Gillum R Frank, Ingram Deborah D
National Center for Health Statistics, Centers for Disease Control and Prevention, 3311 Toledo Road, Hyattsville, Maryland 20782, USA.
Psychosom Med. 2006 May-Jun;68(3):382-5. doi: 10.1097/01.psy.0000221253.90559.dd.
To test the hypothesis that frequency of attendance at religious services is inversely related to prevalence of hypertension and blood pressure level.
In the Third National Health and Nutrition Examination Survey (NHANES III), 14,475 American women and men aged 20 years and over reported frequency of attendance at religious services, history of hypertension treatment, and had blood pressure (BP) measured.
The percentage reporting attending religious services weekly (52 times/yr) was 29 and more than weekly (>52 times/yr) was 10. Prevalence of hypertension (systolic BP > or = 140 or diastolic BP > or = 90 mm Hg or current use of blood pressure medication) was 21% in never at attenders, 19% in those attending less than weekly (1-51 times/yr), 26% in those attending weekly, and 26% in those attending more than weekly (p < .01). After controlling for sociodemographic and health variables, religious attendance was associated with reduced prevalence compared with nonattendance, significantly so for weekly (beta = -0.24; 95% confidence interval [CL], -0.37 to -0.11; p < .01) and more than weekly (beta = -0.33; 95% CL, -0.60 to -0.07; p < .05). No significant effect modification by gender or age was observed. Compared with never attenders, persons attending weekly had a systolic BP 1.46 mm Hg (95% CL 2.33, 0.58 mm Hg, p < .01) lower and persons attending >52 times/yr had systolic BP 3.03 mm Hg (95% CL 4.34, 1.72 mm Hg, p < .01) lower. No significant effect modification by gender was observed; these estimates are adjusted for a significant interaction between age and less than weekly attendance (1-51 times) (p < .05).
Compared with never attending, attendance at religious services weekly or more than weekly was associated with somewhat lower adjusted hypertension prevalence and blood pressure in a large national survey.
检验宗教仪式参加频率与高血压患病率及血压水平呈负相关这一假设。
在第三次全国健康与营养检查调查（NHANES III）中，14475名年龄在20岁及以上的美国男女报告了宗教仪式参加频率、高血压治疗史，并测量了血压（BP）。
报告每周参加宗教仪式（每年52次）的比例为29%，每周参加次数超过52次的比例为10%。高血压患病率（收缩压≥140或舒张压≥90 mmHg或正在使用降压药物）在从不参加者中为21%，在每周参加次数少于一次（每年1 - 51次）的人群中为19%，在每周参加者中为26%，在每周参加次数超过一次的人群中为26%（p <.01）。在控制了社会人口统计学和健康变量后，与不参加相比，参加宗教活动与患病率降低相关，每周参加者（β = -0.24；95%置信区间[CL]，-0.37至-0.11；p <.01）和每周参加次数超过一次的人群（β = -0.33；95% CL，-0.60至-0.07；p <.05）情况显著。未观察到性别或年龄的显著效应修正。与从不参加者相比，每周参加者的收缩压低1.46 mmHg（95% CL 2.33，0.58 mmHg，p <.01），每年参加次数超过52次的人群收缩压低3.03 mmHg（95% CL 4.34，1.72 mmHg，p <.01）。未观察到性别有显著效应修正；这些估计值针对年龄与每周参加次数少于一次（1 - 51次）之间的显著交互作用进行了调整（p <.05）。
在一项大型全国性调查中，与从不参加相比，每周或每周参加次数超过一次宗教仪式与经调整后的高血压患病率和血压略低相关。
