Alcohol research with transgender populations: A systematic review and recommendations to strengthen future studies.

Alcohol research with transgender populations: A systematic review and recommendations to strengthen future studies.
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DOI:
10.1016/j.drugalcdep.2018.01.016
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发表时间:
2018-05-01
影响因子:
4.2
通讯作者:
Reisner SL
Reisner SL
中科院分区:
医学2区
文献类型:
--
作者:
Gilbert PA;Pass LE;Keuroghlian AS;Greenfield TK;Reisner SL

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最近有越来越多的研究文献关于跨性别和其他性别少数人群中的酒精使用和相关危害;然而,目前危险饮酒的定义和措施没有考虑生理性别特征和社会建构性别的复杂性,对这些人群的有效性,适用性和使用提出了质疑。为了解决这个问题,我们回顾了目前对跨性别人群中酒精相关结果的研究,并批判性地总结了未来研究中需要考虑的关键问题。我们对1990-2017年出版的英语、同行评议期刊上的跨性别酒精研究进行了系统回顾,并提取了关键细节(例如,样品组成、酒精测量、结果)。44项研究符合审查的所有纳入标准,其中大部分在美国进行。危险饮酒的流行率很高;然而,不同研究的估计值差异很大。我们注意到频繁的方法缺陷,包括很少尝试区分性别和性别,对危险饮酒的适当定义关注不够,以及依赖横截面研究设计和非概率抽样方法。鉴于研究结果表明需要持续关注公共卫生,我们提出建议,以改善未来对跨性别和其他性别少数人群的酒精研究,例如明确性和/或性别是否以及如何操作和与研究问题相关,扩大酒精测量的范围,包括那些不依赖于性或性别的测量,测试跨性别人群中已建立的筛查工具的心理测量性能,并从描述性研究设计转向分析性研究设计。
There is a recent and growing research literature on alcohol use and related harms among transgender and other gender minority populations; however, current definitions and measures of hazardous drinking do not consider the complexity of physiological sex characteristics and socially constructed gender, raising doubts regarding their validity, applicability, and use with these populations. To address this, we reviewed current research on alcohol-related outcomes in transgender populations and critically summarized key issues for consideration in future research. We conducted a systematic review of transgender alcohol research in English language, peer-reviewed journals, published 1990–2017, and extracted key details (e.g., sample composition, alcohol measures, results). Forty-four studies met all inclusion criteria for the review, the majority of which were conducted in the United States. The prevalence of hazardous drinking was high; however, estimates varied widely across studies. We noted frequent methodological weaknesses, including few attempts to differentiate sex and gender, poor attention to appropriate definitions of hazardous drinking, and reliance on cross-sectional study designs and non-probability sampling methods. Given findings that suggest high need for ongoing public health attention, we offer recommendations to improve future alcohol studies with transgender and other gender minority populations, such as being explicit as to whether and how sex and/or gender are operationalized and relevant for the research question, expanding the repertoire of alcohol measures to include those not contingent on sex or gender, testing the psychometric performance of established screening instruments with transgender populations, and shifting from descriptive to analytic study designs.
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