Reyes-Ortiz C A, Ayele H, Mulligan T, Espino D V, Berges I M, Markides K S
Division of Geriatric Medicine, Sealy Center on Aging, University of Texas Medical Branch, Galveston 77555-0460, USA.
Aging Ment Health. 2006 Jan;10(1):13-8. doi: 10.1080/13607860500307787.
Several studies have shown that involvement in religious activity appears to benefit health. To estimate the association between church attendance and fear of falling, we used a sample of 1341 non-institutionalized Mexican-Americans aged 70 and over from the third wave (1998-1999) of the Hispanic Established Population for the Epidemiological Study of the Elderly, followed until 2000-2001. Baseline potential predictors of fear of falling were church attendance, socio-demographics, history of falls, summary measure of lower body performance (tandem balance, eight-foot walk, and repeated chair stands), functional status, depressive symptoms, cognitive status, and medical conditions. Fear of falling at the two-year follow-up was measured as no fear, somewhat afraid, fairly afraid, and very afraid. Chi-square statistic and multiple logistic regression analysis were used to estimate associations between the outcome and the potential predictors. Multiple logistic regression analysis showed that frequent church attendance was an independent predictor of lower fear of falling (odds ratio = 0.73, 95% confidence interval 0.58-0.92, P = 0.008) two years later. Other independent predictors of fear of falling were female gender, poorer objective lower body performance, history of falls, arthritis, hypertension, and urinary incontinence. Frequent church attendance is associated with decreased fear of falling in older Mexican-Americans.
多项研究表明，参与宗教活动似乎有益于健康。为了评估参加教堂礼拜与跌倒恐惧之间的关联，我们使用了来自西班牙裔老年人流行病学研究第三波（1998 - 1999年）的1341名70岁及以上非机构化墨西哥裔美国人作为样本，随访至2000 - 2001年。跌倒恐惧的基线潜在预测因素包括参加教堂礼拜情况、社会人口统计学因素、跌倒史、下肢表现综合测量指标（串联平衡、八英尺步行和重复起坐）、功能状态、抑郁症状、认知状态和健康状况。两年随访时的跌倒恐惧程度分为无恐惧、有点害怕、相当害怕和非常害怕。采用卡方统计量和多因素逻辑回归分析来估计结局与潜在预测因素之间的关联。多因素逻辑回归分析显示，频繁参加教堂礼拜是两年后跌倒恐惧程度较低的独立预测因素（比值比 = 0.73，95%置信区间0.58 - 0.92，P = 0.008）。跌倒恐惧的其他独立预测因素包括女性、客观下肢表现较差、跌倒史、关节炎、高血压和尿失禁。频繁参加教堂礼拜与墨西哥裔美国老年人跌倒恐惧程度降低有关。
