Moscati Arden, Mezuk Briana
Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, 800 East Leigh Street, Biotech 1, Suite 101, P.O. Box 980126, Richmond, VA 23219, United States.
Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University, 830 East Main Street, Eighth Floor, P.O. Box 980212, Richmond, VA 23219, United States.
Drug Alcohol Depend. 2014 Mar 1;136:127-34. doi: 10.1016/j.drugalcdep.2013.12.018. Epub 2014 Jan 6.
Religion has only come into the light of scientific inquiry as a factor influencing health and behavior in the last few decades. While religiosity is a protective factor for contemporaneous substance misuse, the relationship between longitudinal changes in religiosity and substance use outcomes is understudied.
Using data from the National Comorbidity Study - Replication (N=6203), we examined how changes in religiosity from childhood to adulthood are related to use and abuse/dependence of licit (alcohol and tobacco) and illicit drugs. Multivariable logistic regression was used to account for potential confounders including demographic characteristics, familial disruption during childhood, and comorbid major depression.
Religiosity was inversely associated with use and misuse of both licit and illicit substances; however this relationship varied by level of childhood religiosity. Relative to stable levels of religiosity from childhood to adulthood, a 2-unit decrease in religiosity from childhood was associated with increased likelihood of illicit drug use in the past year (odds ratio (OR): 2.43, 95% confidence interval (CI): 1.39-4.25). However, a 2-unit increase in religiosity was also associated with past-year illicit drug use (OR: 1.85, 95% CI: 1.09-3.13). Comparable associations were found with a range of recent and lifetime measures of alcohol, tobacco, and illicit drugs.
Substantial gains or losses in religiosity from childhood to adulthood are associated with substance use and misuse. Findings support the use of a life course approach to understanding the relationship between religiosity and substance use outcomes.
在过去几十年里，宗教作为影响健康和行为的一个因素才进入科学探究的视野。虽然宗教虔诚是当前物质滥用的一个保护因素，但宗教虔诚的纵向变化与物质使用结果之间的关系却鲜有研究。
利用全国共病研究重复调查（N = 6203）的数据，我们研究了从童年到成年宗教虔诚度的变化如何与合法（酒精和烟草）和非法药物的使用及滥用/依赖相关。多变量逻辑回归用于考虑潜在的混杂因素，包括人口统计学特征、童年时期的家庭破裂以及共病的重度抑郁症。
宗教虔诚度与合法和非法物质的使用及滥用呈负相关；然而，这种关系因童年时期的宗教虔诚程度而异。与从童年到成年宗教虔诚度稳定的情况相比，童年时期宗教虔诚度下降2个单位与过去一年非法药物使用可能性增加相关（优势比（OR）：2.43，95%置信区间（CI）：1.39 - 4.25）。然而，宗教虔诚度增加2个单位也与过去一年非法药物使用相关（OR：1.85，95% CI：1.09 - 3.13）。在一系列近期和终生的酒精、烟草及非法药物使用指标中也发现了类似的关联。
从童年到成年宗教虔诚度的大幅增加或减少与物质使用及滥用相关。研究结果支持采用生命历程方法来理解宗教虔诚度与物质使用结果之间的关系。
