Maselko Joanna, Kubzansky Laura D
Harvard School of Public Health, Boston, MA, USA.
Soc Sci Med. 2006 Jun;62(11):2848-60. doi: 10.1016/j.socscimed.2005.11.008. Epub 2005 Dec 15.
Even though a majority of Americans report having spiritual/religious beliefs, the role of different dimensions of spirituality/religiosity in health is not well understood. Moreover, given that the experience of spirituality/religiosity differs for men and women, it is possible that the strength of the association between spirituality/religiosity and health may also differ by gender. The purpose of this study is to examine the relationship between spirituality/religiosity and three markers of health and well-being, and any gender differences in these relationships. First, we test the hypothesis that engagement with formal religious institutions (i.e. public religious activity) will be more beneficial for men than for women and we examine the role of denominational affiliation in any observed differences. Second, we directly compare effects of three different kinds of religious activities (public and private religious activity and spiritual experience) on health and well-being. Data are from the 1998 US General Social Survey, a nationally representative sample of non-institutionalized adults. Participants were asked about the frequency of engaging in public and private religious activities and having spiritual experiences. Psychological distress, happiness and self-rated health were used as indicators of health and well-being. Results suggest that weekly public religious activity was significantly associated with better health and well-being. Furthermore, this relationship was stronger for men than women and was influenced by denominational affiliation. When public religious activity, private religious activity and spiritual experiences were considered simultaneously, public religious activity emerged as the most consistent predictor of health and well-being among men. Among women, both public religious activity and spiritual experiences maintained an independent association with the health and well-being. These results suggest that it may not be appropriate to generalize findings about the relationship between spirituality/religiosity and health from one form of spirituality/religiosity to another, across denominations, or to assume effects are uniform for men and women.
尽管大多数美国人表示有精神/宗教信仰,但精神性/宗教性的不同维度在健康方面所起的作用尚未得到充分理解。此外,鉴于男性和女性在精神性/宗教性体验上存在差异,精神性/宗教性与健康之间关联的强度也可能因性别而异。本研究的目的是考察精神性/宗教性与健康及幸福的三个指标之间的关系,以及这些关系中存在的任何性别差异。首先,我们检验这样一个假设:参与正式宗教机构活动(即公共宗教活动)对男性的益处大于女性,并考察教派归属在任何观察到的差异中所起的作用。其次,我们直接比较三种不同宗教活动(公共和私人宗教活动以及精神体验)对健康和幸福的影响。数据来自1998年美国综合社会调查,这是一个全国性的非机构化成年人代表性样本。参与者被问及参与公共和私人宗教活动的频率以及有精神体验的情况。心理困扰、幸福感和自评健康被用作健康和幸福的指标。结果表明,每周的公共宗教活动与更好的健康和幸福显著相关。此外,这种关系在男性中比在女性中更强,并且受到教派归属的影响。当同时考虑公共宗教活动、私人宗教活动和精神体验时,公共宗教活动成为男性健康和幸福最一致的预测因素。在女性中,公共宗教活动和精神体验都与健康和幸福保持独立关联。这些结果表明,从一种精神性/宗教性形式到另一种形式、跨教派地概括精神性/宗教性与健康之间的关系,或者假设对男性和女性的影响是一致的,可能并不合适。