Society and Mental Health Does Religion Buffer the · 2019. 6. 18. · of other religious...
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Does Religion Buffer theEffects of Discriminationon Distress for ReligiousMinorities? The Case ofArab Americans
Sarah Shah1
Abstract
Religiosity is well documented as a coping resource that protects against the effects of discrimination ondistress, but little is known about the utility of religious minorities’ religiosity. This study investigates if reli-gious resources buffer the effect of discrimination on distress for Arab Americans and if that relationshipdiffers based on religious minority status. Following the contours of the stress process model, I leveragedata from the 2003 Detroit Arab American Survey (DAAS; N = 977) to test the relationship between dis-tress, discrimination, and three measures of religiosity: frequency of religious service attendance, Godsalience, and salient religious practices. The results indicate that for the overall sample, only salient reli-gious practices buffered discrimination. However, when religious affiliation was taken into account, theresults indicate that both God salience and salient religious practices significantly buffer discriminationfor Muslim respondents only. I conclude with theoretical contributions, study limitations, and futureresearch avenues.
Keywords
stress process model, religious minorities, stress buffering
INTRODUCTION
The buffering role of religiosity in reducing the
relationship between discrimination and distress
is well-documented. What happens, then, in the
case of religious minorities for whom religiosity
itself may be a source of distress and discrimina-
tion? In recent studies on Arab and/or Muslim
American mental health, Muslim identity is often
treated as a de facto stressor. This approach stems
from the historical ways in which American reli-
gious and ethnic minorities are studied, reinforc-
ing an assimilation imperative. For example, Gor-
don (1964), one of the earliest sociologists to
investigate how religion impacted immigrant
assimilation, focused on how religion could create
constructed categories in social lives but ignored
how religiosity could be dynamically resourced
as a “toolkit” (Bartkowski and Read 2003).
Gordon notably neglected discussions on Arabs
or Muslims, despite the fact that Arabs have
been immigrating to the United States since at
least 1854 (Miller 1976). This represents another
trend in immigration and mental health literature:
Despite the presence of Arabs in America, there
has been a general dearth of scholarship on Arab
Americans until the tragic events of September
1University of Toronto, Toronto, Ontario, Canada
Corresponding Author:
Sarah Shah, Department of Sociology, University of
Toronto, 725 Spadina Avenue, Toronto, ON M5S2J4
Society and Mental Health2019, Vol. 9(2) 171–191
� American Sociological Association 2018DOI: 10.1177/2156869318799145
journals.sagepub.com/home/smh
11; after that point, Arab and Muslim Americans
were catapulted into the research spotlight. Chris-
tian Arab American mental health, however,
remains poorly investigated.
Although treating Muslim identity as a de facto
stressor is consistent with the social realities of
Arab American lives in an Islamophobic context,
it also precludes analyzing religion as a resource
in mental health coping despite the well-
documented stress-buffering potential of religion
generally (for a review, see Harrison et al. 2001)
and Islam specifically (Amer et al. 2008). Thus, I
argue that Muslim religiosity and the religiosity
of other religious minorities need to be treated
with more nuance. While identifying as a religious
minority can expose individuals to stressful dis-
criminatory experiences, religious practice can
also provide individuals with resources to cope
with, understand, or even transform meanings of
stressful experiences (McLeod 2012; Thoits 2010).
As a rapidly developing field, Arab American
religiosity and mental health is simultaneously
underresearched yet necessary. Amer and Bagasra
(2013) have made calls for culturally informed
approaches to Muslim mental health, particularly
in the current era of Islamophobia. When Islam is
constructed as a measure away from whiteness,
Muslims are reified as the other (Said 1978). In
line with Johns, Mansouri, and Lobo’s (2015:171)
call to “explore expressions of Islamic religiosity
as they are grounded in everyday multicultural envi-
ronments,” this paper draws on previous studies on
Arab and Muslim American mental health and
advances this line of research by investigating the
potential buffering role religiosity can play in the
discrimination-distress relationship. Furthermore,
this paper also investigates if religious minority sta-
tus moderates the buffering potential of religiosity.
Although this study draws on data collected in
2003, the analysis is both substantively and theo-
retically relevant as the study analyzes Arab
American distress in the aftermath of September
11—arguably one of the most traumatic events
globally (Shah, Acevedo, and Ruiz 2017) and cer-
tainly for Arab Americans (Cainkar 2002; Disha,
Cavendish, and King 2011; Haque 2004; Kaushal,
Kaestner, and Reimers 2007; Lauderdale 2006). In
the nearly two decades since the tragedy of Sep-
tember 11, there have been several spikes in
anti-Arab hate crimes, some even surpassing the
post-9/11 levels of discrimination; however, these
peaks are notably always compared to the post-9/
11 climate as a standard (see Levin 2017a, 2017b).
Thus, 9/11 continues to be remembered as the
event that “changed Muslim American lives for-
ever” (O’Connor 2016).
This study analyzes data from the Detroit Arab
American Survey (Baker et al. 2003a). Previous
studies drawing on this dataset and that have found
that discriminatory experience is significantly cor-
related with distress, Muslim respondents report
experiencing significantly more discrimination
than their Christian counterparts, yet also that
Muslim respondents do not report statistically
greater distress levels (Padela and Heisler 2010).
However, this data set has not been used to exam-
ine the buffering role of religion on the relation-
ship between discrimination and distress. There-
fore, in this study, I investigate the following
questions:
Research Question 1: Does religiosity moder-
ate the relationship between discrimination
and distress?
Research Question 2: Does the impact of reli-
giosity differ by religious minority status?
LITERATURE REVIEW
In the following review, I highlight the sociohis-
torical milieu the Arab American community has
endured over the past century, with a focus on
September 11 and its aftermath, followed by
a focused review on Arab American mental health.
Sociohistorical Context
Though Arabs first began entering the US in the
mid-1800s (Miller 1976), Arab Americans have
become more excluded over time from the Amer-
ican mainstream as they face increasing levels
of discrimination both institutionally and indivi-
dually. Discrimination experienced by the Arab
American community over the past century
includes government surveillance, hate crimes,
racial profiling, home invasions, telephone threats,
firebombing of offices, vandalism of mosques and
cultural institutions, murder, discrimination at
workplaces and schools, and negative media rep-
resentation of Arabs and Muslims (Cainkar
2002; Disha et al. 2011; Georgakas 1975; Haque
2004; Kaushal et al. 2007; Kulczycki and
Lobo 2001; Lauderdale 2006; Salaita 2005; Sam-
han 1987). Unlike other “white” ethnic minorities,
like Southern and Eastern Europeans, that were
172 Society and Mental Health 9(2)
absorbed into the social construction of main-
stream white America in the twentieth century,
Arab Americans remain an ethnic other due in
part to the Arab-Israeli conflicts, the Gulf wars,
and most recently, the War on Terror. These larger
global politics result in bright boundaries (Alba
2005), constructing Arab Americans as unassimi-
lable and Arab immigrants as “the most ‘foreign’
of all immigrants” (Samhan 1987:13).
