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This essay examines the interconnected nature of salvation and health, and it does so by engaging both recent qualitative research and three scriptural accounts from the life, death, and resurrection of Jesus. In doing so, the essay argues that salvation and health—and their conceptual pairings, sin and disease—are never individualistic. These realities are always cosmic, communal, and interpersonal, even as sin and disease are fundamentally disintegrating and isolating. The salvation and health of people suffering with substance use issues are bound up with the transformations of governing principalities and powers, social realities, and relationships. Health care practitioners and clergy should be wise, communal guides offering care and accompaniment in the pursuit of salvation and health. [ABSTRACT FROM AUTHOR]

We examine the transition to adulthood in a poor, white, rural community in Appalachia. Young adults come of age in a context of persistent poverty, economic decline, an ongoing opioid and addiction crisis, and strong community norms about family and work bolstered by religious institutions. For low-income young adults in this community, this stage in the life course is both expedited and emerging. Marriage and childbearing are expedited, frequently occurring in late teens or early twenties. However, other adult markers—such as stable employment, pursuing education, and leaving the parental home—are often slow to emerge and are usually only tentatively achieved. This pattern is in contrast to middle-class young adults in this community. [ABSTRACT FROM AUTHOR]