The epidemiology of problem drinking in gay men and lesbians: A critical review
The epidemiology of problem drinking in gay men and lesbians: A critical review
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DOI：
10.1016/0272-7358(96)00017-7
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发表时间：
1996-01-01
影响因子：
12.8
通讯作者：
Bux, DA
中科院分区：
文献类型：
--
作者：
Bux, DA
这篇评论探讨了同性恋者中问题饮酒的流行率的研究，并讨论了各种理论，在这一人群中的饮酒问题的病因。关于这一人群酒精问题的早期报告表明，男同性恋者和女同性恋者患酒精问题的风险高得惊人;然而，方法上的缺陷使这些结果受到质疑。最近的研究表明，男同性恋者酗酒或出现饮酒问题的风险并不比异性恋者高。女同性恋者的酗酒问题发生率可能比异性恋妇女高，尽管早期研究报告的比率并不高。男同性恋者和女同性恋者似乎都比异性恋者更不可能戒酒。许多理论已被提出来解释这个人群中问题饮酒的病因，包括亚文化现象，自我药疗假设，以及社会和文化压力。然而，这些理论没有一个比最小的经验支持。临床意义和进一步研究的建议进行了讨论。
This review examines research on the prevalence of problem drinking among gays and lesbians, and dicusses various theories as to the etiology of drinking problems in this population. Early reports on alcohol problems in this population suggested that gay men and lesbians were cat alarmingly high risk for alcohol problems; however methodological flaws call these results into question. More recent research suggests that gay men are not at significantly higher risk for drinking heavily or for developing drinking problems than heterosexual men. Problem drinking may exist at somewhat higher rates among lesbians than among heterosexual women, although not at the high rates reported in early studies. Both gay men and lesbians appear to be less likely to abstain from alcohol than their heterosexual counterparts. Numerous theories have been pro posed to explain the etiology of problem drinking in this population, including subcultural phenomena, self-medication hypotheses, and social and cultural pressures. However, none of these theories has mwe than minimal empirical support. Clinical implications and recommendations for further research are discussed.