Sex differences in psychosocial correlates of concurrent substance use among heterosexual, homosexual and bisexual college students.
Sex differences in psychosocial correlates of concurrent substance use among heterosexual, homosexual and bisexual college students.
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DOI：
10.3109/00952990.2013.796962
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发表时间：
2013-07
期刊：
影响因子：
--
通讯作者：
Bryant LO
中科院分区：
文献类型：
--
作者：
Schauer GL;Berg CJ;Bryant LO
认定为女同性恋者、男同性恋者或双性恋者(LGB)的大学生使用药物的风险更高。很少有研究评估同时使用物质的相关性，这会增加物质使用障碍的风险。本研究旨在考察男性和女性在物质使用方面的差异，并探索心理社会因素对性认同和同时使用物质之间关系的影响。一项基于网络的调查对来自美国东南部六所大学的学生进行了健康行为、心理社会特征、态度和人口统计学的评估。共有4840名学生回答了这项调查；2.9%的学生报告了同性恋身份(n=111)，3.5%的学生报告了双性恋身份(n=135)。多变量模型被用来评估性别认同和所用物质数量之间的关系，并根据人口统计学和心理社会因素进行调整。在过去的30天里，双性恋女性报告吸烟(P<；0.0001)、酗酒(P<；0.05)和大麻使用(P<；0.0001)的可能性明显高于同性恋或异性恋女性。男性之间使用的物质没有差异。经年龄和种族调整后，同性恋和双性恋身份的女性比那些身份为异性恋的女性更有可能同时使用药物(分别为P<；0.0001和P<；0.0001)。对心理社会因素进行调整后，这种关联的程度和重要性降低(分别为P<；0.01和P<；0.001)。结论：女性性少数群体是吸毒的高危人群。针对特定的心理社会因素可能有助于解决LGB年轻人中使用烟草、酒精和大麻的问题。
College students identifying as Lesbian, Gay or Bisexual (LGB) are at increased risk for substance use. Few studies have assessed correlates of concurrent substance use, which increases the risk for substance use disorders. The current study aimed to examine differences in substance use among male and female sexual minorities and explore the impact of psychosocial factors on the relationship between sexual identity and concurrent substance use. A web-based survey assessing health behavior, psychosocial characteristics, attitudes and demographics was administered to students from six colleges in the southeastern US. A total of 4840 students responded to the survey; 2.9% reported a homosexual identity (n = 111) and 3.5% reported a bisexual identity (n = 135). Multivariable modeling was used to assess the relationship between sexual identity and the number of substances used, adjusting for demographic and psychosocial factors. Bisexual females were significantly more likely than their homosexual or heterosexual counterparts to report tobacco use (p < 0.0001), binge drinking (p < 0.05) and marijuana use (p < 0.0001) in the past 30 days. No differences in substances used existed among males. Adjusted for age and ethnicity, homosexually- and bisexually-identified females were more likely to have concurrent substance use than those who identified as heterosexual (p < 0.0001 and p < 0.0001, respectively). Adjusting for psychosocial factors decreased the magnitude and significance of the association (p < 0.01 and p < 0.001, respectively). Conclusion: Female sexual minorities are at high risk for substance use. Targeting specific psychosocial factors might be useful in efforts to address use of tobacco, alcohol and marijuana among LGB young adults.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
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通讯作者：
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