| Literature DB >> 31426330 |
Klara Malinakova1, Radek Trnka2,3, Ludmila Bartuskova2, Petr Glogar2, Natalia Kascakova2, Michal Kalman4, Jitse P van Dijk2,5,6, Peter Tavel2.
Abstract
The family environment is associated with religiosity and spirituality as well as many aspects of adolescent lives, including their health behaviour. Therefore, the aim of this study was to assess family environment associations with adolescent religious attendance (RA), i.e., weekly participation in religious services, and spirituality in a highly secular country. A nationally representative sample (n = 4182, 14.4 ± 1.1 years, 48.6% boys) of Czech adolescents participated in the 2014 Health Behaviour in School-aged Children cross-sectional study. RA, spirituality and the family environment, i.e., family communication, perceived emotional support, and parental monitoring, were measured. Higher adolescent RA was associated with lower self-reported easiness of communication with mother (odds ratio (OR) = 0.68; 99% confidence interval (99% CI) = 0.47-0.99; p < 0.01). In contrast, spiritual respondents were more likely to report both easier communication with their father (OR per standard deviation (SD) change = 1.12, 99% CI 1.02-1.23; p < 0.01) and mother (OR per SD change = 1.38 (1.23-1.55); p < 0.001) and higher perceived emotional support (OR per SD change = 1.73 (1.55-1.92); p < 0.001). Parents of respondents who attended religious services at least once a week, as well as parents of spiritual respondents, were generally more likely to monitor adolescent behaviour. Thus, this study provides information for parents, mental health workers, and pastoral carers. Further research should assess the association of a lower easiness of family communication with dissonances in adolescent-parent religiosity/spirituality and with higher parental monitoring.Entities:
Keywords: adolescent; communication; emotional support; family; parental monitoring; religion; spirituality
Mesh:
Year: 2019 PMID: 31426330 PMCID: PMC6721075 DOI: 10.3390/ijerph16162947
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Sample characteristics by religious attendance and spirituality.
| Number | % | Missing Cases Per Variable Cases Per Variable | Religious Attendance | Spirituality | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Attending a | Non-Attending | Spiritual b | Non-Spiritual | ||||||||||
| Number | % | Number | % | Number | % | Number | % | ||||||
| Total | 4182 | 100 | 296 | 7.1 | 3886 | 92.9 | |||||||
| Gender |
| ||||||||||||
| Boys | 2034 | 48.6 | 0 | 131 | 44.3 | 1903 | 49.0 | 213 | 53.4 | 1821 | 48.1 | ||
| Girls | 2148 | 51.4 | 0 | 165 | 55.7 | 1983 | 51.0 | 186 | 46.6 | 1962 | 51.9 | ||
| Age |
| ||||||||||||
| 13 years old (7th grade) | 2091 | 50.0 | 0 | 146 | 49.3 | 1945 | 50.1 | 245 | 61.4 | 1846 | 48.8 | ||
| 15 years old (9th grade) | 2091 | 50.0 | 0 | 150 | 50.7 | 1941 | 49.9 | 154 | 38.6 | 1937 | 51.2 | ||
| Easy communication with parents c | |||||||||||||
| With father | 2342 | 62.8 | 452 | 148 | 55.0 | 2194 | 63.4 | 232 | 63.9 | 2110 | 62.7 |
| |
| With mother | 3290 | 81.4 | 138 | 210 | 75.5 | 3080 | 81.8 | 318 | 82.8 | 2972 | 81.2 |
| |
| Perceived emotional support d | 3092 | 74.1 | 7 | 211 | 71.3 | 2881 | 74.3 |
| 337 | 84.5 | 2755 | 73.0 | |
| Parental monitoring e | |||||||||||||
| Watching TV | 1122 | 26.9 | 17 | 100 | 34.0 | 1022 | 26.4 | 149 | 37.3 | 973 | 25.8 | ||
