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

Marino A. Bruce, Roland J. Thorpe, Dulcie Kermah, Jenny Shen, Susanne B. Nicholas, Bettina M. Beech, Delphine S. Tuot, Elaine Ku, Amy D. Waterman, Kenrik Duru, Arleen Brown and Keith C. Norris
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Marino A. Bruce: Program for Research on Faith, Justice and Health, Department of Behavioral and Social Sciences, College of Medicine, University of Houston, Houston, TX 77204, USA
Roland J. Thorpe: Program for Research on Faith, Justice and Health, Department of Behavioral and Social Sciences, College of Medicine, University of Houston, Houston, TX 77204, USA
Dulcie Kermah: Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059, USA
Jenny Shen: Department of Medicine, David Geffen School of Medicine, Los Angeles, CA 90095, USA
Susanne B. Nicholas: Department of Medicine, David Geffen School of Medicine, Los Angeles, CA 90095, USA
Bettina M. Beech: Program for Research on Faith, Justice and Health, Department of Behavioral and Social Sciences, College of Medicine, University of Houston, Houston, TX 77204, USA
Delphine S. Tuot: Division of Nephrology, University of California, San Francisco, CA 94143, USA
Elaine Ku: Division of Nephrology, University of California, San Francisco, CA 94143, USA
Amy D. Waterman: Department of Surgery, Houston Methodist Hospital, Houston, TX 77030, USA
Kenrik Duru: Department of Medicine, David Geffen School of Medicine, Los Angeles, CA 90095, USA
Arleen Brown: Department of Medicine, David Geffen School of Medicine, Los Angeles, CA 90095, USA
Keith C. Norris: Program for Research on Faith, Justice and Health, Department of Behavioral and Social Sciences, College of Medicine, University of Houston, Houston, TX 77204, USA

IJERPH, 2021, vol. 18, issue 24, 1-14

Abstract: 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 ( n = 3558) who had CKD as defined by a single value of estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m 2 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.

Keywords: religiosity; CKD; mortality; NHANES; population health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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