Following the tragedy of September 11, 2001,
Arab Americans faced a significant backlash at
the institutional level, including discriminatory
government policies and dwindling labor market
opportunities, as well as at the local level from
fellow Americans as the events surrounding the
tragedy “transformed Arabs and Muslims into
convenient targets for acts of ‘vicarious retribu-
tion’” (Disha et al. 2011:26) The government,
what Cainkar (2002:23) refers to as “the greatest
source of discrimination against Arabs and Mus-
lims in the US today,” developed special tactics
in an effort against terrorism but that also targeted
and alienated Arab Americans. Types of harass-
ment include interrogation, surveillance, deten-
tion, closures of religious and cultural institutions,
and government agent visitations at both home and
work (Cainkar 2002). Additionally, Arab Ameri-
cans witnessed a sharp increase in discrimination
at work following September 11, which resulted
in a higher probability Arab Americans would
accept lower wages and pay cuts compared to
other Americans (Kaushal et al. 2007). In addition
to institutional discrimination, Arab Americans
also experienced racial hostility from fellow
Americans after September 11. The day after
the tragedy, a group of infuriated Americans
encircled the largest Arab mosque in Chicago,
weapons in hand, screaming “‘kill the Arabs’”
(Cainkar 2002:23). In the two months following
September 11, Americans carried out several
hundreds of violent acts, including murder,
against other Americans they perceived as Arab
or Muslim (Lauderdale 2006). The increasing
hostility Arab Americans have experienced has
led to a burgeoning body of literature on Arab
American discriminatory experiences and mental
health outcomes.
Arab American Mental Health
Most of the research that focuses on the distribu-
tion of mental health outcomes among the Arab
American population is quantitative, compares
Muslim to Christian Arab Americans, and focuses
on mental health outcomes of discrimination,
acculturation, or both. Generally, studies find
that Christian Arab Americans are more accultur-
ated and experience less discrimination than their
Muslim counterparts, discriminatory experience
is negatively correlated with acculturation and
positively correlated with distress, but also Mus-
lims are not significantly more distressed than
Christians. These results are consistent across
location and time: Some studies include samples
of Arab Americans from several states (e.g.,
Awad 2010), and some studies emerged before
the events of September 11 (e.g., Faragallah,
Schumm, and Webb 1997). A sizable body of
this literature utilizes the Detroit Arab American
Survey (DAAS; Baker et al. 2003a). While the
DAAS has been used for research outside the field
of mental health, including studies on correlates
with confidence in police (Sun and Wu 2015)
and attitudes toward counter-terror measures
(Sun, Wu, and Poteyeva 2011), the primary use
of this data has been to investigate post-9/11
Arab American mental health outcomes and dis-
criminatory experiences. Focusing on the discrim-
ination and distress literature, avenues that have
been investigated using the DAAS include accul-
turation (Aprahamian et al. 2011), proximal white-
ness (Abdulrahim et al. 2012), gender (Assari and
Lankarani 2017), cross-border ties (Samari 2016;
Tessler 2008), and immigrant status and language
preference (Abdulrahim and Baker 2009).
In the extant scholarship, including studies uti-
lizing the DAAS, Muslim affiliation is constructed
as an obstacle to Arab American acculturation
(e.g., Faragallah et al. 1997) and Muslim identity
is treated as a measure away from whiteness
(e.g., Abdulrahim et al. 2012) that would therefore
incur additional stressors for respondents. The nor-
mative logic of extant scholarship assumes Muslim
as other, or, not white. For example, items from
the Stephenson Multigroup Acculturation Scale
(SMAS), which is used in studies on immigrant
Arab acculturation (e.g., Awad 2010), measures
dominant society immersion in relation to Anglo
Americans. This scale includes items such as feel-
ing accepted by or having friends that are white
Americans, being able to speak English, and being
able to cook American food (Stephenson 2000).
In a post-9/11 America, Muslim and Arab
Americans are confronted with a host of accultur-
ation stressors in addition to dealing with
Shah 173
Islamophobia (Haque 2004). However, Muslim
religiosity and acculturation need not be pinned
against each other as the two have quite a nuanced
relationship. For example, in a study on Hazara
refugees in Australia, Copolov, Knowles, and
Meyer (2018) found that acculturation mediated
the relationship between spirituality and personal
well-being. Though this study takes place outside
the United States, Australia is similar to America
through legacies and ongoing dynamics of settler
colonialism, the social construction of a racial
hierarchy that privileges whiteness, and the cur-
rent sociopolitical tensions that are shaped by
Islamophobia and create boundaries between the
host society and Arab, particularly Muslim, immi-
grants. Additionally, problematizing Islamic reli-
giosity precludes investigations of religious cop-
ing resources for acculturation stress, including
discrimination, as religion may be integral to
immigrant adaptation (Adam and Ward 2016;
Goforth et al. 2014; Johns et al. 2015; Saroglou
and Mathijsen 2007).
Turning to scholarship on religious coping
within Arab American populations, three notable
gaps in literature exist. First, most of this literature
focuses on Muslims. To my knowledge, no study
currently exists that has focused on Arab Ameri-
can Christian religious coping, with one excep-
tion: Amer and colleagues (2008) developed the
Brief Arab Religious Coping Scale (BARCS),
a culturally sensitive measure appropriate for
both Christian and Muslim Arab Americans. How-
ever, this scale has largely been used by other
researchers to study only Muslim religious coping.
Second, Arab American religious coping gener-
ally, and the BARCS scale specifically, is mainly
researched by psychologists and has received lim-
ited attention by sociologists and social epidemiol-
ogists. Lastly, though research on Arab and non-
Arab Muslim American religious coping utilizes
quantitative methods, the sample sizes are often
small. Nevertheless, this body of literature pro-
vides useful insight.
Research on Arab and non-Arab Muslim reli-
gious coping demonstrates that religiosity does
have salutary effects in buffering the effect of
stress on psychological outcomes in both Muslim
majority and minority contexts. For example, in
a study on 220 Muslim Kuwaiti civilians who
experienced the 1990 Iraqi invasion of Kuwait
and subsequent seven-month occupation, Scull
(2015) found that stronger beliefs in Islamic for-
giveness and Islamic attitudes were correlated
with less desire for revenge, more desire for for-
giveness, and better psychological well-being.
Likewise, in the migratory context, Adam and
Ward (2016) found that for New Zealand Muslims
(N = 167), religious practices buffer the effect of
acculturative stress on life satisfaction (but not
psychological) outcomes. Focusing on the Ameri-
can context, studies demonstrate the salutary
effect of religion for both Arab and non-Arab
Muslim Americans (e.g., Abu-Raiya, Pargament,
and Mahoney 2011; Ai, Peterson, and Huang
2003; Driscoll and Wierzbicki 2012; Goforth
et al. 2014; Gulamhussein and Eaton 2015; Herzig
et al. 2013). How this effect may differ for Mus-
lims as a religious minority vis-a-vis Christians,
however, remains unstudied.
THEORETICAL FRAMEWORK
In the following section I provide a brief account
of religion as a stress buffer, focusing on extant lit-
erature demonstrating this effect for racial minor-
ities before turning to the theoretical potential for
religious minorities.
The Stress Process Model andReligious Coping
Scholarship on the social determinants of mental
health is largely informed by the stress process
model (Pearlin 1989; Pearlin and Schooler
1978), which illustrates the social processes of
stress in directing poor mental health outcomes.
Stressors (e.g., discrimination) lead to poor mental
health outcomes (e.g., distress); this relationship
can be moderated (or buffered) by coping resour-
ces. Religion as a coping resource in the stress pro-
cess model has been previously theorized (see
Ellison and Henderson 2011; Schieman, Bierman,
and Ellison 2013). In this model, as illustrated in
Figure 1, religiosity buffers stress, and this effect
is measured through the interactive effects
between measures of religiosity and stressors
(see also Baron and Kenny 1986).
