Chen Chuan-Yu, Dormitzer Catherine M, Bejarano J, Anthony James C
Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Am J Epidemiol. 2004 Jun 15;159(12):1180-8. doi: 10.1093/aje/kwh151.
To investigate the role of religiosity in the earliest stages of drug involvement, the authors studied recent-onset occurrence of first chances to try a drug and first actual drug use, expressed as a function of religious practice behaviors, levels of religious devotion, and religious affiliation. Based upon standardized questionnaire assessments of nationally representative samples of school-attending youths drawn in Panama, the five Spanish heritage countries of Central America, and the Dominican Republic (n = 12,797), the 1999-2000 study estimates indicate that higher levels of religious practice are inversely associated with the earliest stages of tobacco and cannabis experiences (i.e., the first chance to try and the first actual use) but not so for alcohol. To illustrate, for each unit increase in levels of religious practice behaviors, there was an associated reduced occurrence of the first chance to try tobacco (odds ratio = 0.76, 95% confidence interval: 0.62, 0.94). Occurrence of first actual use of tobacco and cannabis was not associated with levels of religious practice behaviors among youths exposed to the opportunity to try these drugs. As such, these behaviors apparently have not strengthened resistance. Rather, autarcesis may be at work, functioning to shield youths from drug exposure opportunities.
为了研究宗教信仰在药物涉入最早阶段所起的作用,作者们将首次尝试药物的机会和首次实际使用药物的最近发生情况作为宗教实践行为、宗教虔诚程度和宗教归属的函数进行了研究。基于对巴拿马、中美洲五个西班牙裔国家以及多米尼加共和国(n = 12,797)上学青年的全国代表性样本进行的标准化问卷调查评估,1999 - 2000年的研究估计表明,较高水平的宗教实践与烟草和大麻体验的最早阶段(即首次尝试的机会和首次实际使用)呈负相关,但与酒精体验无关。举例来说,宗教实践行为水平每增加一个单位,首次尝试烟草的机会就相应减少(优势比 = 0.76,95%置信区间:0.62,0.94)。在有机会尝试这些药物的青年中,首次实际使用烟草和大麻的情况与宗教实践行为水平无关。因此,这些行为显然并没有增强抵抗力。相反,自我保护可能在起作用,其功能是保护青年免受药物接触机会的影响。