| Playing PC games | 1533 | 36.9 | 34 | 143 | 49.3 | 1390 | 36.0 | 194 | 49.1 | 1339 | 35.6 | ||
| Time on the Internet | 1191 | 28.7 | 35 | 113 | 38.6 | 1078 | 27.9 | 159 | 39.8 | 1032 | 27.5 | ||
| Being out after school | 2087 | 50.3 | 35 | 156 | 53.1 | 1931 | 50.0 |
| 211 | 53.0 | 1876 | 50.0 |
|
| Obligatory breakfast | 1898 | 45.8 | 43 | 166 | 56.5 | 1732 | 45.0 | 220 | 55.7 | 1678 | 44.8 | ||
| Eating in front of the screen | 1846 | 44.5 | 40 | 162 | 55.5 | 1684 | 43.7 | 217 | 54.8 | 1629 | 43.5 | ||
| Sweets and soft drink consumption | 2074 | 49.9 | 31 | 159 | 54.3 | 1915 | 49.6 |
| 211 | 53.1 | 1863 | 49.6 |
|
| Smoking (9th grade only) | 1986 | 95.7 | 20 | 143 | 96.0 | 1843 | 95.7 |
| 145 | 94.8 | 1841 | 95.8 |
|
| Alcohol consumption (9th grade only) | 1870 | 90.0 | 15 | 141 | 94.6 | 1729 | 89.6 |
| 136 | 89.5 | 1734 | 90.0 |
|
Notes: a Attending at least once a week, b SWBS score 34 or higher. c Only numbers regarding the respondents who reported good communication with parents are presented. d Only numbers regarding the respondents who reported high perceived family support (mean MSPSS ≥ 5.5) are presented. e Only numbers regarding the respondents whose parents were monitoring for each kind of behaviour are presented.
Correlations of the variables in the study.
| Spirituality a | Relig. Attendance | Age a | Gender | Communication | Perceived Emotional Support a | Parental Monitoring | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| With Father | With Mother | Watching TV | Playing PC Games | Time on the Internet | Being Out after School | Obligatory Breakfast | Eating in Front of the Screen | Sweets and Soft Drinks Cons. | Smoking b | ||||||
| Religious attendance | 0.34 *** | ||||||||||||||
| Age a | −0.08 *** | 0.00 | |||||||||||||
| Gender | −0.06 *** | 0.02 | −0.05 ** | ||||||||||||
| Easy communication | |||||||||||||||
| With father | 0.10 *** | −0.05 ** | −0.04 * | −0.19 *** | |||||||||||
| With mother | 0.16 *** | −0.04 ** | −0.03 | −0.06 *** | 0.36 *** | ||||||||||
| Perceived emotional support a | 0.33 *** | −0.03 | −0.06 *** | -0.10 *** | 0.30 *** | 0.41 *** | |||||||||
| Parental monitoring | |||||||||||||||
| Watching TV | 0.06 *** | 0.06 ** | −0.17 *** | −0.02 | 0.00 | −0.01 | 0.04 * | ||||||||
| Playing PC games | 0.08 *** | 0.07 ** | −0.22 *** | −0.14 *** | 0.04 * | 0.01 | 0.04 * | 0.64 *** | |||||||
| Time on the Internet | 0.06 *** | 0.04 ** | −0.20 *** | −0.06 *** | 0.05 ** | 0.01 | 0.05 ** | 0.51 *** | 0.56 *** | ||||||
| Being out after school | 0.01 | 0.02 | −0.13 *** | 0.14 *** | −0.03 | −0.02 | −0.03 | 0.24 *** | 0.20 *** | 0.22 *** | |||||
| Obligatory breakfast | 0.12 *** | 0.06 *** | −0.11 *** | −0.05 *** | 0.10 ** | 0.08 *** | 0.16 *** | 0.21 *** | 0.21 *** | 0.18 *** | 0.10 *** | ||||
| Eating in front of the screen | 0.09 *** | 0.06 *** | −0.11 *** | −0.00 | 0.03 | 0.02 | 0.03 * | 0.16 *** | 0.16 *** | 0.15 *** | 0.04 ** | 0.12 *** | |||
| Sweets and soft drink consumption | 0.08 *** | 0.02 | −0.17 *** | 0.04 ** | 0.02 | 0.04 * | 0.05 ** | 0.16 *** | 0.18 *** | 0.17 *** | 0.06 *** | 0.14 *** | 0.31 *** | ||
| Smoking b | 0.05 * | 0.00 | −0.08 *** | 0.02 | −0.00 | 0.03 | 0.03 | −0.00 | 0.02 | −0.03 | −0.02 | 0.06 * | 0.04 * | 0.08 *** | |
| Alcohol consumption b | 0.01 | 0.04 | −0.05 * | −0.02 | −0.01 | 0.00 | 0.01 | 0.03 | 0.07 ** | 0.02 | 0.04 * | 0.06 ** | 0.14 *** | 0.11 *** | 0.30 *** |
Notes: * p < 0.05, ** p < 0.01, *** p < 0.001. a Assessed as a scale variable b 9th grade only.
