Religiosity and alcohol use in adolescents with orofacial cleft: correlational study

Celestino, Lázaro Clarindo; Fukushiro, Ana Paula; Cintra, Flávia Maria Ravagnani Neves; Bom, Gesiane Cristina; Matiole, Claudia Regina; Trettene, Armando dos Santos

doi:10.1590/1984-0462/2025/43/2023265

Acessibilidade / Reportar erro

Brasil

Revista Paulista de Pediatria

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Rev. paul. pediatr. 43 • 2025 • https://doi.org/10.1590/1984-0462/2025/43/2023265 copy

Religiosity and alcohol use in adolescents with orofacial cleft: correlational study

Religiosidade e uso de álcool em adolescentes com fissura orofacial: estudo correlacional

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To evaluate the correlation between religiosity and alcohol use among adolescents with orofacial clefts.

Methods:

Cross-sectional study, developed in a Brazilian public and tertiary hospital, between December 2021 and March 2022. Data collection was hybrid, and three instruments were used: Sociodemographic Questionnaire, Durel Religiosity Scale, and the Alcohol Use Disorders Identification Test. For statistical analysis, the following tests were used: χ²2. Costa VC, Silva RC, Oliveira IF, Paz LB, Pogue R, Gazzoni L. Aspectos etiológicos e clínicos das fissuras labiopalatinas. Rev Med Saude Brasília. 2018;7:258-68., Fisher’s Exact, Mann-Whitney and Spearman’s Correlation Coefficient, in addition to analyses of linear correlation strength and bivariate logistic regression. The significance level adopted for all tests was 5% (p≤0.05).

Results:

370 adolescents participated, with a mean age of 15.2 years (±1.8). Among them, 23 (5.4%) used alcohol riskly or harmfully, being more frequent among male adolescents (p=0.001), those of mixed race (p=0.046), attending high school (p=0.011), with no religion (p<0.001), or who did not attend religious services (p<0.001). Levels of organizational, non-organizational and intrinsic religiosity were significantly lower among adolescents with risky or harmful alcohol use (p=0.005; p<0.001 and p=0.002, respectively). There was a moderate correlation between risky or harmful alcohol use and non-organizational (r=0.31; p=0.002) and intrinsic (r=0.36; p<0.001) religiosity. Male adolescents (p<0.001; OR=6.58), closest in age to 18 years (p<0.001; OR=1.37), and non-practitioners of religion (p<0.001; OR=6. 48) presented higher odds of risky or harmful alcohol use.

Conclusions:

Adolescents with higher levels of organizational and intrinsic religiosity used less alcohol, while males, closest in age to 18 years, and non-practitioners of religion presented higher odds of using alcohol riskly or harmfully.

Keywords:
Religion and medicine; Teens; Alcohol; Cleft palate; Cleft lip

Variables	No or low-risk use n (%)	Risky/harmful use n (%)	p-value
Type of cleft^* *χ2 test;
Lip	87 (23.51)	6 (1.62)	0.320
Lip and palate	150 (40.54)	13 (3.51)
Palate	110 (29.73)	4 (1.08)
Gender^* *χ2 test;
Female	172 (46.49)	3 (0.81)	<0.001^† †5% significance level (p≤0.05);
Male	175 (47.30)	20 (5.41)	<0.001^† †5% significance level (p≤0.05);
Race/color^* *χ2 test;
White	93 (25.14)	4 (1.08)	0,046^† †5% significance level (p≤0.05);
Brown	212 (57.30)	12 (3.24)
Black	36 (9.73)	7 (1.89)
Others	6 (1.62)	0 (0)
Education^* *χ2 test;
Elementary	169 (45.68)	4 (1.08)	0.011^† †5% significance level (p≤0.05);
High school	175 (47.30)	19 (5.14)
Technical education	3 (0.81)	0 (0)
School^* *χ2 test;
Private	28 (7.57)	0 (0)	0.239
Public	319 (86.22)	23 (6.22)	0.239
Marital/affective status^‡ ‡Fisher’s exact test.
Steady union	2 (0.54)	0 (0)	0.373
Dating	35 (9.46)	4 (1.08)
Single	310 (83.78)	19 (5.14)
Socioeconomic status^‡ ‡Fisher’s exact test.
Low	149 (40.27)	11 (2.97)	0.107
Lower low	34 (9.19)	6 (1.62)
Upper low	48 (12.97)	0 (0)
Mid	74 (20.00)	4 (1.08)
Lower mid	34 (9.19)	2 (0.54)
Upper mid	8 (2.16)	0 (0)
Housing^* *χ2 test;
Own	303 (81.89)	0 (0)	0.519
Rented	44 (11.89)	19 (5.14)	0.519
Religion^* *χ2 test;
Catholic	162 (43.78)	14 (3.78)	<0.001^† †5% significance level (p≤0.05);
Protestant	134 (36.22)	1 (0.27)
Others	26 (7.03)	1 (0.27)
None	25 (6.76)	7 (1.89)
Practitioner of religion^* *χ2 test;
No	84 (22.70)	17 (4.59)	<0.001^† †5% significance level (p≤0.05);
Yes	263 (71.08)	6 (1.62)	<0.001^† †5% significance level (p≤0.05);
Children^* *χ2 test;
No	345 (93.24)	23 (6.22)	1.000
Yes	2 (0.54)	0 (0)	1.000
Employment bond^* *χ2 test;
No	329 (88.92)	21 (5.68)	0.625
Yes	18 (4.86)	2 (0.54)	0.625

