研究加利福尼亚州性与性别少数群体和同性异性新成人使用大麻的相关因素。

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-07-01 Epub Date: 2024-02-01 DOI:10.1089/lgbt.2023.0050
Juan C Jauregui, Chenglin Hong, Ryan D Assaf, Nicole J Cunningham, Evan A Krueger, Risa Flynn, Ian W Holloway
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引用次数: 0

摘要

目的: 我们探索了大麻风险的相关因素,并研究了加利福尼亚州性与性别少数群体 (SGM) 与同性异性恋新成人(18-29 岁)之间的差异。研究方法:我们招募了 1491 名 18-29 岁的参与者进行横截面在线调查。顺序逻辑回归评估了少数群体压力(歧视和内部化恐同症 [IH])、社会支持(感知的社会支持和女同性恋、男同性恋、双性恋、跨性别者和同性恋者+ [LGBTQ+] 社区联系)和大麻风险评分(与大麻使用有关的问题的低风险、中风险和高风险)之间的关联。我们还探讨了不同性取向和性别认同(SOGI)的大麻风险得分差异。研究结果较高的日常歧视分数与自我评分处于较高大麻风险范围的几率增加有关(调整后的几率比 = 1.53,95% 置信区间 [CI] = 1.31-1.79)。我们没有发现 IH、LGBTQ+ 社区联系或社会支持与大麻风险评分有明显关联。在统计学上,不同社会性别群体之间也没有显著差异;不过,社会性别群体确实缓和了 IH 与大麻风险得分之间的关系,例如,与同性别的性少数群体男性相比,同性别的性少数群体女性的 IH 斜率高出 0.43 个单位(95% CI = 0.05-0.81)。结论我们的研究结果表明,日常歧视经历是导致大麻相关问题的重要因素,与性少数群体男性相比,IH 对性少数群体女性的影响可能更为明显。需要进行更多的研究,以更好地了解大麻风险的风险因素和保护因素,为制定针对性少数群体新成人的文化干预措施提供信息。
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Examining Factors Associated with Cannabis Use Among Sexual and Gender Minority and Cisgender Heterosexual Emerging Adults in California.

Purpose: We explored correlates of cannabis risk and examined differences between sexual and gender minority (SGM) and cisgender heterosexual emerging adults (ages 18-29) in California. Methods: We recruited 1491 participants aged 18-29 years for a cross-sectional online survey. Ordinal logistic regressions assessed associations between minority stress (discrimination and internalized homophobia [IH]), social support (perceived social support and lesbian, gay, bisexual, transgender, and queer+ [LGBTQ+] community connectedness), and cannabis risk scores (low, medium, and high risk of developing problems related to their cannabis use). We also explored differences in cannabis risk scores by sexual orientation and gender identity (SOGI). Results: Higher everyday discrimination scores were associated with increased odds of self-scoring in a higher cannabis risk range (adjusted odds ratio = 1.53, 95% confidence interval [CI] = 1.31-1.79). We found no significant associations for IH, LGBTQ+ community connectedness, or social support on cannabis risk scores. There were also no statistically significant differences by SOGI groups; however, SOGI did moderate the relationship between IH and cannabis risk score such that the slope for IH was 0.43 units higher for cisgender sexual minority women compared to cisgender sexual minority men (95% CI = 0.05-0.81). Conclusion: Our findings suggest that experiences of everyday discrimination are important contributors to developing cannabis-related problems and IH may have more pronounced effects for sexual minority women compared to sexual minority men. More research is needed to better understand risk and protective factors of cannabis risk to inform the development of culturally tailored interventions for SGM emerging adults.

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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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