Role of Alcohol Disparities in HIV Risk among Sexual Minority Youth

项目摘要 酒精是美国年轻人最常用和滥用的药物，和酒精使用率 性少数青年（SMY）中的性别比例不成比例地高于异性恋同龄人。研究 发现酒精使用和滥用与一系列负面健康结果有关，包括 心理困扰、神经认知缺陷和艾滋病毒感染。这最后一点尤其 这对男男性行为青年（YMSM）很重要，YMSM是艾滋病毒发病率最低的危险群体之一， 一个继续增长我们建议使用一系列流行病学方法来评估酒精对健康的影响， 使用对生活在美国的SMY的性、心理和身体健康的影响，以及存在的差异 SMY和他们的异性恋同龄人之间的关系。为了进行这些二次分析，我们将使用数据 作为青年风险行为调查（YRBS）的一部分收集，这是一项两年一度的高中生调查， 在2015年的全国调查中首次评估性身份和行为。基于我们之前的工作 这导致了美国公共卫生杂志的特刊，我们将重点关注管辖权和 与酒精使用和差异的时间关联，确定影响酒精使用的结构因素， 看看酒精使用和无安全套性行为之间的事件级关联。

PROJECT SUMMARY Alcohol is the most commonly used and abused drug among youths in the U.S., and prevalence of alcohol use is disproportionately higher among sexual minority youth (SMY) than among their heterosexual peers. Studies have found that alcohol use and abuse is associated with an array of negative health outcomes, including psychological distress, neurocognitive deficiencies, and acquisition of HIV. This last point is especially important for young men who have sex with men (YMSM), one of the only risk groups in which HIV incidence continues to grow. We propose to use an array of epidemiologic approaches to assess the impact that alcohol use has on the sexual, mental, and physical health of SMY living in the U.S., and the disparities that exist between SMY and their heterosexual peers. In order to conduct these secondary analyses, we will use data collected as part of the Youth Risk Behavior Survey (YRBS), a biennial survey of high school students that will assess sexual identity and behavior for the first time in the national survey in 2015. Building on our prior work that resulted in a special issue of the American Journal of Public Health, we will focus on jurisdictional and temporal associations with alcohol use and disparities, identify structural factors that influence alcohol use, and look at event-level associations between alcohol use and condomless sex.