Sexual Orientation, Gender, and Racial Differences in Illicit Drug Use in a Sample of US High School Students
Sexual Orientation, Gender, and Racial Differences in Illicit Drug Use in a Sample of US High School Students
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DOI：
10.2105/ajph.2013.301702
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发表时间：
2014-02-01
影响因子：
12.7
通讯作者：
Mustanski, Brian
中科院分区：
文献类型：
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作者：
Newcomb, Michael E.;Birkett, Michelle;Mustanski, Brian
目标。我们评估了性别少数民族和异性恋学生的药物使用差异，包括与性别和种族/民族的互动。我们使用2005年和2007年从马萨诸塞州波士顿、伊利诺伊州芝加哥、特拉华州、缅因州、马萨诸塞州、纽约市、罗德岛州和佛蒙特州收集的青年危险行为调查数据，使用性取向的两个方面(性伴侣的身份和性别)来评估药物使用(大麻、可卡因、吸入剂、海洛因、甲基苯丙胺和摇头丸)。性少数族裔学生在两个性取向维度上的吸毒率都高于异性恋者，双性恋学生在这两个维度上的差异尤为明显。少数民族男生与异性恋男生患病率的差异普遍大于异性恋女生。少数族裔学生普遍报告说吸毒率较低。然而，非洲裔美国人的保护作用在一些性少数群体中并不明显。性少数群体青少年吸毒的风险增加。需要在机构和个人层面进行干预，以解决这些差距。
Objectives. We evaluated drug use differences between sexual minority and heterosexual students, including interactions with gender and race/ethnicity.Methods. We used 2005 and 2007 Youth Risk Behavior Survey data pooled from Boston, Massachusetts; Chicago, Illinois; Delaware; Maine; Massachusetts; New York City, New York; Rhode Island; and Vermont to evaluate drug use (marijuana, cocaine, inhalants, heroin, methamphetamine, and MDMA[ Ecstasy]) using 2 aspects of sexual orientation (identity and sex of sexual partners).Results. Sexual minority students had higher prevalence of drug use than did heterosexuals on both sexual orientation dimensions, and differences were particularly pronounced among bisexual students on both dimensions. Differences between sexual minority and heterosexual male students in prevalence were generally larger than were differences between sexual minority and heterosexual female students. Racial minority students generally reported lower prevalence of drug use. However, the protective effect of African American race was less pronounced for some sexual minorities.Conclusions. Sexual minority youths are at increased risk for drug use. Intervention is needed at the institutional and individual levels to address these disparities.