Rural and urban differences in disparities in substance use and substance use disorders affecting sexual minority populations.
Rural and urban differences in disparities in substance use and substance use disorders affecting sexual minority populations.
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农村和城市在影响性少数群体的物质使用和物质使用障碍方面存在差异。
DOI：
10.1111/jrh.12816
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Morgan,Ethan
中科院分区：
文献类型：
--
作者：
Dyar,Christina;Morgan,Ethan
背景与异性恋人群相比，性少数群体的物质使用（SU）和物质使用障碍（SUD）风险较高。理论上，农村性少数群体的这些差异会被放大，因为他们承受少数群体压力的程度增加，并且进入性少数群体社区的机会减少。然而，缺乏研究探讨城市化对性少数群体影响的SU差异的差异，也很少有研究探讨不同性少数群体或城市化对SUD治疗利用的差异。方法我们利用2015年至2019年全国药物使用和健康调查的数据来研究性少数群体和异性恋人群之间SU、SUD、SUD治疗利用率和未满足的SUD治疗需求的差异，并检验这种差异是否因城市化而变化。表明影响性少数人群的 SU 和 SUD 差异普遍存在于各个城市。一部分差异因城市化程度而异，而且这些差异的方向也各不相同，城市人口中的某些差异比农村人口更大，反之亦然。尽管一些性少数群体的治疗利用率有所提高，但未满足的 SUD 治疗需求在各个城市和性别认同群体中普遍存在差异。结论研究结果强调了影响农村和城市性少数群体的 SU、SUD 和未满足的 SUD 治疗需求方面普遍存在的差异，同时也表明了不同城市之间差异的细微差别。未满足的 SUD 治疗需求方面持续存在的差异强调了未来研究的必要性，以确定造成这种差异的因素，并制定缓解这些差异的政策。
BackgroundSexual minority populations are at elevated risk for substance use (SU) and substance use disorders (SUD) compared to heterosexual populations. These disparities are theorized to be amplified for rural sexual minority populations due to their increased exposure to minority stress and reduced access to sexual minority communities. However, there is a lack of research examining differences in SU disparities affecting sexual minority populations by urbanicity, and little research has examined differences in SUD treatment utilization by sexual minority status or urbanicity.MethodsWe utilized data from 2015 to 2019 National Survey on Drug Use and Health to examine disparities in SU, SUD, SUD treatment utilization, and unmet SUD treatment need between sexual minority and heterosexual populations and test whether such disparities vary by urbanicity.ResultsResults indicate that disparities in SU and SUD affecting sexual minority populations generalize across urbanicities. A subset of disparities differed by urbanicity, and the direction of these differences varied, with some disparities being stronger in urban than rural populations and vice versa. Despite elevated treatment utilization among some sexual minority groups, disparities in unmet SUD treatment need were prevalent across urbanicities and sexual identity groups.ConclusionsStudy findings highlight the ubiquity of disparities in SU, SUD, and unmet SUD treatment need affecting rural and urban sexual minority populations, while also demonstrating nuanced differences in disparities by urbanicity. The persistence of disparities in unmet SUD treatment need emphasizes the need for future research to identify factors contributing to this disparity and for policies that alleviate these disparities.