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Association between Religiosity/Spirituality and Substance Use among Homeless Individuals

Published online by Cambridge University Press:  27 August 2024

L. M. Vitorino ,
P. H. F. Camargo ,
J. G. Tostes ,
J. C. L. Ferreira ,
L. A. G. de Oliveira ,
J. G. Possetti ,
M. T. Silva Jr ,
M. V. C. Guimarães ,
F. Alckmin-Carvalho  and
G. Lucchetti
L. M. Vitorino
Affiliation:
1Medicine, Faculty of Medicine of Itajubá
P. H. F. Camargo*
Affiliation:
2Medicine, Student at Faculty of Medicine of Itajubá, Itajubá
J. G. Tostes
Affiliation:
1Medicine, Faculty of Medicine of Itajubá
J. C. L. Ferreira
Affiliation:
1Medicine, Faculty of Medicine of Itajubá
L. A. G. de Oliveira
Affiliation:
1Medicine, Faculty of Medicine of Itajubá
J. G. Possetti
Affiliation:
1Medicine, Faculty of Medicine of Itajubá
M. T. Silva Jr
Affiliation:
1Medicine, Faculty of Medicine of Itajubá
M. V. C. Guimarães
Affiliation:
3Medicine, São Paulo University
F. Alckmin-Carvalho
Affiliation:
4Faculty of Americas, São Paulo, São Paulo
G. Lucchetti
Affiliation:
5Medicine, School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil
*
*Corresponding author.

Abstract

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Introduction

Alcohol and illicit drug use are highly prevalent among the homeless population. Religiosity and spirituality (RS) have been widely associated with lower substance use. However, evidence of this relationship among the homeless is still scarce.

Objectives

To assess the association between RS and the use of alcohol and illicit drugs among the homeless population of a large Brazilian urban center.

Methods

This cross-sectional study was conducted in São Paulo, Brazil. Aspects such as spirituality (FACIT-Sp12), religiosity (P-DUREL), religious-spiritual coping (Brief-RCOPE), and self-applied questions about current substance use (alcohol and illicit drugs) were evaluated. Adjusted Logistic Regression models were performed.

Results

A total of 456 homeless individuals were included, with an average age of 44.5 (SD=12.6) years. More than half of the participants used alcohol (55.7%) weekly and 34.2% used illicit drugs weekly. The adjusted Logistic Regression models identified that aspects of RS were associated with a lower propensity for alcohol and illicit drug use, whereas negative religious-spiritual coping strategies were associated with a higher propensity for the use of both.

Conclusions

The prevalence of alcohol and illicit drug use among participants was high. Positive RS and religious-spiritual coping were significant protective factors against the use of these substances. Conversely, negative religious-spiritual coping strategies were associated with risk factors.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S133
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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