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Religions
  • Article
  • Open Access

28 January 2021

Centrality of Religiosity among Select LGBTQs in the Philippines

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and
1
Theology and Religious Education Department, De La Salle University, Manila 1004, Philippines
2
Administration Office, Lumina Foundation for Integral Human Development, Calamba City 4027, Philippines
3
Graduate Institute of Educational Leadership & Development, Research, and Development Center for Physical Education, Health, and Information Technology, Fu Jen Catholic University, New Taipei City 24205, Taiwan
*
Author to whom correspondence should be addressed.
This article belongs to the Special Issue Research with the Centrality of Religiosity Scale (CRS)

Abstract

This paper investigates the salience of religion and the centrality of religiosity among select LGBTQs. Much consideration has been given to the identity categories of sex, gender, sexual orientation, and religion. Means (M) and standard deviations (SD) were calculated for the overall CRSi-20 score and its five subscales. The results show that the overall CRSi-20 score is 3.68 (SD = 0.89), which indicates that the select LGBTQs are “religious”. As for the core dimensions of religiosity, the ideology subscale received the highest mean score (M = 4.16, SD = 0.88) while the public practice subscale received the lowest mean score (M = 3.21, SD = 1.15). The overall reliability of the survey is computed at 0.96, while the rest of the subscales have alpha values ranging from 0.81 to 0.95. Study outcomes confirm the general religiosity of participants, particularly among older respondents. Of the five subscales, ideology and private practice emerge as dominant categories. In terms of sex distribution, men tend to self-describe as “highly religious” in relation to women, who identify largely as “religious”.

1. Introduction

In October 2020, news proliferated online concerning a statement by Pope Francis expressing clear support for civil unions. It was controversial as much for its content as its context—seemingly an advice given to a gay, partnered Roman Catholic who longed to raise his children in the church. Presumably, Francis affirmed the right of each person to family and its accompanying civil protection—“What we have to make is a law of civil coexistence, for they [LGBTQs] have the right to be legally covered” (Elie 2020). While the Pope had been known to utter similarly off-handed opinions in the past, the comment accentuated—yet again—the unwieldy interaction of sexuality and Christian teaching, theological application, to lived reality.
This study was conceived initially to address a ministerial concern. The researchers observed the lack of structural resources that attended to the lived realities of persons who identify as lesbian, gay, bisexual, transgender, and queer (LGBTQ). While literature on religious education and sexuality exists, few account for the experiences of Filipino LGBTQs, specifically their understandings of “religion”, “God”, “faith”, and questions of meaning. How can empirical data refine the assumptions of faith that churches uphold within the diverse landscape of human sexualities? To what extent do ministers and religious workers affirm and/or discount the religious experiences of Filipino LGBTQs when these fall outside the purview of institutional language? How do religious beliefs influence the subjective experience and behavior of Filipino LGBTQs?
To provide empirical grounding to these questions, the study utilized the interreligious form of the Centrality of Religiosity Scale (CRSi-20) (Huber and Huber 2012) to evaluate the extent to which religiosity occupies a central place in the life of select Filipino LGBTQs. By examining the boundaries at which articulations of “religion”, “faith”, “God”, and “meaning” interact and overlap, as well as mapping out the terrain of religious life among Filipino LGBTQs, the study hopes to offer quantitative data to conversations around human sexuality and lived faith in the Philippines.

