title: Multidimensional religious involvement and tobacco smoking patterns over 9-10 years: A prospective study of middle-aged adults in the United States.
abstract: This study examined the relationship between multiple dimensions of religious involvement and transitions of tobacco smoking abstinence, persistence, cessation and relapse over 9-10 years of follow-up in a national sample of adults in the United States. Using data provided at baseline and follow-up, participants were categorized as non-smokers, persistent smokers, ex-smokers, and relapsed smokers. Religious involvement over the two time points were categorized into combinations of "high" and "low" involvement within the domains of (a) religious attendance, (b) religious importance, (c) spiritual importance, (d) religious/spiritual comfort seeking, and (e) religious/spiritual decision-making. High levels of religious involvement across five dimensions (religious attendance, religious importance, spiritual importance, religious/spiritual comfort-seeking, and religious/spiritual decision-making) were associated with lower odds of being a persistent smoker or ex-smoker. Religious involvement was not associated with smoking cessation among smokers at baseline. Interventions to increase smoking abstinence may be more effective if they draw on ties to religious and spiritual organizations and beliefs. Meanwhile, religious involvement is unlikely to affect smoking cessation effectiveness.
authors.affiliation: Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Montreal Health Equity Research Consortium, Institute of Health and Social Policy, McGill University, Montreal, QC, Canada. Electronic address: zinzi.bailey@mcgill.ca.
authors.forename: Zinzi D
authors.initials: ZD
authors.lastname: Bailey
authors.affiliation: Department of Epidemiology and Biostatistics, University of Maryland, College Park, MD, USA.
authors.forename: Natalie
authors.initials: N
authors.lastname: Slopen
authors.affiliation: Department of Internal Medicine, Howard University College of Medicine, Washington, DC, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Albert
authors.affiliation: Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
authors.forename: David R
authors.initials: DR
authors.lastname: Williams
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012067:Religion; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D016540:Smoking Cessation; D012923:Social Class; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Religion; Religious involvement; Smoking cessation; Tobacco smoking; USA