Religiosity^* *Mann-Whitney test;	Alcohol use^* *Mann-Whitney test;	n	Median	1^st Quartile	3^rd Quartile	Mean	Standard deviation	p-value
Organizational	No/low risk	347	3	2	4	3.3	1.3	0.005^† †5% significance level (p≤0.05).
Organizational	Risky/harmful	23	4	3	5	4.2	1.5	0.005^† †5% significance level (p≤0.05).
Non-organizational	No/low risk	347	3	2	5	3.5	1.5	<0.001^† †5% significance level (p≤0.05).
Non-organizational	Risky/harmful	23	5	3	6	4.7	1.5	<0.001^† †5% significance level (p≤0.05).
Intrinsic	No/low risk	347	4	3	6	5.1	3.0	0.002^† †5% significance level (p≤0.05).
Intrinsic	Risky/harmful	23	9	3	11	8.1	4.5	0.002^† †5% significance level (p≤0.05).

Correlation variables	r^* *correlation value;	Correlation	p-value
Alcohol use and Organizational Religiosity	0.24^† †Sperman correlation test;	Weak	0.010^‡ ‡5% significance level (p≤0.05).
Alcohol use and Non-Organizational Religiosity	0.31^† †Sperman correlation test;	Moderate	0.002^‡ ‡5% significance level (p≤0.05).
Alcohol use and Intrinsic Religiosity	0.36^† †Sperman correlation test;	Moderate	<0.001^‡ ‡5% significance level (p≤0.05).
Alcohol use and age	0.29^† †Sperman correlation test;	Weak	<0.001^‡ ‡5% significance level (p≤0.05).

Variables	No/Low risk use n (%)	Risky/harmful use n (%)	p-value	OR	95%CI
Age	14.96±2.07	16.44±1.61	<0.001^* *5% significance level (p<0.05).	1.37	1.05–1.78
Gender
Female	172 (46.49)	3 (0.81)	<0.001^* *5% significance level (p<0.05).	6.58	1.86–23.40
Male	175 (47.30)	20 (5.41)	<0.001^* *5% significance level (p<0.05).	6.58	1.86–23.40
Practitioner of religion
No	84 (22.70)	17 (4.59)	<0.001^* *5% significance level (p<0.05).	6.48	2.38–17.55
Yes	263 (71.08)	6 (1.62)	<0.001^* *5% significance level (p<0.05).	6.48	2.38–17.55

Sociedade de Pediatria de São Paulo R. Maria Figueiredo, 595 - 10o andar, 04002-003 São Paulo - SP - Brasil, Tel./Fax: (11 55) 3284-0308; 3289-9809; 3284-0051 - São Paulo - SP - Brazil
E-mail: rpp@spsp.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] *Corresponding author: E-mail: lazaroclarindo@ufsj.edu.br (L. C. Celestino)