2. The Need to Measure the Religiosity of Filipino LGBTQs

Religious Demography of the Philippines

The Philippines is considered the numerically largest Christian nation in Asia (Bautista 2014) and the third-highest Catholic population in the world after Brazil and Mexico (World Population Review 2020). Christian ideology was introduced to the country in the year 1521 at the onset of the Spanish conquest and became deeply embedded into Filipino culture (del Castillo and Aliño 2020; del Castillo 2015; Goh 2005). The dominance of the Catholic religion in the Philippines, however, does not equate to a lack of religious diversity (del Castillo et al. 2020). Various religious groups and denominations are actively present in the religious sphere, namely, “Christian Churches, Evangelical, Church of Christ, and Philippine Independent Church. Additionally, roughly five percent of the population is Muslim”, (Philippines: Society and Culture 2011, p. 4). Chinese Buddhism, although a minority religion, also thrives in the country (Dy 2012). There is also a temple in Manila (capital of the Philippines) that serves as a religious center for Hindus (Hutter 2012). Additionally, “there are now religious denominations established and/or headed by members of the LGBT community in the country which include the Metropolitan Community Church, The Order of St. Aelred; and Ekklesia Tou Theou (Church of God)”, (USAID, UNDP 2014, p. 28).
Given that the majority of the population adheres to an institutional religion (USAID, UNDP 2014) with a mean age of 23 years old (World Health Organization 2015), the Philippines is an important locus of inquiry on the relationship between religion, age, gender, and sexuality. While there are quantitative studies on the religious profile and religiosity of select Filipinos (del Castillo et al. 2020; Social Weather Stations 2019; Baring et al. 2018; Agoncillo 2015; CBCP-ECY and CEAP 2014), there is a lack of studies that translates the lived reality of Filipino LGBTQs into material data that quantifies the correlation of their life with religiosity. A study of religion using the Centrality of Religiosity Scale (Huber and Huber 2012) that measures the psychological constructs behind the various religious ideologies, rituals, experiences and other expressions of faith life among select Filipino LGBTQs can significantly contribute to the growing body of knowledge on the salience of religion and the centrality of religiosity.
This study explores the centrality of religious meanings in the personality of select Filipino LGBTQs. This paper specifically answers the following questions: (1) Are select Filipino LGBTQs highly religious, religious, or non-religious? (2) What core dimension of religiosity is dominant among select Filipino LGBTQs? (3) How does religion influence the subjective experience and behavior of select Filipino LGBTQs? (4) How does the centrality of religiosity of select Filipino LGBTQs help illumine the current understanding of religious beliefs and practices?

4. Method

4.1. Some Considerations on Identity Categories and Religion

Since this paper investigates the salience of religion and the centrality of religiosity among select LGBTQs, much consideration has been given to the identity categories of sex, gender, sexual orientation, and religion. While the terms lesbian, gay, bisexual, transgender, queer, and the acronyms, LGBTQ and SOGIE are widely used among Filipino millennials, the study acknowledges the limits of language in fully capturing the nuances of the Filipino gender universe (Quero et al. 2014; Campos 2012). As such, definitions were incorporated into the survey under Sex and Gender identities to differentiate biological characteristics from psycho-spiritual notions of self. While these categorical distinctions may be obvious to some—especially given broad access to social media—cultural nuances tend to get lost in any attempt to translate “global” gender categories to Filipino contexts.
In the survey, the term “sex” refers to “one’s biological characteristics, often assigned at birth”, such as male or female. In consonance with the United Nations Development Programme—Commission on Human Rights of the Philippines (UNDP-CHRP 2018), the sex category “intersex” is included, referring to “people born with sex characteristics (including genitals, gonads and chromosome patterns) that do not fit typical binary notions of male and female bodies”. The option “not listed” is also included.
The survey operationalizes the term “gender identity” as the “internal sense of being a man, a woman, a third or some alternative gender regardless of the sex assigned at birth. Gender identity is reflected in gender expression, or specific ways of communicating masculinity or femininity (or both or neither) externally” (UNDP-CHRP 2018). Under the gender identity category, “transgender” refers to “an umbrella term describing people whose gender identity does not match the sex they were assigned at birth”, (UNDP-CHRP 2018). Again, the option “not listed” is added to the choices.
The survey also asked for the sexual orientation of respondents, describing “an individual’s emotional, physical, and sexual attraction to other people”. Among obvious choices were “gay”, referring to a “person who identifies himself as man but attracted to another man”, and “bisexual”, which refers to “a person who is attracted to multiple gender identity and expression”, (USAID, UNDP 2014). While “lesbian” as a distinct category conventionally referring to female-bodied persons sexually attracted to other female-bodied persons, its deployment in the Philippine gender universe is a little more complex (USAID, UNDP 2014). To offer as wide a berth as possible, gender categories included the Filipino term “bakla”, which is “a sexual/gender category that refers to biological males who exhibit, or are suspected of exhibiting, sexual and gender non-normative behavior” (Manalansán 2015), and “tomboy”, which is “loosely equivalent to the butch dyke in western societies. The tomboy is constructed as a man trapped in a woman’s body”, (Tan 2001, p. 122). “Queer” is also included, which refers to “an umbrella term that individuals may use to describe a sexual orientation, gender identity or gender expression that does not conform to dominant societal norms”, (American Psychological Association & National Association of School Psychologists 2015). The Filipino term “diretso” (USAID, UNDP 2014) or heterosexual is also included, as well as the option “not listed”.
In terms of religious categories, this paper operationalizes religion as “an organized system of beliefs, practices, and symbols designed (a) to facilitate closeness to the transcendent and (b) to foster an understanding of one’s relationship and responsibility to others in living together in a community”, (Koenig 2012, pp. 2–3). However, to the extent that the study seeks a more expansive definition of religious experience, the “religion” identity category incorporated atheist, spiritual (but not religious) and agnostic, alongside diverse Christian subsets and world religions, such as Islam, Buddhism, and Judaism. The incorporation of broader “Christian categories” exposes the study’s bias towards predominantly urban-based Christian youth contexts.

