4.3 Article

Mortality, Health, and Substance Abuse by Religious Attendance Among HIV Infected Patients from the Veterans Aging Cohort Study

Journal

AIDS AND BEHAVIOR
Volume 25, Issue 3, Pages 653-660

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-020-03028-4

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The study found that HIV/AIDS patients who attend religious services monthly have higher social support, less unhealthy behaviors, lower drug use rates, and lower depression. After adjustment, religious attendance was associated with a reduced risk of mortality, but this association became non-significant after controlling for smoking status.
Religion and spirituality have been associated with higher survival and improved biological markers among people living with HIV/AIDS (PLWH). Prior results have largely been among small cohort studies. We examined the association using a larger sample and longitudinal data from the Veterans Aging Cohort Study (VACS) years 2002-2012 (n = 3,685). Attending services at least monthly was associated with higher social support (80% vs 75%, p = 0.002), less unhealthy alcohol use (35% vs 39%, p = 0.006), less marijuana use in the past year (23% vs 32%, p < 0.001), less overall drug use within the past year (27% vs 31%, p = 0.01), and lower depression (20% vs 24%, p = 0.004). Attending services monthly was associated with a reduced mortality risk adjusting for age, race, gender, education, MSM, HCV, VL, CD4, and adherence to ARV (adjusted HazardRatio [aHR] = 0.89, 0.80-0.99). However, after controlling for smoking status, this association of mortality and religious attendance became non-significant (aHR = 0.93, 0.84-1.04).

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