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Cited by 65Religion, Spirituality, and PsychologyCardiac Health and Mental HealthReligion and Society Interactions

Religious Observance and Acute Coronary Syndrome in Predominantly Muslim Albania: A Population-based Case-Control Study in Tirana

Burazeri, Genc, Goda, Artan, Kark, Jeremy D.·2008·Annals of Epidemiology
DOI 10.1016/j.annepidem.2008.09.001
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Abstract

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

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Crossref · 10.1016/j.annepidem.2008.09.001

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  • Of the 13 most rigorous CHD studies, nine (69%) found inverse relationships with CHD and one found a positive one.

    “Of the 13 studies with the most rigorous methodology, nine (69%) found inverse relationships with CHD [357–365] and one found a positive one [366].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [358]

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Authors
Burazeri, G., Goda, A., & Kark, J. D.
Affiliations
  • Mother Teresa Hospital (AL)
  • Hebrew University of Jerusalem (IL)
Corresponding author
Burazeri, Genc
ORCID
Venue
Annals of Epidemiology
Publisher
Elsevier BV
Published
2008-12
Volume
18
Issue
12
Pages
937-945
ISSN
1047-2797 (ISSN-L)
DOI
10.1016/j.annepidem.2008.09.001
OpenAlex
W1982483834
Cited by
65
References
43
Citations by year
2025: 1 · 2023: 3 · 2022: 4 · 2021: 7 · 2020: 1 · 2019: 25 · 2018: 4 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 2
FWCI
2.11
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Annals of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Social Sciences › Sociology and Political Science › Religion and Society Interactions
Keywords
religious practice, acute coronary syndrome, religiosity, Muslim population, Christian population, prayer, mosque attendance, secularism, socio-economic transition, Tirana
MeSH terms
Adult, Aged, Albania, Christianity, Employment, Female, Humans, Islam, Life Style, Male, Middle Aged, Socioeconomic Factors, Multivariate Analysis, Logistic Models, Case-Control Studies, Spirituality, Acute Coronary Syndrome

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