Perceived Substance Use Risks Among Never Users: Sexual Identity Differences in a Sample of U.S. Young Adults.
Perceived Substance Use Risks Among Never Users: Sexual Identity Differences in a Sample of U.S. Young Adults.
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DOI：
10.1016/j.amepre.2022.07.003
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发表时间：
2022-12
影响因子：
5.5
通讯作者：
Evans-Polce, Rebecca J.
中科院分区：
文献类型：
--
作者：
Schuler, Megan S.;Evans-Polce, Rebecca J.
较低的感知风险是引发物质使用行为的一个公认的风险因素，也是许多健康行为理论的组成部分。一项已建立的文献表明，许多物质使用行为在同性恋或双性恋（LGB）中比异性恋者更普遍。然而，迄今为止，没有终生使用的个体之间的性别认同感知风险的潜在差异尚未得到很好的表征。111，785名18-34岁成年人（包括11，377名LGB成年人）的数据来自2015-2019年全国药物使用和健康调查。感知风险（分类为“高风险”与“低于高风险”）进行了评估，与11个NSDUH调查项目有关6种不同的物质（酒精，香烟，大麻，可卡因，LSD，海洛因）。调查加权和性别分层逻辑回归模型被用来估计性别认同的差异，认为“巨大的风险”之间的报告没有终身使用。分析于二零二一年至二零二二年进行。男同性恋者、双性恋者、女同性恋者/男同性恋者和双性恋者都比异性恋同龄人更不可能感知到与特定的大麻、可卡因、LSD和海洛因使用行为相关的“巨大风险”。与异性恋同龄人相比，双性恋男性和女性也明显不太可能感知到与酗酒行为和每天吸烟1包以上相关的“巨大风险”。这项在从不使用者中进行的新调查提供了证据，表明LGB成年人认为与多种物质使用行为相关的风险显着低于异性恋成年人，这可能表明对物质使用开始的易感性存在重要的性别认同差异。
Lower perceived risk is a well-established risk factor for initiating substance use behaviors and an integral component to many health behavior theories. An established literature has shown that many substance use behaviors are more prevalent among individuals who identify as lesbian, gay, or bisexual (LGB) compared to those who identify as heterosexual. However, potential differences in perceived risk by sexual identity among individuals with no lifetime use have not been well-characterized to date. Data on 111,785 adults aged 18–34 (including 11,377 LGB adults) were from the 2015–2019 National Survey on Drug Use and Health. Perceived risks (classified as “great risk” vs. “less than great risk”) were assessed with 11 NSDUH survey items regarding 6 different substances (alcohol, cigarettes, marijuana, cocaine, LSD, heroin). Survey-weighted and sex-stratified logistic regression models were used to estimate sexual identity differences regarding perceived “great risk” among those reporting no lifetime use. Analyses were conducted in 2021–2022. Gay men, bisexual men, lesbian/gay women, and bisexual women were all significantly less likely than heterosexual peers to perceive “great risk” associated with specific marijuana, cocaine, LSD, and heroin use behaviors. Bisexual men and women were also significantly less likely than heterosexual peers to perceive “great risk” associated with binge drinking behaviors and smoking 1+ packs of cigarettes daily. This novel investigation among never-users provides evidence that LGB adults perceive significantly lower risks associated with multiple substance use behaviors than heterosexual adults, which may indicate important sexual identity differences in susceptibility to substance use initiation.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
4.3
作者：
Jackson KM;Janssen T;Gabrielli J
通讯作者：
Gabrielli J
影响因子：
4.4
作者：
Boyle, Sarah C.;LaBrie, Joseph W.;Witkovic, Yong D.
通讯作者：
Witkovic, Yong D.
影响因子：
4.9
作者：
Fish JN;Pasley K
通讯作者：
Pasley K
影响因子：
4.7
作者：
Evans-Polce, Rebecca J.;Veliz, Philip;McCabe, Sean Esteban
通讯作者：
McCabe, Sean Esteban