宗教、精神信仰与美国东南部社会经济地位较低成年人终末期肾病风险的相关性研究
Religion, Spirituality, and Risk of End-Stage Kidney Disease Among Adults of Low Socioeconomic Status in the Southeastern United States.
出版信息
J Health Care Poor Underserved. 2020;31(4):1727-1746. doi: 10.1353/hpu.2020.0129.
Abstract
BACKGROUND
Religiosity, encompassing spirituality and religious practices, is associated with reduced disease incidence among individuals of low socioeconomic status and who self-identify as Black. We hypothesized that religiosity associates with reduced end-stage kidney disease (ESKD) risk among Black but not White adults of low socioeconomic status.
DESIGN
Cox models of religiosity and ESKD risk in 76,443 adults.
RESULTS
Black adults reporting high spirituality had reduced ESKD risk after adjusting for demographic characteristics [Hazard Ratio (HR) .82 (95% Confidence Interval (CI)) (.69-.98)], depressive symptoms, social support, and tobacco use [HR .81 (CI .68-.96)]. When clinical covariates were added, associations between spirituality and ESKD were slightly attenuated and lost significance [HR .85 (CI .68-1.06)]. Associations were not demonstrated among White adults.
CONCLUSIONS
Spirituality associates with reduced ESKD risk among Black adults of low socioeconomic status independent of demographic, psychosocial, and behavioral characteristics. Effect modification by race was not statistically significant.
摘要
背景
宗教信仰，包括精神信仰和宗教实践，与社会经济地位较低和自认为是黑人的个体的疾病发病率降低有关。我们假设宗教信仰与社会经济地位较低的黑人成年人而非白人成年人的终末期肾病（ESKD）风险降低有关。
设计
76443 名成年人的宗教信仰和 ESKD 风险的 Cox 模型。
结果
调整人口统计学特征后，报告高精神信仰的黑人成年人的 ESKD 风险降低[风险比（HR）.82（95%置信区间（CI）.69-.98)]，抑郁症状、社会支持和烟草使用[HR.81（CI.68-.96)]。当加入临床协变量时，精神信仰与 ESKD 之间的关联略有减弱且失去意义[HR.85（CI.68-1.06)]。在白人成年人中没有发现关联。
结论
精神信仰与社会经济地位较低的黑人成年人的 ESKD 风险降低有关，独立于人口统计学、心理社会和行为特征。种族的效应修饰不具有统计学意义。
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