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Xiong M, Ma W, Hu X, Tong Y, He Z, Lei Q, Koenig HG, Wang Z. Mild Cognitive Impairment, Religiosity, Spirituality and all-Cause Mortality Among Chinese Older Adults in Ethnic Minority Communities. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02149-7. [PMID: 39365426 DOI: 10.1007/s10943-024-02149-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/25/2024] [Indexed: 10/05/2024]
Abstract
The relationship between mild cognitive impairment (MCI), religiosity and/or spirituality (R/S), and all-cause mortality among older adults has yet to be clarified. The current study aims to examine this relationship using a longitudinal cohort from ethnic minority communities in mainland China. The Cox proportional hazards regression modeling revealed that MCI predicted an increased risk of all-cause mortality, and high R/S buffered this association. Those findings suggest that a religious-spiritual integrated community intervention program may reduce the mortality risk in older adults with MCI in ethnically disadvantaged populations.
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Affiliation(s)
- Mengyun Xiong
- Department of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, Xincheng Road, Songshanhu District, Dongguan, 523808, Guangdong Province, China
- Department of Geriatrics, the First Dongguan Affiliated Hospital of Guangdong Medical University, Dongguan, 523710, China
| | - Wanrui Ma
- Department of Geriatrics, the First Dongguan Affiliated Hospital of Guangdong Medical University, Dongguan, 523710, China
| | - Xue Hu
- Department of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, Xincheng Road, Songshanhu District, Dongguan, 523808, Guangdong Province, China
| | - Yan Tong
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, 030000, China
| | - Zhehao He
- Department of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, Xincheng Road, Songshanhu District, Dongguan, 523808, Guangdong Province, China
| | - Qiuhui Lei
- Department of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, Xincheng Road, Songshanhu District, Dongguan, 523808, Guangdong Province, China
| | - Harold G Koenig
- Departments of Psychiatry and Medicine, Duke University Medical Center, Durham, NC27710, USA
- Division of Psychiatry, Department of Medicine, King Abdulaziz University, 21589, Jeddah, Saudi Arabia
| | - Zhizhong Wang
- Department of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, Xincheng Road, Songshanhu District, Dongguan, 523808, Guangdong Province, China.
- Department of Geriatrics, the First Dongguan Affiliated Hospital of Guangdong Medical University, Dongguan, 523710, China.
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Pan SW, Liang Y, Wu S, Wang W, Hu X, Wang J, Huang W. Health Effects of Religion, Spirituality, and Supernatural Beliefs in Mainland China: A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2022; 61:2726-2742. [PMID: 35347576 DOI: 10.1007/s10943-022-01543-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 03/01/2022] [Indexed: 06/14/2023]
Abstract
Effects of religion, spirituality and supernatural beliefs (RSS) upon health in mainland China remain poorly understood, despite strong RSS beliefs influencing Chinese society. We conducted a Chinese-English bilingual systematic review to summarize the state of RSS-health research in mainland China. Study quality was assessed using the Critical Appraisal Skills Program tool. We screened 1858 studies, 162 of which were included in the review. From 2000-2004 to 2015-2019, the number of RSS-health studies in China increased from five to 73. However, only 7% of studies were rated as higher quality. Cross-sectional and case-control studies represented the vast majority of study designs (94%) and religious affiliation was the only RSS measure for 58% of studies. Higher, moderate, and lower quality studies indicated that RSS has both beneficial and adverse health implications. RSS-health research in China has accelerated rapidly in the last 20 years, but fundamental gaps in knowledge remain. Longitudinal study designs and nuanced RSS measures are needed to advance understanding of RSS health effects in China.
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Affiliation(s)
- Stephen W Pan
- Department of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, 111 Ren'ai Road, Suzhou, 215123, Jiangsu, China.
