Olomouc University Social Health Institute, Palacký University Olomouc, 771 11 Olomouc, Czech Republic.
Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.
Int J Environ Res Public Health. 2020 Dec 15;17(24):9372. doi: 10.3390/ijerph17249372.
Religiosity and spirituality have been considered to be protective factors of adolescent health-risk behavior (HRB). The aim of this study was to assess the relationship between adolescents' HRB and their religiosity, taking into account their parents' faith and their own participation in church activities. A nationally representative sample ( = 13377, 13.5 ± 1.7 years, 49.1% boys) of Czech adolescents participated in the 2018 Health Behavior in School-aged Children cross-sectional study. We measured religious attendance (RA), faith importance (FI) (both of respondents and their parents), participation in church activities and adolescent HRB (tobacco, alcohol, and cannabis use and early sexual intercourse). We found that neither RA nor FI of participants or their parents had a significant effect on adolescents' HRB. Compared to attending respondents who participate in church activities (AP), non-attending respondents who participate in church activities were more likely to report smoking and early sexual intercourse, with odds ratios (ORs) ranging from 3.14 (1.54-6.39) to 3.82 (1.99-7.35). Compared to AP, non-attending respondents who did not participate in church activities were more likely to report early sexual intercourse, with OR = 1.90 (1.14-3.17). Thus, our findings show that RA does not protect adolescents from HRB; they suggest that RA protects adolescents from HRB only in combination with participation in church activities.
宗教信仰和精神信仰被认为是青少年健康危险行为（HRB）的保护因素。本研究旨在评估青少年 HRB 与他们的宗教信仰之间的关系，同时考虑到他们父母的信仰和他们自己参加教堂活动的情况。捷克全国代表性样本（n=13377，13.5±1.7 岁，49.1%为男性）的青少年参加了 2018 年“儿童在校健康行为”的横断面研究。我们测量了宗教出席率（RA）、信仰重要性（FI）（包括受访者及其父母）、参加教堂活动以及青少年 HRB（吸烟、饮酒、使用大麻和早期性行为）。我们发现，参与者或其父母的 RA 或 FI 均对青少年 HRB 没有显著影响。与参加教堂活动的受访者相比，不参加教堂活动的受访者更有可能报告吸烟和早期性行为，优势比（OR）范围从 3.14（1.54-6.39）到 3.82（1.99-7.35）。与参加教堂活动的受访者相比，不参加教堂活动的受访者更有可能报告早期性行为，OR=1.90（1.14-3.17）。因此，我们的研究结果表明，RA 并不能保护青少年免受 HRB 的影响；这表明 RA 仅在与参加教堂活动相结合的情况下才能保护青少年免受 HRB 的影响。
