英国跨性别和非二元群体中的歧视、性别焦虑、饮酒应对以及酒精危害。

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE Alcohol and alcoholism Pub Date : 2024-01-11 DOI:10.1093/alcalc/agad060
Emma L Davies, Ivan Ezquerra-Romano, Beth Thayne, Zhi Holloway, Jacob Bayliss, Stewart O'Callaghan, Dean J Connolly
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引用次数: 0

摘要

跨性别(跨性别)和非二元人群可能会增加酒精危害的风险,但人们对这个社区饮酒的动机知之甚少。这项研究探讨了在英国有终身饮酒史的跨性别和非二元人群样本中,酒精依赖风险、酒精伤害经历、饮酒动机、焦虑和歧视之间的关系。2022年2月1日至3月31日,与社区利益相关者共同进行了一项横断面调查,对跨性别和非二元人群进行了有针对性的抽样调查。共有462名受访者被包括在内——159人被认定为非二元和/或性别酷儿(男性/女性二元之外的身份),135人仅为女性,63人仅为男性,15人为另一性别身份,90人选择了多种身份。报告的歧视程度越高,依赖风险越高,报告的饮酒危害也越多。应对动机、增强动机和饮酒管理焦虑与较高的酒精使用障碍识别测试分数相关。社会、应对和增强动机以及歧视和饮酒性行为都与伤害有关。歧视与依赖风险之间的关系是由应对动机和饮酒管理焦虑来调节的。除了这些关联之外,我们建议减少对跨性别和非二元社区的歧视可能会减少这一人群中的酒精危害。干预措施应针对增强动机、应对动机和性别焦虑。酒精的社交和增强功能可以被无酒精的支持性社交空间所取代。
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Discrimination, gender dysphoria, drinking to cope, and alcohol harms in the UK trans and non-binary community.

Transgender (trans) and non-binary people may be at increased risk of alcohol harms, but little is known about motives for drinking in this community. This study explored the relationship between risk of alcohol dependence, experience of alcohol harms, drinking motives, dysphoria, and discrimination within a United Kingdom sample of trans and non-binary people with a lifetime history of alcohol use. A cross-sectional survey was co-produced with community stakeholders and administered to a purposive sample of trans and non-binary people from 1 February until 31 March 2022. A total of 462 respondents were included-159 identified as non-binary and/or genderqueer (identities outside the man/woman binary), 135 solely as women, 63 solely as men, 15 as another gender identity, 90 selected multiple identities. Higher levels of reported discrimination were associated with higher risk of dependence and more reported harms from drinking. Coping motives, enhancement motives, and drinking to manage dysphoria were associated with higher Alcohol Use Disorders Identification Test scores. Social, coping, and enhancement motives alongside discrimination and drinking to have sex were associated with harms. The relationship between discrimination and risk of dependence was mediated by coping motives and drinking to manage dysphoria. Further to these associations, we suggest that reducing discrimination against trans and non-binary communities might reduce alcohol harms in this population. Interventions should target enhancement motives, coping motives and gender dysphoria. Social and enhancement functions of alcohol could be replaced by alcohol free supportive social spaces.

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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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