The religious stress-buffering model frames
religiosity as beneficial to mental health as reli-
gious engagement—particularly religious service
attendance—can grant access to social resources,
including networks and anticipated support, as
well as psychological resources, such as feelings
of Godly presence in everyday matters, which in
turn makes believers feel they matter (Schieman
174 Society and Mental Health 9(2)
et al. 2013; see also Acevedo, Ellison, and Xu
2014; Cohen 2004; Ellison and Taylor 1996;
Krause et al. 2001). In other words, in addition
to material benefits allotted to individuals who
regularly attend religious services, religious
salience can lend psychological benefits to reli-
gious individuals—the more they believe their
religious beliefs and practices matter (e.g., higher
religious salience), the more they as individuals
matter as well, increasing esteem and other subjec-
tive measures of self. Therefore, in this study, I
focus on religious service attendance, God
salience, and salient religious practices as reli-
gious resources.
Scholarship on religious resources draws on
Pargament’s (1997:90) religious coping theory,
which defines religious coping as the “process
that people engage in to attain significance in
stressful circumstances.” This process results in
more favorable health outcomes as religiosity buf-
fers the detrimental effects of stress (for a compre-
hensive review, see Harrison et al. 2001). Thus,
the salience of religious resources increases in
the face of stressful experiences. This may explain
why marginalized groups, including women, racial
minorities, and religious minorities, tend to be
more religiously observant and have higher fre-
quencies of religious practice (cf. Acevedo and
Shah 2015; Matthews, Bartkowski, and Chase
2016; Shah, Acevedo, and Ruiz 2017; Shah, Bart-
kowski, and Xu 2016). Therefore, it is likely that
religion also means more to individuals of margin-
alized status and is thus more effective in buffer-
ing stress. For example, Wang and Patten (2002)
found that religious coping benefited women but
not men. In the following sections, I highlight
the buffering effects of religion for racial and reli-
gious minorities.
Religious Buffering in Racial Minorities
Much of the literature on racial minorities and reli-
gious buffering focuses on African Americans,
given the long history of systematic and everyday
racism as well as the larger numbers of African
Americans (compared to other American minority
groups) making such analyses feasible. Religious
practice (e.g., forgiveness) is a resource that pro-
tects mental health against everyday racial dis-
crimination (Powell, Banks, and Mattis 2017).
Notably, research has demonstrated a differential
religious benefit of service attendance for African
Americans over whites (Bierman 2006; Ellison,
Musick, and Henderson 2008; Krause 2003; Tabak
and Mickelson 2009). Researchers point to the his-
torical and contemporary role African American
churches and religious congregations play in fight-
ing discrimination while providing support and
solidarity to congregants. The pivotal role of
African American churches, congregations, and
religious intellectuals and leaders—especially
that of the Southern Christian Leadership
Conference—in the Civil Rights Movement, for
example, cannot be overstated (Dickerson 2005).
While an institutional explanation is parsimo-
nious, it lacks the nuance that would explain dif-
ferences observed for other statuses (e.g., gender;
see Wang and Patten 2002). Instead, it is likely
that the underlying social inequality prompts two
mechanisms: that religion itself becomes more
salient for marginalized populations while reli-
gious institutions become mobilized as access
points to resources—both social and psychologi-
cal. This aligns with theoretical claims that social
context shapes both the meaning of religiosity and
stressors, in turn shaping mental health outcomes
(Bierman 2010; McLeod 2012; Schieman et al.
Figure 1. Conceptual model of religiosity as a moderator (buffering effects).
Shah 175
2013). Accordingly, religious beliefs, irrespective
of engagement in religious activities, can be bene-
ficial for the mental health of “groups that have
traditionally held less objective power in secular
affairs” (Schieman et al. 2013:464). Thus, for
racial minorities, religiosity is a resource that
can buffer the deleterious effects of stress on men-
tal health. But if minorities are marginalized
because of their religion, would religion still be
a resource?
Religious Coping in ReligiousMinorities
To focus on the effect of religiosity for religious
minorities, I select Arab Americans as a theoreti-
cally useful case. A common trend in extant schol-
arship is to compare immigrant Muslim samples to
native-born white Christian samples, but this
approach conflates the immigrant, nonwhite, and
religious minority experience, making it difficult
to parse out the effect of religious minority religi-
osity itself. A comparison between Christian Arab
Americans to Muslim Arab Americans, which the
current study undertakes, is a more theoretically
sound approach to studying religious minorities.
While Christian Arabs identify strongly
with Arab culture (Ajrouch and Jamal 2007),
immigrant Christian Arab religiosity mirrors
non-immigrant white Christians more closely
when compared to immigrant Muslim Arabs
(Mullet and Azar 2009). Furthermore, Arabs in
America are classified as “white” (Ibish 2001)
and only became legally recognized as a separate
cultural group in 1990, coinciding with an increase
in the Muslim proportion of Arab immigrants.
While the earlier Arab immigrant wave (e.g.,
before the collapse of the Ottoman empire,
1890–1940) was majority Christian, the latter
waves of Arab immigrants (e.g., since WWII to
current day) is majority Muslim. Arab “whiteness”
has been utilized in previous research: For exam-
ple, Arabs have been used to compare “white”
Muslims to black Muslims (e.g., Ajrouch and
Kusow 2007). However, it is important to note
that Islam in the context of American Islamopho-
bia is racialized (Considine 2017); thus, even
Muslim Arab Americans are “othered.” In schol-
arly literature, the categorical descriptors Arab
and Muslim are often used interchangeably
because they are socially constructed as synony-
mous. Despite the historically and contemporarily
larger proportion of Christian Arab Americans to
Muslim Arab Americans in the Detroit metro
area (Baker et al. 2003a), Christian Arabs are
largely made invisible because of the bright
boundaries (Alba 2005) between “Christian” and
“Arab.” Therefore, I utilize Christian Arab Amer-
icans, who pass as “white” Americans despite
their Arab cultural heritage and ethnic status, as
a comparison group to Muslim Arab Americans
to approximate the role of religious minorities’
religiosity in the stress process model.
In the American context, where Islam is mar-
ginalized and Christianity is the hegemonic reli-
gion (Cesari 2016), practicing Islam likely has dif-
ferent meanings and implications for Muslim Arab
Americans than Christianity does for Christian
Arab Americans. In a post-9/11 America, Muslim
Arab Americans are notably more concerned
about mainstream perceptions of their faith
and also have increased perceptions of vulnerabil-
ity compared to Christian Arab Americans
(Baker et al. 2003b). Research also demonstrates
increases in Muslim religious engagement and dis-
criminatory experiences following a terrorist
attack (Liepyte and McAloney-Kocaman 2015).
Precisely because of Islam’s greater salience in
an Islamophobic America, I argue that the stress-
buffering role of religiosity will still manifest for
Muslims with more religious engagement. Like-
wise, the lack of religious engagement could exac-
erbate the relationship between discrimination and
distress. Extant research indicates that nonpractic-
ing Muslims have poorer health outcomes compared
to practicing Muslims (Wilhelm et al. 2018). How-
ever, different approaches to religiosity yield differ-
ing results. For example, in a study on New Zealand
immigrant Muslim women, religious practice buff-
ered the effect of discrimination on well-being, but
psychological affiliation (e.g., pride, belongingness,
and centrality) with Islam exacerbated the effect
(Jasperse, Ward, and Jose 2012).
