{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T01:30:14Z","timestamp":1785461414048,"version":"3.56.0"},"reference-count":34,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T00:00:00Z","timestamp":1585526400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001824","name":"Grantov\u00e1 Agentura \u010cesk\u00e9 Republiky","doi-asserted-by":"publisher","award":["19-19526S"],"award-info":[{"award-number":["19-19526S"]}],"id":[{"id":"10.13039\/501100001824","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Research in some religious countries shows that religiosity and spirituality positively affect adolescent health. We studied whether religiosity and spirituality also have positive associations with adolescent health in a secular country. We tested the associations between religious attendance and spirituality and self-reported health and health complaints using a representative sample of Czech adolescents (n = 4182, 14.4 \u00b1 1.1 years, 48.6% boys) from the 2014 health behavior in school-aged children (HBSC) study. We used religious attendance, the adjusted shortened version of the spiritual well-being scale (SWBS), and its two components\u2014religious well-being (RWB) and existential well-being (EWB)\u2014as independent variables and the eight item \u201cHBSC symptom checklist\u201d and self-reported overall health as dependent variables. A higher level of spirituality was associated with lower chances of health complaints and self-reported health, ranging from a 9% to 30% decrease in odd ratios (OR). Religious attendance was not associated with any of the observed variables. The EWB showed a negative association with all of the observed variables, with associations ranging from a 19% to 47% decrease. The RWB was associated with a higher risk of nervousness (OR = 1.12), while other associations were not significant. Non-spiritual but attending respondents were more likely to report a higher occurrence of stomachache (OR = 2.20) and had significantly worse overall health (OR = 2.38). In a largely secular country, we found that spirituality and the EWB (unlike religious attendance and the RWB) could have a significant influence on adolescent health.<\/jats:p>","DOI":"10.3390\/ijerph17072339","type":"journal-article","created":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T11:36:42Z","timestamp":1585654602000},"page":"2339","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Spirituality, Religious Attendance and Health Complaints in Czech Adolescents"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3144-2437","authenticated-orcid":false,"given":"Radka","family":"Zidkova","sequence":"first","affiliation":[{"name":"Olomouc University Social Health Institute, Palacky University Olomouc, 771 11 Olomouc, Czech"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petr","family":"Glogar","sequence":"additional","affiliation":[{"name":"Olomouc University Social Health Institute, Palacky University Olomouc, 771 11 Olomouc, Czech"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3130-5416","authenticated-orcid":false,"given":"Iva","family":"Polackova Solcova","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Czech Academy of Science, 11000 Prague, Czech"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0225-6811","authenticated-orcid":false,"given":"Jitse","family":"P. van Dijk","sequence":"additional","affiliation":[{"name":"Olomouc University Social Health Institute, Palacky University Olomouc, 771 11 Olomouc, Czech"},{"name":"Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands"},{"name":"Graduate School Kosice Institute for Society and Health, P.J. Safarik University in Kosice, 040 11 Kosice, Slovak"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Kalman","sequence":"additional","affiliation":[{"name":"Department of Recreation and Leisure Studies, Faculty of Physical Culture, Palacky University in Olomouc, 771 11 Olomouc, Czech"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Tavel","sequence":"additional","affiliation":[{"name":"Olomouc University Social Health Institute, Palacky University Olomouc, 771 11 Olomouc, Czech"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6939-1204","authenticated-orcid":false,"given":"Klara","family":"Malinakova","sequence":"additional","affiliation":[{"name":"Olomouc University Social Health Institute, Palacky University Olomouc, 771 11 Olomouc, Czech"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,3,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1080\/13644360903565524","article-title":"Aspects of spirituality in adolescents","volume":"15","author":"Gidley","year":"2010","journal-title":"Int. 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