Social Context of Cannabis Use: Associations with Problematic Use, Motives for Use, and Protective Behavioral Strategies among Sexual Minorities Assigned Female at Birth.
Social Context of Cannabis Use: Associations with Problematic Use, Motives for Use, and Protective Behavioral Strategies among Sexual Minorities Assigned Female at Birth.
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DOI：
10.1891/lgbtq-2020-0075
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Whitton SW
中科院分区：
文献类型：
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作者：
Dyar C;Feinstein BA;Crosby S;Newcomb ME;Whitton SW
与异性恋顺性别女性相比，出生时被分配为女性的性和性别少数群体（SGM-AFAB）使用大麻的风险更高。尽管有证据表明，社会背景影响药物使用的模式，没有已知的研究已经审查了SGM-AFAB大麻使用的背景。目前的研究探讨了两个方面的社会背景的大麻使用（地点和同伴）和他们的协会有问题的使用，使用的动机，和保护性的行为策略之间SGM-AFAB。我们利用了来自一项更大研究的358个SGM-AFAB的三波数据。我们的目标是：（1）根据他们使用大麻的环境确定SGM-AFAB的亚组;（2）检查环境随时间的变化;（3）检查环境，有问题的使用，使用动机和保护性行为策略之间的关联。使用潜在类别分析，我们确定了四类：那些在家里使用大麻的人;那些与朋友一起使用的人;那些独自和朋友一起使用的人;以及那些在所有情况下使用的人。与其他班级相比，那些在所有情况下使用的人报告了更多的问题使用，更高的应对动机和更少的保护性行为策略。在较少的情况下过渡到使用大麻与随后的问题使用减少有关。随着时间的推移，最稳定的类（在所有情况下使用或单独使用以及与朋友一起使用）也是那些与更多问题使用相关的类。社会背景对SGM-AFAB中大麻使用问题具有重要影响。因此，干预措施可能会受益于关注社会背景，以减少这一人群中的问题使用。
Sexual and gender minorities assigned female at birth (SGM-AFAB) are at heightened risk for problematic cannabis use compared to heterosexual cisgender women. Despite evidence that social context influences patterns of substance use, no known studies have examined context of cannabis use among SGM-AFAB. The current study examined two aspects of social contexts of cannabis use (locations and companions) and their associations with problematic use, motives for use, and protective behavioral strategies among SGM-AFAB. We utilized three waves of data from 358 SGM-AFAB from a larger study. We aimed to: (1) identify subgroups of SGM-AFAB based on contexts in which they used cannabis; (2) examine changes in contexts over time; and (3) examine associations between contexts, problematic use, motives for use, and protective behavioral strategies. Using latent class analysis, we identified four classes: those who used cannabis at home; those who used with friends; those who used alone and with friends; and those who used in all contexts. Those who used in all contexts reported more problematic use, higher coping motives, and used fewer protective behavioral strategies compared to other classes. Transitioning to using cannabis in fewer contexts was associated with a subsequent decrease in problematic use. Classes that were most stable over time (using in all contexts or alone and with friends) were also those that were associated with more problematic use. Social context has important implications for problematic cannabis use among SGM-AFAB. As such, interventions may benefit from attending to social context to reduce problematic use in this population.