The general social and psychological benefits
of religion were cited above (see “The Stress Pro-
cess Model and Religious Coping”). Here, I focus
on specific ways in which Islam may confer ben-
efits to regularly engaged Muslims. For Muslims
who regularly attend religious services, we can
expect that in addition to social and material
resources (e.g., networks and support, divine pres-
ence, etc.), they may also benefit from the reli-
gious service itself. In accordance with prophetic
tradition, Friday congregational prayer service
(jumma) includes two sermons: The first focuses
176 Society and Mental Health 9(2)
on a religious teaching, while the second often
uses that religious teaching to frame a current
sociopolitical situation—an especially important
element for immigrant Muslims in the American
context (Hashem 2010). In this way, Muslim con-
gregants are supplied with theological “tools”
(Bartkowski and Read 2003) with which to
approach stressful situations. These tools may
even transform their perspective of stressful expe-
riences as “tests from God” required for Muslims
to experience to be rewarded in the next life. For
example, the following verse from the Quran
(2:155) highlights the reward of patiently enduring
danger and deprivation—arguably intensely
stressful situations: “Be sure God shall test you
with fear and hunger, some loss in goods or lives
or the fruits of your toil, but give glad tidings to
those who patiently persevere.” A later verse in
the same chapter (2:214) highlights the necessity
of stressful experiences in attaining divine reward
but also reassures believers that divine assistance
is readily available:
Do you think that you shall enter Heaven
without such trials as came to those who
passed away before you? They encountered
suffering and adversity, and were so shaken
in faith that even the Messenger of God and
those of faith who were with the Messenger
cried: “When will the help of God come?”
Ah! Verily, the help of God is always near!
While the Bible has similar verses,1 I argue that the
context of Islamophobia makes Islam (and the
Quran) more salient for Muslim Arab Americans
than Christianity (and the Bible) is for Christian
Arab Americans. Thus, mirroring black-white dif-
ferences in religious buffering, I expect to find reli-
gion buffers the effect of discrimination on distress
for respondents who regularly engage in religiosity
(Hypothesis 1) and that this effect is only pro-
nounced for Muslim respondents (Hypothesis 2).
METHODOLOGY
Data and Sample
The Detroit Arab American Study Team, based
out of the University of Michigan, conducted the
DAAS in the Detroit metro area (DMA) between
July and December 2003 (for data collection and
sampling details, see Baker et al. 2003a). This
unique data set includes, among other measures,
items for distress, discrimination, and religiosity,
including frequency of religious service atten-
dance, God salience, and salient religious practi-
ces. The original data set includes 1,016 cases;
after data cleansing, I retained 977 respondents
of Christian (N = 566) and Muslim (N = 411) reli-
gious affiliation.
This survey purposely targeted individuals of
Arab and Chaldean background and is representa-
tive of Arab Americans in the DMA—though not
nationally, as members of the DAAS team point
out (Abdulrahim and Baker 2009). The
American-Arab Anti-Discrimination Committee
(2009) defines Arab Americans as Americans
that originate from any the following 22 Arab
countries, and I italicize the countries from which
the DAAS respondents hail: Algeria, Bahrain, the
Comoros Islands, Djibouti, Egypt, Iraq, Jordan,
Kuwait, Lebanon, Libya, Morocco, Mauritania,
Oman, historic Palestine or the present occupied
territories, Qatar, Saudi Arabia, Somalia, Sudan,
Syria, Tunisia, the United Arab Emirates, and
Yemen. The majority of the respondents are of Iraqi
or Lebanese origin; however, regardless of origin,
respondents largely identified as “Arab American”
(Baker et al. 2003a), which is not surprising given
the anti-colonial pan-Arab ethos both within and
outside the Arab world (Ajrouch 2004; Shah et al.
2017). The Christian sample includes respondents
identifying as Protestant, Catholic, and Orthodox
Christian, while the Muslim sample includes
respondents identifying as Sunni and Shia; however,
for the purpose of the current analysis comparing
minority-majority religious affiliation, within-group
sectarian differences are not considered.
Variables
Distress. The dependent variable distress was
derived using the Kessler distress index (K-10;
Kessler and Mroczek 1992). Each of the 10 symp-
tom questions ranged from 1 (none of the time) to
5 (all of the time). The scores were summed,
resulting in a scale (a = .87) ranging from 10 to
50. The scale was recoded such that those who
scored 15 or below were coded as experiencing
no or low distress (0), those who scored between
16 and 29 were coded as experiencing medium
distress (1), and those who scored 30 or above
were coded as experiencing high distress (2)
(Andrews and Slade 2001). While distress as an
index was not normally distributed, the recoded
Shah 177
ordinal distress variable has a skewness of –.19,
and the kurtosis is 4.06, indicating moderate
skewness and kurtosis. The mean of this measure,
which ranges from 0 to 2, is 1.09, with the major-
ity of respondents (76 percent) indicating a distress
score of medium distress (1). The use of the dis-
tress index recoded as an ordinal measure has pre-
viously been employed by others utilizing the
DAAS (cf. Samari 2016). All findings presented
in the following sections provide cumulative
odds ratios comparing high distress to medium
and no or low distress, but it is important to
note that as cumulative odds, the same interpreta-
tion can also be made between high and medium
distress to no or low distress.
Discrimination. The focal independent vari-
able, discrimination, was measured through five
dichotomous questions (0 = no, 1 = yes) on
whether the respondents or members of their
household experienced any of the following due
to race, ethnicity, or religion: (1) verbal insults
or abuse, (2) threatening words or gestures, (3)
physical attack, (4) vandalism or destruction of
property, and (5) loss of employment. Respond-
ents were specifically asked about these experien-
ces in the two years preceding the study; in effect,
the items measured experiences since 2001, the
year of the terrorist attacks and subsequent increase
in anti-Arab racism and Islamophobia in America.
The variable was dichotomized into no discrimina-
tion (0) and at least one type of discrimination (1).
The internal consistency of this index was low (a =
.65), given that the scale includes fewer than 10
items; however, this index was used by previous
studies leveraging the DAAS (cf. Abdulrahim
et al. 2012; Aprahamian et al. 2011).
Religion. The DAAS offers a constellation of
measures for different aspects of religion, includ-
ing religious affiliation and three measures of reli-
giosity. These three measures include frequency
of religious service attendance, God salience,
and salient religious practices. Religious affilia-
tion was dichotomized into Christian (0) and Mus-
lim (1). Religious service attendance measured
how frequently respondents attended church or
mosque services and was recoded into an ordinal
variable ranging from not often (0; omitted),
monthly (1), or weekly or more (2). God salience
was measured by a single question, “How impor-
tant is God in your life?,” with possible responses
ranging from not at all important (1) to very
important (10). Because the overwhelming major-
ity (87.82 percent) of respondents in the DAAS
indicated that God was very important in their
lives, the first 9 responses were collapsed to create
a dichotomy such that God was either not very
important (low God salience = 0) or very impor-
tant (high God salience = 1). Salient religious
practice was an additive index (a = .96) derived
from 10 items asking respondents, “Is it important
to you to make a point of doing any of the follow-
ing things?” Respondents could indicate whether
the following practices were important, and poten-
tial responses were specific for Christian and
Muslim respondents, respectively: (1) attending
church on Sunday or Friday prayers, (2) reading
the Bible or the Quran regularly, (3) giving charity
(tithing or zakat), (4) sending children to religious
education classes, (5) praying daily, (6) marrying
an adherent of one’s faith, (7) fasting, (8) dressing
modestly or wearing hijab, (9) wearing a religious
symbol, and (10) telling others about one’s faith.
Responses represent a count of salient religious
practices ranging from 0, reflecting respondents
who indicated none of the practices were impor-
tant, to 10, reflecting respondents who indicated
all the practices were important. Unlike God
salience, salient religious practice was more nor-
mally distributed (albeit skewed towards higher
salience) and therefore retained as a continuous
measure.
