Religious coping, health, and health service use among bereaved adults
Religious coping, health, and health service use among bereaved adults
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DOI：
10.2190/une0-efan-xpnj-9n3g
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发表时间：
2002-01-01
影响因子：
2
通讯作者：
Prigerson, HG
中科院分区：
文献类型：
--
作者：
Pearce, MJ;Chen, J;Prigerson, HG
目的：本报告探讨了宗教应对，健康和卫生服务的使用之间的关联的样本265个最近失去亲人的成年人。方法参与者在他们失去后平均6.3（SD = 7.4）个月接受采访，并在4个月后再次接受采访。多变量回归模型和重复测量方差分析估计宗教应对的影响，在基线和后续的健康和卫生服务的使用，控制显着的混杂影响，如健康促进行为。结果：在基线时，宗教应对高的人比宗教应对低的人有更多的功能障碍。控制健康状况，宗教应对得分较高的参与者在基线访谈前60天内不太可能去看医生。尽管在基线时健康状况较差，医疗服务使用较少，但在随访时，宗教应对水平高的人与宗教应对水平低的人的健康状况相当。结论：更多地使用宗教应对与更多的功能障碍和更少的门诊身体健康护理访问在基线，但缺乏在4个月的随访中的丧亲之痛，一个亚组的许多健康损害的风险下降。这种关联及其影响的可能原因进行了讨论。
Objective: This report examined associations between religious coping, health, and health service use among a sample of 265 recently bereaved adults. Method Participants were interviewed an average of 6.3 (SD = 7.4) months after their loss and again 4 months later. Multivariate regression models and repeated measures ANOVA analyses estimated the influence of religious coping on health and health service use at baseline and follow-up, controlling for significant confounding influences, such as health promoting behaviors. Results: At baseline, those high on religious coping had significantly more functional disabilities than did those low on religious coping. Controlling for health status, participants with higher religious coping scores were significantly less likely to visit their doctor during the 60 days prior to the baseline interview. Despite worse health and less health service use at baseline, those high on religious coping had equivalent health status to those low on religious coping at follow-up. Conclusions: Greater use of religious coping is associated with more functional disabilities and fewer outpatient physical health care visits at baseline, but a lack of decline in health at 4-month follow-up among the bereaved, a sub-group at risk for numerous health impairments. Possible reasons for this association and its implications are discussed.