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宗教与欧洲健康。

Religiousness and health in Europe.

机构信息

Max-Planck Odense Center on the Biodemography of Aging, University of Southern Denmark, 5000, Odense, Denmark.

Unit of Epidemiology, Biostatistics and Biodemography, University of Southern Denmark, J. B. Winsløws Vej 9B, 5000, Odense, Denmark.

出版信息

Eur J Epidemiol. 2017 Oct;32(10):921-929. doi: 10.1007/s10654-017-0296-1. Epub 2017 Aug 24.

Abstract

Recent research suggests that epidemiological forces in religion and health can have opposed effects. Using longitudinal data of people aged 50+ included in wave 1 (2004-2005) of the Survey of Health, Ageing and Retirement in Europe (SHARE), and followed up through waves 2 (2006-2007), 4 (2011) and 5 (2013), we examined two forms of religious internalization and their association with health. Multivariate logistic regressions were used to examine all associations. Taking part in a religious organization was associated with lower odds of GALI (global activity limitation index) (OR = 0.86, 95% CI 0.75, 0.98) and depressive symptoms 0.80 (95% CI 0.69, 0.93), whereas being religiously educated lowered odds of poor self-rated health (SRH) 0.81 (95% CI 0.70, 0.93) and long-term health problems 0.84 (95% CI 0.74, 0.95). The more religious had lower odds of limitations with activities of daily living 0.76 (95% CI 0.58, 0.99) and depressive symptoms 0.77 (95% CI 0.64, 0.92) than other respondents, and compared to people who only prayed and did not have organizational involvement, they had lower odds of poor SRH 0.71 (95% CI 0.52, 0.97) and depressive symptoms 0.66 (95% CI 0.50, 0.87). Conversely, people who only prayed had higher odds of depressive symptoms than non-religious people 1.46 (95% CI 1.15, 1.86). Our findings suggest two types of religiousness: 1. Restful religiousness (praying, taking part in a religious organization and being religiously educated), which is associated with good health, and 2. Crisis religiousness (praying without other religious activities), which is associated with poor health.

摘要

最近的研究表明,宗教和健康方面的流行病学因素可能产生相反的影响。我们利用欧洲健康、老龄化和退休调查(SHARE)第一波(2004-2005 年)中包含的 50 岁以上人群的纵向数据,并通过第二波(2006-2007 年)、第四波(2011 年)和第五波(2013 年)进行了随访,研究了两种宗教内化形式及其与健康的关系。我们使用多变量逻辑回归来检验所有关联。参加宗教组织与较低的 GALI(全球活动限制指数)(OR=0.86,95%CI 0.75,0.98)和抑郁症状(OR=0.80,95%CI 0.69,0.93)相关,而接受宗教教育则降低了较差的自我报告健康状况(SRH)(OR=0.81,95%CI 0.70,0.93)和长期健康问题(OR=0.84,95%CI 0.74,0.95)的可能性。越虔诚的人,日常生活活动受限的可能性越低(OR=0.76,95%CI 0.58,0.99),抑郁症状的可能性也越低(OR=0.77,95%CI 0.64,0.92),与仅祈祷而没有组织参与的人相比,他们的自我报告健康状况较差(OR=0.71,95%CI 0.52,0.97)和抑郁症状(OR=0.66,95%CI 0.50,0.87)的可能性也较低。相反,仅祈祷的人患抑郁症状的可能性高于不信教的人(OR=1.46,95%CI 1.15,1.86)。我们的研究结果表明,有两种类型的宗教信仰:1. 安息型宗教(祈祷、参加宗教组织和接受宗教教育),与健康相关;2. 危机型宗教(不参加其他宗教活动而祈祷),与健康状况不佳相关。

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