Does religious involvement affect mortality in low-income Americans? A prospective cohort study
Objective This study aimed to evaluate the impacts of various forms of religious involvement, beyond individual socioeconomic status, lifestyle factors, emotional well-being and social support, on all-cause and cause-specific mortality in socioeconomic disadvantaged neighbourhoods.Design This is a p...
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| Format: | Article |
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BMJ Publishing Group
2019-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/7/e028200.full |
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| author | Wei Zheng Wanqing Wen David Schlundt Shaneda Warren Andersen William J Blot |
| author_facet | Wei Zheng Wanqing Wen David Schlundt Shaneda Warren Andersen William J Blot |
| author_sort | Wei Zheng |
| collection | DOAJ |
| description | Objective This study aimed to evaluate the impacts of various forms of religious involvement, beyond individual socioeconomic status, lifestyle factors, emotional well-being and social support, on all-cause and cause-specific mortality in socioeconomic disadvantaged neighbourhoods.Design This is a prospective cohort study conducted from 2002 through 2015.Settings This study included underserved populations in the Southeastern USA.Participants A total of nearly 85 000 participants, primarily low-income American adults, were enrolled. Eligible participants were aged 40–79 years at enrolment, spoke English and were not under treatment for cancer within the prior year.Results We found that those who attended religious service attendance >1/week had 8% reduction in all-cause death and 15% reduction in cancer death relative to those who never attended. This association was substantially attenuated by depression score, social support, and socioeconomic and lifestyle covariates, and further attenuated by other forms of religious involvement. This association with all-cause mortality was found being stronger among those with higher socioeconomic status or healthier lifestyle behaviours.Conclusion Our results indicate that the association between religious services attendance >1/week and lower mortality was moderate but robust, and could be attenuated and modified by socioeconomic or lifestyle factors in this large prospective cohort study of underserved populations in the Southeastern USA. |
| format | Article |
| id | doaj-art-43c6862d27f949c9b0ac1e423420e8c4 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-43c6862d27f949c9b0ac1e423420e8c42024-11-23T00:50:08ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2018-028200Does religious involvement affect mortality in low-income Americans? A prospective cohort studyWei Zheng0Wanqing Wen1David Schlundt2Shaneda Warren Andersen3William J Blot4Clinical Research Center for Reproduction and Genetics in Hunan Province, Reproductive and Genetic Hospital of CITIC-XIANGYA, Changsha, Hunan, China1 Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA1 Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA2 Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee, USA1 Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee, USAObjective This study aimed to evaluate the impacts of various forms of religious involvement, beyond individual socioeconomic status, lifestyle factors, emotional well-being and social support, on all-cause and cause-specific mortality in socioeconomic disadvantaged neighbourhoods.Design This is a prospective cohort study conducted from 2002 through 2015.Settings This study included underserved populations in the Southeastern USA.Participants A total of nearly 85 000 participants, primarily low-income American adults, were enrolled. Eligible participants were aged 40–79 years at enrolment, spoke English and were not under treatment for cancer within the prior year.Results We found that those who attended religious service attendance >1/week had 8% reduction in all-cause death and 15% reduction in cancer death relative to those who never attended. This association was substantially attenuated by depression score, social support, and socioeconomic and lifestyle covariates, and further attenuated by other forms of religious involvement. This association with all-cause mortality was found being stronger among those with higher socioeconomic status or healthier lifestyle behaviours.Conclusion Our results indicate that the association between religious services attendance >1/week and lower mortality was moderate but robust, and could be attenuated and modified by socioeconomic or lifestyle factors in this large prospective cohort study of underserved populations in the Southeastern USA.https://bmjopen.bmj.com/content/9/7/e028200.full |
| spellingShingle | Wei Zheng Wanqing Wen David Schlundt Shaneda Warren Andersen William J Blot Does religious involvement affect mortality in low-income Americans? A prospective cohort study BMJ Open |
| title | Does religious involvement affect mortality in low-income Americans? A prospective cohort study |
| title_full | Does religious involvement affect mortality in low-income Americans? A prospective cohort study |
| title_fullStr | Does religious involvement affect mortality in low-income Americans? A prospective cohort study |
| title_full_unstemmed | Does religious involvement affect mortality in low-income Americans? A prospective cohort study |
| title_short | Does religious involvement affect mortality in low-income Americans? A prospective cohort study |
| title_sort | does religious involvement affect mortality in low income americans a prospective cohort study |
| url | https://bmjopen.bmj.com/content/9/7/e028200.full |
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