重新审视北美少数族裔移民男同性恋者、双性恋者及其他男男性行为者中不健康饮酒的普遍性:系统回顾与元分析》。

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Immigrant and Minority Health Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI:10.1007/s10903-024-01629-y
Wonkyung Chang, Chen Zhang
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引用次数: 0

摘要

不健康饮酒是北美少数族裔移民男同性恋者、双性恋者和其他男男性行为者(GBMSM)的一个重大公共卫生问题。不健康饮酒的定义是任何增加健康后果风险或已导致负面健康后果的饮酒行为。尽管不健康饮酒与各种健康问题有关,但对这一人群的研究仍然不足。因此,我们旨在综合主要研究结果,提供北美地区该人群中不健康饮酒的流行率及相关因素。我们在多个科学数据库中进行了全面的文献检索,以确定有关少数族裔移民 GBMSM 饮酒情况的研究。利用随机效应建模策略,我们汇总并权衡了各个估计值,从而得出了这一人群中不健康饮酒的总体流行率。我们的综述包括 20 篇文章,共有 2971 名参与者(即 53% 为拉丁裔,45% 为亚洲/太平洋岛民,2% 为非洲裔)。荟萃分析显示,64%(95% CI 0.50,0.78)的参与者报告近期饮酒,44%(95% CI 0.30,0.59)的参与者饮酒不健康。研究中发现的共存健康问题包括使用其他药物(32%;95% CI 0.21,0.45)、HIV 阳性(39%;95% CI 0.14,0.67)和精神健康问题(39%;95% CI 0.21,0.58)。我们还发现了一些与不健康饮酒相关的因素,包括危险的性行为、基于种族和性取向的歧视经历以及虐待经历。然而,元回归结果显示,饮酒与共存的健康问题之间没有统计学意义上的显著关联。这是第一项系统回顾少数族裔移民中不健康饮酒情况的研究。尽管饮酒的负担很重,但对亚裔和非裔 GBMSM 的研究却很缺乏。我们的研究结果强调了对这些群体进行更多研究的必要性,并为有针对性的临床预防和早期干预策略提供了启示,以减轻少数族裔移民 GBMSM 不健康饮酒的不良后果。
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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Revisiting the Prevalence of Unhealthy Alcohol Use Among Ethnic Minority Immigrant Gay, Bisexual Men, and Other Men Who Have Sex with Men in North America: A Systematic Review and Meta-analysis.

Unhealthy alcohol use is a significant public health concern among ethnic minority immigrant gay, bisexual men, and other men who have sex with men (GBMSM) in North America. The definition of unhealthy alcohol use is any use that increases the risk of health consequences or has already led to negative health consequences. Despite its association with various health problems, this issue remains understudied in this population. Therefore, we aim to synthesize key findings to provide the prevalence of unhealthy alcohol use and related factors among this population in North America. We conducted a comprehensive literature search in multiple scientific databases to identify studies on alcohol use among ethnic minority immigrant GBMSM. Using random-effect modeling strategies, we aggregate and weigh the individual estimates, providing a pooled prevalence of unhealthy alcohol use within this population. Our review included 20 articles with 2971 participants (i.e., 53% were Latino, 45% were Asian/Pacific Islanders, and 2% were African). The meta-analysis revealed that 64% (95% CI 0.50, 0.78) of the participants reported recent alcohol use, while 44% (95% CI 0.30, 0.59) engaged in unhealthy alcohol use. Co-occurring health issues identified in the studies are other substance use (32%; 95% CI 0.21, 0.45), positive HIV status (39%; 95% CI 0.14, 0.67), and mental health issues (39%; 95% CI 0.21, 0.58). We also identified several factors associated with unhealthy alcohol use, including risky sexual behaviors, experiences of discrimination based on race and sexual orientation, and experiences of abuse. However, meta-regression results revealed no statistically significant associations between alcohol use and co-occurring health problems. This is the first study to systematically review unhealthy alcohol use among ethnic minority immigrant GBMSM. Despite the high burden of alcohol use, there is a dearth of research among Asian and African GBMSM. Our findings underscore the need for more research in these groups and provide insights to inform targeted clinical prevention and early intervention strategies to mitigate the adverse consequences of unhealthy alcohol use among ethnic minority immigrant GBMSM.

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来源期刊
Journal of Immigrant and Minority Health
Journal of Immigrant and Minority Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
5.30%
发文量
104
期刊介绍: Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.
期刊最新文献
Determinants of Self-Medication in Immigrants: A Systematic Review. Predictors of Contraceptive Use Associated with Foreign-Born Women in the US During the Preconception Period of Their First Pregnancy. Refugees' Human and Social Capital and Health Insurance Coverage. Parent empowerment as a buffer between perceived stress and parenting self-efficacy in immigrant parents. 'We Need Equitable Exercise Opportunities': The Complexity of Leisure-Time Physical Activity and Its Relationship to Mental Health among Arab Canadians: The CAN-HEAL Study.
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