4.2. Demographics and Religiosity of Select LGBTQs

The demographics of select LGBTQs are shown in Table 1. The total sample comprised 59 Filipino LGBTQs. The age range of the respondents was 18 to 42 years old (M = 22.42, SD = 5.87). The majority of the participants live in urban settings (n = 54, 92%). The participants’ biological gender, which was assigned at birth, was represented as male (n = 26, 44%), female (n = 32, 54%) or not listed (n = 1, 2%). No respondent was “intersex”. The gender identities, which describes the participants’ internal sense, were as follows: male (41%); female (44%); transgender (3%), and not listed (12%). Participants’ sexual orientations, which describes their emotional, physical and sexual attraction to other people, were categorized as lesbian (14%), gay (29%), bisexual (39%), queer (3%) and not listed (15%). Most of them were Christians and were represented in the following denominations: Roman Catholic (n = 31, 53%); mainline Protestant (n = 10, 17%); Evangelical Christian (n = 3, 5%); Jehovah’s Witness (n = 1, 2%). The other affiliations were as follows: Spiritual (n = 3, 5%); Agnostics (n = 5, 9%); Atheist (n = 1, 2%); Buddhist (n = 3, 5%); and Not listed (n = 2, 3%).
Table 1. Selected LGBTQ demographics and levels of religiosity.
Table 1 also shows the centrality of religiosity among the selected LGBTQs vis-à-vis their demographics. Among the respondents, the highly religious individuals were from urban areas, male in sex, male in gender identity, gay in sexual orientation, and adhered to Roman Catholicism. Those who are religious came from urban areas, were female in sex, female in gender identity, bisexual in sexual orientation, and adhered to Roman Catholicism. The non-religious individuals came from urban areas, were female in sex, female in gender identity, bisexual in sexual orientation, and were non-Christians.

4.3. Procedure

Data were collected from November 2020 to December 2020 through an online survey using Qualtrics survey software. Snowball sampling was applied. The respondents received a link to the study through email. The respondents were assured that their responses would be treated with the utmost confidentiality and were asked for consent before answering the 20-item interreligious form of the Centrality of Religiosity Scale (CRSi-20) (Huber and Huber 2012). A total of 89 participants responded to the online survey. After cleaning the data, only the responses of 59 respondents were considered in the study.