- University of Liverpool, Liverpool, UK.
| | - Yuxin Liang
- Department of Biological Sciences, Xi'an Jiaotong-Liverpool University, Suzhou, China
| | - Shiqiang Wu
- Department of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, 111 Ren'ai Road, Suzhou, 215123, Jiangsu, China
| | - Wanqi Wang
- Department of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, 111 Ren'ai Road, Suzhou, 215123, Jiangsu, China
| | - Xinwen Hu
- Department of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, 111 Ren'ai Road, Suzhou, 215123, Jiangsu, China
| | - Jing Wang
- Department of Health and Environmental Sciences, Xi'an Jiaotong-Liverpool University, 111 Ren'ai Road, Suzhou, 215123, Jiangsu, China
| | - Wenting Huang
- Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USA
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Liu JF, Xie WP, Lei YQ, Cao H, Chen Q. The relationship between religious beliefs and mental state, care burden, and quality of life in parents of infant patients with congenital heart disease. Cardiol Young 2021; 32:1-5. [PMID: 34645537 DOI: 10.1017/s1047951121004200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To evaluate the relationship between religious beliefs and mental state, care burden, and quality of life in parents of infantile patients with CHD. METHODS A cross-sectional study was conducted at a provincial hospital in Fujian, China. In this study, 114 parents of infant patients with CHD were successfully enrolled. Data were collected using the Duke University Religion Index, Hospital Anxiety and Depression Scale, Zarit Caregiver Burden Interview, and 36-Item Short-Form Health Survey. RESULTS The organisational religious activity, non-organisational religious activity, and intrinsic religiosity of parents were significantly related to the care burden and quality of life, and the two dimensions of non-organisational religious activity and intrinsic religiosity of parents were significantly related to their anxiety symptoms. No association was found between parents' religious beliefs and their depressive symptoms. Among Buddhist parents, non-organisational religious activity and intrinsic religiosity reduced the care burden and improved quality of life. Among Christian parents, organisational religious activity and non-organisational religious activity were found to reduce the care burden, while organisational religious activity and intrinsic religiosity were found to improve quality of life. There was no correlation between the sub-dimensions of religious beliefs and a negative impact on the care process in Muslim parents. CONCLUSION Religious beliefs have a protective effect on the parents of infant patients with CHD. They help relieve parents' anxiety, reduce their care burden, and improve their quality of life. In addition, different religious beliefs have different dimensions of influence on caregivers.
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Affiliation(s)
- Jian-Feng Liu
- Department of Cardiac Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China
- Department of Cardiac Surgery, Fujian Children's Hospital, Fuzhou, China
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
- Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
| | - Wen-Peng Xie
- Department of Cardiac Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China
- Department of Cardiac Surgery, Fujian Children's Hospital, Fuzhou, China
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
- Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
| | - Yu-Qing Lei
- Department of Cardiac Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China
- Department of Cardiac Surgery, Fujian Children's Hospital, Fuzhou, China
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
- Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
| | - Hua Cao
- Department of Cardiac Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China
- Department of Cardiac Surgery, Fujian Children's Hospital, Fuzhou, China
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
- Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
| | - Qiang Chen
- Department of Cardiac Surgery, Fujian Branch of Shanghai Children's Medical Center, Fuzhou, China
- Department of Cardiac Surgery, Fujian Children's Hospital, Fuzhou, China
- Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
- Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China
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Mantri S, Song YK, Lawson JM, Berger EJ, Koenig HG. Moral Injury and Burnout in Health Care Professionals During the COVID-19 Pandemic. J Nerv Ment Dis 2021; 209:720-726. [PMID: 34582400 DOI: 10.1097/nmd.0000000000001367] [Citation(s) in RCA: 42] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT The coronavirus pandemic (COVID-19) is predicted to increase burnout in health professionals (HPs), but little is known about moral injury (MI) in this context. We administered the Moral Injury Symptoms Scale for Health Professionals (MISS-HP) and the abbreviated Maslach Burnout Inventory via online survey to a global sample of 1831 HPs in April and October 2020. Mean MISS-HP increased from 27.4 (SD, 11.6) in April to 36.4 (SD, 13.8) in October (p < 0.001), with an accompanying increase in personal accomplishment (April: 4.7; SD, 3.1; October: 9.3; SD, 3.1; p < 0.001) and no change in other burnout subscales. In April, 26.7% of respondents reported at least moderate functional impairment from MI, increasing to 45.7% in October (p < 0.001). Predictors of MISS-HP included younger age and being a nurse. Odds of functional impairment were higher in respondents who were widowed, divorced, never married, or had direct experience caring for patients with COVID-19. COVID-19 has increased MI but not burnout in HPs; younger or unmarried individuals, nurses, and frontline workers may benefit from targeted outreach to reduce downstream effects of MI, depression, and/or posttraumatic stress disorder.
