Departamento de Pesquisa Clínica e Epidemiológica, Hospital Universitário, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
Departamento de Medicina Interna, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
Am J Hypertens. 2020 Apr 29;33(5):452-457. doi: 10.1093/ajh/hpz199.
Some religious dimensions have been associated with different health-related outcomes over many years. Attending religious services is one of these dimensions that were associated with hypertension, with inconsistent results. And religious involvement seems to be closely influenced by sociodemographic factors, such as education. Therefore, this study aimed to investigate the association between religious service attendance and hypertension according to levels of education.
We analyzed baseline data of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Frequency of religious service attendance and presence of hypertension were assessed in all 15,105 participants at baseline. The analyses were stratified by two levels of education (less than high school and high school or more). Logistic regression models were used to obtain the association between religious service attendance and hypertension in both groups.
For those with high school or more, attending religious services was positively associated with hypertension (adjusted odds ratio [OR] = 1.14, 95% confidence interval [CI] 1.02-1.28). In contrast, for those with less than high school, attending services was inversely associated with presence of hypertension (adjusted OR = 0.73, 95% CI 0.55-0.96).
There seems to be a paradox in the association of religious service attendance and hypertension depending on the level of education.
多年来，一些宗教维度与不同的健康相关结果有关。参加宗教仪式是其中一个与高血压相关的维度，但结果并不一致。宗教参与似乎受到社会人口因素的密切影响，如教育程度。因此，本研究旨在根据教育程度调查参加宗教仪式与高血压之间的关系。
我们分析了巴西成人健康纵向研究（ELSA-Brasil）的基线数据。在所有 15105 名参与者中，在基线时评估了参加宗教仪式的频率和高血压的存在情况。分析分为两个教育程度（低于高中和高中或以上）。使用逻辑回归模型在两组中获得宗教仪式参加与高血压之间的关系。
对于那些受过高中或以上教育的人，参加宗教仪式与高血压呈正相关（调整后的优势比[OR] = 1.14，95%置信区间[CI] 1.02-1.28）。相比之下，对于那些受过高中以下教育的人，参加宗教仪式与高血压的存在呈负相关（调整后的 OR = 0.73，95%CI 0.55-0.96）。
根据教育程度，宗教仪式参加与高血压之间的关系似乎存在矛盾。
