Mental health-related quality of life by sex and sexual identity among U.S. adults with alcohol and tobacco use disorder.
Mental health-related quality of life by sex and sexual identity among U.S. adults with alcohol and tobacco use disorder.
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美国患有酒精和烟草使用障碍的成年人按性别和性认同划分的与心理健康相关的生活质量。
DOI：
10.1016/j.jpsychires.2022.02.025
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发表时间：
2022
影响因子：
4.8
通讯作者：
McCabe,SeanEsteban
中科院分区：
文献类型：
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作者：
Evans-Polce,RebeccaJ;Kcomt,Luisa;Veliz,PhilipT;Boyd,CarolJ;McCabe,SeanEsteban
酒精使用障碍（AUD）和烟草使用障碍（TUD）在某些性少数人群中更为严重。目前还不太清楚心理健康指标是否也因性别认同而不同，这些人患有更严重的AUD和TUD。我们研究了不同性别的性身份亚组的心理健康相关的生活质量的差异，这些满足标准的中度至重度AUD或中度至重度TUD.MethodsWe分析的数据从全国流行病学研究酒精和相关条件-III（2012-2013年; n = 36,309）。我们的分析集中于符合过去一年中重度AUD（n = 2341）和过去一年中重度TUD（n = 3675）标准的患者。使用多变量线性回归，我们检查了性别特异性性别认同亚组与精神健康相关生活质量的关系，同时控制了（a）社会人口学特征，（B）障碍严重程度，和（c）风险和保护因素（不良童年经历、父母物质滥用史、应激性生活事件和社会支持）。在完全调整的模型中，男同性恋者和异性恋者、双性恋者和女同性恋者的心理健康相关生活质量显著低于异性恋者。在过去一年中重度TUD患者中，男同性恋者、异性恋者和女同性恋者的心理健康相关生活质量显著低于异性恋者。双性恋和异性恋妇女没有显着不同，在充分调整models.DiscussionClinicians应考虑的变异，在心理健康相关的生活质量中，特别是妇女和性少数的中度至重度AUD和TUD。在进行评估和制定治疗计划时，考虑当前和过去的压力源以及社会支持程度可能是有益的。
IntroductionAlcohol use disorder (AUD) and tobacco use disorder (TUD) are more severe among some sexual minority subgroups. It is less understood whether mental health indicators also differ by sexual identity among those with more severe forms of AUD and TUD. We examined differences in mental health-related QoL by sex-specific sexual identity subgroup among those meeting criteria for moderate-to-severe AUD or moderate-to-severe TUD.MethodsWe analyzed data from the National Epidemiologic Study of Alcohol and Related Conditions-III (2012–2013; n = 36,309). Our analyses focused on those meeting criteria for past-year moderate-to-severe AUD (n = 2341) and past-year moderate-to-severe TUD (n = 3675). Using multivariable linear regression, we examined associations of sex-specific sexual identity subgroups with mental health-related QoL, while controlling for (a) sociodemographic characteristics, (b) disorder severity, and (c) risk and protective factors (adverse childhood experiences, parental history of substance misuse, stressful life events, and social support).ResultsAmong those with past-year moderate-to-severe AUD, gay men and heterosexual, bisexual, and gay/lesbian women had significantly lower mental health-related QoL compared to heterosexual men in fully adjusted models. Among those with past-year moderate-to-severe TUD, gay men and heterosexual and gay/lesbian women had significantly lower mental health-related QoL compared to heterosexual women. Bisexual and heterosexual women were not significantly different in fully adjusted models.DiscussionClinicians should consider the variability in mental health-related QoL among those with moderate-to-severe AUD and TUD particularly for women and sexual minorities. Consideration of current and past stressors and the degree of social support may be beneficial when conducting assessments and forming treatment plans.