Are alcohol-related disparities between sexual minority and heterosexual youth decreasing?
Are alcohol-related disparities between sexual minority and heterosexual youth decreasing?
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DOI：
10.1111/add.13896
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发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
Saewyc EM
中科院分区：
文献类型：
--
作者：
Fish JN;Watson RJ;Porta CM;Russell ST;Saewyc EM
尽管与性取向有关的饮酒差异已经确立，但研究人员尚未确定，随着社会对女同性恋者/男同性恋者和双性恋者(LGB)的态度变得更容易接受，差异是否正在缩小。我们通过(1)估计这些行为的流行率；(2)估计每个波年内异性恋和LGB青年之间与酒精相关的结果的差异；以及(3)测试异性恋和LGB青年之间与酒精相关的差异的程度是否发生了变化，从而检验了1998-2013年间异性恋和LGB青年之间与酒精相关的差异的变化。Logistic回归模型和逐年性取向的交互作用与重复的、横截面的、具有省代表性的数据。加拿大不列颠哥伦比亚省。1998年(n=22,858)、2003(n=29,323)、2008(n=25,254)和2013(n=21,938)不列颠哥伦比亚省青少年健康调查的学生(12-19岁)(总计N=99,373，48.7%男性，男=14.84岁)。我们模拟了异性恋者和性别少数青少年(即主要是异性恋者、双性恋者和女同性恋者/男同性恋者)三个亚群(即主要是异性恋者、双性恋者和女同性恋者/同性恋者)在终生饮酒、发病年龄、过去30天饮酒和过去30天大量饮酒方面的年龄调整差异。总体而言，所有年轻人的酒精使用量都有所下降，尽管在LGB青少年中下降较少(异性恋男性和女性的平均AOR=.58和AOR=.53，性少数男性和女性的平均AOR=.71和AOR=.57)。年内比较表明，在四个调查年份中，与异性恋青年相比，LGB人群的饮酒率都有所上升，特别是在女性中。结果表明，随着时间的推移，饮酒风险几乎没有变化；然而，结果显示，从1998年到2013年，主要是异性恋女性(终生饮酒的AOR=1.58，30天饮酒的AOR=1.58，30天大量饮酒的AOR=1.34)和双性恋(终生饮酒的AOR=1.95)女性的危险饮酒增加。尽管自1998年以来，加拿大年轻人的饮酒率普遍下降，但与异性恋青年相比，加拿大的男女同性恋者和双性恋者的饮酒率仍然较高。
Although sexual-orientation-related alcohol use disparities are well established, researchers have not identified whether disparities are diminishing as societal attitudes towards lesbian/gay and bisexual (LGB) people become more accepting. We examined changes in four alcohol-related disparities between heterosexual and LGB youth from 1998–2013 by (1) estimating the prevalence of these behaviors; (2) estimating disparities in alcohol-related outcomes between heterosexual and LGB youth within each wave year; and (3) testing whether the degree of difference in alcohol-related disparities between heterosexual and LGB youth has changed. Logistic regression models and year-by-sexual-orientation interactions with repeated, cross-sectional, provincially-representative data. British Columbia, Canada. Students (ages 12–19) from the 1998 (n = 22,858), 2003 (n = 29,323), 2008 (n = 25,254), and 2013 (n = 21,938) British Columbia Adolescent Health Survey (total N = 99,373, 48.7% male, M ®age = 14.84). We modeled age-adjusted differences in lifetime alcohol use, age of onset, past 30-day drinking, and past 30-day heavy episodic drinking between heterosexual and three subgroups of sexual minority youth (i.e., mostly heterosexual, bisexual, and lesbian/gay). Generally, alcohol use declined for all youth, although less so among LGB youth (average aOR = .58 and aOR = .53 for heterosexual males and females and aOR = .71 and aOR = .57 for sexual minority males and females, respectively). Within-year comparisons demonstrated elevated rates of alcohol use among LGB compared with heterosexual youth for each of the four survey years, especially among females. Findings indicate few changes over time; however, results show an increase in risky alcohol use from 1998 to 2013 among mostly heterosexual (aOR = 1.58 for lifetime alcohol use, aOR = 1.58 for 30-day alcohol use, and aOR = 1.34 for 30-day heavy episodic drinking), and bisexual (aOR = 1.95 for lifetime alcohol use) females. Despite the general decline in the prevalence of alcohol use among young people in Canada since 1998, lesbian/gay and bisexual youth in Canada continue to show elevated rates of alcohol use compared with heterosexual youth.
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