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Religious service attendance, health behaviors and well-being-an outcome-wide longitudinal analysis.

Abstract：

BACKGROUND:Previous studies of relationship between religiosity, health behaviors and well-being have showed mainly positive relationships, however, are very often limited to results of associative nature and subject to unmeasured confounding. This study focused on evaluating evidence for a positive association between religious service attendance (RSA), health behaviors and well-being in a longitudinal setting and robustness of these associations to unmeasured confounding. METHODS:Three waves (2009, 2011 and 2015) of the biennial longitudinal Polish household panel study with response from 6400 respondents were analyzed. Evidence for a positive and robust association between RSA and outcome variables was evaluated using outcome-wide regression analysis with control of all variables temporally prior to the exposure and sensitivity measures (E-values) to give information on the extent to which an unmeasured confounder would need to be associated with both the exposure and the outcomes. RESULTS:RSA is associated with reduced risk of unhealthy behaviors (smoking, alcohol use) and higher emotional well-being. These relationships are robust to substantial unmeasured confounding and difficult to explain by reference to other, unknown, variables. Evidence for a positive relationship between RSA and other well-being variables (social, physical) was less clear. CONCLUSIONS:Religiosity may play an important role in public health, particularly in prevention of non-communicable diseases. The strong and robust associations between RSA and some health behaviors (i.e. tobacco use, alcohol abuse) and emotional well-being should arguably be taken into account in health education, health promotion programs, health prevention policy and psychotherapeutic approaches, particularly in more religious populations.

journal_name

Eur J Public Health

journal_title

European journal of public health

authors

Pawlikowski J,Białowolski P,Węziak-Białowolska D,VanderWeele TJ

doi

10.1093/eurpub/ckz075

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1177-1183

issue

eissn

1101-1262

issn

1464-360X

pii

5481880

journal_volume

pub_type

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Religious service attendance, health behaviors and well-being-an outcome-wide longitudinal analysis.