Differential Effects of State Policy Environments on Substance Use by Sexual Identity: Findings From the 2000-2015 National Alcohol Surveys.
Differential Effects of State Policy Environments on Substance Use by Sexual Identity: Findings From the 2000-2015 National Alcohol Surveys.
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DOI：
10.1891/lgbtq-2020-0029
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Karriker-Jaffe KJ
中科院分区：
文献类型：
--
作者：
Drabble LA;Mericle AA;Gómez W;Klinger JL;Trocki KF;Karriker-Jaffe KJ
这项研究探索了结构性污名--由美国与性少数群体权利相关的州政策定义--是否缓和了性别认同与酗酒、酒精问题和大麻使用之间的关系。使用国家酒精调查(NAS)系列(2000年、2005年、2010年和2015年)的综合数据，样本包括11,115名男性(421名性少数群体和10,694名异性恋)和14,395名女性(413名性少数群体和13,982名异性恋)。对国家政策环境的评估使用了一个时变的二分法指标，即对性少数群体的全面保护(4-6项保护措施与有限保护措施或不保护措施)。性别分层Logistic回归分析考察了政策环境按性别身份对过去一年的三种药物使用结果的不同影响：高强度饮酒(每天8杯以上)、任何DSM-5酒精使用障碍和大麻使用。在女性中，性少数地位与所有酒精和大麻使用结果的几率增加有关。在男性中，性少数地位与高强度饮酒的几率降低但大麻的使用增加有关。全面的政策保护大大降低了性少数男性高强度饮酒的几率，而女性的高强度饮酒几率略有下降。全面的政策保护似乎对性少数男女中的高强度饮酒起到了保护作用。研究结果强调了支持性政策在降低性少数群体中与酒精有关的问题风险方面的重要性。
This study explored whether structural stigma, defined by U.S. state policies related to sexual minority rights, moderated the relationship between sexual identity identity and heavy drinking, alcohol problems, and marijuana use among men and women. Using combined data from the National Alcohol Survey (NAS) series (2000, 2005, 2010, and 2015), the sample included 11,115 men (421 sexual minority and 10,694 heterosexual) and 14,395 women (413 sexual minority and 13,982 heterosexual). State policy environment was assessed using a time-varying dichotomous indicator of comprehensive protections for sexual minorities (4–6 protections vs. limited or no protections). Gender-stratified logistic regression analyses examined the differential effect of the policy environment by sexual identity on three past-year substance use outcomes: high-intensity drinking (8+ drinks/day), any DSM-5 alcohol use disorder, and marijuana use. Among women, sexual minority status was associated with increased odds of all alcohol and marijuana use outcomes. Among men, sexual minority status was associated with decreased odds of high-intensity drinking but increased use of marijuana. Comprehensive policy protections were associated significantly decreased odds of high-intensity drinking among sexual minority men and marginally significant decreases among women. Comprehensive policy protections appear to be protective for high-intensity drinking among sexual minority men and women. Findings underscore the importance of supportive policies in reducing risk of alcohol-related problems among sexual minorities.