Demographic Characteristics, Components of Sexuality and Gender, and Minority Stress and Their Associations to Excessive Alcohol, Cannabis, and Illicit (Noncannabis) Drug Use Among a Large Sample of Transgender People in the United States.
Demographic Characteristics, Components of Sexuality and Gender, and Minority Stress and Their Associations to Excessive Alcohol, Cannabis, and Illicit (Noncannabis) Drug Use Among a Large Sample of Transgender People in the United States.
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DOI：
10.1007/s10935-017-0469-4
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发表时间：
2017-08
期刊：
影响因子：
--
通讯作者：
Bockting WO
中科院分区：
文献类型：
--
作者：
Gonzalez CA;Gallego JD;Bockting WO
目前的研究调查了居住在美国的1210名变性人成年人的人口统计学、性取向、性别特征和性别少数群体压力及其与过量酒精、大麻和非法(非大麻)药物使用的关系。作者对包括680名变性人女性(MAGE=32.63，SDage=112.29)和530名变性人男性(MAGE=26.14，SDage=77.42)的数据进行了二次分析。风险行为评估的修订版量化了参与者在过去3个月中的酒精、大麻和非法药物使用情况。总体而言，21.5%的参与者报告过度饮酒；跨性别女性和男性之间的过度饮酒率没有显著差异。在我们的样本中，大麻使用率为24.4%；变性男性报告的大麻使用率明显高于变性人女性。我们样本中非法药物(非大麻)的使用率为11.6%；变性人男性报告的非法药物使用率也明显高于变性人女性。多变量分析表明，性别焦虑症与以下因素显著相关：变性人妇女过度饮酒，变性人妇女和男子使用大麻，以及变性人妇女使用非法(非大麻)药物。非异性取向与变性人女性和男性使用大麻的几率增加有关；非异性取向与变性人男性使用非法药物的几率增加有关，但与变性人女性的非法药物使用几率无关。性别和少数族裔的压力源与变性人男性的过度饮酒和变性人女性的大麻使用独立相关。作者认为，少数民族的压力可能只是变性人使用药物的部分原因。因此，作者建议，除了少数人应激之外，还应继续检查其他生物-心理-社会机制，以确定可能导致有效药物使用预防和治疗计划发展的途径。
The current study examined demographics, sexual orientation, gender characteristics, and gender minority stress and their association to excessive alcohol, cannabis, and illicit (noncannabis) drug use among 1210 transgender adults living in the United States. The authors conducted a secondary analysis of data that included 680 transgender women (Mage= 32.63,SDage= 12.29) and 530 transgender men (Mage= 26.14,SDage= 7.42). A modified version of the Risk Behavioral Assessment quantified participants’ alcohol, cannabis, and illicit drug use in the past 3 months. Overall, 21.5% of participants reported excessive alcohol use; no significant differences were found on the rates of excessive alcohol use between transgender women and men. Cannabis use among our sample was 24.4%; trangender men reported significantly higher rates of cannabis use compared to transgender women. Illicit drug (noncannabis) use among our sample was 11.6%; transgender men also reported significantly higher rates of illicit drug use compared to transgender women. Multivariate analyses suggested that gender dysphoria was significantly associated with: excessive alcohol use for transgender women, cannabis use among both transgender women and men, and illicit (noncannabis) drug use among transgender women. A nonheterosexual orientation was associated with increased odds of cannabis use among transgender women and men; a nonheterosexual orientation was associated with greater odds of illicit substance use among transgender men but not among transgender women. Gender minority stressors were independently associated with excessive alcohol use among transgender men and cannabis use among transgender women. The authors suggest that minority stress may only partially account for substance use among transgender people. Consequently, the authors suggest that in addition to minority stress, other biopsychosocial mechanisms should continue to be examined to identify pathways that may lead to the development of effective substance use prevention efforts and treatment programs.
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影响因子：
4.2
作者：
Benotsch, Eric G.;Zimmerman, Rick;Snipes, Daniel
通讯作者：
Snipes, Daniel
影响因子：
12.7
作者：
Bockting, W. O.;Miner, M. H.;Coleman, E.
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Coleman, E.
影响因子：
3.5
作者：
Germine, Laura;Nakayama, Ken;Wilmer, Jeremy B.
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Wilmer, Jeremy B.
影响因子：
3.8
作者：
Gonzalez, Cesar A.;Bockting, Walter O.;Duran, Ron E.
通讯作者：
Duran, Ron E.
影响因子：
3.4
作者：
Goldstein, Rise B.;Dawson, Deborah A.;Grant, Bridget F.
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Grant, Bridget F.