Program for Research on Faith, Justice, and Health, Department of Population Health Science, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA.
Program for Research on Men's Health, John Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Am J Mens Health. 2021 Jan-Feb;15(1):1557988321993560. doi: 10.1177/1557988321993560.
Prostate cancer is a significant impediment that can reduce physical functional status. Mobility is fundamental for quality of life and church attendance to be associated with improved physical functioning. Few studies have examined how religious participation have implications for mobility limitation among men in general and among prostate cancer survivors in particular. The purpose of this study was to assess the association between church attendance and mobility limitation among Black and White prostate cancer patients and survivors. Data for this investigation were drawn from the Diagnosis and Decisions in Prostate Cancer Treatment Outcomes Study that consisted of 804 Black and White men with complete information on the primary outcome and predictor variables. Mobility limitation was the primary outcome variable, and church attendance was the main independent variable. The analytic sample was almost equally divided between Black ( = 382) and White men ( = 422). The proportion of Black men reporting mobility limitation (30.09%) more than doubled the corresponding percentage for White men (14.7%). Black men had a higher proportion of individuals who reported weekly church attendance (49.2% vs. 45.0%). Fully adjusted modified Poisson regression models produced results indicating that respondents attending church weekly had a lower mobility limitation prevalence (PR = 0.56, 95% CI [0.39, 0.81]) than those never attending church. Results from this study contribute to the body of evidence asserting the health benefits of church attendance. These findings suggest that health providers should consider how religion and spirituality can present opportunities for improved outcomes in prostate cancer patients and survivors.
前列腺癌是一个重大障碍，会降低身体的功能状态。行动能力是生活质量的基础，与教会出席率相关的身体功能会得到改善。很少有研究探讨宗教参与如何对一般男性，尤其是前列腺癌幸存者的行动能力受限产生影响。本研究旨在评估参加教堂礼拜与黑人和白人前列腺癌患者和幸存者行动能力受限之间的关系。本研究的数据来自前列腺癌治疗结局诊断和决策研究，该研究包括 804 名黑人和白人男性，他们的主要结局和预测变量都有完整的信息。行动能力受限是主要的结局变量，而参加教堂礼拜是主要的独立变量。分析样本在黑人和白人男性之间几乎平分秋色（=382 和=422）。报告行动能力受限的黑人男性比例（30.09%）是白人男性的两倍多（14.7%）。黑人男性中有更高比例的人每周都去教堂（49.2%比45.0%）。经过完全调整的修正泊松回归模型的结果表明，每周参加教堂礼拜的受访者行动能力受限的比例较低（PR=0.56，95%CI[0.39，0.81]），而从不参加教堂礼拜的受访者的比例较高。这项研究的结果为断言参加教堂礼拜有益健康的证据提供了支持。这些发现表明，医疗服务提供者应该考虑宗教和灵性如何为前列腺癌患者和幸存者带来改善结局的机会。
