2015-2020 年按少数族裔身份和收入分列的加拿大成年人的性特征和酗酒情况》(Sexual Identity and Heavy Drinking Among Adults in Canada by Racially Minoritized Status and Income)。

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-07-05 DOI:10.1089/lgbt.2023.0187
Julian Gitelman, Brendan Smith, Christine M Warren, Alessandra T Andreacchi, Roman Pabayo, Erin Hobin
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引用次数: 0

摘要

目的:我们的目的是按性别估计异性恋、男同性恋或女同性恋、双性恋或泛双性恋者之间在大量饮酒方面的不平等,并确定在 15 岁及以上的加拿大人中,这种关联在少数种族身份和收入群体中是否具有异质性。研究方法我们汇集了三个加拿大社区健康调查周期(2015-2020 年)的数据,并使用单独的修正泊松回归来探索性身份与少数民族身份和收入之间的特定性/性别关联,并对调查周期、年龄、婚姻状况和地区进行了调整。结果:将种族少数化状况和收入类别合并后,与异性恋女性相比,双性恋或泛双性恋女性的重度酗酒率是异性恋女性的 1.3 倍(95% 置信区间 [CI] = 1.0-1.7),而男性之间没有差异。在少数种族女性中,与异性恋女性相比,双性恋或泛双性恋女性的重度酗酒率是异性恋女性的 2.9 倍(95% 置信区间 = 1.3-6.4),同性恋女性的重度酗酒率是异性恋女性的 1.9 倍(95% 置信区间 = 0.7-5.2)。在少数种族男性中,与异性恋男性相比,同性恋男性的酗酒率是异性恋男性的 1.9 倍(95% CI = 0.9-4.0)。在白人男性或女性中,没有观察到不同性身份的差异。与异性恋女性相比,双性恋或泛双性恋女性的重度酗酒率在不同收入的五分位数中都有所上升。结论:重度饮酒在性身份、性/性别、少数种族身份和收入方面的分布是不均衡的。这些结果鼓励采取以公平为重点的干预措施,以减少交叉社会人口群体中的大量饮酒。
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Sexual Identity and Heavy Drinking Among Adults in Canada by Racially Minoritized Status and Income, 2015-2020.

Purpose: Our objective was to estimate inequities in heavy drinking between heterosexual, gay or lesbian, and bisexual or pansexual individuals, by sex/gender, and to determine whether this association is heterogeneous across racially minoritized status and income groups in Canadians aged 15 and older. Methods: We pooled three Canadian Community Health Survey cycles (2015-2020) and used separate modified Poisson regressions to explore the sex/gender-specific association between sexual identity and heavy drinking prevalence by racially minoritized status, and income, adjusted for survey cycle, age, marital status, and region. Results: With racially minoritized status, and income categories collapsed, heavy drinking was 1.3 times higher (95% confidence interval [CI] = 1.0-1.7) among bisexual or pansexual women compared with heterosexual women, with no differences among men. Among racially minoritized women, heavy drinking was 2.9 (95% CI = 1.3-6.4) times higher among bisexual or pansexual women and 1.9 (95% CI = 0.7-5.2) times higher among gay or lesbian women compared with heterosexual women. Among racially minoritized men, heavy drinking was 1.9 (95% CI = 0.9-4.0) times higher among gay men compared with heterosexual men. No differences were observed across sexual identity in White men or women. Bisexual or pansexual women reported increased heavy drinking relative to heterosexual women across income quintiles. Conclusion: Heavy drinking is distributed heterogeneously across sexual identity, sex/gender, racially minoritized status, and income. These results encourage equity-focused interventions to reduce heavy drinking among intersecting sociodemographic groups experiencing a greater burden of heavy drinking.

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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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