Risk of heavy drinking among sexual minority adolescents: indirect pathways through sexual orientation-related victimization and affiliation with substance-using peers.
Risk of heavy drinking among sexual minority adolescents: indirect pathways through sexual orientation-related victimization and affiliation with substance-using peers.
复制标题
DOI：
10.1111/add.13409
复制
发表时间：
2016-09
期刊：
影响因子：
--
通讯作者：
Chisolm DJ
中科院分区：
文献类型：
--
作者：
Dermody SS;Marshal MP;Burton CM;Chisolm DJ
测试性少数青少年 (SMA) 可能面临严重偶发性饮酒 (HED) 风险的两种间接途径，包括通过物质使用同伴关系的社会化途径和通过性少数群体特定受害和随后物质使用同伴关系的社会边缘化途径。对纵向青少年健康风险研究（2011-2014）的前三波（相隔六个月）的分析。参与者由医疗提供者或提供者候诊室的筛查系统转介。美国宾夕法尼亚州和俄亥俄州的两家大型城市青少年健康诊所。 290 名青少年（年龄 14-19，平均：17），其中 71% 为女性，33% 为非西班牙裔白人，34% 为 SMA。自我报告的性少数群体身份（第 1 波）和与吸毒同龄人的关系（第 1 波和第 2 波），以及潜在的性少数群体特定受害（第 1 波和第 2 波）和 HED（第 1 波和第 3 波）变量。在结构方程模型框架中使用中介分析，在考虑了性取向相关受害的间接影响（第2波；间接效应=.10，95%CI： 0.02–0.19）。社会边缘化途径不受支持，因为受害（第一波）与物质使用同伴的隶属关系无关（第二波；β=−.04，p=.66）。未检测到间接影响的性别差异 (ps>.10)。美国的性少数青少年似乎通过间接社交途径（包括与使用药物的同龄人的关系）以及涉及性少数相关受害的间接途径，表现出大量的间歇性饮酒。对于男孩和女孩来说，这些途径的运作方式似乎相似。
To test two indirect pathways through which sexual minority adolescents (SMAs) may be at risk for heavy episodic drinking (HED) including a socialization pathway via substance-using peer affiliations and social marginalization pathway via sexual minority-specific victimization and subsequent substance-using peer affiliations. Analysis of the first three waves (six-months apart) of a longitudinal adolescent health risk study (2011–2014). Participants were referred by medical providers or a screening system in providers’ waiting rooms. Two large urban adolescent health clinics in Pennsylvania and Ohio, USA. 290 adolescents (ages 14–19, mean: 17) who were 71% female, 33% non-Hispanic White, and 34% SMAs. Self-reported sexual minority status (wave 1) and affiliation with substance-using peers (waves 1 and 2), and latent sexual-minority specific victimization (waves 1 and 2) and HED (waves 1 and 3) variables. Using mediation analyses in a structural equation modeling framework, there was a significant indirect effect of sexual minority status (wave 1) on HED (wave 3) via affiliation with substance-using peers (wave 2; indirect effect=0.03, 95%CI: 0.01, 0.07), after accounting for the indirect effect of sexual-orientation related victimization (wave 2; indirect effect=.10, 95%CI: 0.02–0.19). The social marginalization pathway was not supported as victimization (wave 1) was not associated with affiliation with substance-using peers (wave 2; β=−.04, p=.66). Sex differences in the indirect effects were not detected (ps>.10). Sexual minority adolescents in the US appear to exhibit increased heavy episodic drinking via an indirect socialization pathway including affiliations with substance-using peers and a concurrent indirect pathway involving sexual minority-related victimization. The pathways appear to operate similarly for boys and girls.