Religious Service Attendance and Mortality among Adults in the United States with Chronic Kidney Disease

Religion and related institutions have resources to help individuals cope with chronic conditions, such as chronic kidney disease (CKD). The purpose of this investigation is to examine the association between religious service attendance and mortality for adults with CKD. Data were drawn from NHANES...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-12, Vol.18 (24), p.13179
Main Authors: Bruce, Marino A, Thorpe, Jr, Roland J, Kermah, Dulcie, Shen, Jenny, Nicholas, Susanne B, Beech, Bettina M, Tuot, Delphine S, Ku, Elaine, Waterman, Amy D, Duru, Kenrik, Brown, Arleen, Norris, Keith C
Format: Article
Language:English
Subjects:
Adult
Adults
Albumins
Chronic conditions
Creatinine
Epidemiology
Female
Glomerular Filtration Rate
Health insurance
Humans
Independent variables
Kidney diseases
Kidneys
Male
Mortality
Nutrition Surveys
Proportional Hazards Models
Religion
Renal Insufficiency, Chronic
Spirituality
Statistical models
United States - epidemiology
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Summary:Religion and related institutions have resources to help individuals cope with chronic conditions, such as chronic kidney disease (CKD). The purpose of this investigation is to examine the association between religious service attendance and mortality for adults with CKD. Data were drawn from NHANES III linked to the 2015 public use Mortality File to analyze a sample of adults ( = 3558) who had CKD as defined by a single value of estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation and/or albumin-to-creatinine ratio ≥17 mg/g for males or ≥25 for females. All-cause mortality was the primary outcome and religious service attendance was the primary independent variable. Cox proportional hazards models were estimated to determine the association between religious service attendance and mortality. The mortality risks for participants who attended a service at least once per week were 21% lower than their peers with CKD who did not attend a religious service at all (HR 0.79; CI 0.64-0.98). The association between religious service attendance and mortality in adults with CKD suggest that prospective studies are needed to examine the influence of faith-related behaviors on clinical outcomes in patients with CKD.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph182413179