I retain the three measures of religiosity as sep-
arate indicators rather than collapsing them into
one index for three reasons. First, collapsing meas-
ures of religiosity would preclude comparability
with other studies (Schieman et al. 2013). Second,
it would also obscure the role of different forms of
religiosity—a subject still in need of investigation
as not all forms of religiosity confer the same ben-
efits. Notably, the inclusion of the salient religious
practice measure is a remarkable feature of the
DAAS. Frequency of religious service attendance
and God salience are commonly used measures
in sociological studies of religion; salient religious
practice is not. I argue that this latter measure taps
into a dimension of religiosity that the former two
do not, bringing us to the third and final reason for
not collapsing the three measures of religiosity:
The three items measure unique aspects of religi-
osity that are in fact not well correlated, producing
an index with low internal validity (a = .33). Fre-
quency of religious service attendance taps into
how often a respondent may engage in religious
practices via services, but it does not assess the
178 Society and Mental Health 9(2)
importance of attending those religious services.
Because congregants likely attend religious serv-
ices for a plethora of reasons that might not be
intrinsically oriented (e.g., habitual, family activ-
ity, community expectations, professional net-
working, etc.; cf. Allport and Ross 1967), a mea-
sure that indicates how intrinsically salient the
practice itself is would facilitate triangulation in
an analysis of religiosity. In other words, while
religious service attendance measures frequency
of religious behavior, the measures of salience
tap into the importance of religion and the divine.
Likewise, God salience measures how important
God is in one’s life, presumably measuring a divine
relationship transcending religion but not the
importance of practicing the religion itself. Instead,
salient religious practice measures the number of
organized and institutionalized religious practices
that respondents regard as important.
Controls. Multivariate analyses were adjusted
for a number of sociodemographic measures.
These control variables included age (continuous),
gender (dummy, male omitted), education
(dummy, high school or less omitted), income
(dummy series; 0 = not reported, omitted; 1 =
less than $30,000; 2 = $30,000–$75,000; 3 =
over $75,000), marital status (dummy, not married
omitted), skin tone (dummy, “medium to dark”
omitted), and work status (dummy series; 0 =
other, omitted; 1 = currently working; 2 = home-
maker; 3 = student). These controls were selected
based on theoretical relevance and presence in
extant studies investigating religious affiliation
that also utilize the DAAS dataset (Abdulrahim
and Baker 2009; Abdulrahim et al. 2012; Apraha-
mian et al. 2011; Assari and Lankarani 2017;
Samari 2016). Thus, some measures are included
even though they are insignificant across models
(e.g., skin tone).
Analytical Procedure
I began with descriptive statistics, calculated for
all variables and presented for the full sample as
well as split samples by religious affiliation. To
test the probability of distress according to dis-
criminatory experiences as moderated by religios-
ity, I employed multivariate ordered logistic
regression and present findings as cumulative
odds ratios. I utilized multivariate ordered logistic
regression because the outcome variable of
distress is an ordinal variable, with outcomes fol-
lowing a natural ordering of low to high symptoms
of distress. Additionally, I used the proportional
odds test to confirm that the effect of discrimina-
tion and religiosity measures were not signifi-
cantly different across the three different levels
of distress.
To test the two hypotheses, I ran the following
nested models. Specifically, Model 4 tested the
first hypothesis, that religiosity will buffer the
relationship between discrimination and distress,
while Model 5 tested the second hypothesis, that
religious minority status will moderate religious
buffering.
Model 1. Distress = a + b1discrimination +
controls.
Model 2. Distress = a + b1discrimination +
b2religious affiliation + controls.
Model 3. Distress = a + b1discrimination +
b2religious affiliation + b3religiosity +
controls.
Model 4. Distress = a + b1discrimination +
b2religious affiliation + b3religiosity +
b4discrimination 3 religiosity + controls.
Model 5. Distress = a + b1discrimination +
b2religious affiliation + b3religiosity +
b4discrimination 3 religiosity + b5discrim-
ination 3 affiliation + b6affilation 3 religi-
osity + b7discrimination 3 affiliation 3
religiosity + controls.
I repeated analyses of Models 3, 4, and 5 for each
of the three religiosity variables, namely, fre-
quency of religious service attendance, God
salience, and salient religious practices. If the
three-way interaction in Model 5 failed to be sig-
nificant, I repeated the aforementioned analyses
for Models 1 through 4 but split the sample by reli-
gious affiliation to see if and how the measures of
religiosity differentially moderated the effect of
discrimination on distress. I stress that the split
sample analyses provide findings that are theoret-
ically substantive for religious minority religiosity
but not statistically significant.
RESULTS
Descriptive statistics summarizing the sample
characteristics are presented in Table 1. The
majority of respondents (75.74 percent) reported
medium levels of distress symptoms; fewer
Shah 179
reported no or low levels (15.97 percent) or high
levels (8.29 percent). About a quarter of respond-
ents (24.97 percent) reported at least one kind of
discriminatory experience. There were slightly
more Christian (57.93 percent) than Muslim
(42.07 percent) respondents. Religious service
attendance had a bimodal distribution, with more
respondents reporting weekly (36.34 percent) or
infrequent (46.98 percent) attendance than
monthly attendance (16.68 percent). As noted pre-
viously, the majority of respondents reported high
God salience (87.82 percent). Salient religious
practice, a continuous variable, had a mean of
5.93, indicating a skew (midpoint = 4.5). Descrip-
tive statistics are also provided for Christian and
Muslim subsamples, with bivariate test results
Table 1. Descriptive Statistics.
All Respondents Christians Muslims
(N = 977) (N = 566) (N = 411)Bivariate
Mean SD N Percentage Mean SD N Percentage Mean SD N Percentage Testa
DistressNo or low 156 15.97 93 16.43 63 15.33Medium 740 75.74 433 76.50 307 74.70High 81 8.29 40 7.07 41 9.98
Discrimination *None reported 733 75.03 439 77.56 294 71.53At least one kind 244 24.97 127 22.44 117 28.47
Religious affiliationChristian 566 57.93 — — — —Muslim 411 42.07 — — — —
Religious service attendance ***Not often 459 46.98 168 29.68 291 70.80Monthly 163 16.68 116 20.49 47 11.44Weekly or more 355 36.34 282 49.82 73 17.76
God salience ***Not very important 119 12.18 91 16.08 28 6.81Very important 858 87.82 475 83.92 383 93.19
Religious practice salience 5.93 2.89 6.11 2.87 5.69 2.89 *Age 44.66 18.00 48.08 18.07 39.95 16.83 ***Sex **
Male 452 46.26 241 42.58 211 51.34Female 525 53.74 325 57.42 200 48.66
Education *High school or less 447 45.75 241 42.58 206 50.12.High school 530 54.25 325 57.42 205 49.88
Income ***Not reported 133 13.61 81 14.31 52 12.65\$30,000 309 31.63 133 23.50 176 42.82$30,000–$75,000 247 25.28 154 27.21 93 22.63.$75,000 288 29.48 198 34.98 90 21.90
Marital status ***Not married 276 28.25 182 32.16 94 22.87Married 701 71.75 384 67.84 317 77.13
Skin toneDark skin 496 50.77 282 49.82 214 52.07Light skin 481 49.23 284 50.18 197 47.93
Work status ***Other (unemployed,retired, disabled,laid off)
220 22.52 158 27.92 62 15.09
Currently working 518 53.02 296 52.30 222 54.01Homemaker 195 19.96 89 15.72 106 25.79Student 44 4.50 23 4.06 21 5.11
ax2 tests based on the pairwise cross-tabulation of the categorical variables by religious affiliation; two group meancomparison t tests used for continuous variables.*p \ .05. **p \ .01. ***p \ .001.
180 Society and Mental Health 9(2)
for significant differences between the religious
groups. As noted in previous research drawing
on the DAAS dataset, Muslim and Christian
respondents differ significantly on experience of
discrimination but not distress.
