Show simple item record

dc.contributor.authorAbu, Hawa Ozien
dc.contributor.authorLapane, Kate L.
dc.contributor.authorWaring, Molly E.
dc.contributor.authorUlbricht, Christine M.
dc.contributor.authorDevereaux, Randolph S.
dc.contributor.authorMcManus, David D.
dc.contributor.authorAllison, Jeroan J.
dc.contributor.authorKiefe, Catarina I.
dc.contributor.authorGoldberg, Robert J.
dc.date2022-08-11T08:09:54.000
dc.date.accessioned2022-08-23T16:48:09Z
dc.date.available2022-08-23T16:48:09Z
dc.date.issued2019-10-04
dc.date.submitted2019-10-27
dc.identifier.citation<p>PLoS One. 2019 Oct 4;14(10):e0223442. doi: 10.1371/journal.pone.0223442. eCollection 2019. <a href="https://doi.org/10.1371/journal.pone.0223442" target="_blank" title="Link to article on publisher's site">Link to article on publisher's site</a></p>
dc.identifier.issn1932-6203 (Linking)
dc.identifier.doi10.1371/journal.pone.0223442
dc.identifier.pmid31584980
dc.identifier.urihttp://hdl.handle.net/20.500.14038/41218
dc.description.abstractBACKGROUND: Prior studies of healthy populations have found religious practices to be associated with survival. However, no contemporary studies have examined whether religiosity influences survival among patients discharged from the hospital after an acute coronary syndrome (ACS). The present study examined the relationship between religious practices and 2-year all-cause mortality among hospital survivors of an ACS. METHODS: Patients hospitalized for an ACS were recruited from 6 medical centers in Massachusetts and Georgia between 2011 and 2013. Study participants self-reported three items assessing religiosity: strength/comfort from religion, petition prayers for health, and awareness of intercessory prayers by others. All cause-mortality within 2-years of hospital discharge was ascertained by review of medical records at participating study hospitals and from death certificates. Cox proportional hazards models were used to estimate the multivariable adjusted risk of 2-year all-cause mortality. RESULTS: Participants (n = 2,068) were on average 61 years old, 34% were women, and 81% were non-Hispanic White. Approximately 85% derived strength/comfort from religion, 61% prayed for their health, and 89% were aware of intercessions. Overall, 6% died within 2 years post-discharge. After adjusting for sociodemographic variables (age, sex, and race/ethnicity), petition prayers were associated with an increased risk of 2-year all-cause mortality (HR: 1.64; 95% CI: 1.01-2.66). With further adjustment for several clinical and psychosocial measures, this association was no longer statistically significant. Strength and comfort from religion and intercessory prayers were not significantly associated with mortality. CONCLUSIONS: Most ACS survivors acknowledge deriving strength and comfort from religion, praying for their health, and intercessions made by others for their health. Although the reported religious practices were not associated with post-discharge survival after multivariable adjustment, acknowledging that patients utilize their religious beliefs and practices as strategies to improve their health would ensure a more holistic approach to patient management and promote cultural competence in healthcare.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=31584980&dopt=Abstract" target="_blank" title="Link to article on PubMed">Link to Article in PubMed</a>. <strong>Data Availability: </strong>The TRACE-CORE dataset used in our study are publicly available from the University of Massachusetts Medical School’s institutional repository, eScholarship@UMMS. The dataset can be accessed at either of the following links: <a href="https://doi.org/10.13028/s3xe-0y81" target="_blank" title="Link to TRACE-CORE dataset">https://doi.org/10.13028/s3xe-0y81</a> or <a href="https://escholarship.umassmed.edu/publications/30" target="_blank" title="Link to TRACE-CORE dataset">https://escholarship.umassmed.edu/publications/30</a>.</p>
dc.rightsThis is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/
dc.subjectReligion
dc.subjectBehavioral and social aspects of health
dc.subjectDepression
dc.subjectCognitive impairment
dc.subjectPatients
dc.subjectHealth education and awareness
dc.subjectDeath rates
dc.subjectPsychological stress
dc.subjectAlternative and Complementary Medicine
dc.subjectBehavioral Medicine
dc.subjectCardiology
dc.subjectCardiovascular Diseases
dc.subjectClinical Epidemiology
dc.subjectEpidemiology
dc.subjectHealth Services Administration
dc.subjectReligion
dc.titleReligious practices and long-term survival after hospital discharge for an acute coronary syndrome
dc.typeJournal Article
dc.source.journaltitlePloS one
dc.source.volume14
dc.source.issue10
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=5019&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/4002
dc.identifier.contextkey15631401
refterms.dateFOA2022-08-23T16:48:09Z
html.description.abstract<p>BACKGROUND: Prior studies of healthy populations have found religious practices to be associated with survival. However, no contemporary studies have examined whether religiosity influences survival among patients discharged from the hospital after an acute coronary syndrome (ACS). The present study examined the relationship between religious practices and 2-year all-cause mortality among hospital survivors of an ACS.</p> <p>METHODS: Patients hospitalized for an ACS were recruited from 6 medical centers in Massachusetts and Georgia between 2011 and 2013. Study participants self-reported three items assessing religiosity: strength/comfort from religion, petition prayers for health, and awareness of intercessory prayers by others. All cause-mortality within 2-years of hospital discharge was ascertained by review of medical records at participating study hospitals and from death certificates. Cox proportional hazards models were used to estimate the multivariable adjusted risk of 2-year all-cause mortality.</p> <p>RESULTS: Participants (n = 2,068) were on average 61 years old, 34% were women, and 81% were non-Hispanic White. Approximately 85% derived strength/comfort from religion, 61% prayed for their health, and 89% were aware of intercessions. Overall, 6% died within 2 years post-discharge. After adjusting for sociodemographic variables (age, sex, and race/ethnicity), petition prayers were associated with an increased risk of 2-year all-cause mortality (HR: 1.64; 95% CI: 1.01-2.66). With further adjustment for several clinical and psychosocial measures, this association was no longer statistically significant. Strength and comfort from religion and intercessory prayers were not significantly associated with mortality.</p> <p>CONCLUSIONS: Most ACS survivors acknowledge deriving strength and comfort from religion, praying for their health, and intercessions made by others for their health. Although the reported religious practices were not associated with post-discharge survival after multivariable adjustment, acknowledging that patients utilize their religious beliefs and practices as strategies to improve their health would ensure a more holistic approach to patient management and promote cultural competence in healthcare.</p>
dc.identifier.submissionpathoapubs/4002
dc.contributor.departmentDivision of Cardiovascular Medicine, Department of Medicine
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.source.pagese0223442


Files in this item

Thumbnail
Name:
journal.pone.0223442.pdf
Size:
802.4Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Except where otherwise noted, this item's license is described as This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.