Religion and the Survival of 1010 Hospitalized Veterans

作者: Harold G. Koenig , David B. Larson , Judith C. Hays , Michael E. McCullough , Linda K. George

DOI: 10.1023/A:1022904915837

关键词: Death certificatePublic healthNational Death IndexCoping (psychology)DemographyMultivariate analysisHazard ratioCONSECUTIVE SAMPLEPsychiatryPsychosocialMedicine

摘要: Objective: To examine the effects of religious affiliation and coping on survival acutely-hospitalized medically-ill male veterans following discharge. Sample Methods: Between 1987 1989, comprehensive psychosocial physical-health evaluations were performed a consecutive sample 1010 patients ages 20–39 65–102 years admitted to general medicine neurology services Veterans Administration (VA) Medical Center in Durham, North Carolina. Religious (the degree which patient relied his faith for comfort strength) among variables assessed. Subjects or surviving family members contacted by telephone 1996–97 determine vital status; dates death confirmed Administration's Beneficiary Identification Records Locator Subsystem (BIRLS), certificate, National Death Index. Cox proportional-hazards regression was used model time death, controlling demographic, social, psychiatric, covariates. Results: Follow-up obtained all patients. During observation period, 673 died. While higher proportion conservative Protestants than other groups died during this (70.5% vs. 64.3%, p = .04), association disappeared once covariates controlled. unrelated both bivariate multivariate analyses (hazard ratio 1.00, 95% CI 0.99–1.01). Conclusions: Neither nor dependence religion as behavior predicted veterans. Several reasons absence an effect are explored, notably fact that mortality force exerted age, medical diagnosis, severity problems overwhelmed weaker variables.

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