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Cancer incidence in Mormons and non-Mormons in Utah, 1966-1970.

Between 1950 and 1969 cancer mortality in white Utah residents was 22 per cent less than that in the entire United States population. The religion of 72 per cent of the State residents (Mormon) proscribes use of tobacco and alcohol. We therefore analyzed the 10,641 cases of cancer identified in Utah from 1966 to 1970 and compared the incidence found in Utah Mormons, in Utah non-Mormons, and in a national survey. Comparison of Utah Mormons with non-Mormons showed that Mormons had a lower incidence of all cancers associated with cigarette smoking (P less than 0.00001). Mormon females had a low incidence of cancer of the breast (P = 0.008), uterine cervix (P less than 0.00001), and ovary (P = 0.04); Mormon males had a lower incidence of stomach cancers (P = 0.003). These findings addevidence to the association between cigarette smoking and certain cancers, but leave unexplained the significant differences between Mormons and non-Mormons for incidence of cancer of the breast, cervix, prostate and nervous system.

Alcohol Drinking↗

Cancer incidence in Mormons and non-Mormons in Utah during 1967--75.

Data from the Utah Cancer Registry were used to compare cancer incidence in Mormons and non-Mormons in Utah for the period 1967--75. Church membership was identified for 97.8% of the 20,379 cases in Utah by a search of the central membership files of the Church of Jesus Christ of Latter-Day Saints (or Mormon Church). Sites associated with smoking (lung, larynx, pharynx, oral cavity, esophagus, and urinary bladder) showed an incidence in Mormons at about one-half that of non-Mormons. Rates of cancers of the breast, cervix, and ovary were low in Mormon women; the rate for cervical cancer was about one-half of that observed in non-Mormons. Cancers of the stomach, colon-rectum, and pancreas were about one-third lower in Mormons than in others who are not members of this religious group. Most of the differences seen in cancer incidence can be explained by Mormon teachings regarding sexual activity and alcohol and tobacco use, but some differences (e.g., colon and stomach) remain unexplained.

Christianity↗

Cardiovascular mortality in Mormons and non-Mormons in Utah, 1969--1971.

Cardiovascular mortality in the State of Utah is among the lowest in the United States. The religion of 72% of the state residents (Mormon) proscribes the use of tobacco and alcohol; a large number of Mormons adhere to this proscription. This study analyzed the 6108 cardiovascular disease deaths between 1969--1971 in Utah of members in the Mormon Church. For both sexes, Mormons had 35% less mortality than expected from US rates for ischemic heart disease, while non-Mormons were not significantly different from US whites. These results support the relationship between cigarette smoking and mortality from cardiovascular disease. Mormon men also had lower mortality from hypertensive heart disease and Mormon women from rheumatic heart disease than non-Mormons in Utah.

Aged↗

Cancer risk factors: an analysis of Utah Mormons and non-Mormons.

In a comparison of Mormons and non-Mormons in Utah, more Mormon men and women married spouses of the same faith, were religiously active, were of Northern Europe ancestry, lived in rural areas, had fewer exposures to occupational hazards, were less likely to smoke cigarettes or drink coffee, tea, and alcohol, used fats in cooking, and were more often married that was the cohort of other religions. No differences existed in occupation, but Mormon men had completed more years of schooling. Mormon women were less likely to be college graduates, had fewer sexual partners, had more pregnancies, were older at first pregnancy, were less likely to use birth control pills, had fewer miscarriages and hysterectomies, examined their breasts more often, and had more breast X-rays. For women, there was only a small difference by religion for age at first intercourse and no difference for age at which they began using birth control pills. Religious activity was examined for Mormons, and in most instances inactive Mormons were more like the non-Mormon population in respect to the variables measured.

Adult↗

Selected beverage consumption patterns among Mormon and non-Mormon populations from the same geographic location.