Turning to the multivariate regressions, I begin
with the results for frequency of religious service
attendance (Table 2), followed by God salience
and salient religious practices (Table 3). The first
model (Model 1, Table 2) shows the cumulative
odds ratio (OR) of distress on discrimination,
adjusting for sociodemographic factors. As
expected, and in line with previous research, for
respondents reporting discriminatory experiences,
the odds of high distress versus the combined
medium and low distress are 2.13 times higher
than for respondents reporting no discriminatory
experience (OR = 2.13, p \ .001). The second
model includes religious affiliation, which was
not significantly related to distress, again as
expected. The third and fourth models add reli-
gious service attendance and an interaction term
between attendance and discrimination, respec-
tively. Neither term was significant. When reli-
gious affiliation was added to the interaction
term in Model 5, however, the three-way interac-
tion was modestly significant (p \ .10; Model
5), such that higher frequency of religious service
attendance for Muslims buffered the effect of dis-
criminatory experiences on distress. In other
words, compared to Christians, for Muslim
respondents who have experienced at least one
discriminatory experience, weekly or more fre-
quent religious service attendance buffered the
effect of discrimination on distress—though I
restate this effect was only modest.
For the total sample, God salience did not mod-
erate the effect of discrimination on distress, nor
was it significantly related to outcomes of distress.
Additionally, the three-way interaction between
discrimination, religious affiliation, and God
salience was not significant (not shown, results
available on request). The split sample analysis,
however, demonstrates that God salience buffered
discrimination for Muslim (p\ .05) but not Chris-
tian respondents (Models 2 and 3, Table 3).
The cumulative odds ratios for Muslim respon-
dent distress by discrimination and God salience is
presented in Figure 2. For Muslims who did not
report discriminatory experiences, those reporting
low God salience reported 1.16 the odds of report-
ing high versus medium and no or low distress,
while those reporting high God salience reported
1.48 the odds. Thus, for Muslim respondents
who did not report discriminatory experiences,
the odds of reporting high distress are 1.27 times
greater for respondents reporting high God
salience than for low God salience—though this
difference is not statistically significant. However,
for Muslims reporting at least one discriminatory
experience, the ratio of the two odds drops to
.27: Those reporting low God salience reported
10.66 the odds of reporting high distress, while
those reporting high God salience reported just
2.87 the odds. Thus, while God salience does not
significantly impact outcomes of distress for
Muslim respondents reporting no discriminatory
experience, God salience significantly buffers
against the effect of discrimination on distress
for Muslims reporting at least one discriminatory
experience.
Turning to the final measure of religiosity, for
the overall sample, salient religious practices buff-
ered the effect of discrimination on distress, lend-
ing support to the first hypothesis (p \ .05; not
shown, results available on request). However,
the three-way interaction between discrimination,
religious affiliation, and salient religious practice
was not significant (not shown, results available
on request). In the split sample analysis (Models
4 and 5, Table 3), salient religious practices, like
God salience, buffered discrimination for Muslim
(p \ .05) but not Christian respondents. Figure 3
shows the interaction of salient religious practice
and discriminatory experience for outcomes of
distress as cumulative logged odds.
As illustrated, the odds of reporting high dis-
tress versus medium and no or low distress by
Muslim respondents reporting no discriminatory
experiences was not greatly changed by levels of
salient religious practices. In terms of cumulative
odds ratios, for Muslim respondents who did not
report discriminatory experiences, those reporting
no salient religious practices reported 1.08 the
odds of reporting high distress, while those report-
ing the maximum 10 salient religious practices
reported 1.10 the odds. Thus, for respondents
who did not report discriminatory experiences,
the odds of reporting high distress are 1.02 times
greater for respondents reporting high salient reli-
gious practice than for no salient practice—though
this difference is not statistically significant. How-
ever, for Muslim respondents reporting a discrimi-
natory experience, the ratio of the two odds was
.81. Those reporting no salient practices reported
10.41 the odds of reporting high distress, while
Shah 181
those reporting all 10 salient religious practices
reported 8.39 the odds. While the protective effect
of salient religious practice is markedly less than
God salience, religious practice is nonetheless
a significant buffer against discrimination on
distress.
DISCUSSION
The purpose of this study was to investigate (1) if
religious resources would buffer the effect of dis-
crimination on distress for Arab Americans and
(2) if that relationship would differ based on reli-
gious minority status. The results indicate that reli-
gious service attendance modestly moderates dis-
crimination for Muslim respondents compared to
Christian respondents, but this effect was insignif-
icant for within-group comparisons by discrimina-
tory experience (e.g., the split sample analyses).
For the overall sample, only salient religious prac-
tices buffered discrimination. However, when reli-
gious affiliation was taken into account, the results
indicate that this effect was only present for Mus-
lim respondents. Similarly, God salience signifi-
cantly moderates only Muslim discriminatory
experiences.
The utility of religiosity in buffering Muslim
but not Christian Arab American distress may
reflect the marginalization of Islam vis-a-vis
Christianity in America. As discussed previously,
religion can be beneficial for the mental health
of “groups that have traditionally held less objec-
tive power in secular affairs” (Schieman et al.
2013:464)—in this case, Muslims as a religious
minority. Notably, the results of this study—that
religiosity buffered discrimination for Muslims
but not Christians—mirror racial minority patterns
of black-white differences for Christian samples.
Table 2. Multivariate Ordered Logistic Regression as Cumulative Odds Ratios of Distress onDiscrimination and Attendance, Full Sample (N = 977).
Model 1 Model 2 Model 3 Model 4 Model 5
1. Discrimination 2.133*** 2.12*** 2.139*** 2.128** 1.542. Muslim 1.103 1.035 1.036 .631y
3. Religious service attendance(not often omitted)Monthly .811 .857 .56y
Weekly or more .87 .846 .553*4. Discrimination 3 religious service attendance
Monthly .825 1.008Weekly or more 1.137 2.005
5. Discrimination 3 Muslim 1.7276. Muslim 3 religious service attendance
Monthly 2.792y
Weekly or more 3.26*7. Discrimination 3 Muslim 3
religious service attendanceMonthly .651Weekly or more .202y
8. Age .99* .991y .991y .99y .991y
9. Female .981 .995 1.001 1.001 1.03510. Education .942 .944 .945 .947 .95911. Income (not reported at omitted)
\$30,000 1.406 1.386 1.383 1.38 1.385$30,000–$75,000 1.004 1.012 1.011 1.01 .98.$75,000 1.067 1.08 1.081 1.081 1.072
12. Married .799 .791 .796 .802 .79613. Light skin 1.02 1.022 1.007 1.006 1.02114. Work status (other as omitted)
Currently working .595* .591* .593* .587* .564**Homemaker .65 .637y .63y .622y .634y
Student .367* .364* .371* .369* .352*Likelihood ratio x2 34.53*** 34.89*** 35.99** 36.4* 45.42*–2 log likelihood –676 –676 –676 –675 –671df 12 13 15 17 22
yp \ .10. *p \ .05. **p \ .01. ***p \ .001.
182 Society and Mental Health 9(2)
Tab
le3.
Multiv
aria
teO
rder
edLo
gist
icR
egre
ssio
nas
Cum
ula
tive
Odds
Rat
ios
of
Dis
tres
son
Dis
crim
inat
ion
and
Rel
igio
us
Salie
nce
.
