"It's how we deal": Perceptions of LGB peers' use of alcohol and other drugs to cope and sexual minority adults' own coping motivated substance use following the Pulse nightclub shooting
"It's how we deal": Perceptions of LGB peers' use of alcohol and other drugs to cope and sexual minority adults' own coping motivated substance use following the Pulse nightclub shooting
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DOI：
10.1016/j.addbeh.2016.10.001
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发表时间：
2017-02-01
影响因子：
4.4
通讯作者：
Witkovic, Yong D.
中科院分区：
文献类型：
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作者：
Boyle, Sarah C.;LaBrie, Joseph W.;Witkovic, Yong D.
性少数群体应激经历(如偏见、受害等)在性少数群体中，同伴物质使用规范(例如，同伴的使用频率和消耗量)是酒精和毒品使用的重要相关因素。目前的研究通过检查LGB个体对同龄人使用酒精和其他药物来应对少数性压力源的看法，以及对同伴应对规范的看法是否与自己在应对压力源时使用的应对动机物质有关，将这两个因素结合在一起。307名被确认为男、女同性恋或双性恋的性少数男性和女性在Pulse夜总会枪击案发生后大约一个月完成了一项在线调查，这是美国历史上针对LGBT人群的最致命的暴力事件，也是全美LGB社区内经历的压力源。结果显示，PULSE枪击案发生后，LGB同龄人被广泛认为可能与酒精(68%)和毒品(41%)打交道；然而，只有一小部分参与者报告自己应对了酒精(26%)和毒品(7%)。此外，多变量模型显示，即使在控制了包括Pulse枪击事件的压力影响在内的其他因素后，那些认为LGB同龄人很可能使用酒精来应对这一事件的参与者使用酒精应对这一事件的几率是那些没有这种看法的参与者的15倍。同样，在那些认为LGB同龄人可能使用药物来应对Pulse的参与者中，使用药物来应对这一事件的几率是那些没有使用药物的参与者的9倍。重要的是，这些发现表明，旨在纠正同龄人应对动机物质使用的看法的个性化规范反馈可能在寻求减少LGB物质使用的更大干预中作为激励成分具有实用价值。(C)2016爱思唯尔有限公司。保留所有权利。
Sexual minority stress experiences (e.g. prejudice, victimization, etc.) and peer substance use norms (e.g. peers' frequency of use and quantity consumed) are important correlates of alcohol and drug use in sexual minority populations. The current study incorporates both of these by examining LGB individuals' perceptions of peers' use of alcohol and other drugs to cope with a sexual minority stressor, and whether perceptions of peer coping norms relate to one's own coping-motivated substance use in response to the stressor. Three-hundred and seven sexual minority males and females who identified as gay, lesbian, or bisexual completed an online survey approximately 1 month following the Pulse Nightclub Shooting, the deadliest incident of violence against LGBT people in U.S. history, and a stressor experienced within LGB communities throughout the U.S. Results revealed that LGB peers were widely perceived as likely to have coped with alcohol (68%) and drugs (41%) following the Pulse Shooting; however only small proportions of participants themselves reported coping with alcohol (26%) and drugs (7%). Further, multivariate models revealed that even after controlling for other factors including the stress impact of the Pulse shooting, the odds of using alcohol to cope with this event were 15 times greater among participants who held the perception that LGB peers likely used alcohol to cope relative to those who did not share this perception. Similarly, the odds of using drugs to cope with this event were 9 times greater among participants who perceived LGB peers likely to use drugs to cope with Pulse compared to those who did not. Importantly, these findings suggest that personalized normative feedback designed to correct perceptions of peers' coping motivated substance use may have utility as a motivational component in larger interventions seeking to reduce LGBs' substance use. (C) 2016 Elsevier Ltd. All rights reserved.