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首頁> 美國(guó)衛(wèi)生研究院文獻(xiàn)>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

機(jī)譯：參加黑人婦女健康研究中的宗教服務(wù)禱告宗教應(yīng)對(duì)和宗教/精神認(rèn)同作為全因死亡率的預(yù)測(cè)因素

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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.
機(jī)譯：先前的縱向研究一直顯示出參加宗教儀式與降低全因死亡率之間的關(guān)聯(lián)，但是有關(guān)其他宗教與靈性（R / S）度量與死亡率之間的關(guān)聯(lián)的文獻(xiàn)有限。我們追蹤了從2005年到2013年12月31日進(jìn)行的黑人女性健康研究的36,613名受訪者，以使用比例風(fēng)險(xiǎn)模型評(píng)估R / S與事故全因死亡率之間的關(guān)聯(lián)。在控制了眾多的人口和健康協(xié)變量以及其他R / S變量之后，每周參加幾次宗教儀式與較低的死亡率比（死亡率比= 0.64，95％的置信區(qū)間：0.51，0.80）相關(guān)永不參加服務(wù)。每天進(jìn)行幾次禱告與人口統(tǒng)計(jì)學(xué)和健康協(xié)變量控制后的死亡率沒有關(guān)系，但是當(dāng)控制其他R / S變量時(shí)，這種關(guān)系趨向于死亡率更高的比率（> 2次/天與每周相比）或更低，死亡率比率= 1.28，95％置信區(qū)間：0.99，1.67; P趨勢(shì)<0.01）。當(dāng)僅針對(duì)年齡進(jìn)行調(diào)整時(shí)，宗教應(yīng)對(duì)和自我認(rèn)同作為非常宗教/精神上的人與較低的死亡率相關(guān)聯(lián)，但是當(dāng)控制人口統(tǒng)計(jì)學(xué)和健康協(xié)變量時(shí)，這種關(guān)聯(lián)性會(huì)減弱，而當(dāng)針對(duì)人口和健康協(xié)變量進(jìn)行控制時(shí)，這種關(guān)聯(lián)性幾乎被消除。其他R / S變量。結(jié)果表明，在該隊(duì)列中，勤工服務(wù)是死亡率的最強(qiáng)R / S預(yù)測(cè)指標(biāo)。

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