Religious-service attendance and subsequent health and well-being throughout adulthood: evidence from three prospective cohorts.

Religious-service attendance and subsequent health and well-being throughout adulthood: evidence from three prospective cohorts.
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DOI:
10.1093/ije/dyaa120
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发表时间:
2021-01-23
影响因子:
7.7
通讯作者:
VanderWeele TJ
VanderWeele TJ
中科院分区:
医学1区
文献类型:
--
作者:
Chen Y;Kim ES;VanderWeele TJ

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参加志愿服务与降低全因死亡率、自杀和抑郁症的风险有关。然而,它与其他健康和福祉结果的关联仍然不太清楚。本研究使用来自美国三个大型前瞻性队列的纵向数据,研究了宗教服务出勤率与年轻人,中年人和老年人单独队列中的各种后续身体健康,健康行为,心理困扰和心理健康结果之间的关联。所有分析均根据社会人口统计学特征、既往健康状况和既往结局变量值(只要数据可用)进行调整。Bonferroni校正用于校正多重检验。结合跨队列数据的估计表明,与从未参加宗教服务的人相比,每周至少参加一次服务的人的全因死亡风险降低了26% [95%置信区间(CI):0.65至0.84],酗酒风险降低了34%。(95% CI:0.59至0.73)和目前吸烟29%(95% CI:0.63至0.80)。服务出勤率也与一些心理困扰的结果(即抑郁,焦虑,绝望,孤独)呈负相关,并与心理社会健康的结果(即积极的影响,生活满意度,社会融合,生活目的)呈正相关,但通常与随后的疾病,如高血压,中风和心脏病无关。关于宗教参与的决定通常主要不是由健康状况决定的。然而,对于已经拥有宗教信仰的人来说,参加宗教服务可能是一种有意义的社会融合形式,可能与更长的寿命、更健康的行为、更好的心理健康和更好的心理社会福祉有关。
Religious-service attendance has been linked with a lower risk of all-cause mortality, suicide and depression. Yet, its associations with other health and well-being outcomes remain less clear. Using longitudinal data from three large prospective cohorts in the USA, this study examined the association between religious-service attendance and a wide range of subsequent physical health, health behaviour, psychological distress and psychological well-being outcomes in separate cohorts of young, middle-aged and older adults. All analyses adjusted for socio-demographic characteristics, prior health status and prior values of the outcome variables whenever data were available. Bonferroni correction was used to correct for multiple testing. Estimates combining data across cohorts suggest that, compared with those who never attended religious services, individuals who attended services at least once per week had a lower risk of all-cause mortality by 26% [95% confidence interval (CI): 0.65 to 0.84], heavy drinking by 34% (95% CI: 0.59 to 0.73) and current smoking by 29% (95% CI: 0.63 to 0.80). Service attendance was also inversely associated with a number of psychological-distress outcomes (i.e. depression, anxiety, hopelessness, loneliness) and was positively associated with psychosocial well-being outcomes (i.e. positive affect, life satisfaction, social integration, purpose in life), but was generally not associated with subsequent disease, such as hypertension, stroke, and heart disease. Decisions on religious participation are generally not shaped principally by health. Nevertheless, for individuals who already hold religious beliefs, religious-service attendance may be a meaningful form of social integration that potentially relates to greater longevity, healthier behaviours, better mental health and greater psychosocial well-being.
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