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Affiliation(s)
| | | | | | - Elizabeth J Berger
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hofstra University, Hempstead, New York
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Jakubowska K, Chruściel P, Jurek K, Machul M, Kościołek A, Dobrowolska B. Religiosity and Attitudes towards Health, Disease, Death and the Use of Stimulants among Jehovah's Witnesses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105049. [PMID: 34064581 PMCID: PMC8151608 DOI: 10.3390/ijerph18105049] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 04/30/2021] [Accepted: 05/08/2021] [Indexed: 11/16/2022]
Abstract
Religiosity is considered as one of the many factors shaping an individual's health consciousness. The aim of the study is an analysis of the correlation between the religiosity of Jehovah's Witnesses and their attitudes towards health and disease. A cross-sectional study was performed on the convenience sample of 171 Jehovah's Witnesses from eastern Poland with the use of two research tools: the author's questionnaire, focusing on attitudes towards health, disease, death and the use of stimulants, and the Duke University Religion Index (DUREL). The research involved 99 females (57.9%) and 72 males (42.1%), with an average age of 37.25 (SD = 12.59) years. On average, they have been a Jehovah's Witness for 29.21 (SD = 13.22) years and are characterised by a high ratio of organisational religious activity (ORA) (M = 5.60; SD = 0.62) and intrinsic religiosity (IR) (M = 4.81; SD = 0.37). Those who had never smoked before becoming one of Jehovah's Witnesses had a higher IR (Z = -2.822; p = 0.005), similarly to those respondents who smoked cigarettes before they became Jehovah's Witnesses (Z = -2.977; p = 0.003) and those who did not abuse alcohol before they became Jehovah's Witnesses (Z= -1.974; p = 0.048). Jehovah's Witnesses are a group characterised by a high degree of consistency when it comes to religiosity, attitudes regarding health and disease and health behaviours. This means that they follow the teachings of their religion with regard to health issues. Knowledge about the association between religiosity and health behaviours is important to provide effective health education, health promotion and development of health prevention policy, specifically when dealing with more religious groups of clients.
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Affiliation(s)
- Klaudia Jakubowska
- Department of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (K.J.); (P.C.); (A.K.)
| | - Paweł Chruściel
- Department of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (K.J.); (P.C.); (A.K.)
| | - Krzysztof Jurek
- Institute of Sociology, Faculty of Social Sciences, John Paul II Catholic University, 20-950 Lublin, Poland;
| | - Michał Machul
- Department of Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland;
| | - Aneta Kościołek
- Department of Development in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (K.J.); (P.C.); (A.K.)
| | - Beata Dobrowolska
- Department of Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland;
- Correspondence:
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Chen L, Zhang S, Zhou Y, Xiao M. How Buddhist beliefs relate to blood donation intention: The role of moral attentiveness and self‐monitoring. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2021. [DOI: 10.1111/jasp.12763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Affiliation(s)
- Liangyong Chen
- Department of Human Resource Management, School of Business Administration Huaqiao University Quanzhou China
| | - Sai Zhang
- Department of Human Resource Management, School of Business Administration Huaqiao University Quanzhou China
| | - Yufeng Zhou
- Chongqing Engineering Technology Research Center for Information Management in Development Chongqing Technology and Business University Chongqing China
| | - Mo Xiao
- Department of Preventive Medicine, School of Medical Examination and Preventive Medicine Quanzhou Medical College Quanzhou China
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Karimi-Malekabadi F, Esmaeilinasab M. Religiosity, intrasexual rivalry, and mate retention behaviors in Iran. PERSONALITY AND INDIVIDUAL DIFFERENCES 2019. [DOI: 10.1016/j.paid.2019.05.059] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wang L, Koenig HG, He Z, Sun X, Shohaib SA, Wang Z. Religiosity and Telomere Length: Moderating Effect of Religiosity on the Relationship Between High-Risk Polymorphisms of the Apolipoprotein E and TOMM40 Gene and Telomere Length. J Appl Gerontol 2019; 39:627-634. [PMID: 31339412 DOI: 10.1177/0733464819865415] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective: The current study seeks to examine the relationship between religiosity and telomere length (TL) in an older Chinese Muslim sample and to explore the moderating effect of religiosity on the relationship between high-risk polymorphisms and TL. Methods: A cross-sectional study of 1,692 community-dwelling adults aged 55 or older was conducted. Apolipoprotein E and TOMM40 (rs2075650) gene polymorphisms and TL were determined using standard procedures. Ordinal logistic regression was used to examine the associations. Results: Religiosity was significantly and positively related to TL. A significant interaction emerged between religiosity and the rs2075650 G polymorphism in predicting TL. Stratified multivariate analyses demonstrated that the relationship between the rs2075650 G state and TL was particularly strong among those who were more religious, as hypothesized. Conclusion: The findings revealed that religiosity may influence cellular aging in part by modifying the effect that high-risk genes have on increasing vulnerability to dementia and cognitive impairment.