This study presents data from a mail questionnaire survey designed to determine the daily beverage consumption patterns of Mormon and non-Mormon households in Utah and southern Idaho. Mormons differed significantly from their non-Mormon counterparts in both their low intake of coffee, tea, and beer, and increased daily consumption of milk and water. A high percentage of Mormons adhere to Church doctrin in their beverage intake habits and the results would appear to substantiate previous preliminary studies of the dietary habits in this religious group.

Adult↗

Cancer incidence among Mormons and non-Mormons in Utah (United States) 1971-85.

We calculated age-adjusted incidence rates per 100,000 by religion (Mormon, non-Mormon) for Utah (United States) using the 49,182 cancer cases occurring between 1971-85. For all causes of cancer, the rate in Utah for male members of the Church of Jesus Christ of Latter-day Saints (LDS or Mormons) was about 24 percent less than the comparable US rate. There was a 50-percent lower rate of cancers associated with cigarette smoking among LDS men. Non-LDS (NLDS) men in Utah experienced an incidence of smoking-associated cancers slightly higher than other US men. LDS men had an incidence of those cancers not associated with smoking slightly lower than US men, and NLDS men had a 40-percent higher rate than US men because of higher rates of melanoma and cancers of the lip and prostate gland. LDS women had an all-sites cancer rate 24 percent below the comparable US rate, and a 60-percent lower rate of smoking-associated cancers. The incidence of cancer not associated with smoking was 20 percent lower for LDS women compared with US women and was the result of lower rates of cancers of the colon, breast, and uterine cervix. NLDS women had a 13-percent higher incidence of cancers not associated with smoking because of higher rates of cancers of the lip and breast.

Age Factors↗

The effect of maternal employment on Mormon and non-Mormon adolescents.

The relationship between maternal employment and familial relations was investigated in two groups of adolescents. Samples of Mormon and non-Mormon adolescents whose mothers either worked full-time or were nonemployed were compared on a series of questionnaire items designed to assess general family climate and quality of relationships with parents. Results indicated that both sons and daughters from Mormon families where the mother was not employed full-time reported a closer relationship with their fathers.

Adolescent↗

Cancer incidence among Mormons and non-Mormons in Utah (United States) 1995-1999.

BACKGROUND: Population-based Utah Cancer Registry data were linked with Latter-day Saint (LDS or Mormon) Church membership records to obtain site-specific cancer incidence for LDS and non-LDS populations in Utah during 1995-1999. METHODS: Analyses were based on 27,631 incident cases of cancer identified among whites. Restriction to whites was made because of the small number of nonwhites, approximately 5%, in the state during the study period. The direct method was used to age-adjust the rates to the 2000 U.S. standard population. RESULTS: Significantly lower cancer incidence rates per 100,000 were observed among LDS compared with non-LDS males (287.2 vs. 321.1) and females (247.7 vs. 341.0). The lower rates are primarily explained by smoking-related cancers and female breast cancer. If the overall cancer incidence rate in LDS had occurred in the non-LDS population, 2.9% or 421 fewer cases would have occurred among males and 7.9% or 1,025 fewer cases would have occurred among females during the study period. CONCLUSIONS: Given our current knowledge of risk factors for cancer, differences between LDS and non-LDS in smoking for males and smoking and sexual and reproductive behaviors in females primarily explain the lower risk of cancer in LDS populations.

Church of Jesus Christ of Latter-day Saints↗

Mortality among New Zealand Maori and non-Maori Mormons.

Mortality rates for New Zealand Maori and non-Maori Mormons in the period 1970-77 have been compared with those for non-Mormons in the census year 1976 to measure the impact of the Mormon lifestyle on differences in mortality between Maoris and non-Maoris. Maori mortality was much lower among Mormons than non-Mormons suggesting that environmental, rather than genetic factors, play a predominant role in the relatively high overall Maori mortality. However the prevalence of smoking among Maori Mormons was not much lower than for the general Maori population. Reasons for the relative mortality advantage of Maori Mormons were therefore not clear, although attitudes to health and health services utilization, and the influence of strong social support networks, might be involved. Paradoxically, non-Maori Mormon mortality rates were similar to those for non-Mormons. A combination of factors appeared to contribute to this finding including the fact that 26% of non-Maori Mormons were of Pacific Island origin, non-Maori Mormons were of lower socioeconomic status than other non-Maoris, and part Maoris probably constitute a high, but unknown, proportion of Mormons classified as non-Maoris.

