Risk-taking behaviors in adolescent men who have sex with men (MSM): An association between homophobic victimization and alcohol consumption.

Risk-taking behaviors in adolescent men who have sex with men (MSM): An association between homophobic victimization and alcohol consumption.
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DOI:
10.1371/journal.pone.0260083
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Schnall R
Schnall R
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Cordoba E;Garofalo R;Kuhns LM;Pearson C;Bruce J;Batey DS;Radix A;Belkind U;Hidalgo MA;Hirshfield S;Garibay Rodriguez R;Schnall R

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本研究的目的是确定同性恋恐惧症受害是否与饮酒、与醉酒司机同行或在酒精或药物影响下驾车有关。横断面分析使用的基线数据来自一项针对13-18岁青少年男同性恋者(N = 747)的国家艾滋病预防试验(NCT03167606)。多变量逻辑回归模型评估了同性恋受害者(自变量)与酒精相关结果(因变量)之间的关联,控制了年龄、父母教育水平、性取向、健康素养、种族和民族。大多数参与者(87%)报告说,他们一生中至少遭受过一种形式的同性恋受害者,其中言语侮辱是最常见的(82%)。在双变量分析中,饮酒和与醉酒司机一起乘车或在影响下开车与多种形式的受害有关。在控制协变量后,暴露于至少一种形式的受害者与饮酒(OR: 2.31; 95% CI: 1.38-3.87)和与醉酒司机一起开车或在影响下开车(OR: 2.25; 95% CI: 1.26-4.00)的几率增加有关。在经历过恐同受害者的青少年男同性恋者中,发现酒精消费和危险的酒精相关行为的风险增加。干预措施应针对同性恋受害者及其对青少年男同性恋者的影响,以及弄清未成年人饮酒、与醉酒司机同车或酒后驾车的动机。
The aim of this study was to determine whether homophobic victimization was associated with alcohol consumption and riding with an intoxicated driver or driving a car while under the influence of alcohol or drugs among adolescent men who have sex with men (MSM). Cross-sectional analysis used baseline data from a national HIV prevention trial (NCT03167606) for adolescent MSM aged 13–18 years (N = 747). Multivariable logistic regression models assessed associations between homophobic victimization (independent variable) and alcohol-related outcomes (dependent variables), controlling for age, parents’ education level, sexual orientation, health literacy, race, and ethnicity. Most participants (87%) reported at least one form of homophobic victimization in their lifetime, with verbal insults being the most frequently reported (82%). In the bivariate analysis, alcohol consumption and riding with an intoxicated driver or driving a car while under the influence were associated with many forms of victimization. Exposure to at least one form of victimization was associated with increased odds of alcohol consumption (OR: 2.31; 95% CI: 1.38–3.87) and riding with an intoxicated driver or driving a car while under the influence (OR: 2.25; 95% CI: 1.26–4.00), after controlling for covariates. Increased risk of alcohol consumption and risky alcohol-related behaviors were found among adolescent MSM who experienced homophobic victimization. Interventions should address homophobic victimization and its impact on adolescent MSM, as well as disentangling motivations for underage drinking, riding with an intoxicated driver or driving a car while under the influence.
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