To investigate the relationship between dimensions of religiosity and attitudes toward the professional treatment of mental health among African American church attendees. In 2018, surveys were administered to African American attendees of four churches in northeastern Pennsylvania and central New Jersey (n = 435). The independent variables assessed were three dimensions of religiosity: subjective (perceptions and attitudes), organizational (public displays), and non-organizational (private practices). The Multidimensional Measure of Religious Involvement for African Americans scale assessed each dimension of religiosity. The dependent variable was measured through the 20-item scale, Attitudes Toward Mental Health Treatment Scale. We conducted multivariate linear regression with robust standard errors to adjust for clustering effects by church. Covariates adjusted for in the analysis were age, sex, denomination, education, marital status, depressive symptoms, location, and support. Most participants were aged 50 and older (79.3%). They resided in urban (9.89%), rural (2.3%), or suburban (87.8%) settings. Participants who reported high subjective religiosity endorsed less positive attitudes toward professional mental health treatment in comparison with participants reporting low subjective religiosity (β = − 1.36, 95% confidence interval [− 2.35, − 0.39], p < 0.05). No association was found between organizational or non-organizational religiosity in relation to attitudes toward professional mental health service use. Our findings suggest that greater subjective religiosity may be related to lower engagement in and utilization of professional mental health services among African Americans in the northeastern United States.

调查宗教之间的关系和非裔美国人教会参加者对心理健康的专业治疗态度之间的关系。2018年，对宾夕法尼亚州东北部和新泽西州中部四座教堂的非裔美国人参加者进行了调查（n = 435）。评估的独立变量是宗教信仰的三个维度：主观（观念和态度），组织（公开展示）和非组织（私人行为）。非裔美国人的宗教参与度的多维量表评估了宗教的各个方面。通过20个项目的量表“对精神健康治疗的态度量表”来测量因变量。我们使用稳健的标准误差进行了多元线性回归，以针对教堂的聚类效应进行调整。经过分析调整的协变量是年龄，性别，教派，受教育程度，婚姻状况，抑郁症状，位置和支持度。大多数参与者年龄在50岁以上（79.3％）。他们居住在城市（9.89％），农村（2.3％）或郊区（87.8％）的环境中。β  = − 1.36，95％置信区间[− 2.35，− 0.39]，p  <0.05）。在对专业心理健康服务使用的态度方面，在组织或非组织宗教之间未发现关联。我们的研究结果表明，较高的主观宗教信仰可能与美国东北非裔美国人对专业心理健康服务的参与和使用减少有关。