Chri
stia
nR
esponden
ts(N
=566)
Musl
imR
esponden
ts(N
=411)
Model
1M
odel
2M
odel
3M
odel
4M
odel
5M
odel
1M
odel
2M
odel
3M
odel
4M
odel
5
1.D
iscr
imin
atio
n2.0
82**
2.1
00**
2.2
31
2.0
55**
2.4
87
1.9
41*
1.9
47*
15.0
09**
2.0
12*
8.2
58***
2.G
od
salie
nce
.796
.808
.608
1.2
66
3.D
iscr
imin
atio
n3
God
salie
nce
.930
.111*
4.Sa
lient
relig
ious
pra
ctic
e1.0
16
1.0
20
.961
1.0
20
5.D
iscr
imin
atio
n3
salie
nt
relig
ious
pra
ctic
e.9
71
.790*
6.A
ge.9
87y
.988y
.988y
.988y
.988y
.995
.994
.995
.994
.993
7.Fe
mal
e.6
79y
.690y
.690y
.672y
.673y
2.0
38*
2.0
97*
2.0
46*
2.0
80*
2.1
68**
8.Educa
tion
.780
.764
.764
.791
.793
1.3
15
1.2
68
1.3
08
1.3
05
1.3
56
9.In
com
e(n
ot
repo
rted
atom
itte
d)
\$30,0
00
1.8
13y
1.8
22y
1.8
23y
1.7
90
1.7
94
1.3
28
1.3
19
1.2
86
1.3
18
1.3
65
$30,0
00–$75,0
00
.728
.719
.718
.729
.730
2.0
29y
1.9
98y
2.0
61y
2.0
19y
2.0
27y
.$75,0
00
1.2
02
1.1
64
1.1
61
1.2
04
1.2
02
.889
.847
.784
.879
.837
10.M
arri
ed.5
09**
.511**
.510**
.502**
.502**
1.9
49*
2.0
32*
2.1
56**
1.9
97*
1.9
21*
11.Li
ght
skin
1.1
27
1.1
24
1.1
26
1.1
34
1.1
40
.832
.828
.761
.814
.818
12.W
ork
stat
us
(oth
eras
om
itte
d)
Curr
ently
work
ing
.620y
.618y
.619y
.623
.624
.436*
.430*
.409*
.437*
.406*
Hom
emak
er1.0
20
1.0
18
1.0
20
1.0
23
1.0
27
.217***
.213***
.204***
.222***
.199***
Studen
t.4
17
.410
.411
.419
.423
.242*
.252*
.258*
.247*
.252*
Like
lihood
ratio
x2
41.6
9***
42.3
6***
42.3
8***
41.8
8***
41.9
7***
31.5
0**
32.5
7**
37.9
2***
32.4
7**
38.9
1***
–2
log
likel
ihood
–369.0
8–368.7
5–368.7
4–368.9
9–368.9
4–286.4
7–285.9
4–283.2
7–285.9
9–282.7
7df
12
13
14
13
14
12
13
14
13
14
yp
\.1
0;*p
\.0
5;**p
\.0
1;***p
\.0
01.
183
Racial differences in religious buffering are
largely explained by researchers as the historical
and contemporary role African American churches
and religious congregations play in fighting dis-
crimination while providing support and solidarity
to congregants. While an institutional explanation
is parsimonious, it lacks the nuance that would
explain differences observed for other statuses,
including religious minorities who have not
experienced the same history of religious institu-
tions engaged in social justice–oriented collective
movements. Instead, I argue that the underlying
social inequality prompts two mechanisms: that
religion itself becomes more salient for marginal-
ized populations while religious institutions
become mobilized as access points to resources—
material, social, and psychological. This aligns
with theoretical claims that sociopolitical context
Figure 2. Cumulative odds ratios of high distress by God salience and discrimination for Muslim onlysample.
Figure 3. Logged odds of distress by salient religious practices and discrimination for Muslim only sample.
184 Society and Mental Health 9(2)
shapes both the meaning of religiosity and stres-
sors, in turn shaping mental health outcomes (Bier-
man 2010; McLeod 2012; Schieman et al. 2013).
Religious service attendance modestly moder-
ated discrimination for Muslim respondents com-
pared to Christian respondents. This may be
because of the difference in religious centrality
for the two groups: In an analysis of their own
data, the DAAS research team identified church
attendance as central to Christian religious prac-
tice, while daily prayer and fasting were central
to Muslim religious practice (Baker et al. 2003b,
2009). In a chi-square test (not shown, available
on request), compared to Muslims, Christians
were significantly more likely to report more fre-
quent attendance of religious services (p \.001). It may be that Muslims who attend religious
services more frequently attach special meaning to
those services, which in turn amplifies the benefi-
cial effects of religion as a resource. Unlike Chris-
tians, Muslim Arab Americans are forced to con-
tend with heightened public scrutiny of both
Muslims and mosques (Baker et al. 2009). Also
unlike Christians, Muslims who do attend reli-
gious services more frequently would need to
exert additional effort to attend: The timing
Muslims usually congregate for jumma prayers
(Friday at solar noon) interferes with the conven-
tional workweek, unlike Christian Sunday mass.
Furthermore, Baker and colleagues (2009) demon-
strate that religious commitment and religious ser-
vice attendance can structure attitudes about dis-
crimination against Arab Americans differently
between Christian and Muslim DAAS respond-
ents. Religious service attendance can increase
Muslim participation in protest demonstrations,
an avenue for Muslims to voice dissatisfaction
with their sociopolitical context (Baker et al.
2009; Jamal 2005). Having a voice may also foster
a sense of agency, or mastery, a notable resource
that benefits mental health status (Ross and Mir-
owsky 2013). As religious institutions, Detroit’s
mosques and churches also function differently
for Muslims and Christians. Dearborn’s Islamic
Center of America,2 the largest mosque in Amer-
ica (Norris 2005), offers many services, including
counseling. While Coptic churches in Michigan3
do offer opportunities to meet with deacons, they
do not specify counseling as an available service.
Mosques and Muslim communities notably orga-
nize such services to meet congregants’ mental
health and counseling needs, since Muslim Arab
Americans may feel that health care professionals
are not adequately trained to recognize and under-
stand their unique experiences (Haque 2004; see
also Jamal 2005).
Similar to religious service attendance, reli-
gious salience as beneficial for Muslim but not
Christian respondents may reflect Muslims’ reli-
gious minority status. Rather than arguing a reli-
gious-based explanation (that Islam benefits Mus-
lims over Christians), I argue that marginalized
groups—either racial or religious—benefit from
religious resources. As a social institution that pro-
vides existential meaning for believers, religion
appears to provide a set of beliefs with which to
understand, process, or even transform the psycho-
logical consequences of discrimination. This may
be why qualitative studies comparing Muslim
and Christian samples, particularly in the post-9/
11 American context, have found that religion is
a more flexible resource for Muslims compared
to Christians—a kind of versatile “Swiss army
knife” rather than a “crescent wrench” (Bartkow-
ski and Read 2003; see also Ali et al. 2008).
Thus, even though Muslims and Christians experi-
ence similar religious-based meaning-making pro-
cesses (Beekers 2014), the utility of religion
across multiple areas of social life is markedly dif-
ferent given religious minority status.
A context where both Muslim and Christian
religiosities are marginalized may help underscore
the stress-buffering effects of religion for religious
minorities. For example, in the occupied Palesti-
nian territories, where Israeli policies allot prefer-
ential treatment to Jews over Muslims and Chris-
tians, the latter two are likely to experience the
salutary effects of religiosity over Jewish adher-
ents. Comparing Muslim to Christian Palestinians,
Christians would likely experience differential
benefits given their (Christian) religious minority
status within the (Arab) racial minority group. In
a comparison of Muslim and Christian Palesti-
nians, Kakounda and Israelashvilli (2015) found
that religiosity was negatively associated with sui-
cidal ideation for Christians but not Muslims.
However, given the specific meaning suicidal ide-
ation may have for Muslim Palestinians, some of
whom positively view sacrificing one’s life as
a form of religiously sanctioned resistance (i.e.,
jihad) against occupiers, additional mental health
outcomes should be utilized (for a discussion on
cross-cultural studies of the stress process model,
see also Schieman et al. 2013).
