Sexual Orientation-Related Disparities in High-Intensity Binge Drinking: Findings from a Nationally Representative Sample
Sexual Orientation-Related Disparities in High-Intensity Binge Drinking: Findings from a Nationally Representative Sample
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DOI：
10.1089/lgbt.2018.0244
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发表时间：
2019-07-01
期刊：
影响因子：
4.8
通讯作者：
Fish, Jessica N.
中科院分区：
文献类型：
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作者：
Fish, Jessica N.
目的：本研究的目的是评估性取向的差异，在高强度暴饮暴食使用全国代表性的数据。研究方法：数据来自全国酒精和相关疾病流行病学调查III（N = 36，309），这是2012-2013年收集的美国成年人的全国代表性样本。使用性别分层调整的logistic回归模型来测试标准（女性4+，男性5+）和高强度酗酒（女性8+和12+;男性10+和15+）在性取向的三个维度：性吸引力，性行为和性身份的患病率方面的性取向差异。结果如下：性少数女性，无论是根据性吸引力，行为还是身份来定义，都比性多数女性更有可能参与高强度的狂欢饮酒，其调整后的比值比（aOR）为女性标准截止值的2倍（调整后的比值比[aOR]范围为1.52至2.90）和3倍（aOR范围为1.61至3.27）。根据性取向的不同，性少数男性与性多数男性一样或更少可能参与高强度的狂欢饮酒。结论：这项研究是第一项使用全国代表性数据记录美国成年人高强度酗酒中与性取向相关的差异的研究。结果表明，性少数个体之间酒精相关风险的差异取决于性别和性取向维度。
Purpose: The purpose of this study was to assess sexual orientation differences in high-intensity binge drinking using nationally representative data. Methods: Data were from the National Epidemiologic Survey on Alcohol and Related Conditions III (N = 36,309), a nationally representative sample of U.S. adults collected in 2012-2013. Sex-stratified adjusted logistic regression models were used to test sexual orientation differences in the prevalence of standard (4+ for women and 5+ for men) and high-intensity binge drinking (8+ and 12+ for women; 10+ and 15+ for men) across three dimensions of sexual orientation: sexual attraction, sexual behavior, and sexual identity. Results: Sexual minority women, whether defined on the basis of sexual attraction, behavior, or identity, were more likely than sexual majority women to engage in high-intensity binge drinking at two (adjusted odds ratios [aORs] ranging from 1.52 to 2.90) and three (aORs ranging from 1.61 to 3.27) times the standard cutoff for women (4+). Sexual minority men, depending on sexual orientation dimension, were equally or less likely than sexual majority men to engage in high-intensity binge drinking. Conclusion: This study is the first to document sexual orientation-related disparities in high-intensity binge drinking among adults in the United States using nationally representative data. The results suggest that differences in alcohol-related risk among sexual minority individuals vary depending on sex and sexual orientation dimension.