Cited by 94Religion, Spirituality, and PsychologyCardiac Health and Mental HealthCardiovascular Health and Risk Factors

Religious orthodoxy and myocardial infarction in Jerusalem — a case control study

Friedlander, Y., Kark, J.D., Stein, Y.·1986·International Journal of Cardiology

Abstract

We examined the hypothesis that the degree of religious orthodoxy is an independent risk factor for coronary heart disease incidence in a study of 454 men and 85 women who experienced a first myocardial infarction. They were compared with a control group of 295 men and 391 women. All were Jewish residents of Jerusalem. The degree of religious orthodoxy was ascertained by interview of participants. Among the cases, 51% of the men and 50% of the women defined themselves as secular compared with 21% and 16%, respectively, among the controls. In a multivariate logistic model (including terms for age, ethnicity, education, smoking, physical exercise, body mass index and religious orthodoxy), the coefficients for age and smoking were positive and statistically significant, and those for education negative and significant. The risk for European born subjects was greater than for the other ethnic origin groups (statistically significant only in men). Secular subjects had a significantly higher risk of myocardial infarction compared to orthodox subject (odds ratio of 4.2 (95% confidence interval 2.6-6.6) for men and 7.3 (95% confidence interval 2.3-23.0 for women). This relationship was independent of the other variables in the model. The relation persisted in a subsample of cases who were examined 2-3 months after the acute phase of the infarction upon controlling for plasma cholesterol, high density lipoprotein cholesterol and hypertension. This finding should be substantiated. It would appear important to identify the components of religiosity associated with reduced risk.

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Crossref · 10.1016/0167-5273(86)90163-4

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Authors
Friedlander, Y., Kark, J. D., & Stein, Y.
Affiliations
  • Hadassah Medical Center (IL)
  • Hebrew University of Jerusalem (IL)
Corresponding author
Friedlander, Y.
Venue
International Journal of Cardiology
Publisher
Elsevier BV
Published
1986-01
Volume
10
Issue
1
Pages
33-41
ISSN
0167-5273 (ISSN-L)
OpenAlex
W2064211473
Cited by
94
References
19
Citations by year
2026: 1 · 2023: 41 · 2022: 2 · 2021: 2 · 2018: 2 · 2016: 2 · 2014: 3 · 2013: 2 · 2012: 2
FWCI
2.14
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
religious orthodoxy, myocardial infarction, coronary heart disease risk, secularism, religiosity, Jewish population, Jerusalem, ethnicity, smoking, serum cholesterol, hypertension, sex differences
MeSH terms
Adolescent, Adult, Age Factors, Cholesterol, Ethnicity, Female, Humans, Hypertension, Israel, Judaism, Cholesterol, HDL, Male, Middle Aged, Myocardial Infarction, Regression Analysis, Religion and Medicine, Risk, Sex Factors, Smoking

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