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Study Links Decline in Religious Attendance to Rising 'Deaths of Despair' Among White Americans

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Published on December 18, 2025
Study Links Decline in Religious Attendance to Rising 'Deaths of Despair' Among White AmericansSource: Mitchell Leach on Unsplash

In a recent study shedding light on the health crisis facing middle-aged, less educated white Americans, researchers have linked a significant decline in religious participation to an increase in "deaths of despair." These deaths, categorized as resulting from drug overdoses, suicide, and alcoholic liver disease, seemingly began to rise as churchgoing habits started to wane before the opioid crisis took hold, according to a study by Tamar Oostrom of The Ohio State University and her colleagues. "What we see in this study is the beginning of the story, before opioids became a major issue, and it shows rises in deaths of despair were already beginning to happen when the opioid crisis hit," Oostrom stated in the findings published in the Journal of the European Economic Association.

The research team used data spanning from 1985 to 2000, setting out to establish any possible correlations between religious attendance and mortality rates. They found that states experiencing the sharpest drop in weekly churchgoers also suffered steeper increases in deaths of despair. In a notable discovery, the repeal of "blue laws," which historically restricted Sunday commerce and thereby competition with church attendance, was quickly followed by a decrease in churchgoing activities. This legislative change, adopted by states like Minnesota, South Carolina, and Texas in 1985, seemed to almost immediately affect societal habits and, subsequently, health outcomes. "The repeal of blue laws led to a 5- to 10-percentage-point decrease in weekly attendance of religious services, and later an increase in the rate of deaths of despair," Oostrom's team noted as reported by Ohio State News.

Strikingly, the study points out that the mortality rates among the demographic in question only started to climb after the introduction of OxyContin in 1996. This element suggests that while the opioid crisis exacerbated the issue, the problem was already seeded in estrangement from religion and its communal aspects. "OxyContin and the opioid crisis made a bad situation worse, but the deaths of despair were already on the rise," said Oostrom, according to OSU News.

The study delves into possible reasons why diminishing church attendance could lead directly to life-threatening behaviors. Oostrom theorizes that churchgoing may provide a sense of identity and world understanding not easily replicated by other social activities. The study discovered no comparable decline in other forms of social engagement during the period in question. "Religion may provide some way of making sense of the world, some sense of identity in relation to others, that can't easily be replaced by other forms of socialization," Oostrom told OSU News. Although belief in God did not significantly drop, actual religious practices did, emphasizing the potential importance of active participation over faith alone for safeguarding against despair.

As the 21st century advances, and with the rise of social media offering a different brand of social connectivity, the paper posits a rather somber forecast. The researchers acknowledge that a simple return to organized religion, or even secular community organizations, may not be enough to reverse these mortality trends, pointedly remarking on the unique social and existential contributions religion has historically provided. "People are less religious now, and there hasn't been a substitute that provides what religion provided to many people. And our paper suggests this could have long-term impacts on health and mortality," Oostrom said, according to OSU News, drawing attention to the broader implications of the study.