Assari Shervin
Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, USA ; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, USA.
Int J Prev Med. 2013 Feb;4(2):208-17.
To test if social support and ethnicity mediate/moderate the association between religion involvement and subjective health in the United States.
This is a secondary analysis of National Survey of American Life, 2003. Hierarchical regression was fit to a national household probability sample of adult African Americans (n = 3570), Caribbean Blacks (n = 1621), and Whites (n = 891). Frequency of church attendance, positive/negative church-based social support, ethnicity, and subjective health (overall life satisfaction and self-rated mental health) were considered as predictor, mediator, moderator and outcome, respectively.
Frequency of church attendance had a significant and positive association with mental health and life satisfaction among all ethnic groups. Frequency of church attendance was also correlated with positive and negative social support among all ethnic groups. Church-based social support fully mediated the association between frequency of church attendance and overall life satisfaction among African Americans but not among Caribbean Blacks, or Whites. Church-based social support, however, partially mediated the association between frequency of church attendance and overall mental health among African Americans but not among Caribbean Blacks or Whites.
Ethnicity shapes how church-based social support mediates the association between religious involvement and subjective health. Our results showed a moderating mediation effect of ethnicity and social support on the religious involvement-subjective health linkage, in a way that it is only among African Americans that social support is a pathway for the beneficial health effect of religious involvement.
旨在检验在美国社会支持和种族是否介导/调节宗教参与与主观健康之间的关联。
这是对2003年美国生活全国调查的二次分析。对成年非裔美国人（n = 3570）、加勒比黑人（n = 1621）和白人（n = 891）的全国家庭概率样本进行分层回归。教堂礼拜频率、基于教堂的积极/消极社会支持、种族和主观健康（总体生活满意度和自评心理健康）分别被视为预测因素、中介因素、调节因素和结果变量。
在所有种族群体中，教堂礼拜频率与心理健康和生活满意度均呈显著正相关。在所有种族群体中，教堂礼拜频率也与积极和消极社会支持相关。基于教堂的社会支持完全介导了非裔美国人中教堂礼拜频率与总体生活满意度之间的关联，但在加勒比黑人或白人中并非如此。然而，基于教堂的社会支持部分介导了非裔美国人中教堂礼拜频率与总体心理健康之间的关联，但在加勒比黑人或白人中并非如此。
种族塑造了基于教堂的社会支持介导宗教参与与主观健康之间关联的方式。我们的结果显示了种族和社会支持对宗教参与-主观健康联系的调节中介效应，即只有在非裔美国人中，社会支持才是宗教参与对健康产生有益影响的途径。
