience both negative and positive outcomes from providing care. Theoretical explanations for negative outcomes have been developed. There is need for models that explain and predict positive outcomes. This article describes the evolution of the Caregiver Empowerment Model (CEM) to explain and predict posi...
Article
Full-text available
A long tradition of research demonstrates that divorce is a risk factor for depressive symptoms. Although a growing literature examines links between religious factors and marital quality and stability, researchers have neglected the role of religion in successful or problematic coping following divorce. Building on Pargament's seminal work on reli...
Article
While strength and balance training (SBT) programs are effective in preventing falls, older adults rarely participate. A cross-sectional study design was used to explore factors that influence their decisions to attend SBT programs. Questionnaires were collected that measured theory of planned behavior constructs from 221 community-dwelling Taiwane...
Article
Full-text available
This was a nurse-driven, hospital-based, prospective cohort study of data collected in 19 hospitals in San Bernardino and Riverside counties by California Perinatal Services Network on all mothers (n = 21 842) who delivered a singleton infant (37-40 weeks gestation) between July 2005 through June 2006. Multivariate ordinal logistic regression showe...
Conference Paper
Purpose: Identification of maternal infant-feeding method intention, socio-demographic characteristics, and intrapartum variables that increased the likelihood of early skin-to-skin mother/infant contact during the first 3 hours following birth. Study Design and Method: A nurse-driven hospital-based prospective cohort study of data collected in 1...
Article
Health intervention programs have the potential to use church-based assets to address a wide range of health issues. This study examined the assets Nigerian church members believed their churches needed, including the assets they thought they had to engage in HIV/AIDS prevention activities. Eight hundred and thirty members from 83 churches complete...
Article
We sought to explore the association of religious and spiritual coping with multiple measures of well-being in Latinos caring for older relatives with long-term or permanent disability, either with or without dementia. Using a multi-dimensional survey instrument, we conducted in-home interviews with 66 predominantly Mexican-American Catholic family...
Conference Paper
Factors influencing infant feeding method during the maternity hospital stay: How intention, maternal characteristics and early skin-to-skin mother/infant contact correlate. Abstract The purpose of this prospective cohort study (n = 21,658) was to assess the association of a mother's initial infant feeding method intention at time of her matern...
Article
This study sought to explore cultural attitudes toward caregiving and long-term care and their influence on patterns of long-term care use among Mexican American family caregivers of relatives aged 50 and older. Using a cross-sectional design, the researchers used mixed methods and conducted interviews with 66 Mexican American family caregivers in...
Article
Since there has been no research using the revised NEO personality inventory (NEO-PI-R) with Taiwanese adolescents, the main objectives of this study were to examine the replicability of the five-factor model and establish a baseline profile of personality traits in this population. A total of 3396 11th graders from the city of Kaohsiung, Taiwan co...
Article
Full-text available
To examine the relation between meat intake and diabetes occurrence in adults. In a prospective cohort study we examined the relation between diet and incident diabetes recorded among 8,401 cohort members (ages 45-88 years) of the Adventist Mortality Study and Adventist Health Study (California, USA) who were non-diabetic at baseline. During the 17...
Article
This study explored the extent to which church members thought the assets they might have to engage in HIV/AIDS prevention and control activities were important. Eight hundred and thirty members from 83 Christian churches in Aba, Nigeria completed a multi-item survey questionnaire designed to obtain information on the importance they attached to ch...
Article
Full-text available
Based on the theory of planned behavior the research aims were to: (a) ascertain how attitude, subjective norm, and perceived control predict intentions to engage in sexual intercourse among Black, African-born adolescents in Southern California; and (b) determine how behavioral beliefs, normative beliefs, and control beliefs predict attitude, subj...
Article
Factors influencing the intention to quit drinking alcohol among pregnant African American/Black women in San Bernardino and Riverside counties, California were investigated using the theory of planned behavior. Qualitative data were collected via focus groups from 22 pregnant women to ascertain behavioral outcomes, normative, and control beliefs a...
Article
IPV is the most challenging mental health problem facing clergy. Abused women (n = 476), most of whom are Christians living at home (not in shelters), sought assistance from domestic violence centers. Data obtained from questionnaires demonstrated that confiding in clergy predicts higher self-esteem and reduces the impact of lack of social support...
Article
The use of structural equation modeling in cross-cultural personality research has become a popular method for testing measurement invariance. In this report, we present an example of testing measurement invariance using the Sense of Coherence Scale of Antonovsky (1993) in 3 ethnic groups: Chinese, Japanese, and Whites. In a series of increasingly...
Article
Because the literature shows that (1) cigarette smoking is a major causative factor in the occurrence of chronic illness, (2) lung cancer is becoming more common in women than breast cancer, (3) nurses smoke more than any other group of health care providers and (4) studies have not examined differences of smoking among the associate degree, underg...