Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents
Alcohol Use and Disordered Eating in a US Sample of Heterosexual and Sexual Minority Adolescents
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DOI：
10.1016/j.jaac.2018.09.437
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发表时间：
2019-02-01
影响因子：
13.3
通讯作者：
Phillips, Gregory L., II
中科院分区：
文献类型：
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作者：
Calzo, Jerel P.;Turner, Blair C.;Phillips, Gregory L., II
目的：扩大对性少数群体中同时发生的饮酒和饮食失调行为（DEB）的了解方法：使用2009年至2015年美国青年风险行为调查汇总（322，687名学生; 7.3%女同性恋，男同性恋，双性恋），多变量logistic回归模型检查了以下内容：（1）饮酒开始年龄和过去一个月的狂饮与过去一年的DEB之间的关系（禁食、减肥药使用、净化、类固醇使用）;（2）性取向的影响。饮酒和性少数身份与女性青少年使用减肥药和排毒的几率增加以及男性青少年禁食和类固醇使用独立相关。在异性恋青少年女性青年中，禁食的几率随着每月暴饮的频率增加而增加，在异性恋青少年男性青年中，减肥药使用的几率随着每月暴饮的频率增加而增加。DEB患病率在酗酒和不确定性取向的青少年中尤为明显。在不确定自己性取向的男性青少年中，过去一个月内酗酒超过1天的人使用减肥药的几率是不酗酒的人的8.63至23.62倍，而清除的几率是不酗酒的人的13.37至26.42倍。需要对所有性取向的年轻人的饮酒和DEB的心理社会因素进行更多的研究。
Objective: To expand knowledge of co-occurring alcohol use and disordered eating behaviors (DEB) among sexual minority (ie, nonheterosexual) youth.Method: Using pooled 2009 to 2015 US Youth Risk Behavior Surveys (322,687 students; 7.3% lesbian, gay, bisexual), multivariable logistic regression models examined the following: (1) associations of age of onset of drinking and past month binge drinking with past year DEB (fasting, diet pill use, purging, steroid use); and (2) effect modification by sexual orientation.Results: Alcohol use and sexual minority identity were independently associated with elevated odds for diet pill use and purging among female adolescents, and with fasting and steroid use among male adolescents. Odds of fasting increased with greater frequency of monthly binge drinking among heterosexual adolescent female youth, and odds of diet pill use increased with greater frequency of monthly binge drinking among heterosexual adolescent male youth. DEB prevalence was particularly pronounced among adolescents who binge drank and who were not sure of their sexual orientation identity. Among male adolescents not sure of their sexual orientation identity, those who binge drank more than 1 day in the past month had 8.63 to 23.62 times the odds of using diet pills relative to those who did not binge drink, and 13.37 to 26.42 times the odds of purging relative to those who did not binge drink.Conclusion: More research is needed on psychosocial factors underlying alcohol use and DEB in youth of all sexual orientations.