Religious service attendance and mortality among older Black men

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dc.creatorBruce, Marino A.
dc.creatorBeech, Bettina M.
dc.creatorKermah, Dulcie
dc.creatorBailey, Shanelle
dc.creatorPhillips, Nicole
dc.creatorJones, Harlan P.
dc.creatorBowie, Janice V.
dc.creatorHeitman, Elizabeth
dc.creatorNorris, Keith C.
dc.creatorWhitfield, Keith E.
dc.creatorThorpe, Roland J.
dc.creator.orcid0000-0003-3248-0355 (Jones, Harlan P.)
dc.date.accessioned2022-09-20T15:20:19Z
dc.date.available2022-09-20T15:20:19Z
dc.date.issued2022-09-02
dc.description.abstractReligious institutions have been responsive to the needs of Black men and other marginalized populations. Religious service attendance is a common practice that has been associated with stress management and extended longevity. The objective of this study was to examine the relationship between religious service attendance and all-cause mortality among Black men 50 years of age and older. Data for this study were from NHANES III (1988-1994). The analytic sample (n = 839) was restricted to participants at least 50 years of age at the time of interview who self-identified as Black and male. Mortality was the primary outcome for this study and the NHANES III Linked Mortality File was used to estimate race-specific, non-injury-related death rates using a probabilistic matching algorithm, linked to the National Death Index through December 31, 2015, providing up to 27 years follow-up. The primary independent variable was religious service attendance, a categorical variable indicating that participants attended religious services at least weekly, three or fewer times per month, or not at all. The mean age of participants was 63.6+/-0.3 years and 36.4% of sample members reported that they attended religious services one or more times per week, exceeding those attending three or fewer times per month (31.7%), or not at all (31.9%). Cox proportional hazard logistic regression models were estimated to determine the association between religious service attendance and mortality. Participants with the most frequent religious service attendance had a 47% reduction of all-cause mortality risk compared their peer who did not attend religious services at all (HR 0.53, CI 0.35-0.79) in the fully adjusted model including socioeconomic status, non-cardiovascular medical conditions, health behaviors, social support and allostatic load. Our findings underscore the potential salience of religiosity and spirituality for health in Black men, an understudied group where elevated risk factors are often present.
dc.description.sponsorshipFTC: PONE-D-21-35202R1 PONE-D-21-18136R3 PONE-D-22-15262R1 PONE-D-21-12768R2 PONE-D-22-05585R2 PONE-D-21-25497R2 PONE-D-21-32955R3 PONE-D-22-02710R1 PONE-D-21-38460R3 PONE-D-22-07522R1 PONE-D-22-12448R2 This work was supported in part by National Institute on Aging, K02AG059140-02S1, Dr. Marino A. Bruce, National Institute on Aging, P30AG059298, Dr. Marino A. Bruce, Dr. Janice V. Bowie, Dr. Roland J. Thorpe, Jr., National Heart, Lung, and Blood Institute, R25HL126145, Dr. Marino A. Bruce, Dr. Bettina M. Beech, Dr. Elizabeth Heitman, Dr. Keith C. Norris, Dr. Roland J. Thorpe, Jr., National Institute on Aging, K02AG059140-04S1, Dr. Bettina M. Beech, National Institute on Minority Health and Health Disparities, P20MD000182, Dr. Keith C. Norris, National Center for Advancing Translational Sciences, UL1TR000124, Keith C. Norris, National Institute on Aging, P30AG021684, Dr. Keith C. Norris, National Institute on Aging, K02AG059140, Dr. Roland J. Thorpe, Jr., National Institute on Minority Health and Health Disparities, U54MD000214, Dr. Janice V. Bowie, Dr. Roland J. Thorpe, Jr. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors declare no financial disclosures or conflicts of interest.
dc.identifier.citationBruce, M. A., Beech, B. M., Kermah, D., Bailey, S., Phillips, N., Jones, H. P., Bowie, J. V., Heitman, E., Norris, K. C., Whitfield, K. E., & Thorpe, R. J. (2022). Religious service attendance and mortality among older Black men. PloS one, 17(9), e0273806. https://doi.org/10.1371/journal.pone.0273806
dc.identifier.issn1932-6203
dc.identifier.issue9
dc.identifier.urihttps://hdl.handle.net/20.500.12503/31783
dc.identifier.volume17
dc.publisherPLOS
dc.relation.urihttps://doi.org/10.1371/journal.pone.0273806
dc.rights.holder© 2022 Bruce et al.
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePLoS One
dc.subject.meshBlacks
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshMortality
dc.subject.meshNutrition Surveys
dc.subject.meshReligion
dc.subject.meshSpirituality
dc.subject.meshSurveys and Questionnaires
dc.titleReligious service attendance and mortality among older Black men
dc.typeArticle
dc.type.materialtext

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