Department of Psychology, Virginia Commonwealth University, 806 West Franklin Street, Box 842018, Richmond, VA, 23284-2018, USA.
Department of Psychology, George Mason University, Fairfax, VA, USA.
J Relig Health. 2023 Apr;62(2):1050-1069. doi: 10.1007/s10943-023-01754-2. Epub 2023 Feb 8.
This study examined associations among perceived stress, religiosity, and substance use in African American and Latinx college students with asthma. Participants included 194 college students with asthma (18-20 years, 63.4% African American, 21.1% Latinx). Eligible students completed an online questionnaire that included measures of asthma control, perceived stress, religiosity, alcohol misuse, and last 30-day tobacco use and marijuana use. Over one-quarter (25.3%) of participants reported using tobacco and 31.9% reported using marijuana in the past 30 days. Perceived stress and religiosity were each independently associated with multiple indicators of substance use. Asthma control moderated associations between religiosity and tobacco use in the past 30 days (b = - .014, p = .002), such that the association between religiosity and tobacco use was stronger among those with better asthma control. Participant gender significantly moderated the association between perceived stress and alcohol misuse (b = - .099, p = .029); a stronger, positive association between stress and alcohol misuse was found among men. Students' perceived stress levels were associated with marijuana use in the past 30 days and high alcohol misuse. Religiosity was inversely linked to substance use. There is a need for healthcare providers to recognize and focus on substance use prevention specifically among African American and Latinx college students with asthma.
这项研究调查了非裔美国人和拉丁裔大学生哮喘患者感知压力、宗教信仰和物质使用之间的关联。参与者包括 194 名患有哮喘的大学生（18-20 岁，63.4%为非裔美国人，21.1%为拉丁裔）。符合条件的学生完成了一份在线问卷，其中包括哮喘控制、感知压力、宗教信仰、酒精使用不当以及过去 30 天的烟草使用和大麻使用情况。超过四分之一（25.3%）的参与者报告在过去 30 天内使用过烟草，31.9%的参与者报告在过去 30 天内使用过大麻。感知压力和宗教信仰都与多种物质使用指标独立相关。哮喘控制在过去 30 天内的宗教与烟草使用之间的关联中起到调节作用（b=−0.014，p=0.002），即宗教与烟草使用之间的关联在哮喘控制较好的人群中更强。参与者的性别显著调节了感知压力与酒精使用不当之间的关联（b=−0.099，p=0.029）；在男性中，压力与酒精使用不当之间的正相关更强。学生的感知压力水平与过去 30 天内的大麻使用和高度酒精使用不当有关。宗教信仰与物质使用呈负相关。医疗保健提供者需要认识到并特别关注非裔美国人和拉丁裔大学生哮喘患者的物质使用预防问题。
