Sexual orientation identity and tobacco and hazardous alcohol use: findings from a cross-sectional English population survey
Sexual orientation identity and tobacco and hazardous alcohol use: findings from a cross-sectional English population survey
复制标题
DOI：
10.1136/bmjopen-2016-015058
复制
发表时间：
2017-10-01
期刊：
影响因子：
2.9
通讯作者：
Meads, Catherine
中科院分区：
文献类型：
--
作者：
Shahab, Lion;Brown, Jamie;Meads, Catherine
目的评估烟草和有害酒精使用与性取向之间的关联，以及这种关联是否可以用其他社会人口学特征来解释。设计2014- 2016年进行的横断面家庭调查。设置英格兰，英国。参与者代表性英国人口样本（合并n=43 866）。主要结果（女同性恋/男同性恋，双性恋，异性恋，宁愿不说）;当前烟草和危险酒精使用（定义为酒精使用障碍识别测试评分>= 8）。所有的结果都是自我reported.Results由于性取向和性别之间的相互作用的物质使用，分析按性别分层。男女同性恋者的烟草使用率明显较高（女性：24.9%，95% CI 19.2%至32.6%;男性：25.9%，95% CI 21.3%至31.0%）和双性恋受试者（女性：32.4%，95% CI 25.9%至39.6%;男性：30.7%，95% CI 23.7%至30.7%），女性中不愿说的参与者显著更低（15.5%，95% CI 13.5%至17.8%），但男性（22.7%，95% CI 20.3%至25.3%）与异性恋参与者（女性：17.5%，95% CI 17.0%至18.0%;男性：20.4%，95% CI 19.9%至21.0%; p
Objectives To assess the association between tobacco and hazardous alcohol use and sexual orientation and whether such an association could be explained by other sociodemographic characteristics.Design Cross-sectional household survey conducted in 2014-2016.Setting England, UK.Participants Representative English population sample (pooled n=43 866).Main outcomes Sexual orientation identity (lesbian/gay, bisexual, heterosexual, prefer-not-to-say); current tobacco and hazardous alcohol use (defined as Alcohol Use Disorders Identification Test Score >= 8). All outcomes were self-reported.Results Due to interactions between sexual orientation and gender for substance use, analyses were stratified by gender. Tobacco use prevalence was significantly higher among lesbian/gay (women: 24.9%, 95% CI 19.2% to 32.6%; men: 25.9%, 95% CI 21.3% to 31.0%) and bisexual participants (women: 32.4%, 95% CI 25.9% to 39.6%; men: 30.7%, 95% CI 23.7% to 30.7%) and significantly lower for prefer-not-to-say participants in women (15.5%, 95% CI 13.5% to 17.8%) but not men (22.7%, 95% CI 20.3% to 25.3%) compared with heterosexual participants (women: 17.5%, 95% CI 17.0% to 18.0%; men: 20.4%, 95% CI 19.9% to 21.0%; p