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The Diabetes Educator

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Health Education & Behavior
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The Dose-Response Relationship of Adolescent Religious Activity and Substance Use: Variation Across Demographic Groups

Kenneth J. Steinman, PhD, MPH

The Ohio State University School of Public Health, steinman.13{at}osu.edu

Amy K. Ferketich, PhD

The Ohio State University School of Public Health

Timothy Sahr, MA, MDiv, MPH

The Ohio State University School of Public Health

This article addresses two inconsistent findings in the literature on adolescent religious activity (RA) and substance use: whether a dose-response relationship characterizes the association of these variables, and whether the association varies by grade, gender, ethnicity, family structure, school type, and type of substance. Multinomial logistic regression analyses of a large, diverse data set of high school students in metropolitan Columbus, Ohio ( n = 33,007), found marked differences in alcohol, marijuana, and cigarette use among youths who never, occasionally, or regularly participated in RA. Weekly RA was consistently associated with less substance use, yet occasional RA sometimes was associated with greater use. Four groups accounted for variations in the RA-substance use relationship: African American youths, younger White youths, 12th-grade White males, and 12th-grade White females. Researchers should avoid assuming the RA-substance use relationship is dose-response and consider the implications of this complexity for theory and practice.

Key Words: adolescents • substance use • religion

This version was published on February 1, 2008

Health Education & Behavior, Vol. 35, No. 1, 22-43 (2008)
DOI: 10.1177/1090198105284839
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