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Does religious observance promote health? mortality in secular vs religious kibbutzim in Israel.

机译:遵守宗教信仰会促进健康吗?以色列世俗vs宗教基布兹的死亡率。

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摘要

OBJECTIVES. This study assessed the association of Jewish religious observance with mortality by comparing religious and secular kibbutzim. These collectives are highly similar in social structure and economic function and are cohesive and supportive communities. METHODS. In a 16-year (1970 through 1985) historical prospective study of mortality in 11 religious and 11 matched secular kibbutzim in Israel, 268 deaths occurred among 3900 men and women 35 years of age and older during 41347 person-years of observation. RESULTS. Mortality was considerably higher in secular kibbutzim. Cox proportional hazards analysis was used to adjust for age and the matched design; rate ratios were 1.67 (95% confidence interval [CI]=1.17, 2.39) for men, 2.67 (95% CI=1.55, 4.60) for women, and 1.93 (95% CI=1.44, 2.59) overall. Kaplan-Meier survival analysis of birth cohorts confirmed the association. The lower mortality in religious kibbutzim was consistent for all major causes of death. CONCLUSIONS. Belonging to a religious collective was associated with a strong protective effect not attributable to confounding by sociodemographic factors. Elucidation of mechanisms mediating this effect may provide etiologic insights and leads for intervention.
机译:目标这项研究通过比较宗教和世俗的集体庄园来评估犹太人遵守宗教与死亡率的关系。这些集体在社会结构和经济功能上高度相似,是凝聚力和支持力强的社区。方法。在一项为期16年(1970年至1985年)的历史前瞻性研究中,对以色列的11个宗教和11个相配的世俗基布兹居民的死亡率进行了观察,在41347人年的观察期间,有3900名35岁以上的男女死亡268例。结果。世俗基布兹霉素的死亡率要高得多。考克斯比例风险分析用于调整年龄和匹配的设计;男性的比率分别为1.67(95%置信区间[CI] = 1.17、2.39),女性2.67(95%CI = 1.55、4.60)和1.93(95%CI = 1.44、2.59)。出生队列的Kaplan-Meier生存分析证实了这一关联。宗教基布兹的死亡率较低,与所有主要死因一致。结论。属于一个宗教团体具有很强的保护作用,而不是由于社会人口统计学因素引起的混淆。阐明介导此作用的机制可能提供病因学见解和干预线索。

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