Kang Mina, Park La Young, Kang Seo Young, Lim Jisun, Kim Young Sik
Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Korean J Fam Med. 2020 Mar;41(2):105-110. doi: 10.4082/kjfm.18.0107. Epub 2020 Mar 19.
Few studies have investigated the association between religion and health behaviors in Korea, where various religions coexist. The present study aimed to investigate the association between religion and health behaviors among primary care patients in Korea.
We analyzed data from the Family Cohort Study in Primary Care. Among the 1,040 participants in the cohort, 973 of those who had reported their religion were included in the analysis. Participants completed standardized questionnaires that included religious status and lifestyle factors, such as physical activity, smoking status, drinking status, and dietary habits. The association between religion and health behaviors was analyzed using multivariate logistic regression models.
Among the 973 participants, 345 (35.5%) were Christian, 153 (15.7%) were Roman Catholic, 308 (31.7%) were Buddhist, and 163 (16.8%) did not have any religion. Compared with those without a religion, the odds ratio (OR) for vigorous physical activity (OR, 1.52; 95% confidence interval [CI], 1.01-2.28) increased, and that for binge drinking (OR, 0.67; 95% CI, 0.46-0.78) and problematic drinking (OR, 0.59; 95% CI, 0.35-0.99) decreased among participants with a religion. Compared with those without a religion, Catholics were more likely to engage in vigorous physical activity (OR, 2.20; 95% CI, 1.31-3.67), whereas Christians were less likely to engage in heavy (OR, 0.50; 95% CI, 0.30-0.84), binge (OR, 0.35; 95% CI, 0.22-0.54), and problematic drinking (OR, 0.46; 95% CI, 0.25-0.86). Smoking, meal regularity, and breakfast consumption were not associated with religion.
The status of drinking and physical activities were different according to religion. As religion is one of the psychosocial characteristics of patients, knowing patients' religion can be helpful for primary physicians.
在多种宗教并存的韩国,很少有研究调查宗教与健康行为之间的关联。本研究旨在调查韩国初级保健患者中宗教与健康行为之间的关联。
我们分析了初级保健家庭队列研究的数据。在该队列的1040名参与者中,973名报告了其宗教信仰的参与者被纳入分析。参与者完成了标准化问卷,其中包括宗教状况以及身体活动、吸烟状况、饮酒状况和饮食习惯等生活方式因素。使用多变量逻辑回归模型分析宗教与健康行为之间的关联。
在973名参与者中,345名(35.5%)为基督教徒,153名(15.7%)为罗马天主教徒,308名(31.7%)为佛教徒,163名(16.8%)没有宗教信仰。与无宗教信仰者相比,有宗教信仰的参与者进行剧烈体育活动的优势比(OR)增加(OR,1.52;95%置信区间[CI],1.01 - 2.28),而暴饮(OR,0.67;95% CI,0.46 - 0.78)和问题饮酒(OR,0.59;95% CI,0.35 - 0.99)的优势比降低。与无宗教信仰者相比,天主教徒更有可能进行剧烈体育活动(OR,2.20;95% CI,1.31 - 3.67),而基督教徒进行大量饮酒(OR,0.50;95% CI,0.30 - 0.84)、暴饮(OR,0.35;95% CI,0.22 - 0.54)和问题饮酒(OR,0.46;95% CI,0.25 - 0.86)的可能性较小。吸烟、用餐规律和早餐摄入与宗教信仰无关。
饮酒和体育活动状况因宗教信仰而异。由于宗教是患者的社会心理特征之一,了解患者的宗教信仰对初级医生可能会有帮助。