Kark J D, Shemi G, Friedlander Y, Martin O, Manor O, Blondheim S H
Department of Social Medicine, Hadassah Medical Organization and Hebrew Unversity-Hadassah School of Public Health and Community Medicine, Ein Karem, Jerusalem, Israel.
Am J Public Health. 1996 Mar;86(3):341-6. doi: 10.2105/ajph.86.3.341.
This study assessed the association of Jewish religious observance with mortality by comparing religious and secular kibbutzim. These collectives are highly similar in social structure and economic function and are cohesive and supportive communities.
In a 16-year (1970 through 1985) historical prospective study of mortality in 11 religious and 11 matched secular kibbutzim in Israel, 268 deaths occurred among 3900 men and women 35 years of age and older during 41347 person-years of observation.
Mortality was considerably higher in secular kibbutzim. Cox proportional hazards analysis was used to adjust for age and the matched design; rate ratios were 1.67 (95% confidence interval [CI]=1.17, 2.39) for men, 2.67 (95% CI=1.55, 4.60) for women, and 1.93 (95% CI=1.44, 2.59) overall. Kaplan-Meier survival analysis of birth cohorts confirmed the association. The lower mortality in religious kibbutzim was consistent for all major causes of death.
Belonging to a religious collective was associated with a strong protective effect not attributable to confounding by sociodemographic factors. Elucidation of mechanisms mediating this effect may provide etiologic insights and leads for intervention.
本研究通过比较宗教集体农场和世俗集体农场，评估犹太宗教仪式遵守情况与死亡率之间的关联。这些集体在社会结构和经济功能上高度相似，是具有凝聚力和支持性的社区。
在一项对以色列11个宗教集体农场和11个匹配的世俗集体农场进行的为期16年（1970年至1985年）的死亡率历史前瞻性研究中，在41347人年的观察期内，3900名35岁及以上的男性和女性中有268人死亡。
世俗集体农场的死亡率要高得多。使用Cox比例风险分析对年龄和匹配设计进行调整；男性的率比为1.67（95%置信区间[CI]=1.17, 2.39），女性为2.67（95% CI=1.55, 4.60），总体为1.93（95% CI=1.44, 2.59）。出生队列的Kaplan-Meier生存分析证实了这种关联。宗教集体农场较低的死亡率在所有主要死因中都是一致的。
属于宗教集体与强大的保护作用相关，这一作用并非由社会人口学因素的混杂所致。阐明介导这种作用的机制可能会提供病因学见解和干预线索。
