Department of Health Policy and Management, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Slot 820, Little Rock, Arkansas 72205-7199, USA.
J Stud Alcohol Drugs. 2010 Jan;71(1):136-42. doi: 10.15288/jsad.2010.71.136.
This study examined whether particular dimensions of religiousness are prospectively associated with the development or maintenance of an alcohol-use disorder (AUD) among at-risk drinkers or persons with a history of problem drinking.
A prospective cohort study was conducted among at-risk drinkers identified through a population-based telephone survey of adults residing in the southeastern United States. The cohort was stratified by baseline AUD status to determine how several dimensions of religiousness (organized religious attendance, religious self-ranking, religious influence on one's life, coping through prayer, and talking with a religious leader) were associated with the development and, separately, the maintenance or remission of an AUD over 6 months. Multiple logistic regression analyses were conducted to estimate the odds of developing versus not developing an AUD and maintaining versus remitting from an AUD while adjusting for measures of social support and other covariates.
Among persons without an AUD at baseline, more frequent organized religious attendance, adjusted odds ratio (OR(adj)) = 0.73, 95% CI [0.55, 0.96], and coping through prayer, OR(adj) = 0.63, 95% CI [0.45, 0.87], were associated with lower adjusted odds of developing an AUD. In contrast, among persons with an AUD at baseline, no dimension of religiousness was associated with the maintenance or remission of an AUD.
The findings of this study suggest that religious attendance and coping through prayer may protect against the development of an AUD among at-risk drinkers. Further research is warranted to ascertain whether these or other religious activities and practices should be promoted among at-risk drinkers.
本研究旨在探讨宗教信仰的特定维度是否与高危饮酒者或有饮酒问题史者的酒精使用障碍（AUD）的发展或维持有关。
在一项针对居住在美国东南部的成年人进行的基于人群的电话调查中，对高危饮酒者进行了前瞻性队列研究。该队列根据基线 AUD 状况进行分层，以确定宗教信仰的几个维度（有组织的宗教参与、宗教自评、宗教对生活的影响、通过祈祷应对以及与宗教领袖交谈）如何与 AUD 的发展相关，以及分别与 AUD 的维持或缓解相关。进行了多项逻辑回归分析，以估计在调整社会支持和其他协变量后，发展与不发展 AUD 以及维持与缓解 AUD 的可能性。
在基线时没有 AUD 的人群中，更频繁的有组织宗教参与，调整后的优势比（OR(adj)）=0.73，95%CI[0.55,0.96]，以及通过祈祷应对，OR(adj)=0.63，95%CI[0.45,0.87]，与发展 AUD 的调整后优势比降低相关。相比之下，在基线时患有 AUD 的人群中，宗教信仰的任何维度都与 AUD 的维持或缓解无关。
这项研究的结果表明，宗教参与和通过祈祷应对可能会降低高危饮酒者 AUD 的发展风险。需要进一步的研究来确定这些或其他宗教活动和实践是否应该在高危饮酒者中推广。
