Frequent attendance at religious services and mortality over 28 years.
Open accessAbstract
OBJECTIVES: This study analyzed the long-term association between religious attendance and mortality to determine whether the association is explained by improvements in health practices and social connections for frequent attenders. METHODS: The association between frequent attendance and mortality over 28 years for 5286 Alameda Country Study respondents was examined. Logistic regression models analyzed associations between attendance and subsequent improvements in health practices and social connections. RESULTS: Frequent attenders had lower mortality rates than infrequent attenders (relative hazard [RH] = 0.64;95% confidence interval [CI] = 0.53,0.77). Results were stronger for females. Health adjustments had little impact, but adjustments for social connections and health practices reduced the relationship (RH = 0.77; 95% CI = 0.64, 0.93). During follow-up, frequent attenders were more likely to stop smoking, increase exercising, increase social contacts, and stay married. CONCLUSIONS: Lower mortality rates for frequent religious attenders are partly explained by improved health practices, increased social contacts, and more stable marriages occurring in conjunction with attendance. The mechanisms by which these changes occur have broad intervention implications.
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- Authors
- Strawbridge, W. J., Cohen, R. D., Shema, S. J., & Kaplan, G. A.
- Affiliations
- Public Health Foundation (US)
- ORCID
- Kaplan, G A
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1997-06
- Volume
- 87
- Issue
- 6
- Pages
- 957-961
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1380930
- OpenAlex
- W2072680683
- Cited by
- 686
- References
- 44
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 4 · 2023: 52 · 2022: 12 · 2021: 13 · 2020: 14 · 2019: 15 · 2018: 26 · 2017: 19 · 2016: 27 · 2015: 21 · 2014: 23 · 2013: 25 · 2012: 32
- FWCI
- 22.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- Yale University
- National Institute on Aging (R37AG011375, 1R37 AG-11375)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- religious service attendance, mortality, long-term health effects, health practices, social connectedness, social contact, marital stability, smoking cessation, physical activity, sex differences, Alameda County Study
- MeSH terms
- Alcohol Drinking, California, Female, Humans, Life Style, Male, Mortality, Religion, Health Behavior, Exercise, Body Mass Index, Multivariate Analysis, Odds Ratio, Smoking Cessation, Sex Distribution
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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