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Religious service attendance and mortality: A population-based prospective cohort study in southern Sweden

Lindström, Martin LU and Pirouzifard, Mirnabi LU (2023) In SSM - Population Health 23. p.1-7
Abstract
Aims
The aim is to investigate associations between attendance in religious service during the past year and all-cause, cardiovascular (CVD), cancer and other cause mortality.

Study design
Prospective cohort study.

Methods
A public health survey with three reminders was sent to a stratified random sample of the adult 18–80 population in southernmost Sweden in 2008. The response rate was 54.1%, and 24,855 participants were included in this study. The cross-sectional baseline survey was connected to mortality data with 8.3-year follow-up. Analyses were conducted in Cox regression models.

Results
13.9% had attended religious service at least once during the past year, and 86.1% had not attended. The... (More)
Aims
The aim is to investigate associations between attendance in religious service during the past year and all-cause, cardiovascular (CVD), cancer and other cause mortality.

Study design
Prospective cohort study.

Methods
A public health survey with three reminders was sent to a stratified random sample of the adult 18–80 population in southernmost Sweden in 2008. The response rate was 54.1%, and 24,855 participants were included in this study. The cross-sectional baseline survey was connected to mortality data with 8.3-year follow-up. Analyses were conducted in Cox regression models.

Results
13.9% had attended religious service at least once during the past year, and 86.1% had not attended. The group with religious attendance contained significantly higher proportions of women, high and medium position non-manual employees, participants born abroad, never alcohol consumers, respondents with high trust in others and respondents with high social participation. It also contained significantly lower proportions with low leisure-time physical activity (LTPA) and daily smokers. Religious service attendance during the past year was significantly associated with lower hazard rate ratios (HRRs) of all-cause mortality compared to non-attendance until social participation items were introduced in the final model. HRRs of CVD mortality were significantly lower for religious attendance in the multiple models until BMI and health-related behaviors were introduced. No significant results were observed for cancer and other cause mortality.

Conclusions
The results suggest that religious service attendance in a highly secularized country such as Sweden is significantly associated with lower all-cause mortality, which may be explained by a social network pathway in this highly secularized population. (Less)
Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
SSM - Population Health
volume
23
article number
101492
pages
1 - 7
publisher
Elsevier
external identifiers
  • scopus:85168157091
  • pmid:37635991
ISSN
2352-8273
DOI
10.1016/j.ssmph.2023.101492
language
English
LU publication?
yes
id
31b328dd-2dfd-4dc5-86d7-e7c48a2d3bc6
date added to LUP
2023-08-22 08:46:18
date last changed
2023-11-22 03:00:24
@article{31b328dd-2dfd-4dc5-86d7-e7c48a2d3bc6,
  abstract     = {{Aims<br/>The aim is to investigate associations between attendance in religious service during the past year and all-cause, cardiovascular (CVD), cancer and other cause mortality.<br/><br/>Study design<br/>Prospective cohort study.<br/><br/>Methods<br/>A public health survey with three reminders was sent to a stratified random sample of the adult 18–80 population in southernmost Sweden in 2008. The response rate was 54.1%, and 24,855 participants were included in this study. The cross-sectional baseline survey was connected to mortality data with 8.3-year follow-up. Analyses were conducted in Cox regression models.<br/><br/>Results<br/>13.9% had attended religious service at least once during the past year, and 86.1% had not attended. The group with religious attendance contained significantly higher proportions of women, high and medium position non-manual employees, participants born abroad, never alcohol consumers, respondents with high trust in others and respondents with high social participation. It also contained significantly lower proportions with low leisure-time physical activity (LTPA) and daily smokers. Religious service attendance during the past year was significantly associated with lower hazard rate ratios (HRRs) of all-cause mortality compared to non-attendance until social participation items were introduced in the final model. HRRs of CVD mortality were significantly lower for religious attendance in the multiple models until BMI and health-related behaviors were introduced. No significant results were observed for cancer and other cause mortality.<br/><br/>Conclusions<br/>The results suggest that religious service attendance in a highly secularized country such as Sweden is significantly associated with lower all-cause mortality, which may be explained by a social network pathway in this highly secularized population.}},
  author       = {{Lindström, Martin and Pirouzifard, Mirnabi}},
  issn         = {{2352-8273}},
  language     = {{eng}},
  pages        = {{1--7}},
  publisher    = {{Elsevier}},
  series       = {{SSM - Population Health}},
  title        = {{Religious service attendance and mortality: A population-based prospective cohort study in southern Sweden}},
  url          = {{http://dx.doi.org/10.1016/j.ssmph.2023.101492}},
  doi          = {{10.1016/j.ssmph.2023.101492}},
  volume       = {{23}},
  year         = {{2023}},
}