Associations of adolescent perceive easiness of communication with parents and perceived emotional support with religious attendance and spirituality (standardized to z-scores), adjusted for age, gender, and socioeconomic status (odds ratios, OR, and 99% confidence intervals, CI).
| Communication with Father | Communication with Mother | Perceived Emotional Support | |
|---|---|---|---|
| OR (99% CI) | OR (99% CI) | OR (99% CI) | |
| Model 1: Religious attendance | |||
| Non-attending | 1 (ref) | 1 (ref) | 1 (ref) |
| Attending | 0.72 (0.51–1.003) * | 0.68 (0.47–0.99) ** | 0.87 (0.61–1.23) |
| Model MSPSS.2: Spirituality (per SD) a | |||
| SWBS b | 1.12 (1.02–1.23) ** | 1.38 (1.23–1.55) *** | 1.73 (1.55–1.92) *** |
| RWB c | 0.97 (0.89–1.06) | 1.05 (0.95–1.17) | 1.17 (1.06–1.29) *** |
| EWB d | 1.33 (1.21–1.45) *** | 1.65 (1.49–1.83) *** | 2.10 (1.90–2.31) *** |
| Model 3: Religious attendance and spirituality mutually adjusted | |||
| Attending vs. non-attending | 0.55 (0.38–0.80) *** | 0.36 (0.24–0.55) *** | 0.35 (0.23–0.52) *** |
| Spirituality (per SD) | 1.19 (1.08–1.32) *** | 1.54 (1.36–1.74) *** | 1.90 (1.70–2.14) *** |
| Model 4: Interaction of religious attendance and spirituality | |||
| Attendance vs. non-attendance | 0.59 (0.35–1.02) * | 0.49 (0.28–0.87) ** | 0.32 (0.19–0.54) *** |
| Spirituality (per SD) | 1.20 (1.08–1.33) *** | 1.60 (1.40–1.83) *** | 1.88 (1.66–2.13) *** |
| Attendance x spirituality | 0.95 (0.68–1.32) | 0.74 (0.51–1.07) | 1.11 (0.77–1.59) |
Notes: * p < 0.05, ** p < 0.01, *** p < 0.001. Missing cases per communication with father: n = 503, communication with mother: n = 190, perceived emotional support: n = 64. a standardized to z scores; SD = standard deviation; b SWBS = Spiritual Well-being Scale; c RWB = Religious Well-Being Subscale; d EWB = Existential Well-Being Subscale.
Figure 1Prevalence of adolescent communication with parents and of perceived emotional support in groups with different combinations of religious attendance and spirituality.
Associations of adolescent parental monitoring (control of behaviour) with religious attendance and spirituality (standardized to z-scores), adjusted for age, gender and socioeconomic status (odds ratios and 99% confidence intervals).
