黑人、原住民和有色人种青少年中基于压迫的交叉压力、饮酒应对动机以及酒精使用和危险饮酒。

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
LGBT health Pub Date : 2024-07-08 DOI:10.1089/lgbt.2024.0023
Ethan H Mereish, Jessica R Abramson, Hyemin Lee, Ryan J Watson
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引用次数: 0

摘要

目的:本研究考察了性与性别少数群体(SGM,如同性恋或变性人)青少年中的黑人、土著人和有色人种(BIPOC)青少年(也称同性恋和变性人BIPOC青少年(QTBIPOC))基于交叉压迫的压力与近期饮酒和危险饮酒之间的关联,以及应对动机(即饮酒以应对)对这些关联的中介作用。研究方法:数据来自美国全国 13-18 岁 SGM 青少年样本中过去一年饮酒的 QTBIPOC 青少年子样本(n = 1365)。研究结果基于交叉压迫的压力因素与近期饮酒和危险饮酒的几率增加以及应对动机增加有关。在 QTBIPOC 青少年总样本中,以及在 BIPOC 青少年的一些亚群中,应对动机对基于交织的压力源与近期饮酒和危险饮酒之间的关联起着中介作用。结论:本研究的结果突出表明,基于跨部门压迫的压力因素在 QTBIPOC 青少年中普遍存在,并成为酗酒和危险饮酒的风险因素。需要采取多层次的干预措施,有针对性地消除交叉压迫,以解决影响 QTBIPOC 青少年的酒精不平等问题。为应对压力而饮酒的动机在基于交叉压迫的压力和饮酒结果之间起到了中介作用,这强调了在压迫背景下针对饮酒干预的另一个重要机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intersectional Oppression-Based Stress, Drinking to Cope Motives, and Alcohol Use and Hazardous Drinking Among Sexual and Gender Minority Adolescents Who Are Black, Indigenous, and People of Color.

Purpose: This study examined the associations between intersectional oppression-based stress and recent alcohol use and hazardous drinking among sexual and gender minority (SGM; e.g., queer or transgender) adolescents who were Black, Indigenous, and People of Color (BIPOC), also known as queer and transgender BIPOC (QTBIPOC) adolescents, and the mediating role of coping motives (i.e., drinking to cope) on these associations. Methods: Data were from a subsample of QTBIPOC adolescents who used alcohol in the past year (n = 1365) from a national U.S. sample of SGM adolescents aged 13-18 years. Results: Intersectional oppression-based stressors were associated with greater odds of recent alcohol use and hazardous drinking, as well as greater coping motives. Coping motives mediated the associations between intersectional-based stressors and both recent alcohol use and hazardous drinking among the aggregate sample of QTBIPOC adolescents, as well as among some subgroups of BIPOC adolescents. Conclusions: The results of this study highlight that intersectional oppression-based stressors are prevalent among QTBIPOC adolescents and serve as a risk factor for alcohol use and hazardous drinking. Multilevel interventions are needed to target and dismantle intersectional oppressions to address alcohol inequities impacting QTBIPOC adolescents. Drinking to cope motives mediated the associations between intersectional oppression-based stress and drinking outcomes, underscoring another important mechanism to target within a context of oppression in drinking interventions.

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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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