Characterization of substance use among underrepresented sexual and gender minority participants in The Population Research in Identity and Disparities for Equality (PRIDE) Study.
Characterization of substance use among underrepresented sexual and gender minority participants in The Population Research in Identity and Disparities for Equality (PRIDE) Study.
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DOI：
10.1080/08897077.2019.1702610
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发表时间：
2021
期刊：
影响因子：
3.5
通讯作者：
Flentje A
中科院分区：
文献类型：
--
作者：
Barger BT;Obedin-Maliver J;Capriotti MR;Lunn MR;Flentje A
不太常见的性少数群体（SGM）（例如酷儿、性别酷儿）的物质使用概况仍然很大程度上未知。识别不太常见的 SGM 基于身份的亚组之间的物质使用差异。 PRIDE 研究是一项全国性在线纵向队列研究，对象是居住在美国的自我认定的 SGM 成年人。2015 年至 2017 年间，使用 iPhone 应用程序向参与者进行了三份横断面健康调查问卷，其中一份包括有关酗酒、大麻和其他药物使用（物质使用）的问题。这项研究是对参与者对物质使用调查项目反应的二次数据分析。逻辑回归和广义线性模型评估了过去一年内性取向或性别与物质使用或报告问题之间的关系。在本研究纳入的 1790 名参与者中，51.0% 的人报告在过去一年内酗酒，39.8% 的人报告吸食大麻，19.7% 的人报告使用其他药物（65.9% 的人赞同使用其中一种或多种药物）。超过 30% 的人表示药物滥用是他们生活中的一个问题。无性恋者报告过去一年酗酒和吸食大麻的几率较低（aOR：0.27，95% CI：0.12-0.61；aOR：0.38，95% CI：0.15-0.96），酷儿参与者报告过去一年吸食大麻的几率较高（aOR：2.52，95% CI： 1.58–4.03）与女同性恋参与者相比。与顺性别女性相比，非二元性别参与者报告过去一年酗酒的几率较低（aOR：0.48，95％CI：0.32-0.71），跨男性参与者报告过去一年吸食大麻的几率较高（aOR：2.18，95％CI：1.10-4.31）。 SGM 群体之间存在物质使用异质性。对性取向和性别的综合评估可以提高对药物使用的理解，并增加 SGM 人群支持和治疗服务的公平性。
Profiles of substance use among less commonly described subgroups of sexual and gender minority (SGM) people (e.g., queer, genderqueer) remain largely unknown. To identify substance use differences among less commonly described SGM identity-based subgroups. The PRIDE Study is a national, online, longitudinal cohort study of self-identified SGM adults living in the U.S. Between 2015–2017, an iPhone application was used to administer three cross-sectional health questionnaires to participants, one of which included questions about binge alcohol, marijuana, and other drug use (substance use). This study was a secondary data analysis of participant responses to substance use survey items. Logistic regression and generalized linear modeling assessed relationships between sexual orientation or gender and use of or reported problems with substances within the past year. Among the 1790 participants included in this study, 51.0% reported binge alcohol use, 39.8% reported marijuana use, and 19.7% reported other drug use (65.9% endorsed use of one or more of these) within the past year. Over 30% indicated substance use had been a problem in their life. Asexual individuals had lower odds of reporting past year binge alcohol and marijuana use (aOR: 0.27, 95% CI: 0.12–0.61; aOR: 0.38, 95% CI: 0.15–0.96, respectively), and queer participants had higher odds of reporting past year marijuana use (aOR: 2.52, 95% CI: 1.58–4.03) compared to lesbian participants. Gender nonbinary participants had lower odds of reporting past year binge alcohol use (aOR: 0.48, 95% CI:0.32–0.71) and transmasculine participants had higher odds of reporting past year marijuana use (aOR: 2.18, 95% CI: 1.10–4.31) compared to cisgender women. Substance use heterogeneity exists between SGM groups. Comprehensive assessment of sexual orientation and gender may improve understanding of substance use and increase equity within support and treatment services for SGM populations.
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