4.4. Instrument

The full English version of the 20-item interreligious Centrality of Religiosity Scale (CRSi-20) was used in this study with permission from the author. The CRSi-20 assumes that “(1) The measurement of the general intensity of the five core dimensions of religiosity [ideology, intellect, public practice, private practice, and religious experience] allows a representative estimation of the frequency and intensity of the activation of the personal religious construct system and (2) The probability of a central position of the religious construct-system in personality increases with the overall intensity and frequency of its activation”, (Huber and Huber 2012, p. 715). Thus, if religiosity is “placed in a central position, personal religious constructs have an intense and broad influence on experience and behavior”, (Huber 2007, p. 213).
A person can demonstrate his or her religiosity in various ways. On the intellectual and ideological dimensions, religiosity is operationalized by believing in God or something divine, thinking about religious issues, learning about religious topics, and keeping abreast with religious questions. A religious person can also demonstrate his or her religiosity on the public and private practice dimension by taking part in religious services, being a member of a religious community, and praying. Furthermore, when a religious person feels the presence or intervention of God (or something divine), then he or she is having a religious experience (Huber and Huber 2012).
The CRSi-20 uses a subjective five-point frequency (very often, often, occasionally, rarely, and never) and intensity (very much so, quite a bit, moderately, not very much, and not at all) response scale, and eight- or seven-item objective frequency scales for the assessment of private and public practice, respectively (Huber and Huber 2012). The answer options for the private practice are “several times a day”, “once a day”, “more than once a week”, “once a week”, “one or three times a month”, “a few times a year”, “less often”, and “never”. Accordingly, the answer options for the public practice are “more than once a week”, “once a week”, “one or three times a month”, “a few times a year”, “less often”, and “never”. To guarantee the compatibility of the answer scales, the authors propose a re-coding procedure for the eight- and seven-level answers to five-level. The principles are described in Huber and Huber (2012, p. 720, Table 3). We follow the re-coding suggestions of the authors. Thus, the final data result in a uniform range of 1 to 5, with 1 being the minimum and 5 the maximum expression on the scale.
Two of the core dimensions (private practice and religious experience) were assessed with the use of two items that represent different religious patterns; interactive and participative (Huber and Huber 2012, p. 719). An example for the private practice is “How often do you pray?” and “How often do you meditate”. Only the higher value of the two alternative items was used for the calculation of the scale and its reliability. It is important to differentiate between the number of the items in the questionnaire and the number of items in the scale. The CRSi-20 needs twenty items in the questionnaire. However only 15 measures are included in the scaling, and three for each dimension.

4.5. Data Analysis

Means (M) and standard deviations (SD) were calculated for the overall CRSi-20 score and its five sub-scales. In addition, the measures of skewness and kurtosis were also computed to describe how the sub-scales are distributed. Cronbach’s alpha is calculated for each of the subscales to establish internal consistency. A one-way analysis of variance (ANOVA) with post-hoc tests was conducted to determine the relationship among the subscales and the participants’ background demographics. For the comparison between the different levels of religiosities, several independent sample T-test were also computed. All analyses were done using the Statistical Package for Social Science (SPSS) software version 20 at loan from one of the researcher’s institution (IBM 2011; Arbuckle 2011).

5. Results and Discussion

The descriptive statistics of the overall CRSi-20 score and its five subscales are shown in Table 2. The results show that the overall CRSi-20 score is 3.68 (SD = 0.89), which indicates that the select LGBTQs are “religious”. As for the core dimensions of religiosity, the ideology subscale received the highest mean score (M = 4.16, SD = 0.88), while the public practice subscale received the lowest mean score (M = 3.21, SD = 1.15). Regarding measures of skewness, all of the values are negative (−0.04 to −1.25), which suggests that the subscales are mostly concentrated on the higher scores. Additionally, the kurtosis of the data ranges from −1.16 to 1.21. Kurtosis with negative values signifies that the distribution is less peaked and has a lighter tail as compared to positive ones, which are more peaked and have a heavier tail (Cohen 1988).
Table 2. Descriptive statistics for CRSi-20 and its subscales.
Cronbach’s (1951) alpha values were also calculated to determine the internal consistency and reliability of the CRSi-20. The overall reliability of the survey is computed at 0.96, while the rest of the subscales have alpha values ranging from 0.81 to 0.95. These values, according to Bryman and Cramer (1990), denote that the CRSi-20 is a reliable instrument.
Correlational analysis was also conducted to determine the relationship among the subscales. Table 3 shows that all of the subscales are correlated with each other. Additionally, the participants’ age is positively correlated with all of the subscales (including the overall CRSi-20 score). This lends evidence to the link between age and religiosity.
Table 3. Correlation matrix of the respondents’ age, CRSi-20 total score, and its subscales.
Several independent sample T-tests were computed to compare the different levels of religiosities. Table 4 shows that all participants’ who have religious beliefs (Column “Yes”) scored significantly higher in each of the subscales as opposed to those participants without religious beliefs (Column “No”). Additionally, the “effect sizes” for all the comparisons are quite large, as denoted by Cohen’s (1988) d values 2.33 to 4.82 (note that values below 0.20 = very small, 0.20 to 0.49 = small, 0.50 to 0.79 = medium, 0.80 to 1.39 = large, and values above 1.40 are considered very large effect sizes).
Table 4. Comparison of the religious and non-religious respondents.
Additionally, the religious intensities among the select LGBTQs were compared. As shown in Table 4, the “highly religious” participants scored significantly higher in all of the subscales. Again, the “effect sizes” for all the comparisons are quite large, as denoted by Cohen’s (1988) d values 1.36 to 2.77.
Table 5 shows the CRSi-20 items’ means and standard deviations for the different levels of religiosity. The data reveal that older participants have higher levels of religiosity.
Table 5. CRSi-20 means and standard deviations for the different levels of religiosity.
Independent sample T-tests and analyses of variance (ANOVA) with post-hoc tests were accomplished to determine if there are any significant differences between the demographics of the select LGBTQs and overall religiosity. The results showed that there are no significant differences between the participants’ location (urban and rural), biological gender, gender identity, and sexual orientation, with overall CRSi-20 score and sub-scales.
Table 6 shows the differences in the centrality of religiosity between select LGBTQ Christians and non-Christians. The results of the independent sample T-test showed that there are significant differences with very large effect sizes (1.00 to 1.36) (Cohen 1988) on the religiosity of participants who are affiliated with the Christian religion (Roman Catholic, Protestant, Evangelical, and Jehovah’s witness) and those who identified as non-Christians (Spiritual, Agnostic, Atheist, Buddhist, and not listed).
Table 6. Comparison of centrality of religiosity between selected LGBTQ Christians and non-Christians.

