宗教、种族与乳腺癌生存率
Religion, race, and breast cancer survival.
作者信息
Van Ness Peter H, Kasl Stanislav V, Jones Beth A
机构信息
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT 06520-8034, USA.
出版信息
Int J Psychiatry Med. 2003;33(4):357-75. doi: 10.2190/LRXP-6CCR-G728-MWYH.
OBJECTIVE
The study investigated whether any of four measures of religiousness predicted longer survival for 145 African-American and 177 White women diagnosed with breast cancer in Connecticut between January 1987 and March 1989.
METHOD
Multivariate Cox proportional hazards models included a religious predictor and sociodemographic, biomedical, treatment, behavioral, and medical care covariables.
RESULTS
The no denomination group had a hazard ratio (HR) of 4.39 (95% Confidence Interval (CI) = 1.42, 13.64). Other measures of religiousness did not yield statistically significant results but showed a consistent pattern of nonreligiousness being more strongly and negatively related to breast cancer survival in African Americans than in Whites.
CONCLUSIONS
Exploratory models confirmed that lack of religiousness was associated in this sample with poor breast cancer survival among African American women.
目的
本研究调查了1987年1月至1989年3月间在康涅狄格州被诊断患有乳腺癌的145名非裔美国女性和177名白人女性中，四种宗教信仰衡量指标中的任何一种是否能预测更长的生存期。
方法
多变量Cox比例风险模型纳入了一个宗教预测因素以及社会人口统计学、生物医学、治疗、行为和医疗护理协变量。
结果
无教派组的风险比（HR）为4.39（95%置信区间（CI）=1.42，13.64）。其他宗教信仰衡量指标未得出具有统计学意义的结果，但显示出一种一致的模式，即非宗教信仰与非裔美国女性乳腺癌生存期的负相关比白人女性更强。
结论
探索性模型证实，在这个样本中，缺乏宗教信仰与非裔美国女性乳腺癌生存期较差有关。
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