Religious Climate and Health Risk Behaviors in Sexual Minority Youths: A Population-Based Study
Religious Climate and Health Risk Behaviors in Sexual Minority Youths: A Population-Based Study
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DOI：
10.2105/ajph.2011.300517
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发表时间：
2012-04-01
影响因子：
12.7
通讯作者：
Wolff, Joshua
中科院分区：
文献类型：
--
作者：
Hatzenbuehler, Mark L.;Pachankis, John E.;Wolff, Joshua
目标.我们研究了女同性恋、男同性恋和双性恋（LGB）青年的健康风险行为是否部分取决于他们所居住社区的宗教组成。数据收集自31852名高中生，其中包括1413名LGB学生，他们参加了2006年至2008年的俄勒冈州健康青少年调查。支持性的宗教气氛是根据信奉支持同性恋的宗教的个人（占宗教信徒总数）的比例来运作的。对俄勒冈州34个县的85个宗教团体的宗教气氛进行了全面的调查。在LGB青少年中，生活在一个支持同性恋的宗教氛围的县与酒精滥用症状显著减少（比值比[OR] = 0.58; 95%置信区间[CI] = 0.40，0.85）和性伴侣较少（OR = 0.77; 95% CI = 0.60，0.99）相关。宗教氛围对同性恋青年健康行为的影响强于异性恋青年。调整多个混杂因素后，结果仍然稳健。LGB青年周围的宗教氛围可能是他们健康风险行为的决定因素。(Am J公共卫生。2012;102：657-663. doi：10.2105/AJPH.2011.300517）
Objectives. We examined whether the health risk behaviors of lesbian, gay, and bisexual (LGB) youths are determined in part by the religious composition of the communities in which they live.Methods. Data were collected from 31 852 high school students, including 1413 LGB students, who participated in the Oregon Healthy Teens survey in 2006 through 2008. Supportive religious climate was operationalized according to the proportion of individuals (of the total number of religious adherents) who adhere to a religion supporting homosexuality. Comprehensive data on religious climate were derived from 85 denominational groups in 34 Oregon counties.Results. Among LGB youths, living in a county with a religious climate that was supportive of homosexuality was associated with significantly fewer alcohol abuse symptoms (odds ratio [OR] = 0.58; 95% confidence interval [CI] = 0.40, 0.85) and fewer sexual partners (OR = 0.77; 95% Cl = 0.60, 0.99). The effect of religious climate on health behaviors was stronger among LGB than heterosexual youths. Results remained robust after adjustment for multiple confounding factors.Conclusions. The religious climate surrounding LGB youths may serve as a determinant of their health risk behaviors. (Am J Public Health. 2012;102: 657-663. doi:10.2105/AJPH.2011.300517)