6. Conclusions and Outlook

At its inception, the study sought to explore the correlation of religiosity with the lived realities of Filipino LGTBQ youths. The authors assumed a tension between respondents’ sex/gender identities and affiliation with religious institutions. It is also a tension that presumably traverses private and public aspects of life.
The study outcomes confirm the general religiosity of participants, particularly among older respondents. Of the five subscales, ideology and private practice emerge as the dominant categories through which religiosity is articulated, practiced, and lived. Public service, intellect and experience follow. In terms of sex distribution, men tend to self-describe as “highly religious” in relation to women, who identify largely as “religious”. To the degree that women respondents outnumber men, a higher number of total respondents—regardless of sexual orientation—are inclined to be “religious”.
The data resonate with previous research by del Castillo et al. (2020) among Filipino youths. Drawn from a significantly larger pool, the results affirmed a pervasive religiosity defined also by ideology and private practice. Because this study focuses on a subset of Filipino youths, resonant levels seem to evoke a characteristic religiosity general to Filipino culture, rather than one informed by age, sexuality, and gender.
It is noteworthy to highlight differences across categories of sex, gender, and orientation. While there is a clear distinction among respondents who organize themselves according sex (male, female, intersex), a slight shift occurs under gender, with two respondents self-identifying as “transgender” and another opting not to list. Under sexual orientation, there is more diversity, with a number of respondents self-identifying as “bisexual”, followed by “gay”, “not listed”, and “lesbian” in diminishing frequency.
Overall, trends signify a minimal correlation between religiosity and sex/gender. The prominence of ideology and private practice as defining characteristics of religiosity echoes the kind of “reflexive” faith that Cornelio found among his respondents (Cornelio 2016, pp. 26–27). Religious institutions—expressed through dogmatic and official teachings—seem to bear minimal influence on respondents’ personal faith. Religiosity resides primarily within the private domain; for Cornelio (2016), more specifically, personal religiosity reflects the nature of one’s relationships with immediate and extended family members.

6.1. Examining Assumptions around Filipino Culture Vis-a-Vis Personal Religiosity

Because the Philippine religious landscape is infused with Catholic ideology, several questions regarding this study, its working definition of “religion” vis-a-vis “culture”, and its method of data-gathering emerged. As the most obvious, the authors raise the possibility that respondents may overlook the correlation of one’s cultural values and habits with personal religiosity. To the extent that survey questions tended to describe religiosity as a personal, internal capacity for meaning-making, might the study have inadvertently diminished the role of culture—and other forms of public practice—in shaping individual religiosity?
Furthermore, the expected tensions between LGBTQ individuals and religious institutions have proven to be a non-issue among respondents—at least to the extent that personal contexts seem to minimally influence the quality of one’s religiosity. However, authors have also noted studies that describe the ubiquity of the bakla in religious rituals (Campos 2012; Alcedo 2007). In the United States, in fact, Jay Gonzalez and Martin Manalansán also traced the utility of religious rituals, such as the Santacruzan and Flores de Mayo, in scaffolding a Filipino diasporic identity, exposing the ways migrants employ religious discourse to assert political action (Gonzalez 2009) and/or negotiate transnational gender identities (Manalansán 2003). To the extent that this study seems to indicate a negligible correlation between culture and religion, the authors offer the following observations for consideration:
  • To what extent is Filipino religiosity—as the product of Spanish Catholic and American Protestant colonization—a specific expression of culture?
  • To what extent is Filipino religiosity shaped only by domestic relationships rather than any perceivable accountability to religious institutions?
  • To what extent does the CRS questionnaire explicitly address the correlation of culture with religious practice?

