The Relationship Between Discrimination and Substance Use Disorders Among Lesbian, Gay, and Bisexual Adults in the United States
The Relationship Between Discrimination and Substance Use Disorders Among Lesbian, Gay, and Bisexual Adults in the United States
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DOI：
10.2105/ajph.2009.163147
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发表时间：
2010-10-01
影响因子：
12.7
通讯作者：
Boyd, Carol J.
中科院分区：
文献类型：
--
作者：
McCabe, Sean Esteban;Bostwick, Wendy B.;Boyd, Carol J.
目标.我们研究了3种类型的歧视（性取向，种族和性别）和物质使用障碍之间的关联，在美国的一个大的国家样本，其中包括577名女同性恋，男同性恋和双性恋（LGB）的成年人。数据收集自全国酒精及相关疾病流行病学调查的第2波，采用结构化诊断性面对面访谈。超过三分之二的男女同性恋、双性恋和变性者成年人报告说，他们一生中至少遭受过一种歧视。多变量分析表明，在过去一年中报告所有3种类型歧视的LGB成年人中，过去一年物质使用障碍的几率是未报告歧视的LGB成年人的近4倍（调整后的比值比= 3.85; 95%置信区间= 1.71，8.66）。卫生专业人员应考虑多种类型的歧视在LGB成年人药物使用障碍的发展和治疗中所起的作用。(Am J公共卫生。2010;100：1946-1952. doi：10.2105/AJPH.2009.163147）
Objectives. We examined the associations between 3 types of discrimination (sexual orientation, race, and gender) and substance use disorders in a large national sample in the United States that included 577 lesbian, gay, and bisexual (LGB) adults.Methods. Data were collected from wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions, which used structured diagnostic face-to-face interviews.Results. More than two thirds of LGB adults reported at least 1 type of discrimination in their lifetimes. Multivariate analyses indicated that the odds of past-year substance use disorders were nearly 4 times greater among LGB adults who reported all 3 types of discrimination prior to the past year than for LGB adults who did not report discrimination (adjusted odds ratio = 3.85; 95% confidence interval = 1.71, 8.66).Conclusions. Health professionals should consider the role multiple types of discrimination plays in the development and treatment of substance use disorders among LGB adults. (Am J Public Health. 2010;100:1946-1952. doi:10.2105/AJPH.2009.163147)