Sexual orientation disparities in longitudinal alcohol use patterns among adolescents: findings from the Growing Up Today Study.

Sexual orientation disparities in longitudinal alcohol use patterns among adolescents: findings from the Growing Up Today Study.
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DOI:
10.1001/archpedi.162.11.1071
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发表时间:
2008-11
影响因子:
--
通讯作者:
Austin, S. Bryn
Austin, S. Bryn
中科院分区:
其他
文献类型:
--
作者:
Corliss, Heather L.;Rosario, Margaret;Wypij, David;Fisher, Laurie B.;Austin, S. Bryn

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比较性取向群体在青春期酒精使用行为纵向发展中的差异。基于社区的前瞻性队列研究。自我报告的问卷。1996年,共有13450名9至14岁的“今日成长”研究参与者(占原始队列的79.7%)被随访了7年多。自我报告的性取向被归类为异性恋,主要是异性恋、双性恋或女同性恋/男同性恋。开始饮酒的年龄,过去一个月的饮酒情况,通常饮用的酒精饮料数量,以及过去一年中酗酒的次数。与异性恋者相比,报告任何少数性取向的青少年都报告在更年轻的时候开始饮酒。一直观察到,大多数异性恋男性和女性以及双性恋女性使用酒精的风险更高,而男同性恋和双性恋男性和女同性恋仅在某些指标上报告酒精使用水平升高。性别是酒精使用风险的重要调节因素;大多数异性恋和双性恋女性表现出最高的相对风险。少数性取向参与者开始饮酒的年龄越小,他们酗酒的风险就越高。我们的研究结果表明,少数性取向的青少年在酒精使用方面的差异从青春期早期开始,并持续到成年早期。医疗保健提供者应该意识到,少数性取向的青少年饮酒的风险更大。
To compare sexual orientation group differences in the longitudinal development of alcohol use behaviors during adolescence. Community-based prospective cohort study. Self-reported questionnaires. A total of 13450 Growing Up Today Study participants (79.7% of the original cohort) aged 9 to 14 years at baseline in 1996 were followed for over seven years. Self-reported sexual orientation classified as heterosexual, mostly heterosexual, bisexual, or lesbian/gay. Age of alcohol use initiation, any past-month drinking, number of alcohol drinks usually consumed, and number of binge drinking episodes in the past year. Compared to heterosexuals, youth reporting any minority sexual orientation reported initiating alcohol use at younger ages. Greater risk of alcohol use was consistently observed for mostly heterosexual males and females and for bisexual females, whereas gay and bisexual males and lesbians reported elevated levels of alcohol use on only some indicators. Gender was an important modifier of alcohol use risk; mostly heterosexual and bisexual females exhibited the highest relative risk. Younger age of alcohol use initiation among minority sexual orientation participants significantly contributed to their elevated risk for binge drinking. Our findings suggest that disparities in alcohol use among youth with a minority sexual orientation emerge in early adolescence and persist into young adulthood. Healthcare providers should be aware that adolescents with a minority sexual orientation are at greater risk for alcohol use.
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