Abstract
An emerging line of research has begun to document the relationship between structural
sexism and health. This work shows that structural sexism—defined as systematic gender
inequality in power and resources—within U.S. state-level institutions and within marriages
can shape individuals’ physical health. In the present study, we use a novel dataset created
by linking two nationally representative surveys (the General Social Survey and the National
Congregations Study) to explore the health consequences of structural sexism within another
setting: religious institutions. Although religious participation is generally associated with
positive health outcomes, many religious institutions create and reinforce a high degree
of structural sexism, which is harmful for health. Prior research has not reconciled these
seemingly conflicting patterns. We find that among religious participants, women who attend
sexist religious institutions report significantly worse self-rated health than do those who
attend more inclusive congregations. Furthermore, only women who attend inclusive religious
institutions exhibit a health advantage relative to non-participants. We observe marginal to no
statistically significant effects among men. Our results suggest the health benefits of religious
participation do not extend to groups that are systematically excluded from power and status
within their religious institutions.
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