Disparities in cannabis use outcomes, perceived risks and social norms across sexual orientation groups of US young adult women and men.
Disparities in cannabis use outcomes, perceived risks and social norms across sexual orientation groups of US young adult women and men.
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美国年轻成年女性和男性性取向群体在大麻使用结果、感知风险和社会规范方面存在差异。
DOI：
10.1093/her/cyad038
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发表时间：
2023
影响因子：
2.4
通讯作者：
Berg,CarlaJ
中科院分区：
文献类型：
--
作者：
Romm,KatelynF;Cohn,AmyM;Beebe,LauraA;Berg,CarlaJ
很少有研究探讨了驱动性少数群体（SM;与异性恋）年轻人（YAs）之间大麻使用差异的机制。参与者为美国YA女性（N= 1345; 24.8%双性恋，6.1%女同性恋）和男性（N= 998：8.9%双性恋，13.8%男同性恋）。双变量分析研究了性取向（异性恋，男同性恋/女同性恋，双性恋）和大麻使用结果（过去30天[当前]使用，使用频率，大麻-烟草双重使用，使用意图），感知风险（伤害，成瘾）和社会规范（社会可接受性，同伴使用）之间的关联。回归研究了性取向，感知风险和社会规范作为大麻结果的相关因素。双性恋和女同性恋（与异性恋）妇女报告说，与大麻有关的感知风险较低，社会规范更高，目前使用的几率更高。双性恋（与异性恋）妇女报告使用天数更多，大麻烟草双重使用的几率更高，使用意图更大。男同性恋者（与异性恋者相比）的成瘾性较低，更大的社会规范和更高的几率目前使用。较低的感知风险和更大的社会规范预测更大的使用结果的妇女和男子。双性恋女性显示出更高的几种大麻使用结果的几率，而女同性恋者和男同性恋者显示出更高的几率，目前只使用大麻。与大麻有关的观念和社会规范可能是SMYA公共卫生宣传的重要目标。
Little research has examined mechanisms driving cannabis use disparities among sexual minority (SM; versus heterosexual) young adults (YAs). Participants were US YA women (N= 1345; 24.8% bisexual, 6.1% lesbian) and men (N= 998: 8.9% bisexual, 13.8% gay). Bivariate analyses examined associations between sexual orientation (heterosexual, gay/lesbian, bisexual) and cannabis use outcomes (past 30-day [current] use, use frequency, cannabis-tobacco dual use, use intentions), perceived risks (harm, addictiveness) and social norms (social acceptability, peer use). Regressions examined sexual orientation, perceived risks and social norms as correlates of cannabis outcomes. Bisexual and lesbian (versus heterosexual) women reported lower cannabis-related perceived risks, greater social norms and higher odds of current use. Bisexual (versus heterosexual) women reported more days of use, higher odds of cannabis-tobacco dual use and greater use intentions. Gay (versus heterosexual) men reported lower perceived addictiveness, greater social norms and higher odds of current use. Lower perceived risks and greater social norms predicted greater use outcomes for women and men. Bisexual women displayed higher odds of several cannabis use outcomes, whereas lesbian women and gay men displayed higher odds of current cannabis use only. Cannabis-related perceptions and social norms may be important targets for public health messaging for SMYAs.