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Religiosity and Substance Use and Abuse Among Adolescents in the National Comorbidity Survey

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MILLER, LISA, DAVIES, MARK, GREENWALD, STEVEN·2000·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-200009000-00020
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Abstract

OBJECTIVE: To replicate previous findings among adults of an inverse association between religiosity and substance use among a nationally representative sample of adolescents. METHOD: Subjects were 676 (328 female and 348 male) adolescents in the National Comorbidity Survey who were assessed for substance use and abuse with the Composite International Diagnostic Interview. Religiosity was assessed through affiliation with religious denomination and through response to 7 questions concerning belief and practice. RESULTS: Confirmatory factor analyses replicated in adolescents the 2 religiosity factors of personal devotion and personal conservatism previously identified by Kendler among adults, although the 2 factors were more highly correlated in adolescents than in adults. Personal devotion (a personal relationship with the Divine) and affiliation with more fundamentalist religious denominations were inversely associated with substance use and substance dependence or abuse across a range of substances (alcohol, marijuana, cocaine, or any contraband drug). Personal conservatism (a personal commitment to teaching and living according to creed) was inversely associated with use of alcohol only. CONCLUSION: Low levels of religiosity may be associated with adolescent onset of substance use and abuse.

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  • Of the 112 best drug use or abuse studies, 96 (86%) reported inverse relationships and only one study found a positive relationship.

    “Of the 112 best studies, 96 (86%) reported inverse relationships [223–238] and only one study found a positive relationship [239].”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [224]

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Authors
MILLER, L., DAVIES, M., & GREENWALD, S.
Affiliations
Columbia University (US)
Corresponding author
MILLER, LISA
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2000-09
Volume
39
Issue
9
Pages
1190-1197
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-200009000-00020
OpenAlex
W2033193929
Cited by
347
References
39
Citations by year
2026: 1 · 2025: 8 · 2024: 5 · 2023: 48 · 2022: 10 · 2021: 10 · 2020: 5 · 2019: 10 · 2018: 12 · 2017: 18 · 2016: 8 · 2015: 19 · 2014: 15 · 2013: 14 · 2012: 12
FWCI
8.10
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
  • NIMH (R01MH46376)
  • W.T. Grant Foundation (grant 90135190)
Topics
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Sociology and Political Science › Religion and Society Interactions
Keywords
religiosity, adolescent substance use, substance abuse, private devotion, religious fundamentalism, alcohol consumption, cannabis use, cocaine use, National Comorbidity Survey
MeSH terms
Adolescent, Psychology, Adolescent, Adult, Alcohol Drinking, Christianity, Culture, Factor Analysis, Statistical, Female, Humans, Male, Population Surveillance, Surveys and Questionnaires, Regression Analysis, Risk Factors, Socialization, United States, Risk Assessment, Substance-Related Disorders

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