Sexual-orientation differences in drinking patterns and use of drinking contexts among college students.

Sexual-orientation differences in drinking patterns and use of drinking contexts among college students.
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DOI:
10.1016/j.drugalcdep.2016.01.006
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发表时间:
2016-03-01
影响因子:
4.2
通讯作者:
Mair C
Mair C
中科院分区:
医学2区
文献类型:
--
作者:
Coulter RW;Marzell M;Saltz R;Stall R;Mair C

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有证据表明,饮酒方面存在重要的性取向差异,尤其是女性。对于同性恋和双性恋大学生在哪里喝酒,或者异性恋、同性恋和双性恋学生之间饮酒模式的差异知之甚少。该分析的目的是按性取向检查酒精消费模式,包括饮酒流行率、数量、频率和使用环境。有关性认同、性别、饮酒行为和饮酒环境的数据是通过对 2003 年至 2011 年就读于 14 所加州公立大学的本科生的重复横断面样本(n=58,903)进行检查的。采用多变量统计技术来检查按性别分层的性取向差异。男同性恋、女同性恋和双性恋女性在本学期报告饮酒的可能性明显高于同性异性恋同龄人(相对风险范围为 1.07 至 1.10,p 值<0.01)。在目前的饮酒者中,双性恋女性饮用 7 杯或更多饮料,女同性恋者饮用 10 杯或更多饮料的天数明显多于异性恋女性。另一方面,男同性恋饮酒者比异性恋男性饮酒者在更少的时间内喝了 8 杯或更多的酒。与同性异性恋同龄人相比:女同性恋/男同性恋和双性恋学生在希腊聚会上喝酒的频率较低(发生率比 [IRR] 范围为 0.52 至 0.73,p 值<0.01);女同性恋(IRR=0.84,p=0.043)和双性恋男性(IRR=0.82,p=0.009)在校外聚会上喝酒的频率较低;男性同性恋者在户外(IRR=1.63,p<0.001)和酒吧/餐厅(IRR=1.21,p=0.013)饮酒的频率更高。酒精预防计划和未来的研究应考虑饮酒方式和饮酒环境中的性取向差异。
Evidence suggests there are important sexual-orientation differences in alcohol consumption, particularly among women. Little is known about where gay/lesbian and bisexual college students drink or differences in patterns of alcohol use between heterosexual, gay/lesbian, and bisexual students. The goal of this analysis was to examine patterns of alcohol consumption—including drinking prevalence, quantity, frequency, and contexts of use—by sexual orientation. Data on sexual identity, gender, drinking behaviors, and drinking contexts were examined from repeated cross-sectional samples of undergraduate students attending 14 public California universities from 2003–2011 (n=58,903). Multivariable statistical techniques were employed to examine sexual-orientation differences stratified by gender. Gay males, lesbians, and bisexual females were significantly more likely to report drinking alcohol in the current semester than their same-gender heterosexual peers (relative risks ranged from 1.07 to 1.10, p-values<0.01). Among current drinkers, bisexual females consumed 7 or more drinks and lesbians consumed 10 or more drinks on significantly more days than heterosexual females. On the other hand, gay male drinkers consumed 8 or more drinks on significantly fewer days than heterosexual male drinkers. Compared to their same-gender heterosexual peers: lesbian/gay and bisexual students drank less frequently at Greek parties (incidence rate ratios [IRRs] ranged from 0.52 to 0.73, p-values<0.01); lesbians (IRR=0.84, p=0.043) and bisexual males (IRR=0.82, p=0.009) drank less frequently at off-campus parties; and gay males drank more frequently outdoors (IRR=1.63, p<0.001) and at bars/restaurants (IRR=1.21, p=0.013). Alcohol prevention programs and future research should consider sexual-orientation differences in drinking patterns and drinking contexts.