Statistical Effects of Religious Participation and Marriage on Substance Use and Abuse in Racial and Ethnic Minorities
- 208 Downloads
Substance use and abuse, which includes alcohol use, alcohol dependence, drug use, and drug dependence, inflicts a substantial toll on Americans. Although studies have demonstrated the protective effect of social support, such as religious participation and via marriage, understanding their influence on racial and ethnic minorities is limited. Thus, the aim of this study is to assess the impact of social support on substance use and abuse in racial and ethnic minorities. The Collaborative Psychiatric Epidemiology Surveys, sponsored by the National Institute of Mental Health, a repository of race, ethnicity, and mental health data, was leveraged to develop four models using multivariate analysis, specifically logistic regression to estimate the probability of meeting the criteria for substance use and abuse. Racial and ethnic minorities were found to have lower rates of substance use and abuse compared to Whites, and foreign-born individuals were consistently less likely to use or abuse substances compared to American-born minorities. Mental health conditions were highly associated with substance use and abuse, and social support by way of religious participation and marriage was protective against substance use and abuse. In racial and ethnic minorities, nativity and social support were protective against substance use and abuse; however, these protective factors did not completely eliminate risk. Thus, although race and ethnicity are important to understanding health outcomes and health behaviors, such as substance use and abuse, it is the intersection of multiple factors, representing internal and external forces, which may be more informative and offer a more comprehensive picture of the landscape influencing drug and alcohol use and dependence. Targeted interventions should consider leveraging religious spaces and bilingual materials when attempting to reach racial and ethnic minorities.
KeywordsSubstance use Substance abuse Nativity Race Ethnicity Social support
- American Psychiatric Association (APA). (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: American Psychiatric Association.Google Scholar
- Bachman, J. G., Freedman-Doan, P., O’Malley, P. M., Schulenberg, J. E., & Johnston, L. D. (2008). Revisiting marriage effects on substance use among young adults. Monitoring the future occasional paper series. Paper 68: 1–20.Google Scholar
- Centers for Disease Control and Prevention (CDC). (2012). Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2012. Vital and Health Statistics, 10(260), 73–76.Google Scholar
- Fennelly, K. (2007). The “healthy migrant” effect. minnesota medicine. Clinical and Health Affairs. Available at http://www.minnesotamedicine.com/Past-Issues/Past-Issues-2007/March-2007/Fennelly-Clinical-March-2007.
- Humensky, J. L. (2010). Are adolescents with high socioeconomic status more likely to engage in alcohol and illicit drug use in early adulthood. Substance Abuse Treatment, Prevention, and Policy, 5(19), 1–10.Google Scholar
- Lara, M., Gamboa, C., Kahramanian, M. I., Morales, L. S., & Bautista, D. E. H. (2005). Acculturation and Latino health in the United States: A review of the literature and its sociopolitical context. Annual Review of Public Health, 26, 367–397. doi:10.1146/annurev.publhealth.26.021304.144615.CrossRefPubMedGoogle Scholar
- NIH. (2015a). National Institute of Drug Abuse: Advancing Addiction Science. https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates. Accessed 11 July 2016.
- NIH. (2015b). National Institute of Drug Abuse: The Science of Drug Abuse and Addiction. http://www.drugabuse.gov/publications/drugfacts/nationwide-trends#asterisk. Accessed 12 July 2015.
- NIH. (2015c). National Institute on Drug Abuse: The Science of Drug Abuse and Addiction. http://www.drugabuse.gov/related-topics/trends-statistics. Accessed 12 July 2015.
- O’Connell, M. E., Boat, T., & Warner, K. E. (Eds.). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Research Council and Institute of Medicine of the National Academies.Google Scholar
- Substance Abuse and Mental Health Services Administration. (2014). Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings (Office of Applied Studies, NSDUH Series H-38A, HHS Publication No. SMA 10-4856). Rockville, MD. Available at http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.pdf.
- Substance Abuse and Mental Health Services Administration. (2016). Prevention of Substance Abuse and Mental Illness. http://www.samhsa.gov/prevention. Accessed 11 July 2016.