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American Journal of Epidemiology Vol. 138, No. 8: 569-573
Copyright © 1993 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Self-reported Morbidity and Disability among Trappist and Benedictine Monks

J. P. Mackenbach, A. E. Kunst, J. H. de Vrij and D. van Meel

From theDepartment of Public Health, Erasmus University P.O. Box 1738, 3000 DR Rotterdam, The Netherlands

Reprint requests to Prof.dr. J. P. Mackenbach at this address

Studies of religious groups that impose prudent lifestyles on their members show low mortality rates in these groups, but it is unclear whether their morbidity rates are also low. The authors studied the prevalence of self-reported morbidity and disability among Trappist and Benedictine monks in the Netherlands. A health interview survey was administered in seven monasteries; the response rate was 67% (n = 134). Rates of morbidity and disability among monks were compared with those among all Dutch males by calculation of standardized morbidity ratios, adjusting for age and (in the case of morbidity) education. Self-reported morbidity among monks was similar to that in the general population (e.g., for one or more chronic conditions: standardized morbidity ratio = 1.07, 95% confidence interval 0.89–1.26), but rates of disability related to activities of daily living were much higher (e.g., for any trouble sitting down and getting up from a chair: standardized morbidity ratio = 2.21, 95% confidence interval 1.44–3.32). The authors hypothesize that a prudent lifestyle may prolong life, but at the expense of a higher prevalence of disability.

handicapped; health surveys; morbidity; religion


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