"An undercover problem in the Muslim community": A qualitative study of imams' perspectives on substance use.
"An undercover problem in the Muslim community": A qualitative study of imams' perspectives on substance use.
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DOI：
10.1016/j.jsat.2020.108224
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发表时间：
2021-04
影响因子：
3.9
通讯作者：
Nahvi S
中科院分区：
文献类型：
--
作者：
Mallik S;Starrels JL;Shannon C;Edwards K;Nahvi S
主流伊斯兰教禁止酒精和其他药物，但药物使用在美国穆斯林社区很普遍。以前的研究并没有调查清真寺的领袖伊玛目如何解决他们社区的物质使用问题。本研究旨在探讨伊玛目对美国穆斯林物质使用障碍（SUD）的看法和方法。采用方便抽样法对纽约市伊玛目进行定性研究。我们进行了一对一的半结构化访谈，以解决伊玛目如何看待和解决药物使用问题。使用归纳主题分析方法，我们创建了一个初始编码方案，该方案经过迭代改进，确定了突出的主题，并创建了一个解释模型来描述主题之间的关系。所有伊玛目都在宗教禁止酒精和其他药物的共同基本框架内描述了物质使用情况。他们对患有SUD的个体的看法在关注罪恶、羞耻和社会破坏与关注接受和宽恕之间存在分歧。此外，伊玛目在将他们的社区定义为由没有SUD的人组成的社区与包括有SUD的人的更广泛的社区之间存在分歧。虽然伊玛目承认一些伊玛目对SUD的评判性语言可能会使耻辱感持续存在，但他们也确定了针对SUD的治疗方法：非评判性参与，鼓励康复，祈祷和转介资源。这项研究是第一个说明美国穆斯林伊玛目对物质使用的看法和方法的范围的研究之一。这些认知有潜在的不同影响——羞辱或帮助患有SUD的个体。了解这些复杂性可以为美籍穆斯林SUD患者提供符合文化要求的护理。
Mainstream Islam prohibits alcohol and other drugs, yet substance use is prevalent in Muslim-American communities. Previous studies have not examined how imams, leaders of mosques, address substance use in their communities. This study aimed to explore imams’ perspectives and approaches toward Muslim Americans with substance use disorders (SUD). Qualitative study of imams in New York City recruited by convenience sampling. We conducted one-on-one semi-structured interviews to address how imams perceive and address substance use. Using an inductive thematic analysis approach, we created an initial coding scheme which was refined iteratively, identified prominent themes, and created an explanatory model to depict relationships between themes. All imams described substance use within a shared underlying framework of religious prohibition of alcohol and other drugs. Their perceptions of individuals with SUD diverged between a focus on sin, shame, and social disruption vs. a focus on acceptance and forgiveness. Furthermore, imams diverged between conceptualizing their communities as comprising mosque-going individuals without SUD vs. broader communities that include individuals with SUD. While imams acknowledged how some imams’ judgmental language toward SUD may perpetuate stigma, they also identified therapeutic approaches toward SUD: non-judgmental engagement, encouragement of recovery, prayer, and referral to resources. This study is among the first to illustrate the range of perceptions and approaches to substance use among Muslim American imams. These perceptions have potentially divergent impacts— shaming or assisting individuals with SUD. An understanding of these complexities can inform provision of culturally competent care to Muslim-American patients with SUD.
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影响因子：
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作者：
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