Tobacco, cannabis, alcohol, and polysubstance use disparities among sexual identity groups of US young adult women and men

Q1 Psychology

Addictive Behaviors Reports Pub Date : 2024-12-01 DOI:10.1016/j.abrep.2024.100571

Erin A. Vogel , Katelyn F. Romm , Carla J. Berg

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引用次数: 0

Abstract

Background

Sexual minority young adults (SMYAs) display higher rates of polysubstance use (i.e., current use of multiple substances) than their heterosexual peers, but limited research has explored differences by gender and specific sexual identity.

Methods

Latent class analyses (LCAs) examined past-month use of combustible tobacco (i.e., cigarettes, cigars, hookah), e-cigarettes, cannabis, and alcohol among 2,343 YAs (M_age = 24.69, SD = 4.70; 57.4 % women, 42.6 % men; 18.0 % bisexual, 9.4 % gay or lesbian; 36.2% racial/ethnic minority) residing in 6 US metropolitan areas. Multinomial logistic regressions examined associations among sexual identity (bisexual, gay/lesbian, heterosexual) and polysubstance use classes among women (n = 1,345) and men (n = 998), separately.

Results

LCA yielded a 5-class solution: primarily-alcohol use (29.5%), polysubstance use (i.e., use of all 4 substances, 24.3%), non-use (18.1%), cannabis and alcohol co-use (16.3%), and e-cigarette, cannabis, and alcohol co-use (11.8%). Bisexual and lesbian (vs. heterosexual) women displayed lower odds of primarily-alcohol use, whereas bisexual (vs. heterosexual) women displayed higher odds of polysubstance use, as well as e-cigarette, cannabis, and alcohol co-use. Bisexual (vs. heterosexual) men displayed lower odds of primarily-alcohol use, whereas gay (vs. heterosexual) men displayed lower odds of polysubstance use, as well as e-cigarette, cannabis, and alcohol co-use.

Conclusions

Bisexual women were at greatest risk for polysubstance use of combustible tobacco, e-cigarettes, cannabis, and alcohol, whereas bisexual and gay men were at lower risk than heterosexual men for polysubstance use. Results underscore the need for tailored interventions and campaigns to consider patterns of co-occurring tobacco, cannabis, and alcohol use, particularly for bisexual women.

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烟草、大麻、酒精和多种物质使用在美国青年男女性别认同群体中的差异

性少数年轻人（SMYAs）比异性恋同龄人显示出更高的多物质使用率（即当前使用多种物质），但有限的研究探讨了性别和特定性身份的差异。方法通过潜类分析（lca）对2,343名青少年过去一个月使用可燃烟草（即香烟、雪茄、水烟）、电子烟、大麻和酒精的情况进行调查(Mage = 24.69, SD = 4.70；女性占57.4%，男性占42.6%；18.0%双性恋，9.4%男同性恋或女同性恋；36.2%种族/少数民族)居住在美国6个大都市区。多项逻辑回归分别研究了女性（n = 1345）和男性（n = 998）的性身份（双性恋、男同性恋/女同性恋、异性恋）和多物质使用类别之间的关系。结果slca得到5类解决方案：主要使用酒精（29.5%）、多物质使用（即使用所有4种物质，24.3%）、不使用（18.1%）、大麻和酒精混合使用（16.3%）、电子烟、大麻和酒精混合使用（11.8%）。双性恋和女同性恋（与异性恋相比）女性主要使用酒精的几率较低，而双性恋（与异性恋相比）女性使用多种物质、电子烟、大麻和酒精的几率较高。双性恋（相对于异性恋）男性主要使用酒精的几率较低，而同性恋（相对于异性恋）男性使用多种物质、电子烟、大麻和酒精的几率较低。结论双性恋女性使用可燃烟草、电子烟、大麻和酒精的风险最高，而双性恋和男同性恋男性使用多物质的风险低于异性恋男性。研究结果强调需要有针对性的干预措施和运动，以考虑烟草、大麻和酒精同时使用的模式，特别是双性恋妇女。

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

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.