The foregoing analyses have a number of lim-
itations. Given the cross-sectional design of the
Shah 185
data, the relationships I investigated are necessar-
ily correlational and not causal. Without longitudi-
nal data, the causal mechanisms between distress,
discrimination, and religiosity are difficult to
assess. Another limitation of this study is the
lack of direct measures of religious coping, such
as items from the Brief Arab Religious Coping
Scale, including, “When I am experiencing
a stressful situation, I pray to get my mind off
my problems” (Amer et al. 2008). In the absence
of direct measures, I offer approximations of reli-
gious practice and salience via three unique meas-
ures of religiosity. Finally, given the specific con-
text of this study, generalizing the findings of this
study beyond its bounds is not advised. Yet the
context of the study provides the ideal sample
for the goals of this project. Without a concentrated
sample naturally occurring in a geographically
bound survey, a robust comparison of Christian
and Muslim (e.g., majority and minority) religios-
ity would not have been possible. Additionally, the
findings of this study offer conceptual generaliza-
tions for religious minority religiosity, demon-
strating the necessity of treating religiosity with
more nuance than in previous studies on Muslim
Americans.
I propose three additional avenues for research
that draw on religion as dynamic in investigations
of mental health; these proposed investigations
can be undertaken using any data set that has
measures of mental health, religiosity, and socio-
demographics. First, discrimination could be
parsed out to differentiate between variances of
experience. In line with previous research utilizing
the DAAS discrimination measures (Abdulrahim
et al. 2012; Aprahamian et al. 2011), I combined
all five measures of discrimination into one
dichotomous variable. However, Baker and col-
leagues (2009) identify two types of harassment;
one includes nonphysical violence (e.g., verbal
insults) while the other includes physical violence
(e.g., vandalism). Religious resources may pre-
sumably be more beneficial for nonphysical
harassment, where the damage is primarily psy-
chosocial and not material or physical.
A second avenue for research includes assess-
ing the “dark side of religion”—namely, of reli-
gious struggles (Ellison and Lee 2010). Muslim
Americans who do not engage in religiosity may
have poorer mental health outcomes compared to
their religiously engaged counterparts, especially
for those experiencing discrimination, as demon-
strated in this study. Without theologically based
tools to understand and process discriminatory
experiences, less religiously engaged Muslims
may experience religious doubt, resulting in reli-
gious cognitive dissonance (Hill et al. 2017).
Divine struggles, one of three general dimensions
of religious struggles, may become exacerbated as
Muslim Americans experience discrimination, in
turn increasing distress. In other words, less reli-
giously engaged Muslims who experience dis-
crimination because of their religion may question
their adherence to the faith, triggering an existen-
tial crisis and therefore, distress.
The final avenue for research is reassessing the
data by interrogating social categories. I propose
two ways of pursuing this avenue: The first is an
intersectional approach that would capture gender,
religious affiliation, and experiences of immigra-
tion, while the second approach would parse apart
ethnic and religious categories. Religion is gen-
dered (Bartkowski and Shah 2014) as some practi-
ces are more salient, relevant, and accessible for
certain expressions of gender than others (Mah-
mood 2005), and this also differs by religious affil-
iation (Baker et al. 2003b). Likewise, the religious
experience and dynamics of the Christian Arab
American community is likely to be different
from its much younger Muslim counterpart as
the DMA Arab Christian community formed sev-
eral generations before the Arab Muslim commu-
nity (Baker et al. 2009). Discriminatory experien-
ces for new immigrants, particularly Muslims,
may have different outcomes than the same kinds
of experiences for older generations of immigrants
from the Christian community, and this relation-
ship would likely have gendered implications
(Ajrouch 2004). To illustrate this dynamic, center-
ing the experiences of those at intersecting identi-
ties (Collins 1991), being physically attacked
because of one’s race, ethnicity, or religion would
have varying psychological consequences for
a newly arrived Muslim woman, particularly if
she donned hijab, compared to a white-passing
Christian man.
In the second approach, ethnic and religious
categories would be further interrogated. Although
I consider respondents solely by religious affilia-
tion, I note that the sample is diverse by ethnicity
and sectarian affiliation. Additionally, researchers
have investigated skin tone and whiteness of Arab
Americans (Abdulrahim et al. 2012; Ajrouch and
Kusow 2007); these factors may impact the
respondents’ exposure to discrimination and dif-
ferential experience of discrimination and thus
186 Society and Mental Health 9(2)
outcomes of discrimination. Likewise, Arab Amer-
icans might hail from nearly two dozen Arab coun-
tries, listed previously. Each of these countries has
a unique history of development and colonization,
creating specific social milieus respondents may
have exposure to, especially when regional varia-
tion and minority status are taken into account.
Complicating this further is respondent generation
of immigration and attachment to their countries
of origin. These factors should be assessed, as treat-
ing Arab Americans as a monolithic category can
obfuscate the effect of country of origin, skin
tone, or additional social markers.
Likewise, the effect of respondent religious
sectarian affiliation may be masked by treating
the categories as simply “Muslim” or “Christian.”
Focusing on the former, the largest divide in the
Muslim world is recognized as the Shia-Sunni
schism, but in reality, there are divisions even
within these sects. While Muslims acknowledge
there may be as many as 73 sects based on Pro-
phetic tradition (Khaki 2013), the actual number
of sects remains unknown as groups are constantly
forming, reforming, and dividing. Focusing on the
larger Shia-Sunni divide, Muslims may differen-
tially interpret and experience stressful events,
like discrimination, based on religious ideologies
and teachings. For example, a common Shia
expression is, “Every day is Ashura, every land
is Karbala”—a reference to the brutal events that
befell the Prophet’s family in 680 A.D., but which
can give contemporary Shias divine meaning of
their current day experiences of discrimination
and persecution (Mohsenian-Rahman 2017; Nasr
2006). In sum, these research avenues can help
parse out the social processes of religiosity in rela-
tion to mental health and if religiosity can buffer
certain stressors (e.g., situational) more effectively
than others (e.g., systemic).
In this study, I investigated if religious resour-
ces buffered the effect of discrimination on dis-
tress for Arab Americans and if that relationship
differed based on religious minority status. Fol-
lowing the contours of the stress process model,
I investigated how three separate measures of reli-
giosity buffered the discrimination-distress rela-
tionship. The results indicate that for the overall
sample, only salient religious practices buffered
discrimination. However, when religious affilia-
tion was taken into account, the results indicate
that both God salience and salient religious practi-
ces significantly moderated Muslim Arab Ameri-
can discrimination.
AUTHOR’S NOTE
I gratefully acknowledge the anonymous reviewers for
Society and Mental Health. I would also like to thank
Christopher Ellison, Xiaohe Xu, Scott Schieman, and
Blair Wheaton for their comments on earlier drafts of
this paper. A version of this paper was presented at the
Association for the Sociology of Religion Annual Meet-
ing (Denver, Colorado) and the International Stress Con-
ference Biannual Meeting (Vancouver, British Columbia).
NOTES
1. Compare, for example, the similarity of prescriptive
prayer in times of crisis: James 5:13, “Is anyone
among you in trouble? Let them pray,” and Quran
13:28, “Verily in the remembrance of Allah do hearts
find rest!” I argue that the religious texts are not sub-
stantively different (though others may disagree; cf.
Franzmann 2010) but that social contexts of inequal-
ity increase the salience of religious resources,
including scriptures, for marginalized groups.
2. For more information, see www.icofa.com.
3. For more information, see www.copticchurch.net/
topics/directory/churches_all.php.
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