Association Between Religious Salience and Past-Year Substance Use by Sexual Identity and Sex Among Adults in the United States.
Victoria R VotawEthan S VanAlena KuhlemeierFelicia R TuchmanKatie WitkiewitzPublished in: LGBT health (2023)
Purpose: We examined if associations between religious salience and substance use outcomes differed by sexual identity and sex in a nationally representative sample of adults in the United States. Methods: Using data from the 2019 National Survey on Drug Use and Health ( N = 41,216 adults), logistic regression models tested whether sexual identity and sex moderated the associations between religious salience (agreement on the importance of religious beliefs) and past-year alcohol and drug use and use disorders. Results: Religious salience reduced risk of alcohol use disorder, drug use, and drug use disorder for heterosexual, but not lesbian, gay, and bisexual (LGB), individuals. Three-way interactions indicated that religious salience was more protective against alcohol use and drug use and use disorder for bisexual men than bisexual women. Conclusions: Heterosexism common in dominant religious institutions in the United States might hamper the protective effect of religiosity on substance use for LGB individuals.
Keyphrases
- functional connectivity
- men who have sex with men
- mental health
- hiv positive
- hiv testing
- healthcare
- public health
- metabolic syndrome
- electronic health record
- pregnant women
- risk assessment
- social media
- adipose tissue
- climate change
- machine learning
- south africa
- skeletal muscle
- deep learning
- human immunodeficiency virus