Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
Am J Public Health. 2012 Apr;102(4):657-63. doi: 10.2105/AJPH.2011.300517. Epub 2012 Feb 16.
We examined whether the health risk behaviors of lesbian, gay, and bisexual (LGB) youths are determined in part by the religious composition of the communities in which they live.
Data were collected from 31,852 high school students, including 1413 LGB students, who participated in the Oregon Healthy Teens survey in 2006 through 2008. Supportive religious climate was operationalized according to the proportion of individuals (of the total number of religious adherents) who adhere to a religion supporting homosexuality. Comprehensive data on religious climate were derived from 85 denominational groups in 34 Oregon counties.
Among LGB youths, living in a county with a religious climate that was supportive of homosexuality was associated with significantly fewer alcohol abuse symptoms (odds ratio [OR] = 0.58; 95% confidence interval [CI] = 0.40, 0.85) and fewer sexual partners (OR = 0.77; 95% CI = 0.60, 0.99). The effect of religious climate on health behaviors was stronger among LGB than heterosexual youths. Results remained robust after adjustment for multiple confounding factors.
The religious climate surrounding LGB youths may serve as a determinant of their health risk behaviors.
我们研究了同性恋、双性恋和双性恋（LGB）青年的健康风险行为是否部分取决于他们所居住社区的宗教构成。
我们收集了 2006 年至 2008 年参加俄勒冈健康青少年调查的 31852 名高中生的数据，其中包括 1413 名 LGB 学生。支持性宗教氛围是根据遵守同性恋支持宗教的个人（宗教信徒总数）的比例来实施的。宗教氛围的综合数据来自俄勒冈州 34 个县的 85 个教派团体。
在 LGB 青年中，生活在一个支持同性恋的宗教氛围的县与酒精滥用症状显著减少（优势比 [OR] = 0.58；95%置信区间 [CI] = 0.40，0.85）和性伴侣减少（OR = 0.77；95% CI = 0.60，0.99）有关。宗教氛围对健康行为的影响在 LGB 青年中比异性恋青年更强。在调整了多种混杂因素后，结果仍然稳健。
围绕 LGB 青年的宗教氛围可能是他们健康风险行为的决定因素。
