Religion and cognitive dysfunction in an elderly cohort.
Religion and cognitive dysfunction in an elderly cohort.
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老年人群中的宗教和认知功能障碍。
DOI：
10.1093/geronb/58.1.s21
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
Kasl,StanislavV
中科院分区：
文献类型：
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作者：
VanNess,PeterH;Kasl,StanislavV
研究目的：这项研究考察了参加宗教活动与认知功能障碍之间是否存在负相关。在这组老年人中，已经有研究表明，参加宗教活动与身体残疾呈负相关，社交参与度与认知衰退呈负相关。方法：研究对象是来自康涅狄格州纽黑文的2812名居住在社区中的男女，他们在种族和宗教上的多样性样本；1982年代表纽黑文，但当时或现在不是美国的代表。主要的研究假设提出，1982年参加宗教仪式的人数有助于预测1985年和1988年认知功能障碍的水平较低。对7个社会人口学变量、4个行为变量和7个生物医学协变量进行了多因素Logistic回归分析。结果显示，1982年参加宗教活动与1985年认知功能障碍呈负相关(优势比=0.64；95%可信区间=0.49，0.85)。1982年测量的宗教出勤率不再对1988年认知功能障碍的预测做出贡献。讨论。这种影响的短期性质部分地可以用不同的死亡率来解释。1982年很少参加宗教活动和认知功能障碍程度较高的人更有可能在1985年至1988年期间死亡。
Objectives.This study examines whether attendance at religious services has an inverse association with cognitive dysfunction in an elderly cohort in whom it has already been shown that religious attendance has an inverse association with physical disability and that social engagement has an inverse association with cognitive decline.Methods.The study population is a racially and religiously diverse sample of 2,812 community-dwelling men and women from New Haven, Connecticut; it was representative of New Haven in 1982, but not of the United States then or now. The primary study hypothesis proposes that attendance at religious services as measured in 1982 contributes to the prediction of lower levels of cognitive dysfunction in 1985 and 1988. A multivariate logistic regression analysis controlling for seven sociodemographic, four behavioral, and seven biomedical covariables is conducted.Results.Study results show an inverse association between religious attendance in 1982 and cognitive dysfunction in 1985 (odds ratio=0.64; 95% confidence interval=0.49, 0.85). Religious attendance as measured in 1982 no longer contributes to the prediction of cognitive dysfunction in 1988.Discussion.The short-term nature of the effect is partially explained by differential mortality. Persons with infrequent religious service attendance and with high levels of cognitive dysfunction in 1982 were more likely to die in the period from 1985 to 1988.