Religious observance and acute coronary syndrome in predominantly Muslim Albania: a population-based case-control study in Tirana.

摘要: Purpose We aimed to assess the association of religious observance with acute coronary syndrome (ACS) in a predominantly Muslim population. Methods A case-control study conducted Tirana, Albania 2003–2006 included 467 nonfatal consecutive ACS patients (370 men, 97 women; 88% response) and population-based control group (469 268 69% response). Religious was assessed as composite score based on mosque/church attendance, frequency prayer ritual fasting. The religiosity by multivariable-adjusted logistic regression. Results Nonobservance frequent this population (67% among controls, 55% Christian controls). inversely associated both groups (multivariable-adjusted odds ratios for above median scores vs zero observance: 0.45 [95% confidence interval (CI) = 0.26–0.77] Muslims, 0.58 [0.25–1.31] Christians, 0.48 [0.31–0.74] overall]. Associations were strongest Conclusions In country experiencing major socioeconomic transition from rigid communism, including extreme state-enforced secularism, we found an apparent protective effect Muslims Christians. This may be first such reported