Trauma exposure, PTSD symptoms, and tobacco use: Does church attendance buffer negative effects?
Trauma exposure, PTSD symptoms, and tobacco use: Does church attendance buffer negative effects?
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DOI：
10.1002/jcop.22420
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发表时间：
2020-09
影响因子：
2.3
通讯作者：
Lynch EB
中科院分区：
文献类型：
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作者：
Mathew AR;Yang E;Avery EF;Crane MM;Lange-Maia BS;Lynch EB
创伤性压力和创伤后应激障碍（PTSD）在城市非裔美国人社区中比例过高，并与烟草使用等健康风险行为相关。教会提供的支持和资源可以减少与创伤有关的健康风险。在目前的研究中，我们评估了每周参加教堂活动作为a）创伤事件暴露和可能的PTSD之间关系的调节剂，以及B）可能的PTSD和烟草使用之间的关系。数据来自一项在芝加哥西区七座教堂进行的健康监测研究。参与者（N= 1，015）是来自教堂和周围社区的成年人。62%的参与者报告了创伤暴露，其中25%经历过创伤的人报告了可能的PTSD。总的来说，超过三分之一的参与者（37.2%）报告了目前的烟草使用情况。与不每周去教堂相比，每周去教堂与PTSD的可能性较低有关（OR = 0.41; 95% CI 0.26-0.62; p < .0001）和总体烟草使用减少（OR = 0.22; 95%CI 0.16-0.30; p <0.0001），但并没有减轻创伤暴露对PTSD风险的影响，或PTSD对烟草使用的影响。研究结果支持教会出席作为一个潜在的缓冲创伤相关的压力。
Traumatic stress and Post-Traumatic Stress Disorder (PTSD) are overrepresented in urban African American communities, and associated with health risk behaviors such as tobacco use. Support and resources provided by churches may reduce trauma-related health risks. In the current study, we assessed weekly church attendance as a moderator of relations between a) traumatic event exposure and probable PTSD, and b) probable PTSD and tobacco use. Data were drawn from a health surveillance study conducted in seven churches located in Chicago’s West Side. Participants (N=1,015) were adults from churches as well as the surrounding community. Trauma exposure was reported by 62% of participants, with 25% of those who experienced trauma reporting probable PTSD. Overall, more than one-third of participants (37.2%) reported current tobacco use. As compared to non-weekly church attendance, weekly church attendance was associated with lower likelihood of PTSD (OR = 0.41; 95% CI 0.26–0.62; p < .0001) and lower tobacco use overall (OR = 0.22; 95% CI 0.16–0.30; p < .0001), but did not moderate the effect of trauma exposure on risk of PTSD, or the effect of PTSD on tobacco use. Findings support church attendance as a potential buffer of trauma-related stress.