Sex While Intoxicated: A Meta-Analysis Comparing Heterosexual and Sexual Minority Youth
Sex While Intoxicated: A Meta-Analysis Comparing Heterosexual and Sexual Minority Youth
复制标题
DOI：
10.1016/j.jadohealth.2010.07.008
复制
发表时间：
2011-03-01
影响因子：
7.6
通讯作者：
Stall, Ron D.
中科院分区：
文献类型：
--
作者：
Herrick, Amy L.;Marshal, Michael P.;Stall, Ron D.
背景：与异性恋同龄人相比，性少数青少年(SMY)经历的社会边缘化和受害可能导致更多的危险行为和更高的负面健康后果发生率。方法：我们进行了一项荟萃分析，以检验SMY是否报告了更高的醉酒性行为发生率。报告SMY和异性恋青年在性行为中的物质使用率以及平均参与者年龄在18岁或以下的研究包括在我们的荟萃分析中。从符合研究标准的6项研究(9个独立数据集和24个效应大小)中提取了效应大小，并具有较高的评分者间可靠性(0.98)。结果：结果表明，SMY在醉酒时报告性行为的可能性几乎是异性同龄人的两倍。随机效应荟萃分析显示，性取向与性交时药物使用之间的关系具有中等([总体加权效应OR]=1.91，p<；0.0001)加权效应大小，每项研究的平均效应大小在1.21至3.50之间，个体效应大小在0.35至9.86之间。讨论：我们的研究结果强调了医疗保健提供者有必要筛查SMY在性行为中是否参与药物使用，并在办公室就诊期间提供风险降低咨询。(C)2011年青少年健康和医学学会。版权所有。
Background: The social marginalization and victimization experienced by sexual minority youth (SMY) may lead to increased risk behaviors and higher rates of negative health outcomes compared with their heterosexual peers.Methods: We conducted a meta-analysis to examine whether SMY reported higher rates of sex while intoxicated. Studies that report rates of substance use during sex in both SMY and heterosexual youth and had a mean participant age of 18 or less were included in our meta-analysis. Effect sizes were extracted from six studies (nine independent data sets and 24 effect sizes) that met study criteria and had high inter-rater reliability (.98).Results: Results indicated that SMY were almost twice as likely to report sex while intoxicated as compared with heterosexual peers. A random-effects meta-analysis showed a moderate ([overall weighted effect OR] = 1.91, p < .0001) weighted effect size for the relationship between sexual orientation and the use of drugs at the time of sexual intercourse, with the mean effect size for each study ranging from 1.21 to 3.50 and individual effect sizes ranging from .35 to 9.86.Discussion: Our findings highlight the need for healthcare providers to screen SMY for participation in substance use during sexual intercourse and to offer risk reduction counseling during office visits. (C) 2011 Society for Adolescent Health and Medicine. All rights reserved.