{"title":"活动参与对丹麦男女死亡和住院风险的影响:来自REGLINK-SHAREDK的见解","authors":"Linda Juel Ahrenfeldt, Jens Søndergaard, McKinsley Laro, Sören Möller, Tobias Anker Stripp","doi":"10.1097/EDE.0000000000001835","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Previous evidence shows that religious service attendance is associated with lower mortality among women and fewer hospitalizations among men. However, it is unclear if similar associations exist for other activities.</p><p><strong>Methods: </strong>This cohort study examines the associations between various activities and their engagement levels on mortality and hospitalizations among 2987 Danes aged 40+ years, interviewed in SHARE from 2004 to 2007. The study followed individuals in the Danish registers until 2018. We estimated relative and absolute risks of mortality at age 90 and used negative binomial regressions for hospitalizations, including adjustment for several potential confounders.</p><p><strong>Results: </strong>Overall, activity participation was associated with lower mortality. Specifically, individuals participating in voluntary or charity work (relative risks [RR] = 0.85; 95% CI = 0.76, 0.95; risk differences [RD] = -0.11; 95% CI = -0.18, -0.04), helping others (RR = 0.88; 95% CI = 0.82, 0.95; RD = -0.09; 95% CI = -0.14, -0.04), or participating in sports or social clubs (RR = 0.89; 95% CI = 0.81, 0.98; RD = -0.09; 95% CI = -0.15, -0.03) exhibited lower mortality. We found lower mortality among women who took part in a religious organization. Our results showed fewer hospitalizations for men who engaged in 3+ activities, and for men who took part in a religious organization. For some activities, the strength of associations varied with activity frequency; for example, caring for the sick was associated with fewer hospitalizations but only when done less than once a week.</p><p><strong>Conclusions: </strong>Several activities were associated with lower mortality, particularly among women. However, the reduced hospitalizations observed among men attending religious services did not extend to other activities.</p>","PeriodicalId":11779,"journal":{"name":"Epidemiology","volume":"36 3","pages":"297-305"},"PeriodicalIF":4.4000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of Activity Participation on the Risk of Mortality and Hospitalizations in Danish Men and Women: Insights from REGLINK-SHAREDK.\",\"authors\":\"Linda Juel Ahrenfeldt, Jens Søndergaard, McKinsley Laro, Sören Möller, Tobias Anker Stripp\",\"doi\":\"10.1097/EDE.0000000000001835\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Previous evidence shows that religious service attendance is associated with lower mortality among women and fewer hospitalizations among men. However, it is unclear if similar associations exist for other activities.</p><p><strong>Methods: </strong>This cohort study examines the associations between various activities and their engagement levels on mortality and hospitalizations among 2987 Danes aged 40+ years, interviewed in SHARE from 2004 to 2007. The study followed individuals in the Danish registers until 2018. We estimated relative and absolute risks of mortality at age 90 and used negative binomial regressions for hospitalizations, including adjustment for several potential confounders.</p><p><strong>Results: </strong>Overall, activity participation was associated with lower mortality. Specifically, individuals participating in voluntary or charity work (relative risks [RR] = 0.85; 95% CI = 0.76, 0.95; risk differences [RD] = -0.11; 95% CI = -0.18, -0.04), helping others (RR = 0.88; 95% CI = 0.82, 0.95; RD = -0.09; 95% CI = -0.14, -0.04), or participating in sports or social clubs (RR = 0.89; 95% CI = 0.81, 0.98; RD = -0.09; 95% CI = -0.15, -0.03) exhibited lower mortality. We found lower mortality among women who took part in a religious organization. Our results showed fewer hospitalizations for men who engaged in 3+ activities, and for men who took part in a religious organization. For some activities, the strength of associations varied with activity frequency; for example, caring for the sick was associated with fewer hospitalizations but only when done less than once a week.</p><p><strong>Conclusions: </strong>Several activities were associated with lower mortality, particularly among women. However, the reduced hospitalizations observed among men attending religious services did not extend to other activities.</p>\",\"PeriodicalId\":11779,\"journal\":{\"name\":\"Epidemiology\",\"volume\":\"36 3\",\"pages\":\"297-305\"},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Epidemiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/EDE.0000000000001835\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/1 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/EDE.0000000000001835","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/1 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
背景:先前的证据表明,参加宗教礼拜与女性较低的死亡率和男性较少的住院率有关。然而,尚不清楚其他活动是否也存在类似的关联。方法:本队列研究调查了2987名40岁以上丹麦人的各种活动及其参与程度与死亡率和住院率之间的关系,这些人于2004年至2007年在SHARE中接受了采访。该研究追踪了丹麦登记册上的个人,直到2018年。我们估计了90岁时死亡的相对和绝对风险,并对住院治疗使用负二项回归,包括对几个潜在混杂因素的调整。结果:总体而言,运动参与与较低的死亡率相关。具体而言,参与志愿或慈善工作的个体(相对风险[RR] = 0.85;95% ci = 0.76, 0.95;风险差异[RD] = -0.11;95% CI = -0.18, -0.04),帮助他人(RR = 0.88;95% ci = 0.82, 0.95;Rd = -0.09;95% CI = -0.14, -0.04),或参加体育运动或社交俱乐部(RR = 0.89;95% ci = 0.81, 0.98;Rd = -0.09;95% CI = -0.15, -0.03)表现出较低的死亡率。我们发现参加宗教组织的妇女死亡率较低。我们的研究结果显示,从事3项以上活动的男性和参加宗教组织的男性住院率更低。对于某些活动,关联强度随活动频率而变化;例如,照顾病人与减少住院有关,但只有在每周少于一次的情况下。结论:一些活动与较低的死亡率有关,特别是在妇女中。然而,参加宗教礼拜的男子住院人数减少的情况并未延伸到其他活动。
Impact of Activity Participation on the Risk of Mortality and Hospitalizations in Danish Men and Women: Insights from REGLINK-SHAREDK.
Background: Previous evidence shows that religious service attendance is associated with lower mortality among women and fewer hospitalizations among men. However, it is unclear if similar associations exist for other activities.
Methods: This cohort study examines the associations between various activities and their engagement levels on mortality and hospitalizations among 2987 Danes aged 40+ years, interviewed in SHARE from 2004 to 2007. The study followed individuals in the Danish registers until 2018. We estimated relative and absolute risks of mortality at age 90 and used negative binomial regressions for hospitalizations, including adjustment for several potential confounders.
Results: Overall, activity participation was associated with lower mortality. Specifically, individuals participating in voluntary or charity work (relative risks [RR] = 0.85; 95% CI = 0.76, 0.95; risk differences [RD] = -0.11; 95% CI = -0.18, -0.04), helping others (RR = 0.88; 95% CI = 0.82, 0.95; RD = -0.09; 95% CI = -0.14, -0.04), or participating in sports or social clubs (RR = 0.89; 95% CI = 0.81, 0.98; RD = -0.09; 95% CI = -0.15, -0.03) exhibited lower mortality. We found lower mortality among women who took part in a religious organization. Our results showed fewer hospitalizations for men who engaged in 3+ activities, and for men who took part in a religious organization. For some activities, the strength of associations varied with activity frequency; for example, caring for the sick was associated with fewer hospitalizations but only when done less than once a week.
Conclusions: Several activities were associated with lower mortality, particularly among women. However, the reduced hospitalizations observed among men attending religious services did not extend to other activities.
期刊介绍:
Epidemiology publishes original research from all fields of epidemiology. The journal also welcomes review articles and meta-analyses, novel hypotheses, descriptions and applications of new methods, and discussions of research theory or public health policy. We give special consideration to papers from developing countries.