The Relationship Between Religiosity and Tobacco, Alcohol Use, and Depression in an Elderly Community Population
The Relationship Between Religiosity and Tobacco, Alcohol Use, and Depression in an Elderly Community Population
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DOI：
10.1097/jgp.0b013e3181871392
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发表时间：
2008-11-01
影响因子：
7.2
通讯作者：
Gastal, Fabio Leite
中科院分区：
文献类型：
--
作者：
Blay, Sergio Luis;Batista, Adriana Daher;Gastal, Fabio Leite
目的：本研究的目的是探讨老年人的宗教特征，以及这些特征与吸烟、饮酒和抑郁症的关系。研究方法：来自多阶段随机样本的数据被用来研究巴西南里奥格兰德60岁以上老年人的宗教信仰和健康行为（吸烟，饮酒）与抑郁症之间的关系。调查措施包括社会人口特征，宗教信仰，烟草使用，酒精滥用和依赖，抑郁症，生活方式，社会背景，功能状态和健康状况的四个方面。结果如下：在控制了人口统计学、社会关系、健康行为、功能状态和健康状况之后，福音派的从属关系将目前吸烟者的几率降低了51%。那些报告属于非洲裔巴西人和没有宗教信仰的人，分别增加了74%和124%的风险。所有其他宗教领域都禁止吸烟。没有宗教信仰和宗教信仰改变的经历分别增加了88%和31%的酒精滥用风险。相比之下，定向动力使抑郁的几率增加了38%。参加社会宗教活动可以降低16%的抑郁风险。结论：宗教信仰的几个方面降低了成为烟草使用者的几率。没有宗教信仰和宗教信仰改变的经历增加了滥用酒精的风险。然而，领域定向-动机力量增加了这种可能性，而参与社会宗教活动则降低了抑郁状态的风险。(Am J Geriatr Psychiatry 2008; 16：934-943）
Objective: The objective of this study is to examine the religious characteristics of older subjects and the associations of these characteristics to the use of tobacco, alcohol, and depression. Methods: Data from a multistage random sample were used to examine associations between religiosity and health behaviors (tobacco use, alcohol) and depression among elderly house hold residents aged 60+ in Rio Grande do Sul, Brazil. Survey measures included sociodemographic characteristics, four aspects of religiosity, tobacco use, alcohol abuse and dependence, depression, life style, social context, functional status, and health conditions. Results: After controlling for demographic, social connections, health behavior, functional status, and health conditions, evangelical affiliation reduced the odds of being a current tobacco user by 51%. Those reporting affiliation as Afro-Brazilian and not having a religion had, respectively, a 74% and 124% increased risk. All other religious domains protect against tobacco use. Not having a religion affiliation and the experience of a religious change increased the risk of alcohol misuse by 88% and 31%, respectively. In contrast, orienting-motivating force increased the odds of depression by 38%. Participating in social religious activities had reduced the risk of depression by 16%. Conclusion: Several aspects of religiosity reduced the odds of being a tobacco user. Not having a religion and the experience of a religious change increased the risk of alcohol misuse. However, the domain orienting-motivating force increased the odds, and participating in social religious activities had reduced the risk of a depressive state. (Am J Geriatr Psychiatry 2008; 16: 934-943)