Erin A Vogel, Julia McQuoid, Katelyn F Romm, Darla E Kendzor, Amy M Cohn
{"title":"高耻辱感环境中性和性别少数群体成人未满足的医疗保健需求和医用大麻使用情况。","authors":"Erin A Vogel, Julia McQuoid, Katelyn F Romm, Darla E Kendzor, Amy M Cohn","doi":"10.1080/00918369.2024.2302427","DOIUrl":null,"url":null,"abstract":"<p><p>Sexual and gender minoritized (SGM) individuals in high-stigma areas may use cannabis to cope with unmet healthcare needs and elevated stress. Adults in Oklahoma (M<sub>age</sub> = 43.9[SD = 16.8], 54.5% female, 71.4% non-Hispanic White) completed a cross-sectional survey (August-September 2022). Logistic regression examined the association of SGM identity (SGM or non-SGM) with past-year unmet healthcare need (yes/no). Logistic and linear regressions also examined main and interactive effects of SGM identity and unmet healthcare needs on past-month medical cannabis use and number of relaxation/tension-reduction reasons for cannabis use endorsed. Analyses were unadjusted and adjusted for sociodemographic and healthcare characteristics. In adjusted analyses, SGM (vs. non-SGM) adults were more likely to report unmet healthcare needs (aOR = 2.24, 95% CI[1.47, 3.42], <i>p</i> < .001) and past-month medical cannabis use (aOR = 2.15 [1.07, 4.34], <i>p</i> = .033). In unadjusted analyses, SGM (versus non-SGM) adults and those with unmet healthcare needs (versus without) endorsed more relaxation/tension reduction reasons for cannabis use in separate main effects (<i>p</i>s < .029), and adults with unmet healthcare needs (vs. without) were more likely to report past-month medical cannabis use (OR = 2.31 [1.86, 2.88]). SGM identity X unmet healthcare need interactions did not emerge (<i>p</i>s > .05). SGM individuals in high-stigma environments may use cannabis to compensate for insufficient healthcare.</p>","PeriodicalId":48221,"journal":{"name":"Journal of Homosexuality","volume":" ","pages":"1-19"},"PeriodicalIF":2.4000,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231057/pdf/","citationCount":"0","resultStr":"{\"title\":\"Unmet Healthcare Needs and Medical Cannabis Use Among Sexual and Gender Minoritized Adults in a High-Stigma Environment.\",\"authors\":\"Erin A Vogel, Julia McQuoid, Katelyn F Romm, Darla E Kendzor, Amy M Cohn\",\"doi\":\"10.1080/00918369.2024.2302427\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Sexual and gender minoritized (SGM) individuals in high-stigma areas may use cannabis to cope with unmet healthcare needs and elevated stress. Adults in Oklahoma (M<sub>age</sub> = 43.9[SD = 16.8], 54.5% female, 71.4% non-Hispanic White) completed a cross-sectional survey (August-September 2022). Logistic regression examined the association of SGM identity (SGM or non-SGM) with past-year unmet healthcare need (yes/no). Logistic and linear regressions also examined main and interactive effects of SGM identity and unmet healthcare needs on past-month medical cannabis use and number of relaxation/tension-reduction reasons for cannabis use endorsed. Analyses were unadjusted and adjusted for sociodemographic and healthcare characteristics. In adjusted analyses, SGM (vs. non-SGM) adults were more likely to report unmet healthcare needs (aOR = 2.24, 95% CI[1.47, 3.42], <i>p</i> < .001) and past-month medical cannabis use (aOR = 2.15 [1.07, 4.34], <i>p</i> = .033). In unadjusted analyses, SGM (versus non-SGM) adults and those with unmet healthcare needs (versus without) endorsed more relaxation/tension reduction reasons for cannabis use in separate main effects (<i>p</i>s < .029), and adults with unmet healthcare needs (vs. without) were more likely to report past-month medical cannabis use (OR = 2.31 [1.86, 2.88]). SGM identity X unmet healthcare need interactions did not emerge (<i>p</i>s > .05). SGM individuals in high-stigma environments may use cannabis to compensate for insufficient healthcare.</p>\",\"PeriodicalId\":48221,\"journal\":{\"name\":\"Journal of Homosexuality\",\"volume\":\" \",\"pages\":\"1-19\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-01-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231057/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Homosexuality\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/00918369.2024.2302427\",\"RegionNum\":4,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Homosexuality","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/00918369.2024.2302427","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/9 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
Unmet Healthcare Needs and Medical Cannabis Use Among Sexual and Gender Minoritized Adults in a High-Stigma Environment.
Sexual and gender minoritized (SGM) individuals in high-stigma areas may use cannabis to cope with unmet healthcare needs and elevated stress. Adults in Oklahoma (Mage = 43.9[SD = 16.8], 54.5% female, 71.4% non-Hispanic White) completed a cross-sectional survey (August-September 2022). Logistic regression examined the association of SGM identity (SGM or non-SGM) with past-year unmet healthcare need (yes/no). Logistic and linear regressions also examined main and interactive effects of SGM identity and unmet healthcare needs on past-month medical cannabis use and number of relaxation/tension-reduction reasons for cannabis use endorsed. Analyses were unadjusted and adjusted for sociodemographic and healthcare characteristics. In adjusted analyses, SGM (vs. non-SGM) adults were more likely to report unmet healthcare needs (aOR = 2.24, 95% CI[1.47, 3.42], p < .001) and past-month medical cannabis use (aOR = 2.15 [1.07, 4.34], p = .033). In unadjusted analyses, SGM (versus non-SGM) adults and those with unmet healthcare needs (versus without) endorsed more relaxation/tension reduction reasons for cannabis use in separate main effects (ps < .029), and adults with unmet healthcare needs (vs. without) were more likely to report past-month medical cannabis use (OR = 2.31 [1.86, 2.88]). SGM identity X unmet healthcare need interactions did not emerge (ps > .05). SGM individuals in high-stigma environments may use cannabis to compensate for insufficient healthcare.
期刊介绍：
The Journal of Homosexuality is an internationally acclaimed, peer-reviewed publication devoted to publishing a wide variety of disciplinary and interdisciplinary scholarship to foster a thorough understanding of the complexities, nuances, and the multifaceted aspects of sexuality and gender. The chief aim of the journal is to publish thought-provoking scholarship by researchers, community activists, and scholars who employ a range of research methodologies and who offer a variety of perspectives to continue shaping knowledge production in the arenas of lesbian, gay, bisexual, transgender (LGBT) studies and queer studies. The Journal of Homosexuality is committed to offering substantive, accessible reading to researchers and general readers alike in the hope of: spurring additional research, offering ideas to integrate into educational programs at schools, colleges & universities, or community-based organizations, and manifesting activism against sexual and gender prejudice (e.g., homophobia, biphobia and transphobia), including the promotion of sexual and gender justice.
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