6.2. Examining Assumptions around Gender Identities within the Filipino Context

In terms of gender and sexuality, the authors also noted questions around the consistency of gender signifiers among respondents. Whereas “gay” or “lesbian” and “transgender” embody specific identities in the West, “gay” may not necessarily mean the same as bakla; “lesbian” may be assumed as much by females attracted to other females as by hyper-effeminate bakla who enter into sexual relationships with other gay men (USAID, UNDP 2014). While Filipinos are generally steeped in English, levels of fluency among respondents will inevitably differ (Esquivel 2019). Western gender terminologies thus tend to slip in through, and alongside, indigenous signifiers such as bakla, bayot, lesbyana, tomboy, binabae, etc. (Espeño-Rosales 2019). Taking this into consideration, to what extent has the study assumed some level of acceptable consistency among respondents’ comprehension of gender signifiers?

6.3. Examining Assumptions around the Nature of Religiosity as “Personal” or “Internal”

The diminished relevance of church institutions among youth respondents raises larger questions around an emerging secularization since the Enlightenment that Charles Taylor (2007) describes as “disenchantment”. Rather than an antithesis to the religious worldview, secularism disengages religious practice to the “personal”, away from institutional churches. The democractic emphasis of post-Enlightenment societies encourages individual political participation. Thus, the “religious”—as a vehicle for meaning-making and transcendent sensibility—tends to be conflated with the “political”. Personal faith is absorbed into political action, reorienting the transcendent to the immanent (Taylor 2007).
This modernist sensibility would explain, in part, the turn of religiosity to the personal. Returning to the Pew report on the God divide, perhaps this growing emphasis on interior religiosity signifies a larger, cultural shift towards secularization that is typical of emerging economies like that of the Philippines. With these in mind, the authors propose that we consider the study as a starting point for future studies that will do the following:
  • Reconsider the scope of “religiosity” as both a personal/private/interior and public/political phenomenon. Might there be value in expanding this working definition beyond the interior space?
  • Incorporate questions that invite respondents to qualify the role of their gender and/or sexual identity in public engagement;
  • Strategically expand the scope of the sample set beyond urban, largely religious, contexts;
  • Pay attention to the role of the big five personality traits in their link with religion;
  • Examine how the psychological stress of being part of the LGBTQ+ community in a social setting that forefronts heterosexual norms can account for the interest in religion’s soothing aspect.

Author Contributions

Conceptualization, F.d.C. and C.D.d.C.; data curation, F.d.C. and M.S.C.; formal analysis, G.C.; investigation, F.d.C., C.D.d.C. and G.C.; methodology, F.d.C., C.D.d.C. and G.C.; project administration, F.d.C.; resources, F.d.C., C.D.d.C., G.C. and M.S.C.; software, G.C.; supervision, F.d.C.; validation, F.d.C. and G.C.; visualization, F.d.C. and C.D.d.C.; writing—original draft, F.d.C., C.D.d.C., G.C. and M.S.C.; writing—review and editing, F.d.C., C.D.d.C., G.C. and M.S.C. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

The study was conducted in accordance with the guidelines of the Declaration of Helsinki. Ethical review and approval were waived for this study, since data were collected within an accepted educational setting and the information obtained is encoded in such a manner that the identity of the human subjects cannot readily be ascertained, directly or through identifiers linked to the subjects.

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Acknowledgments

The authors would like to thank Stefan Huber for allowing us to use the Centrality of Religiosity Scale. We would also like to thank De La Salle University Manila for supporting us in this research.

Conflicts of Interest

The authors declare no conflict of interest.

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