Adolescent↗

Cancer mortality among Mormons in California during 1968--75.

On the basis of Church records, detailed cancer and total death rates were determined for an average of 360,000 California Mormons during 1968--75, for an average of 700,000 Utah Mormons during 1970 and 1975, and for a subgroup of active Mormon males known as High Priests and Seventies. For cancer as a whole, the standardized mortality ratio was 68% for all California Mormon males, 83% for all California females, and 50% for active Mormon males in California and Utah compared with 1970 U.S. whites. Age-specific and age-adjusted total mortality rates were substantially lower in Mormons than in 1970 U.S. whites, with the greatest differences occurring between 35 and 65 years of age, where the rates for active Mormon males were reduced by more than 60%. Methodologic issues and sources of error were discussed, and the overall quality of the data was good. Some health-related characteristics of Mormons are also summarized.

Adult↗

Cancer and total mortality among active Mormons.

Based on Church records for 15,500 California Mormons during 1968 to 1975 and for 55,000 Utah Mormons during 1970 and 1975, the ratio of age-adjusted death rates for religiously active Mormon males compared with U.S. white males is 38% for ages 35 to 64 years and 50% for ages 35 years and above. The remaining life expectancy for active Mormon men at age 35 is about 44 years, over 7 years greater than for U.S. white males. Their standardized mortality ratio is 50% for all cancer, being 23% for smoking-related cancer sites and 68% for all other sites. Active Mormons, defined here to be High Priests and Seventies, abstain almost completely from the use of tobacco, alcohol, coffee, and tea, but appear to be fairly similar to other white males with regard to socioeconomic status, urbanization, and diet. Active Mormons are healthier than Mormons as a whole and rank among the lowest in mortality when compared with other groups of healthy males.

Adult↗

Cancer in Utah Mormon women by church activity level.

In light of low cancer rates by the Mormon Church, this study classifies female Mormon cancer patients in Utah according to measures of adherence to Church doctrines. The distribution by Church activity level is compared for each site to a group of other cancer sites felt to represent the overall activity level distribution of Utah Mormon women. Mormon women classified as having the strongest adherence to Church doctrines had lung cancer rates during 1966-1970 much lower than did women with the weakest adherence. The relationship was not as strong, however, as that seen in Mormon men when classified by lay priesthood office. Cancer of the uterine cervix also showed lower rates in the more active groups, but this finding was not statistically significant. Cancers of the breast and ovary did not show consistent associations with Church activity level, nor did most of the gastrointestinal cancers. These data suggest that some of the differences in cancer incidence between Mormons and non-Mormons may not be explained by adherence to specific Church doctrines.

Adult↗

Cancer morbidity and mortality in USA Mormons and Seventh-day Adventists.

Comparison of cancer morbidity and mortality rates between Mormons and Seventh-day-Adventists and the corresponding rates in the Federal Republic of Germany and the United States, reveals that mortality from malignant neoplasms in general is much lower in Mormons and Seventh-day Adventists than in the Federal Republic of Germany. The difference concerns in particular the tobacco-dependent tumors: compared to the rate of affected males in the Federal Republic of Germany, only some 25% of Mormon males are getting lung cancer. Similar patterns are found in laryngeal carcinoma. Tumors that are related to both alcohol and tobacco, such as carcinomas of tongue, pharynx and esophagus, are also significantly less frequent in Mormons. Malignant neoplasms of the female genital tract show distinct analogies: cervical carcinoma has a morbidity rate of only 26.7% of affected women in Germany. Accordingly, mortality rates of Mormons and Seventh-day Adventists show a significant lower level when compared with cancer data of lung, colon and rectum, and prostate from the best German cancer registry (Saarland). Some tumor rates are higher in Mormons, e.g. malignant melanoma, also all types of malignant lymphoma and myeloma. The life expectancy is generally elevated by 2-4 years in Mormons and Seventh-day Adventists. The association with the particular life style of both religious groups, especially the strict reduction of tobacco consumption, and factors of dietary and other habits is discussed.

