Role of Alcohol Disparities in HIV Risk among Sexual Minority Youth

项目总结 酒精是美国年轻人最常用和滥用的药物，酒精使用的普及率 在性少数青少年(SMY)中的比例比他们的异性恋同龄人高得不成比例。研究 已经发现酒精的使用和滥用与一系列负面健康后果有关，包括 心理困扰，神经认知缺陷，以及感染艾滋病毒。最后这一点特别是 对于年轻的男男性行为者(YMSM)来说很重要，YMSM是艾滋病毒发病率仅有的危险群体之一 继续增长。我们建议使用一系列流行病学方法来评估酒精的影响 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 在SMY和他们的异性恋同龄人之间。为了进行这些二次分析，我们将使用数据 作为青年危险行为调查(YRBS)的一部分收集的，这是一项两年一度的高中生调查，将 在2015年的全国调查中，首次评估性身份和性行为。建立在我们先前工作的基础上 这导致了美国公共卫生杂志的一期特刊，我们将重点关注司法管辖权和 与酒精使用和差异的时间关联，确定影响酒精使用的结构性因素，以及 看看饮酒和无公寓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.