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Affiliation(s)
- Liqun Wang
- Ningxia Medical University, Yinchuan, China
| | - Harold G Koenig
- Ningxia Medical University, Yinchuan, China.,Duke University Medical Center, Durham, NC, USA.,King Abdulaziz University, Jeddah, Saudi Arabia
| | | | - Xiaoya Sun
- Ningxia Medical University, Yinchuan, China
| | | | - Zhizhong Wang
- Ningxia Medical University, Yinchuan, China.,Zunyi Medical University, China
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Lace JW, Handal PJ. Confirming the Tripartite Structure of the Duke University Religion Index: A Methodological Approach. JOURNAL OF RELIGION AND HEALTH 2018; 57:704-716. [PMID: 29340895 DOI: 10.1007/s10943-017-0556-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The present study provided a methodological critique regarding psychometric investigations of the Duke University Religion Index (DUREL) and its variants. Nine hundred seventeen (630 females and 287 males) university students (M age = 19.24) completed the DUREL, the Personal Religious Inventory, and the Daily Spiritual Experiences Scale online. Confirmatory factor analyses were performed to assess a three-factor (organizational religious activity; non-organizational religious activity; and intrinsic religiosity) and a unidimensional model of the DUREL. Chi-square difference tests were performed, and Akaike information criterion values and Bayesian information criterion values were compared between the models, each of which supported the three-factor model for the DUREL over the unidimensional model. Convergent validity for the three factors of the DUREL emerged through Spearman's rho correlations with measures of personal prayer, ritual religious attendance, religious integration, Closeness to the Divine. This study concluded that the DUREL is a multidimensional measurement of religion for use in English-speaking university students, and it provided a broad methodological note regarding future investigations of measures of religion or spirituality that possess an existing theoretical model.
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Cruz JP, Reyes RWP, Colet PC, Estacio JC, Caldeira S, Vitorino LM, Koenig HG. Psychometric Evaluation of the Filipino Versions of the Duke University Religion Index and the Spiritual Coping Strategies Scale in Filipino Hemodialysis Patients. JOURNAL OF RELIGION AND HEALTH 2017; 56:1381-1396. [PMID: 28054216 DOI: 10.1007/s10943-016-0355-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study evaluated the psychometric properties of the Filipino versions of the Duke University Religion Index (DUREL-F) and the Spiritual Coping Strategies scale (SCS-F) for hemodialysis (HD) patients in the Philippines. A convenient sample of 162 HD patients was included in this descriptive, cross-sectional study. The DUREL-F and SCS-F exhibited acceptable internal consistency and stability reliability, as well as excellent content and construct validity. The findings confirmed the soundness of the psychometric properties of the two scales. Thus, they can be used for timely and accurate assessment of religiosity and spiritual coping utilization among Filipino patients receiving HD.
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Affiliation(s)
- Jonas Preposi Cruz
- Nursing Department, College of Applied Medical Sciences, Shaqra University, PO Box 1678, Dawadmi, 11911, Saudi Arabia.
| | - Ralph Warren P Reyes
- Ilocos Training and Regional Medical Center, San Fernando, La Union, Philippines
| | - Paolo C Colet
- Nursing Department, College of Applied Medical Sciences, Shaqra University, PO Box 1678, Dawadmi, 11911, Saudi Arabia
| | - Joel C Estacio
- Midwifery Department, Institute of Community Health and Allied Medical Sciences, Don Mariano Marcos Memorial State University South La Union Campus, Agoo, La Union, Philippines
| | - Sílvia Caldeira
- Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, Portugal
| | | | - Harold G Koenig
- Duke University Medical Center, Durham, NC, USA
- King Abdulaziz University, Jeddah, Saudi Arabia
- Ningxia Medical University, Yinchuan, China
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