Strawbridge W J, Cohen R D, Shema S J, Kaplan G A
Human Population Laboratory, California Public Health Foundation, Berkeley 94704-1011, USA.
Am J Public Health. 1997 Jun;87(6):957-61. doi: 10.2105/ajph.87.6.957.
This study analyzed the long-term association between religious attendance and mortality to determine whether the association is explained by improvements in health practices and social connections for frequent attenders.
The association between frequent attendance and mortality over 28 years for 5286 Alameda Country Study respondents was examined. Logistic regression models analyzed associations between attendance and subsequent improvements in health practices and social connections.
Frequent attenders had lower mortality rates than infrequent attenders (relative hazard [RH] = 0.64;95% confidence interval [CI] = 0.53,0.77). Results were stronger for females. Health adjustments had little impact, but adjustments for social connections and health practices reduced the relationship (RH = 0.77; 95% CI = 0.64, 0.93). During follow-up, frequent attenders were more likely to stop smoking, increase exercising, increase social contacts, and stay married.
Lower mortality rates for frequent religious attenders are partly explained by improved health practices, increased social contacts, and more stable marriages occurring in conjunction with attendance. The mechanisms by which these changes occur have broad intervention implications.
本研究分析了宗教活动参与度与死亡率之间的长期关联，以确定这种关联是否可以通过经常参加宗教活动者健康行为和社会关系的改善来解释。
对阿拉米达县研究的5286名受访者在28年期间频繁参加宗教活动与死亡率之间的关联进行了研究。逻辑回归模型分析了宗教活动参与度与随后健康行为和社会关系改善之间的关联。
经常参加宗教活动者的死亡率低于不经常参加者（相对风险[RH]=0.64；95%置信区间[CI]=0.53，0.77）。女性的结果更强。健康因素调整影响不大，但社会关系和健康行为调整减弱了这种关系（RH=0.77；95%CI=0.64，0.93）。在随访期间，经常参加宗教活动者更有可能戒烟、增加锻炼、增加社交接触并维持婚姻关系。
经常参加宗教活动者死亡率较低，部分原因是与参加宗教活动相关的健康行为改善、社交接触增加以及婚姻关系更稳定。这些变化发生的机制具有广泛的干预意义。
