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However, little is known if a similar association exists between the religiosity and mental well-being within Muslims in U.S.-based R\/S health research, who remain comparatively underrepresented relative to Judeo-Christian samples. This study assesses whether these associations hold true in this population and if they can be explained by demographic factors alone. A total of 337 participants were enrolled from Muslim community centers in the Minneapolis\u2013St.Paul, Minnesota, metropolitan area (completion rate\u2009=\u200947.5%). Participants completed the Muslim Religiosity Scale (MRS) with intrinsic and behavioral subscales. They also completed physical and mental health questionnaires: Health-promoting Lifestyle Profile Questionnaire (HPLP II), General Anxiety Disorder 2 (GAD-2), and Patient Health Questionnaire 2 (PHQ-2). Associations were assessed using Spearman correlations and ordinary least squares regression. A statistically significant positive association was observed between MRS and HPLP Total Score (\n                    <jats:italic>\u03c1<\/jats:italic>\n                    \u2009=\u20090.35,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001). Lower MRS scores were associated with higher depressive symptoms (PHQ-2;\n                    <jats:italic>\u03c1<\/jats:italic>\n                    \u2009=\u2009\u2212\u20090.28,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001) and higher anxiety symptoms (GAD-2;\n                    <jats:italic>\u03c1<\/jats:italic>\n                    \u2009=\u2009\u2212\u20090.29,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001). Associations remained significant after adjustment for age, sex, race\/ethnicity, and income (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.01). Associations were stronger for the behavioral MRS subscale (e.g., prayer and service attendance) than the intrinsic subscale. Generalizability may be limited by English-only administration and incomplete responses. This may overrepresent more English-proficient, more educated, and more health-engaged participants and bias estimates. This study may inform future efforts to improve cultural sensitivity, pastoral care, and patient-provider relationships in spiritually diverse populations.\n                  <\/jats:p>","DOI":"10.1007\/s10943-026-02600-x","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T11:05:00Z","timestamp":1773659100000},"page":"2759-2777","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Religious and Spiritual Behaviors Correlated with Mental and Physical Well-Being Among American Muslims within the Twin Cities"],"prefix":"10.1007","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2554-3568","authenticated-orcid":false,"given":"Ashab","family":"Alamgir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Zaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razi","family":"Lawabni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fyzeen","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juwayria","family":"Webo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sashmitaa","family":"Alamgir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwa","family":"Saidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nea","family":"Nwanokwale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirza","family":"Baig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhab","family":"Abdelwahab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"2600_CR1","doi-asserted-by":"publisher","DOI":"10.1186\/S12888-023-05091-2","author":"S Aggarwal","year":"2023","unstructured":"Aggarwal, S., Wright, J., Morgan, A., Patton, G., & Reavley, N. 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