Binge drinking disparities by gender identity, race, and ethnicity in California secondary schools.
Binge drinking disparities by gender identity, race, and ethnicity in California secondary schools.
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加州中学因性别认同、种族和民族而存在的酗酒差异。
DOI：
10.1080/19361653.2022.2113198
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发表时间：
2023
影响因子：
2.4
通讯作者：
Felner,JenniferK
中科院分区：
文献类型：
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作者：
Andrzejewski,Jack;Calzo,JerelP;Smith,LaramieR;Corliss,HeatherL;Felner,JenniferK
我们的目标是在不汇总种族和民族类别的情况下，估计加州中学生在性别认同、种族和民族交叉点上酗酒的差异。我们结合了两年的全州初中和高中加州健康儿童调查（n = 951,995），并根据性别认同（即顺性别、跨性别或不确定自己的性别认同）、种族（即白人、美洲印第安人或阿拉斯加原住民、亚洲人、黑人或非裔美国人、夏威夷原住民或太平洋岛民或多种族）和种族（即，西班牙裔/拉丁裔或非西班牙裔/拉丁裔），以及他们的互动。跨性别学生报告过去一个月酗酒的几率比顺性别学生更高，与非西班牙裔/拉丁裔白人学生相比，少数种族或族裔身份的学生的比例更高。例如，在非西班牙裔/拉丁裔白人学生中，跨性别学生上个月报告的几率高出 1.3 倍（AOR = 1.30，95% CI = 1.12-1.50），而在西班牙裔/拉丁裔黑人或非裔美国学生中，跨性别学生上个月报告的几率高出 5.3 倍（AOR = 5.33，95% CI = 3.84-7.39）比顺性别学生酗酒。跨性别青少年，特别是那些具有少数种族或族裔身份的青少年，可能面临不成比例的酗酒风险。需要从交叉角度采取干预措施来解决系统性种族主义和顺性别主义。
Our objective was to estimate disparities in binge drinking among secondary school students in California at the intersection of gender identity, race, and ethnicity, without aggregating racial and ethnic categories. We combined two years of the statewide middle and high school California Healthy Kids Survey (n = 951,995) and regressed past month binge drinking on gender identity (i.e., cisgender, transgender, or not sure of their gender identity), race (i.e., white, American Indian or Alaskan Native, Asian, Black or African American, Native Hawaiian or Pacific Islander, or multiracial), and ethnicity (i.e., Hispanic/Latinx or non-Hispanic/Latinx), and their interaction. Transgender students had greater odds of reporting past month binge drinking than cisgender students, with greater magnitudes among students with minoritized racial or ethnic identities compared to non-Hispanic/Latinx white students. For example, among non-Hispanic/Latinx white students, transgender students had 1.3 times greater odds (AOR = 1.30, 95% CI = 1.12—1.50), whereas among Hispanic/Latinx Black or African American students, transgender students had 5.3 times greater odds (AOR = 5.33, 95% CI = 3.84—7.39) of reporting past month binge drinking than cisgender students. Transgender adolescents, particularly those with minoritized racial or ethnic identities, may be at disproportionate risk of binge drinking. Interventions that address systemic racism and cisgenderism from an intersectional perspective are needed.