首页> 美国卫生研究院文献>American Journal of Epidemiology >Attendance at Religious Services Prayer Religious Coping and Religious/Spiritual Identity as Predictors of All-Cause Mortality in the Black Womens Health Study
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Attendance at Religious Services Prayer Religious Coping and Religious/Spiritual Identity as Predictors of All-Cause Mortality in the Black Womens Health Study

机译:参加黑人妇女健康研究中的宗教服务祷告宗教应对和宗教/精神认同作为全因死亡率的预测因素

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摘要

Previous longitudinal studies have consistently shown an association between attendance at religious services and lower all-cause mortality, but the literature on associations between other measures of religion and spirituality (R/S) and mortality is limited. We followed 36,613 respondents from the Black Women's Health Study from 2005 through December 31, 2013 to assess the associations between R/S and incident all-cause mortality using proportional hazards models. After control for numerous demographic and health covariates, together with other R/S variables, attending religious services several times per week was associated with a substantially lower mortality rate ratio (mortality rate ratio = 0.64, 95% confidence interval: 0.51, 0.80) relative to never attending services. Engaging in prayer several times per day was not associated with mortality after control for demographic and health covariates, but the association trended towards a higher mortality rate ratio when control was made for other R/S variables (for >2 times/day vs. weekly or less, mortality rate ratio = 1.28, 95% confidence interval: 0.99, 1.67; P-trend < 0.01). Religious coping and self-identification as a very religious/spiritual person were associated with lower mortality when adjustment was made only for age, but the association was attenuated when control was made for demographic and health covariates and was almost entirely eliminated when control was made for other R/S variables. The results indicate that service attendance was the strongest R/S predictor of mortality in this cohort.
机译:先前的纵向研究一直显示出参加宗教仪式与降低全因死亡率之间的关联,但是有关其他宗教与灵性(R / S)度量与死亡率之间的关联的文献有限。我们追踪了从2005年到2013年12月31日进行的黑人女性健康研究的36,613名受访者,以使用比例风险模型评估R / S与事故全因死亡率之间的关联。在控制了众多的人口和健康协变量以及其他R / S变量之后,每周参加几次宗教仪式与较低的死亡率比(死亡率比= 0.64,95%的置信区间:0.51,0.80)相关永不参加服务。每天进行几次祷告与人口统计学和健康协变量控制后的死亡率没有关系,但是当控制其他R / S变量时,这种关系趋向于死亡率更高的比率(> 2次/天与每周相比)或更低,死亡率比率= 1.28,95%置信区间:0.99,1.67; P趋势<0.01)。当仅针对年龄进行调整时,宗教应对和自我认同作为非常宗教/精神上的人与较低的死亡率相关联,但是当控制人口统计学和健康协变量时,这种关联性会减弱,而当针对人口和健康协变量进行控制时,这种关联性几乎被消除。其他R / S变量。结果表明,在该队列中,勤工服务是死亡率的最强R / S预测指标。

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