Alcohol use, behavioral and mental health help-seeking, and treatment satisfaction among sexual minority women.
Alcohol use, behavioral and mental health help-seeking, and treatment satisfaction among sexual minority women.
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DOI：
10.1111/acer.14789
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Hughes, Tonda L.
中科院分区：
文献类型：
--
作者：
Scheer, Jillian R.;Batchelder, Abigail W.;Bochicchio, Lauren A.;Kidd, Jeremy D.;Hughes, Tonda L.
与异性恋女性相比，性少数女性（SMW）报告的重度间歇性饮酒（HED）和酒精相关后果（包括心理健康状况不佳）的比例更高。这些差异表明更需要对SMW进行行为和心理健康治疗。本研究考察了年龄、性别认同、种族/民族和收入等因素对酗酒结果、行为和心理健康求助以及治疗满意度的影响。参与者包括社区样本695名SMW （Mage = 40.0, SD = 14.1； 74.1%女同性恋，25.9%双性恋；37.6%白人，35.8%黑人，23.2%拉丁裔；26.3%年收入14999美元或以下）。我们使用双变量分析来描述样本的人口统计学特征，并使用多变量逻辑回归分析来检查变量之间的关联。基于年龄、种族/民族和年收入的SMW亚组在酒精结局（即HED、DSM-IV酒精依赖、酒精相关问题后果、酒精问题认知和减少饮酒的动机）方面存在差异；求助;以及治疗满意度。与未寻求酒精相关帮助的人群相比，寻求酒精相关帮助的SMW更有可能符合DSM-IV酒精依赖标准（调整优势比[aOR] = 7.13; 95% CI = 2.77; 18.36），认可酒精相关问题的后果（aOR = 11.44; 95% CI = 3.88; 33.71），认识到饮酒问题（aOR = 14.56; 95% CI = 3.37; 62.97），并报告减少饮酒的动机（aOR = 5.26; 95% CI = 1.74; 15.88）。SMW的酒精治疗结果并没有因为他们对治疗的满意或对提供者的满意而有所不同。本研究的结果证实了SMW患HED和其他酒精相关结果的风险增加，并强调了对年轻、黑人和低收入SMW进行身份肯定和可获得的行为和心理健康治疗的重要性。临床医生和干预科学家应该开发或加强现有的短期行为和心理健康治疗，以治疗那些没有意识到饮酒问题或没有减少饮酒动机的酗酒者。
Sexual minority women (SMW) report higher rates of heavy episodic drinking (HED) and alcohol-related outcomes, including poor mental health, than heterosexual women. These disparities indicate a greater need for behavioral and mental health treatment for SMW. This study examined associations between alcohol outcomes, behavioral and mental health help-seeking, and treatment satisfaction among SMW by age, sexual identity, race/ethnicity, and income. Participants included a community sample of 695 SMW (Mage = 40.0, SD = 14.1; 74.1% lesbian, 25.9% bisexual; 37.6% White, 35.8% Black, 23.2% Latinx; 26.3% annual income $14,999 or less). We used bivariate analyses to characterize the sample’s demographic characteristics and multivariable logistic regression analyses to examine associations among variables. SMW subgroups based on age, race/ethnicity, and annual income differed in alcohol outcomes (i.e., HED, DSM-IV alcohol dependence, alcohol-related problem consequences, alcohol problem recognition, and motivation to reduce drinking); help-seeking; and treatment satisfaction. SMW who engaged in help-seeking for alcohol-related concerns, compared to those who did not, were more likely to meet criteria for DSM-IV alcohol dependence (adjusted odds ratio [aOR] = 7.13; 95% CI = 2.77; 18.36), endorse alcohol-related problem consequences (aOR = 11.44; 95% CI = 3.88; 33.71), recognize problematic drinking (aOR = 14.56; 95% CI = 3.37; 62.97), and report motivation to reduce drinking (aOR = 5.26; 95% CI = 1.74; 15.88). SMW’s alcohol outcomes did not differ based on their satisfaction with treatment or with providers. This study’s findings confirm SMW’s elevated risk for HED and other alcohol-related outcomes and underscore the importance of identity-affirmative and accessible behavioral and mental health treatment for young, Black, and low-income SMW. Clinicians and intervention scientists should develop or enhance existing brief behavioral and mental health treatments for SMW engaging in HED who may not recognize problematic drinking or who are not motivated to reduce drinking.
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影响因子：
4.4
作者：
Blevins CE;Walker DD;Stephens RS;Banes KE;Roffman RA
通讯作者：
Roffman RA
DOI：
10.1176/appi.ajp.2020.20010005
发表时间：
2020-11-01
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Evans-Polce RJ;Kcomt L;Veliz PT;Boyd CJ;McCabe SE
通讯作者：
McCabe SE
影响因子：
6
作者：
Fish, Jessica N.;Hughes, Tonda L.;Russell, Stephen T.
通讯作者：
Russell, Stephen T.
影响因子：
2.6
作者：
Funk, M.;Lund, C.;Drew, N.
通讯作者：
Drew, N.
DOI：
10.1007/s11414-011-9243-1
发表时间：
2011-10-01
影响因子：
1.9
作者：
Gayman, Mathew D.;Cuddeback, Gary S.;Morrissey, Joseph P.
通讯作者：
Morrissey, Joseph P.