Discriminant validity of the Crown-Crisp Experiential Index. Deaths were identified through reports from next of kin and the National Death Index. Those who attended religious services regularly in both and had even lower mortality rates, with a multivariable-adjusted HR of 0. We further examined the change in attendance at religious services over time and calculated years of life saved. Proportion mediated on a risk difference scale was calculated as the indirect effect divided by the total effect and tests were conducted for evidence of mediation. Please allow up to 2 business days for review, approval, and posting. Data collection mode and social desirability bias in self-reported religious attendance. In addition, we assess interactions with race, time-varying effects, and cause-specific mortality.
Your comment submission was successful. Religion and spirituality in medicine: No, I do not have potential conflicts of interest. Conflicts of Interest Disclosure Identify all potential conflicts of interest that might be relevant to your comment. The relationship between medicine, spirituality and religion: Test of the national death index and Equifax nationwide death search.
Religion and spirituality in medicine: Gallup Poll News Service; Test of the national death index and Equifax nationwide death search.
A priori, the effects of religious practice on health are not thus immediately clear. Follow-up for mortality continued through June Religious involvement and mortality: Get free access to newly published articles.
Attendance at religious services may be highly correlated with other measures of social engagement, such as number of close friends and having someone close to talk to, which are significant predictors for lower mortality and thus may serve as important mechanisms. For the mediation analysis, we further excluded participants who had mediator information missing or who died between baseline and the mediator measurement.
Women who attended religious services more frequently tended to have fewer depressive symptoms, were less likely to be current smokers, and were more likely to be married Table 1. Princeton University Press; Description of Calculation of Years of Life Saved.
Association of Religious Service Attendance With Mortality Among Women
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Our study is an observational study. Moreover, some individuals died before the mediators occurred and were excluded further, which may affect our results. Am J Public Health.
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We adjusted the analyses for the following known predictors of mortality in this cohort: Improving the spiritual dimension of whole person care: Our analysis is also restricted to the specific period under consideration, and the effects of attendance at religious services may vary over time as the nature of attendance itself changes. This domain captures only 1 aspect of religiosity and may be subject to measurement error and overreporting, 46 – 48 although with overreporting the relative ordering of frequency might still be preserved.
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Sign in to access your subscriptions Sign in to cilm personal account. Key Points Question Is frequent attendance at religious services associated with lower mortality among women?
Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. However, some studies of the health effects of religious attendance 450 have examined the role of other measures of social engagement and find that religious attendance has robust effects even after the inclusion of these measures.
Social networks, host resistance, and mortality: We conducted several sensitivity analyses to test the robustness of our results. The HR comparing those attending religious services more than once per week with those not attending was 0. Religious decline in the 20th century West: Although frequency of attendance at religious services did not substantially change in our study, it is possible that the content of the services themselves changed.
Religious involvement and mortality risk among African American adults. We defined baseline for this analysis as attendance at religious services as assessed in the questionnaire; we used attendance in as an additional covariate. Future research could assess associations with other forms of social participation.
Person-time was accrued from baseline return of the questionnaire until the date of death, loss to follow-up, or Junewhichever came first. Deaths were identified through reports from next of kin and the National Death Index. Results were robust in sensitivity analysis. There is no reason to think that individual overreporting would be related dilm mortality, and such nondifferential misclassification in fact tends to yield conservative effect estimates.
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