Sexual identity differences in high-intensity binge drinking: findings from a US national sample
Sexual identity differences in high-intensity binge drinking: findings from a US national sample
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DOI：
10.1111/add.14041
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发表时间：
2018-04-01
期刊：
影响因子：
6
通讯作者：
Russell, Stephen T.
中科院分区：
文献类型：
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作者：
Fish, Jessica N.;Hughes, Tonda L.;Russell, Stephen T.
目的评估高强度暴饮时的性别认同差异。设计和设置2014年和2015年的美国成人健康横断面调查。参与者为18岁及以上的美国成年人（n = 215 684; n = 203 562异性恋，n = 2784女同性恋/男同性恋，n = 2892双性恋，n = 686“其他”和n = 1947不知道/不确定）。自我报告过去30天的标准狂欢和高强度狂欢饮酒。女性和男性的标准暴饮临界值分别为4+/5+饮酒。高强度的暴饮被测量为标准水平的两倍和三倍（女性8+和12+饮料，男性10+和15+饮料）。女同性恋和双性恋女性比异性恋女性更有可能报告消费4+饮料（女同性恋和双性恋女性的校正比值比[aOR] = 1.57，置信区间[CI] = 1.18，2.09和aOR = 1.83，CI = 1.45，2.30）; 8+饮酒（aOR = 3.86，CI = 2.39，6.24，aOR = 2.07，CI = 1.39，3.07）;和12+饮酒（aOR = 3.81，CI = 1.77，8.19，aOR = 2.54，CI = 1.25，5.14）。一般来说，同性恋和双性恋男性并不比异性恋男性更容易报告标准或高强度的酗酒。然而，双性恋男性比异性恋男性更有可能消费15+饮料（aOR = 1.76，95% CI = 1.01，3.06）。标准和高强度的酗酒率在异性恋和不确定的男性和女性之间相似。表明“其他”性别身份的男性和女性通常比异性恋者更不可能报告标准和高强度的酗酒，女性4+饮料和男性10+饮料除外。结论在美国，性少数女性更有可能，性少数男性同样有可能，喝标准和高强度的狂饮水平作为他们的异性恋同行。
Aim To estimate sexual identity differences in high-intensity binge drinking. Design and setting Cross-sectional US adult health survey from 2014 and 2015. Participants US adults aged 18 and older (n = 215 684; n = 203 562 heterosexual, n = 2784 lesbian/gay, n = 2892 bisexual, n = 686 'other' and n = 1947 don't know/unsure). Measurements Self-reported past 30-day standard binge and high-intensity binge drinking. Standard binge drinking cut-off values were 4+/5+ drinks for women and men, respectively. High-intensity binge drinking was measured as two and three times the standard level (8+ and 12+ drinks for women and 10+ and 15+ drinks for men). Findings Lesbian and bisexual women were more likely than heterosexual women to report consuming 4+ drinks (adjusted odds ratio [aOR] = 1.57, confidence interval [CI] = 1.18, 2.09 and aOR = 1.83, CI = 1.45, 2.30 for lesbian and bisexual women, respectively); 8+ drinks (aOR = 3.86, CI = 2.39, 6.24, aOR = 2.07, CI = 1.39, 3.07); and 12+ drinks (aOR = 3.81, CI = 1.77, 8.19, aOR = 2.54, CI = 1.25, 5.14) on a single occasion in the past 30 days. Generally, gay and bisexual men were no more likely than heterosexual men to report standard or high-intensity binge drinking. However, bisexual men were more likely than heterosexual men to consume 15+ drinks (aOR = 1.76, 95% CI = 1.01, 3.06). Rates of standard and high-intensity binge drinking were similar between heterosexual and unsure men and women. Men and women who indicated 'other' sexual identities were generally less likely than heterosexuals to report standard and high-intensity binge drinking, with the exception of 4+ drinks for women and 10+ drinks for men. Conclusions In the United States, sexual minority women are more likely, and sexual minority men are equally likely, to drink at standard and high-intensity binge drinking levels as their heterosexual counterparts.