Pathways from Religion to Health: Mediation by Psychosocial and Lifestyle Mechanisms.
Pathways from Religion to Health: Mediation by Psychosocial and Lifestyle Mechanisms.
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DOI：
10.1037/rel0000091
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发表时间：
2017-02
影响因子：
2.4
通讯作者：
Martin LR
中科院分区：
文献类型：
--
作者：
Morton KR;Lee JW;Martin LR
宗教信仰通常以参加宗教仪式的情况来衡量，它与更好的身体健康和长寿有关，尽管两者之间的联系机制存在争议。可能的解释包括：更健康的生活方式、会众成员增加的社会支持和/或更积极的情绪。到目前为止，这些机制尚未在单个模型中同时进行测试，尽管它们可能协同作用。我们测试了这个模型，预测基督复临安息日会的全因死亡率，该教派明确提倡健康的生活方式。这使得与宗教教义相关的更明确的健康行为（例如健康饮食）可以与非特定于宗教教义的其他机制（例如社会支持和积极情绪）进行比较。最后，本研究考察了教会活动（包括礼拜出席和教会责任）和宗教参与（应对、重要性和内在信仰）。宗教参与更注重内在过程（相对于基于活动），并且不太可能与年龄及其相关的功能状态限制混淆，尽管应该指出的是，在本研究中年龄是受到控制的。研究结果表明，宗教参与和教会活动通过健康行为、情感和社会支持的中介作用来降低死亡风险。宗教参与与死亡率之间的所有联系都是积极的，但通过积极的宗教支持、情感和生活方式中介因素是间接的。然而，教会活动对死亡率有直接的积极影响，并通过宗教支持、情绪和生活方式中介（饮食和锻炼）产生间接影响。这些模型对于黑人和白人来说都是不变的。
Religiosity, often measured as attendance at religious services, is linked to better physical health and longevity though the mechanisms linking the two are debated. Potential explanations include: a healthier lifestyle, increased social support from congregational members, and/or more positive emotions. Thus far, these mechanisms have not been tested simultaneously in a single model though they likely operate synergistically. We test this model predicting all-cause mortality in Seventh-day Adventists, a denomination that explicitly promotes a healthy lifestyle. This allows the more explicit health behaviors linked to the religious doctrine (e.g., healthy diet) to be compared with other mechanisms not specific to religious doctrine (e.g., social support and positive emotions). Finally, this study examines both Church Activity (including worship attendance and church responsibilities) and Religious Engagement (coping, importance, and intrinsic beliefs). Religious Engagement is more is more inner-process focused (vs. activity-based) and less likely to be confounded with age and its associated functional status limitations, although it should be noted that age is controlled in the present study. The findings suggest that Religious Engagement and Church Activity operate through the mediators of health behavior, emotion, and social support to decrease mortality risk. All links between Religious Engagement and mortality are positive but indirect through positive Religious Support, Emotionality, and lifestyle mediators. However, Church Activity has a direct positive effect on mortality as well as indirect effects through, Religious Support, Emotionality, and lifestyle mediators (diet and exercise). The models were invariant by gender and for both Blacks and Whites.