Colorectal Neoplasms↗

Cancer mortality among Mormons.

Preliminary results show that the 1970-72 cancer mortality rate among California Mormon adults is about one-half to three-fourths that of the general California population for most cancer sites, including many sites with an unclear etiology. Furthermore, the cancer death rate in the predominately Mormon state of Utah is about two-thirds to three-fourths of the United States rate, and the lowest in the entire country. Mormons are a large, health-conscious religious group whose Church doctrine forbids the use of tobacco, alcohol, coffee, and tea, and recommends a nutritious diet. Initial indications are that Mormons as a whole smoke and drink about half as much as the general population, and that active Mormons abstain almost completely from tobacco and alcohol. However, they appear to be fairly similar to the general white population in other respects, such as socioeconomic status and urbanization. The significance of these findings is discussed.

Adolescent↗

Health practices and cancer mortality among active California Mormons.

Religiously active Mormons in California are a nonsmoking population with unusually low risk for cancer. This finding is based on the results of our 1979 questionnaire survey of life-style and the 8-year (1980-1987) follow-up of mortality among 5,231 Mormon high priests and 4,613 wives 25-99 years of age. Our study, which is the first prospective cohort study of Mormons, shows low standardized mortality ratios (SMRs) for this population, relative to those for whites in the general population in the United States, which are defined as 100. The SMRs for males are 47 for all cancers, 52 for cardiovascular diseases, and 47 for all causes; the SMRs for females are 72 for all cancers, 64 for cardiovascular diseases, and 66 for all causes. For middle-aged high priests adhering to three health practices (never smoking cigarettes, engaging in regular physical activity, and getting proper sleep), the SMRs are 34 for all cancers, 14 for cardiovascular diseases, and 22 for all causes. These results have been largely replicated in an active Mormon-like subgroup (white nonsmokers attending church weekly) from a representative sample of residents of Alameda County, CA. Our findings confirm and expand on previous descriptive studies of Mormons and demonstrate how these results can be generalized.

Adult↗

Risk factors and the prevalence of depression in Mormon women.

A cross-sectional study was conducted in the Utah metropolitan area in which a random sample of white, married women with children 14 years of age or younger were interviewed by telephone. Information was obtained on possible risk factors for depression and depression was measured using the Beck Depression Inventory (BDI). Prevalence of depression was compared in Mormon women (N = 143) who have a high percentage of career homemakers and non-Mormon (N = 36) who have a high percentage of women working outside the home. No difference in prevalence of depression was noted. Risk factors for depression in Mormon women were also studied. After adjusting for confounding, the risk factors were: Less education, little perceived caring from spouse, perception of having less than good health and having a low income. These findings are compared to other studies.

Christianity↗

Cancer in Utah Mormon men by lay priesthood level.

Mormons have been shown to have low cancer rates at several common sites, particularly those associated with tobacco and alcohol use. This likely reflects adherence to their Church doctrines advocating abstention from the use of these substances. All Mormons, however, do not adhere to the health practices of their Church, and this study classifies Utah Mormon men by their lay priesthood offices, which reflect degree of adherence to Church doctrines. Follow-up cancer rates for 1966-1970 indicate that the most devout group (Seventies and High Priests) have lung cancer rates 80% lower than those of the least devout group. The same was seen for all smoking- and alcohol-associated cancer sites combined. Cancer of the stomach and the leukemias and lymphomas also had lower rates in the most devout group. Cancers of the colon-rectum, prostate, and pancreas showed little difference in rates when classified by lay priesthood office. These data provide a demonstration of the effects of a healthy lifestyle on cancer occurrence in men.

Adolescent↗