Investigating differential protective effects of marriage on substance use by sexual identity status.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2020-12-23 Epub Date: 2020-10-19 DOI:10.7895/ijadr.267

Karen F Trocki, Amy A Mericle, Laurie A Drabble, Jamie L Klinger, Cindy B Veldhuis, Tonda L Hughes, Katherine J Karriker-Jaffe

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引用次数: 0

Abstract

Background: Research suggests that marriage is protective against substance use. However, few studies have examined whether this protective effect differs for sexual minorities, a population at increased risk for substance use. Using data from four waves of the cross-sectional U.S. National Alcohol Survey (NAS; 2000, 2005, 2010, and 2015), we investigated whether the protective effects of marriage varied by sexual identity.

Methods: Sex-stratified logistic regression models were used to examine independent and interactive effects of current marital status (being married vs. not) and sexual minority status (lesbian/gay/bisexual vs. heterosexual) on high-intensity drinking, alcohol use disorder, and marijuana use in the past year.

Results: Among both women and men, sexual minority status was generally associated with higher odds of these outcomes and marriage was consistently associated with lower odds. Differential effects of marriage by sexual identity with respect to marijuana use were found only among men; marriage was significantly associated with decreased odds of marijuana use among heterosexual men but increased odds among sexual minority men.

Conclusions: Marriage may be less consistently protective against hazardous drinking and marijuana use among sexual minorities than heterosexuals. Findings underscore the importance of both quantitative and qualitative studies designed to better understand disparities in substance use across both sexual identity and relationship statuses.

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调查婚姻对药物使用的不同保护作用（按性别身份地位分类）。

背景：研究表明，婚姻对药物使用具有保护作用。然而，对于性少数群体这一药物使用风险较高的人群，很少有研究探讨这种保护作用是否有所不同。利用美国全国酒精调查（NAS，2000 年、2005 年、2010 年和 2015 年）四次横截面调查的数据，我们研究了婚姻的保护作用是否因性别身份而异：方法：使用性别分层逻辑回归模型来研究当前婚姻状况（已婚与未婚）和性少数群体身份（女同性恋/男同性恋/双性恋与异性恋）对过去一年中高强度饮酒、酒精使用障碍和大麻使用的独立和交互影响：结果：在女性和男性中，性少数身份通常与这些结果的较高几率相关，而婚姻则始终与较低几率相关。只有在男性中发现了婚姻对使用大麻的性身份的不同影响；在异性恋男性中，婚姻与使用大麻几率的降低有显著关系，但在性少数男性中，婚姻与使用大麻几率的增加有显著关系：结论：与异性恋者相比，婚姻对性少数群体危险饮酒和吸食大麻的保护作用可能较弱。研究结果强调了定量和定性研究的重要性，这些研究旨在更好地了解不同性别身份和关系状况的人在使用药物方面的差异。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.