| Watching TV | PC Games Playing | Time on the Internet | Being out after School | Obligatory Breakfast | |
|---|---|---|---|---|---|
| Model 1: Religious attendance | |||||
| Non-attending | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) |
| Attending | 1.42 (1.00–2.00) * | 1.81 (1.29–2.52) *** | 1.60 (1.15–2.24) *** | 1.10 (0.79–1.52) | 1.57 (1.14–2.16) *** |
| Model 2: Spirituality (per SD) a | |||||
| SWBS b | 1.13 (1.03–1.24) ** | 1.17 (1.07–1.28) *** | 1.18 (1.08–1.30) *** | 1.05 (0.96–1.14) | 1.23 (1.13–1.33) *** |
| RWB c | 1.16 (1.06–1.27) *** | 1.18 (1.08–1.29) *** | 1.22 (1.11–1.33) *** | 1.06 (0.97–1.15) | 1.13 (1.05–1.23) *** |
| EWB d | 1.01 (0.92–1.11) | 1.05 (0.96–1.15) | 1.03 (0.94–1.13) | 1.01 (0.93–1.09) | 1.24 (1.14–1.35) *** |
| Model 3: Religious attendance and spirituality mutually adjusted | |||||
| Attending vs. non-attending | 1.22 (0.84–1.78) | 1.54 (1.07–2.20) ** | 1.31 (0.91–1.89) | 1.03 (0.73–1.46) | 1.21 (0.85–1.71) |
| Spirituality (per SD) | 1.11 (1.01–1.23) ** | 1.12 (1.02–1.23) ** | 1.15 (1.05–1.27) *** | 1.04 (0.95–1.14) | 1.21 (1.10–1.32) *** |
| Model 4: Interaction of religious attendance and spirituality | |||||
| Attendance vs. non-attendance | 1.05 (0.58–1.90) | 1.43 (0.84–2.41) | 1.14 (0.65–2.00) | 0.92 (0.56–1.53) | 1.05 (0.63–1.75) |
| Spirituality (per SD) | 1.10 (0.99–1.22) * | 1.12 (1.01–1.23) ** | 1.14 (1.03–1.26) ** | 1.03 (0.94–1.14) | 1.19 (1.09–1.31) *** |
| Attendance x spirituality | 1.12 (0.79–1.59) | 1.07 (0.77–1.47) | 1.12 (0.80–1.57) | 1.10 (0.81–1.50) | 1.13 (0.82–1.54) |
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|
|
| ||
| Model 1: Religious attendance | |||||
| Non-attending | 1 (ref) | 1 (ref) | 1 (ref) | 1 (ref) | |
| Attending | 1.60 (1.16–2.20) *** | 1.25 (0.90–1.72) | 1.10 (0.36–3.35) | 2.09 (0.80–5.45) * | |
| Model 2: Spirituality (per SD) a | |||||
| SWBS | 1.18 (1.09–1.28) *** | 1.13 (1.04–1.22) *** | 1.16 (0.86–1.57) | 1.05 (0.86–1.29) | |
| RWB | 1.17 (1.07–1.27) *** | 1.07 (0.99–1.16) * | 1.04 (0.78–1.40) | 1.02 (0.83–1.24) | |
| EWB | 1.10 (1.01–1.19) ** | 1.15 (1.05–1.24) *** | 1.24 (0.94–1.63) * | 1.08 (0.89–1.31) | |
| Model 3: Religious attendance and spirituality mutually adjusted | |||||
| Attending vs. non-attending | 1.31 (0.93–1.85) * | 1.06 (0.75–1.50) | 0.88 (0.27–2.92) | 2.13 (0.78–5.83) | |
| Spirituality (per SD) | 1.15 (1.05–1.26) *** | 1.12 (1.02–1.22) ** | 1.18 (0.85–1.63) | 0.99 (0.79–1.23) | |
| Model 4: Interaction of religious attendance and spirituality | |||||
| Attendance vs. non-attendance | 1.31 (0.79-2.15) | 0.99 (0.60–1.64) | 0.57 (0.17–1.86) | 1.82 (0.46–7.27) | |
| Spirituality (per SD) | 1.15 (1.05–1.26) *** | 1.11 (1.02–1.22) ** | 1.07 (0.76–1.50) | 0.98 (0.78–1.23) | |
| Attendance x spirituality | 1.003 (0.74–1.36) | 1.06 (0.79–1.44) | 2.28 (0.83–6.23) * | 1.15 (0.46–2.88) | |
Notes: * p < 0.05, ** p < 0.01, *** p < 0.001; Missing cases per analysis: Watching TV: n = 73, PC games playing: n = 88, Time on the internet: n = 86, Being out after school: n = 86, Obligatory breakfast: n = 96, Eating in front of the screen: n = 94, Sweets and soft drinks consumption: n = 83, Smoking (15 years old): n = 2118, Alcohol use (15 years old): n = 2115. a standardized to z scores; b SWBS = Spiritual Well-being Scale; c RWB = Religious Well-Being Subscale; d EWB = Existential Well-Being Subscale.