Trends in substance use among sexual minority adolescents in South Korea

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2024-04-10 DOI:10.1111/jspn.12425

Kyoung Hwa Joung PhD, RN, APN, Helen Okoye, Monica Rana, Elizabeth M. Saewyc

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Abstract

Purpose

Substance use, that is of cigarettes, alcohol and chemical inhalants, is a major contributor to health-compromising behaviors and the related consequences among adolescents around the world. The purpose of this paper is to examine trends in this phenomenon in South Korea among sexually active adolescents who reported sexual minority behaviors as compared to their heterosexual (HS) peers.

Design and Methods

This study used data from the annual web-based survey called Korea Youth Risk Behavior Survey in 5-year intervals: 2006, 2011, and 2016. From 2017, the questions regarding the gender of sex partners were excluded from the survey, thus no data is available for sexual minorities after 2016. Selected data (Unweighted n = 10,029) was used to assess whether substance use increased, decreased, or remained unchanged among adolescents who reported same-sex (SS) behaviors and bisexual (BS) behaviors compared to their peers reporting HS behaviors. Demographic variables included age and assigned gender. Substances referred to are cigarettes, alcohol, and chemical inhalants. Logistic regression models were sex-stratified according to assigned gender. Trend analyses were carried out to examine disparities in substance use among sexually active adolescents across the three survey years.

Results

Across the three survey years, cigarette use, alcohol use, and problematic drinking declined among all sexually active youths, but there were some differences among the subgroups. In 2016, SS girls were more likely to use cigarettes than HS girls. The prevalence of alcohol use and problematic drinking among BS girls was relatively higher than among girls who exhibited either HS or SS behaviors. Inhalant use was very high among both boys and girls with SS and BS behaviors.

Practice Implications

The findings of the study reveal disparities in substance use between sexual minority and heterosexual adolescents in South Korea. This creates an alarm for collecting data separately for sexually diverse youth in future Korean national surveys with a goal of reducing substance use among all adolescents.

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韩国性少数群体青少年使用药物的趋势

目的在世界各地的青少年中，使用药物（即香烟、酒精和化学吸入剂）是导致损害健康行为及相关后果的主要因素。本文旨在研究在韩国，与异性恋（HS）同龄人相比，报告性少数行为的性活跃青少年中这一现象的发展趋势。设计与方法本研究使用了韩国青少年风险行为调查（Korea Youth Risk Behavior Survey）的年度网络调查数据，调查时间间隔为 5 年：2006 年、2011 年和 2016 年。从 2017 年起，有关性伴侣性别的问题被排除在调查之外，因此 2016 年之后没有关于性少数群体的数据。所选数据（未加权 n = 10,029 人）用于评估报告有同性（SS）行为和双性恋（BS）行为的青少年与报告有同性（HS）行为的同龄人相比，药物使用是增加了、减少了还是保持不变。人口统计学变量包括年龄和指定性别。所涉及的物质包括香烟、酒精和化学吸入剂。逻辑回归模型根据指定性别进行了性别分层。我们还进行了趋势分析，以研究性活跃青少年在三个调查年份中使用药物的差异。结果在这三个调查年份中，所有性活跃青少年的香烟使用、酒精使用和问题性饮酒均有所下降，但在亚群体中存在一些差异。2016 年，SS 女孩比 HS 女孩更有可能使用香烟。在 BS 女孩中，酗酒和问题性饮酒的发生率相对高于表现出 HS 或 SS 行为的女孩。在有 SS 和 BS 行为的男孩和女孩中，吸入剂的使用率都非常高。实践启示研究结果表明，在韩国，性少数群体青少年和异性恋青少年在药物使用方面存在差异。这给我们敲响了警钟，在今后的韩国全国性调查中，应分别收集不同性取向青少年的数据，以减少所有青少年使用药物的情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.