Association of transphobic discrimination and alcohol misuse among transgender adults: Results from the U.S. Transgender Survey.
Association of transphobic discrimination and alcohol misuse among transgender adults: Results from the U.S. Transgender Survey.
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DOI：
10.1016/j.drugalcdep.2020.108223
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发表时间：
2020-10-01
影响因子：
4.2
通讯作者：
McCabe SE
中科院分区：
文献类型：
--
作者：
Kcomt L;Evans-Polce RJ;Boyd CJ;McCabe SE
酒精滥用仍然是美国发病率和死亡率的主要可预防风险因素。有证据表明，滥用酒精在跨性别人群中更为普遍。这项研究调查了跨性别者的大样本中的跨性别歧视与饮酒/滥用之间的关联。使用 2015 年美国跨性别者调查（N = 27,715），使用逻辑回归模型来估计跨性别者当前饮酒情况、过去一个月的酗酒情况（过去一个月内饮酒次数≥1 次以上）以及过去一个月频繁的酗酒情况（过去一个月内酗酒次数≥5 次）的调整后比值比 (AOR) 和 95% 置信区间 (CI)。在受访者中，60.4% 的人表示目前饮酒，24.3% 的人表示过去一个月酗酒，8.5% 的人表示过去一个月经常酗酒。大多数人（70.1%）在过去一年中经历过某种形式的跨性别恐惧症歧视。与未经历过跨性别者歧视的人相比，经历过 3 种以上形式的跨性别者恐惧症歧视与过去一个月的酗酒（AOR = 1.49，95% CI = 1.37–1.62）和过去一个月频繁的酗酒（AOR = 1.57，95% CI = 1.37–1.79）显着相关。异装者当前饮酒（AOR = 1.52，95 % CI = 1.32–1.74）、过去一个月酗酒（AOR = 2.51，95 % CI = 2.21–2.85）和过去一个月频繁酗酒（AOR = 4.13，95 % CI = 3.45–4.94）的几率高于异装者。跨性别女性。公共场所和住房领域的歧视与酗酒的关联最为密切。经历跨性别恐惧症歧视增加了跨性别者滥用酒精的可能性。利益相关者和提供者应该认识到跨性别歧视是许多跨性别者所经历的独特社会压力源，具有多方面的性质。
Alcohol misuse remains a leading preventable risk factor for morbidity and mortality in the United States. Evidence suggests that alcohol misuse is more prevalent among transgender populations. This study examined the association between transphobic discrimination and alcohol use/misuse among a large sample of transgender people. Using the 2015 U.S. Transgender Survey (N = 27,715), logistic regression models were conducted to estimate the adjusted odds ratios (AOR) and 95 % confidence intervals (CI) of current alcohol use, past-month binge drinking (≥1 occasion of consuming ≥5 alcoholic beverages within the past month), and past-month frequent binge drinking (≥5 occasions of binge drinking within the past month) among transgender people. Of the respondents, 60.4 % reported current alcohol use, 24.3 % reported past-month binge drinking, and 8.5 % reported past-month frequent binge drinking. The majority (70.1 %) had experienced some form of past-year transphobic discrimination. Experiencing 3+ forms of transphobic discrimination was significantly associated with past-month binge drinking (AOR = 1.49, 95 % CI = 1.37–1.62) and past-month frequent binge drinking (AOR = 1.57, 95 % CI = 1.37–1.79) than individuals who did not experience transphobic discrimination. Persons who cross-dress showed higher odds of current alcohol use (AOR = 1.52, 95 % CI = 1.32–1.74), past-month binge drinking (AOR = 2.51, 95 % CI = 2.21–2.85), and past-month frequent binge drinking (AOR = 4.13, 95 % CI = 3.45–4.94) than transgender women. Discrimination within public spaces and housing domains had the most robust associations with alcohol misuse. Experiencing transphobic discrimination increased the odds of alcohol misuse among transgender people. Stakeholders and providers should be cognizant of the multifaceted nature of transphobic discrimination as unique social stressors that many transgender persons experience.
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DOI：
10.1080/15538605.2012.725650
发表时间：
2012-01-01
期刊：
JOURNAL OF LGBT ISSUES IN COUNSELING
影响因子：
--
作者：
Ebersole, Ryan C.;Noble, Jeremy J.;Madson, Michael B.
通讯作者：
Madson, Michael B.
影响因子：
12.7
作者：
Hatzenbuehler, Mark L.;Phelan, Jo C.;Link, Bruce G.
通讯作者：
Link, Bruce G.
影响因子：
4.2
作者：
Gilbert PA;Pass LE;Keuroghlian AS;Greenfield TK;Reisner SL
通讯作者：
Reisner SL
影响因子：
5.5
作者：
Gower, Amy L.;Rider, G. Nic;Eisenberg, Marla E.
通讯作者：
Eisenberg, Marla E.
DOI：
10.1007/s10935-017-0469-4
发表时间：
2017-08
期刊：
The journal of primary prevention
影响因子：
--
作者：
Gonzalez CA;Gallego JD;Bockting WO
通讯作者：
Bockting WO