Does religious attendance prolong survival? A six-year follow-up study of 3,968 older adults
Does religious attendance prolong survival? A six-year follow-up study of 3,968 older adults
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DOI：
10.1093/gerona/54.7.m370
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发表时间：
1999-07-01
影响因子：
5.1
通讯作者：
Blazer, DG
中科院分区：
文献类型：
--
作者：
Koenig, HG;Hays, JC;Blazer, DG
研究背景本研究的目的是检验宗教信仰对老年人生存的预测作用。1986年，作为美国国立卫生研究院老年人流行病学研究（EPESE）计划的一部分，对居住在北卡罗来纳州的皮埃蒙特的3,968名64-101岁的社区居住成年人进行了概率抽样调查。参加宗教服务和各种各样的社会人口和健康变量进行了评估的基线。然后前瞻性地确定了今后6年（1986-1992年）成员的生命状况。使用考克斯比例风险回归模型分析至死亡或删失的时间（天）。在中位6.3年的随访期间，1，777例受试者（29.7%）死亡。在1986年每周参加一次或更多次宗教服务的受试者中（经常参加者），22.9%的人死亡，而每周参加服务少于一次的受试者（不经常参加者）死亡率为37.4%。频繁就诊者死亡的相对危险度（RH）比不频繁就诊者低46%（RH：0.54，95% CI 0.48-.0.61），这种效应在女性中最强（RH 0.51，CI 0.43-0.59），但也存在于男性中（RH 0.63）。95% CI 0.52-0.75）。当人口统计学、健康状况、社会关系和健康实践得到控制时，这种影响对整个样本仍然很显著（RH 0.72，95% CI 0.64- 0.81），对于两名女性（RH 0.65，95% CI 0.55-0.76，p < .0001）和男性（RH 0.83，95% CI 0.69-1.00，p = 0.05）。老年人，尤其是女性，那些每周至少参加一次宗教仪式的人似乎比那些不经常参加宗教仪式的人有生存优势。
Background The purpose of the study was to examine religious attendance as a predictor of survival in older adults.Methods. A probability sample of 3,968 community-dwelling adults aged 64-101 years residing in the Piedmont of North Carolina was surveyed in 1986 as part of the Established populations for the Epidemiologic Studies of the Elderly (EPESE) program of the National Institutes of Health. Attendance at religious services and a wide variety of sociodemographic and health variables were assessed at baseline. Vital status of members was then determined prospectively over the next 6 years (1986-1992). Time (days) to death or censoring in days was analyzed using a Cox proportional hazards regression model.Results. During a median 6.3-year follow-up period 1,777 subjects (29.7%) died. Of the subjects who attended religious services once a week or more in 1986 (frequent attenders), 22.9% died compared to 37.4% of those attending services less than once a week (infrequent attenders). The relative hazard (RH) of dying for frequent attenders was 46% less than for infrequent attenders (RH: 0.54, 95% CI 0.48-.0.61), an effect that was strongest in women (RH 0.51, CI 0.43-0.59) but also present in men (RH 0.63. 95% CI 0.52-0.75). When demographics, health conditions, social connections, and health practices were controlled, this effect remained significant for the entire sample (RH 0.72, 95% CI 0.64-.81), and for both women (RH 0.65, 95% CI 0.55-0.76, p < .0001) and men (RH 0.83, 95% CI 0.69-1.00, p = .05).Conclusions: Older adults, particularly women, who attend religious services at least once a week appear to have a survival advantage over those attending services less frequently.