Nam Sanggon
Department of Health Administration, Pfeiffer University, Morrisville, NC, USA .
Osong Public Health Res Perspect. 2013 Apr;4(2):81-8. doi: 10.1016/j.phrp.2013.03.002.
The objectives of this paper are to examine the effects of religion and obesity on health and determine how the relationship varies by racial/ethnic groups with data from the Panel Study of American Race and Ethnicity (PS-ARE).
Using ordinal logistic regression, the effects of religion and obesity on self-rated health and how the relationship varies by racial/ethnic groups are investigated. Additionally, to determine whether certain ethnic groups are more impacted by the frequency of religious attendance and obesity, whites, blacks, and Hispanics are analyzed separately with ordinal logistic regression.
When obesity was added in focal relationship between religious services attendance and self-rated health strengthened this focal relationship which is a suppression effect between religious services attending and self-rated health adding obesity. For BMI is also significantly associated with decreased odds of reporting better health-normal weight (OR = 2.99; 95% CI = 2.43-3.67) and overweight (OR = 2.19; 95% CI = 1.79-2.68) compared to obese. Subjects who attend religious services 1-2 time a year (OR = 1.30; 95% CI = 1.04-1.62) and 1-3 times a month (OR = 1.28; 95% CI = 1.05-1.57) are associated with increased odds of reporting better health. In whites, attending religious services 1-2 times a year are associated with increased odds of reporting better health (OR = 1.48; 95% CI = 1.09-2.00) and 1-3 times a month are also associated with increased odds of reporting health (OR = 1.34; 95% CI = 1.02-1.78) compared to never attending religious attendance. The frequency of religious services attendance of blacks and Hispanics are not associated with self-rated health. For BMI, being white is more positively associated with increased odds of reporting better health than black and Hispanic subjects. Although white subjects are less likely to attend religious services more frequently than black and Hispanic subjects, the influence on self-rated health in white subjects is more evidenced than other racial/ethnic groups.
Although it was not proven that the association between participation in religious services and self-rated health is mediated by obesity, the research shows the suppression effect of obesity between participation in religious services and self-rated health.
本文旨在利用美国种族与族裔面板研究（PS - ARE）的数据，考察宗教信仰和肥胖对健康的影响，并确定这种关系在不同种族/族裔群体中是如何变化的。
使用有序逻辑回归，研究宗教信仰和肥胖对自评健康的影响以及这种关系在不同种族/族裔群体中的变化情况。此外，为了确定某些族裔群体是否受宗教活动参与频率和肥胖的影响更大，分别对白人、黑人和西班牙裔进行有序逻辑回归分析。
当在宗教活动参与和自评健康之间的核心关系中加入肥胖因素时，这种核心关系得到加强，这是宗教活动参与和自评健康之间加入肥胖因素后的一种抑制效应。与肥胖者相比，BMI也与报告健康状况较好（正常体重：OR = 2.99；95%CI = 2.43 - 3.67）和超重（OR = 2.19；95%CI = 1.79 - 2.68）的较低几率显著相关。每年参加1 - 2次宗教活动的受试者（OR = 1.30；95%CI = 1.04 - 1.62）和每月参加1 - 3次宗教活动的受试者（OR = 1.28；95%CI = 1.05 - 1.57）与报告健康状况较好的较高几率相关。在白人中，与从不参加宗教活动相比，每年参加1 - 2次宗教活动与报告健康状况较好的较高几率相关（OR = 1.48；95%CI = 1.09 - 2.00），每月参加1 - 3次宗教活动也与报告健康状况较好的较高几率相关（OR = 1.34；95%CI = 1.02 - 1.78）。黑人和西班牙裔的宗教活动参与频率与自评健康无关。对于BMI，与黑人和西班牙裔受试者相比，白人报告健康状况较好的几率增加与BMI的正相关更强。尽管白人受试者比黑人和西班牙裔受试者更不太可能频繁参加宗教活动，但白人受试者对自评健康的影响比其他种族/族裔群体更明显。
虽然没有证明参加宗教活动与自评健康之间的关联是由肥胖介导的，但研究显示了肥胖在参加宗教活动和自评健康之间的抑制效应。
