American University, Washington, DC, USA.
J Urban Health. 2012 Jun;89(3):510-8. doi: 10.1007/s11524-011-9659-1.
In the EHDIC-SWB study, African-Americans are less likely to have depression than non-Hispanic whites. Religious service attendance is one possible explanation because studies have shown an inverse relationship between religious service attendance and depression. We examined the relationship between race, religious service attendance, and depression in 835 African-American and 573 non-Hispanic white adults aged 18 and older in the Exploring Health Disparities in Integrated Communities-Southwest Baltimore (EHDIC-SWB) study. Religious service attendance was measured according to participants' response to "how often do you attend religious services?" Depression was measured using the Patient Health Questionnaire. African-Americans attended religious services more frequently than non-Hispanic whites, and had a lower percentage of depression (10.1% vs. 15.4%; p-value <0.05). After adjusting for the demographic variables and health-related characteristics, African-Americans displayed lower odds of having depression (OR = 0.68, 95% CI: 0.47-0.97) compared to non-Hispanic whites. However, when including religious service attendance in the model, we found race differences in depression (OR = 0.76, 95% CI: 0.52-1.11) were no longer significant. We concluded that among individuals living in a low-income, integrated urban environment, race disparities in depression were eliminated after accounting for race differences in religious service attendance. This suggests religious service attendance may serve as a protective factor against depression for African-Americans.
在 EHDIC-SWB 研究中，非裔美国人患抑郁症的可能性低于非西班牙裔白人。参加宗教仪式可能是一个原因，因为研究表明宗教仪式的参加与抑郁之间存在反比关系。我们在 835 名非裔美国人和 573 名非西班牙裔白种成年人中检查了种族、参加宗教仪式和抑郁之间的关系，这些成年人年龄在 18 岁及以上，来自探索综合社区健康差异-巴尔的摩西南部（EHDIC-SWB）研究。宗教仪式的参加情况根据参与者对“您多久参加一次宗教服务？”的回答来衡量。抑郁使用患者健康问卷进行衡量。非裔美国人比非西班牙裔白人更频繁地参加宗教仪式，并且抑郁症的比例较低（10.1%对 15.4%；p 值<0.05）。在调整人口统计学变量和与健康相关的特征后，与非西班牙裔白人相比，非裔美国人患抑郁症的几率较低（OR=0.68，95%CI：0.47-0.97）。但是，当将宗教仪式的参加情况纳入模型时，我们发现抑郁症的种族差异（OR=0.76，95%CI：0.52-1.11）不再显著。我们得出结论，在生活在低收入、综合城市环境中的个体中，考虑到宗教仪式参加方面的种族差异后，抑郁症的种族差异就消失了。这表明宗教仪式的参加可能是非裔美国人预防抑郁症的保护因素。
