So Help Me, God: Religiosity and End-of-Life Choices in a Nationally Representative Sample
So Help Me, God: Religiosity and End-of-Life Choices in a Nationally Representative Sample
复制标题
DOI：
10.1089/jpm.2019.0209
复制
发表时间：
2019-09-25
影响因子：
2.8
通讯作者：
Enguidanos, Susan
中科院分区：
文献类型：
--
作者：
Hoe, Deborah F.;Enguidanos, Susan
背景：研究表明宗教信仰的各个维度与生命终结（EOL）决策之间存在显著关联，例如宗教信仰高的个体更有可能在生命终结时选择积极的护理。然而，这些研究主要集中在较小的癌症人群上。据我们所知，在全国老年人样本中，没有关于宗教信仰与EOL决定之间关系的现有文献。目的：本研究的目的是调查宗教信仰与预先指示（AD）完成之间的关系，以及在AD患者中，记录的EOL护理偏好，使用全国代表性样本。方法：观察性研究。采用自我报告的宗教服务出席频率、宗教重要性和宗教归属，对6051名健康与退休研究的死者进行描述性统计和逻辑回归。测量方法：因变量为AD完成度和护理偏好。自变量为自我报告的宗教服务出席频率、宗教的重要性和宗教归属。结果：与没有宗教偏好的人相比，新教徒和天主教徒的AD完成率明显较低。那些认为宗教信仰非常重要的人比那些认为宗教信仰不太重要的人完成AD的几率要低得多。此外，每周至少参加一次宗教仪式的死者比不参加的死者完成AD的几率要高得多。在那些完成了AD的人中，宗教信仰和宗教信仰与长期护理的偏好都没有显著的联系。结论：我们的研究表明宗教信仰对ad的发展有影响，提示重症患者的宗教需求得到认可和支持。这进一步表明，宗教服务可能为促进ADs的知识和完成提供了很好的机会。
Background: Studies show significant associations between the various dimensions of religiousness and end-of-life (EOL) decisions, such as individuals with high religiosity are more likely to choose aggressive care at EOL. However, these studies focused largely on smaller cancer populations. To our knowledge, there is no existing literature about the association between religiosity and EOL decisions within a national sample of older adults. Objective: The objective of this study was to investigate the association between religiosity and advance directive (AD) completion, and among those with an AD, documented EOL care preferences, using a nationally representative sample. Methods: This was an observational study. Descriptive statistics and logistic regression were conducted with 6051 decedents from the Health and Retirement Study using self-reported frequency of religious service attendance, importance of religion, and religious affiliation. Measurements: The dependent variables were AD completion and care preference. The independent variables were self-reported frequency of religious service attendance, importance of religion, and religious affiliation. Results: Protestants and Catholics had significantly lower odds of AD completion, compared with those with no religious preferences. Decedents who reported religion as very important had significantly lower odds of AD completion than decedents who said religion is not too important. Furthermore, decedents who attended religious services at least once a week, compared with those who do not attend, had significantly higher odds of completing an AD. Among those who completed an AD, neither religiosity nor religious affiliation was significantly associated with preference for prolonged care. Conclusions: Our study demonstrates the influence religiosity has on the development of ADs, prompting seriously ill patients' religious needs to be recognized and supported. It further suggests that religious services may provide a good opportunity for promoting knowledge and completion of ADs.