Variations in Substance Use and Disorders Among Sexual Minorities by Race/Ethnicity.
Variations in Substance Use and Disorders Among Sexual Minorities by Race/Ethnicity.
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DOI：
10.1080/10826084.2021.1899225
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发表时间：
2021
影响因子：
2
通讯作者：
Choi, Kelvin
中科院分区：
文献类型：
--
作者：
Freitag, Thomas M.;Chen-Sankey, Julia C.;Duarte, Danielle A.;Ramsey, Michael W.;Choi, Kelvin
关键词：
先前的研究表明，性少数群体（SMs），特别是少数种族/民族青年，比异性恋同龄人有更高的药物使用和滥用的患病率。我们的目的是了解SM认同与美国成年人的物质使用和疾病之间的联系，以及它们在种族/民族之间的差异。2019年，我们分析了2012-2013年全国酒精及相关疾病流行病学调查iii中调查的美国成年人的数据（n=35,981）。参与者报告了性别、性身份、性行为和性吸引力，并将其分为四种SM身份：异性恋、同性恋、双性恋和冲突性。评估物质（烟草、酒精和大麻）的使用和障碍。使用加权多变量逻辑回归来检验SM身份与物质使用和疾病之间的关系，按种族/民族分层，调整社会人口统计学特征。在大多数物质检查中，SM成年人的物质使用和障碍的患病率高于异性恋同龄人。例如，双性恋成年人比异性恋者更容易使用大麻（AOR=3.45, 95% CI=2.64-4.50）和有烟草使用障碍（AOR=2.58, 95% CI=2.02-3.28）。这些关联在种族/少数民族短信中更为强烈。例如，双性恋非西班牙裔白人目前吸烟的可能性约为异性恋白人的两倍（AOR=1.99, 95% CI=1.47-2.71）；而双性恋非西班牙裔黑人的可能性是其三倍（AOR=3.17, 95% CI=2.16-4.65）。与异性恋者相比，SM成年人，尤其是那些少数种族/民族的人，在物质使用和精神障碍方面的负担要高得多。需要努力筛查和治疗这些成年人的物质使用和疾病，以缩小这些差距。
Previous studies have suggested that sexual minorities (SMs), especially racial/ethnic minority youth, have a higher prevalence of substance use and abuse than their heterosexual counterparts. We aimed to understand the associations of SM identity with substance use and disorders among U.S. adults and their variations by race/ethnicity. In 2019, we analyzed data from U.S. adults surveyed in the 2012-2013 National Epidemiological Survey on Alcohol and Related Conditions-III (n=35,981). Participants reported gender, sexual identity, sexual behaviors, and sexual attraction, and were categorized into four SM identities: heterosexual, gay/lesbian, bisexual, and conflicting. Substance (tobacco, alcohol, and marijuana) use and disorders were assessed. Weighted multivariable logistic regressions were used to examine relationships between SM identities and substance use and disorders, stratified by race/ethnicity, adjusting for socio-demographic characteristics. SM adults had a higher prevalence of substance use and disorders than their heterosexual counterparts in most substances examined. For example, bisexual adults were more likely than heterosexuals to use marijuana (AOR=3.45, 95% CI=2.64-4.50) and have tobacco use disorder (AOR=2.58, 95% CI=2.02-3.28). These associations were stronger among racial/ethnic minority SMs. For instance, bisexual non-Hispanic Whites were about twice as likely to be current tobacco users than their heterosexual counterparts (AOR=1.99, 95% CI=1.47-2.71); while bisexual non-Hispanic Blacks were three times as likely (AOR=3.17, 95% CI=2.16-4.65). SM adults, especially those who are racial/ethnic minorities, experience a significantly higher burden of substance use and disorders than heterosexuals. Efforts to screen and treat substance use and disorders among these adults are needed to reduce these disparities.
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