Changes in Sexual Identity and Associations With Alcohol Use and Depression Among Young Adult Sexual Minority Women
Changes in Sexual Identity and Associations With Alcohol Use and Depression Among Young Adult Sexual Minority Women
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DOI：
10.15288/jsad.2019.80.623
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发表时间：
2019-11-01
影响因子：
3.4
通讯作者：
Kaysen, Debra
中科院分区：
文献类型：
--
作者：
Feinstein, Brian A.;Rhew, Isaac C.;Kaysen, Debra
目的：性少数女性比异性恋女性报告更多的问题性饮酒和抑郁症。尽管有证据表明，性身份可以随着时间的推移而改变，但大多数研究都将其视为静态结构。因此，人们对性别认同的变化对饮酒和抑郁的影响程度知之甚少。目前的研究检查了（a）36个月内性别认同的变化，（B）性别认同变化的数量与酒精使用（典型的每周饮酒量，饮酒高峰和酒精相关后果）和最终评估时的抑郁症之间的关联，以及（c）基线性别认同作为关联的调节剂。方法：分析使用了来自美国全国性样本的四波数据，这些样本为18-25岁的性少数女性（n = 1，057）。结果：三分之一（34%）的参与者报告在研究过程中性认同至少发生了一次变化。性别认同的变化数量与典型的每周饮酒量和抑郁症呈正相关，但与饮酒高峰或酒精相关后果无关。这些关联都没有受到基线性别认同的影响。结论：这些研究结果提供了额外的证据，表明随着时间的推移，相当大比例的年轻成年性少数群体妇女的性身份继续发生变化，这些变化与她们的健康和福祉有关。
Objective: Sexual minority women report more problematic alcohol use and depression than heterosexual women. Despite evidence that sexual identity can change over time, most studies treat it as a static construct. As a result, little is known about the extent to which changes in sexual identity influence alcohol use and depression. The current study examined (a) changes in sexual identity over 36 months, (b) the associations between the number of changes in sexual identity and measures of alcohol use (typical weekly alcohol consumption, peak drinking, and alcohol-related consequences) and depression at the final assessment, and (c) baseline sexual identity as a moderator of the associations. Method: The analyses used four waves of data from a national U.S. sample of sexual minority women ages 18-25 (n = 1,057). Results: One third (34%) of participants reported at least one change in sexual identity over the course of the study. The number of changes in sexual identity was positively associated with typical weekly alcohol consumption and depression but was not significantly associated with peak drinking or alcohol-related consequences. None of the associations were moderated by baseline sexual identity. Conclusions: These findings provide additional evidence that sexual identity continues to change over time for a sizeable proportion of young adult sexual minority women and these changes are relevant to their health and well-being.