Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Department of Social and Behavioral Sciences, University of California San Francisco (UCSF), San Francisco, CA, USA.
J Affect Disord. 2019 May 1;250:439-446. doi: 10.1016/j.jad.2019.03.021. Epub 2019 Mar 6.
Suicide and alcohol use disorders (AUD) have high public health and economic costs. We investigate the relationship between religious features that are external to the individual (hereafter, contextual religiosity) and individuals' risk of AUD and suicidal thoughts.
Data are from Wave 2 of the National Epidemiological Survey on Alcohol and Related Conditions (analytic N = 34,326). Regression analysis assessed whether contextual (i.e., Geographic state) religiosity and membership rates of Catholics and the three major Protestant traditions, are associated with DSM-IV AUD risk in the past 12 months and suicidal thoughts since last interview, controlling for individual and state-level covariates. In a secondary analysis, we test for interactions between individual race/ethnicity and contextual religiosity on the outcomes since prior work suggested differences by race and individual religiosity.
Some contextual religious variables were significantly associated with AUD risk but not suicidal thoughts. Individuals living in a state with higher membership rates of Evangelical Protestant had higher AUD risk (Adjusted Relative Risk [ARR]=1.27, 95%CI=1.08-1.49). Individuals living in states with higher membership rates of Historically Black Protestant had a lower risk of AUD (ARR=0.83, 95% CI=0.72-0.96). The interaction between individual race and contextual-level religious variables on the outcomes were not significant.
NESARC is an observational cross-sectional so causality between religiosity and the outcomes cannot be established.
The risk of AUD among individuals varies depending on the religious membership rates among Protestant groups within their geographic state of residence. Contextual religiosity may impact AUD risk above and beyond one's individual religiosity.
自杀和酒精使用障碍（AUD）具有较高的公共卫生和经济成本。我们研究了个体之外的宗教特征（以下简称情境宗教信仰）与个体 AUD 和自杀意念风险之间的关系。
数据来自全国酒精相关条件流行病学调查（第 2 波）（分析 N=34326）。回归分析评估了情境宗教信仰（即地理州）和天主教以及三大新教传统的会员率是否与过去 12 个月中 DSM-IV AUD 风险以及上次访谈以来的自杀意念相关，同时控制了个体和州级协变量。在二次分析中，我们检验了个体种族/族裔和情境宗教信仰之间的交互作用，因为先前的研究表明种族和个体宗教信仰存在差异。
一些情境宗教变量与 AUD 风险显著相关，但与自杀意念无关。生活在新教福音派会员率较高的州的个体 AUD 风险较高（调整后的相对风险 [ARR]=1.27，95%CI=1.08-1.49）。生活在历史上黑人新教会员率较高的州的个体 AUD 风险较低（ARR=0.83，95%CI=0.72-0.96）。个体种族和情境宗教变量对结果的交互作用不显著。
NESARC 是一项观察性横断面研究，因此不能确定宗教信仰与结果之间的因果关系。
个体 AUD 风险因居住在地理州的新教群体中的宗教成员率而异。情境宗教信仰可能会影响 AUD 风险，超出个体宗教信仰的影响。
