"An undercover problem in the Muslim community": A qualitative study of imams' perspectives on substance use.

摘要: Abstract Background Mainstream Islam prohibits alcohol and other drugs, yet substance use is prevalent in Muslim-American communities. Previous studies have not examined how imams, leaders of mosques, address their This study aimed to explore imams' perspectives approaches toward Muslim Americans with disorders (SUD). Methods Qualitative imams New York City recruited by convenience sampling. We conducted one-on-one semi-structured interviews perceive use. Using an inductive thematic analysis approach, we created initial coding scheme which was refined iteratively, identified prominent themes, explanatory model depict relationships between themes. Results All described within a shared underlying framework religious prohibition drugs. Their perceptions individuals SUD diverged focus on sin, shame, social disruption vs. acceptance forgiveness. Furthermore, conceptualizing communities as comprising mosque-going without broader that include SUD. While acknowledged some judgmental language may perpetuate stigma, they also therapeutic SUD: non-judgmental engagement, encouragement recovery, prayer, referral resources. Conclusions among the first illustrate range American imams. These potentially divergent impacts— shaming or assisting An understanding these complexities can inform provision culturally competent care patients