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RELIGIOUS AFFILIATION AND ALCOHOL CONSUMPTION IN THE UNITED STATES*
Authors:James B Holt  Jacqueline W Miller  Timothy S Naimi  Daniel Z Sui
Abstract:ABSTRACT. Levels of alcohol consumption are a major public health issue. This study aims to gain a better understanding of how geographical patterns of religious affiliation in the United States relate to geographical patterns of alcohol consumption. We explored state‐level correlations between alcohol consumption and religious adherence. Although we found no statistically significant correlation between overall religious adherence rates and current or binge drinking rates, states with higher adherence rates were significantly more likely to have high proportions of binge drinking among current drinkers. Yet, regionally, we found a strong inverse correlation in the Southeast and a strong positive correlation in the Midwest and Northeast between adherence rates and current and binge drinking rates. These geographical differences were largely explained after stratifying by major religious denominational groupings. States with high Catholic adherence rates tended to have higher drinking rates, whereas states with high Evangelical Protestant adherence rates tended to have lower drinking rates. These findings suggest that the relationship between religion and alcohol may be denomination‐specific and challenge the lay perception that religious adherence per se is associated with less alcohol consumption and less excessive drinking among those who drink.
Keywords:alcohol consumption  binge drinking  medical geography  religion  United States
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