按性别身份、种族、民族和性别分列的在酒精和大麻影响下驾车情况:利用 2016 至 2019 年全国毒品使用和健康调查进行的全国性分析》。

Raymond L Moody, Sarah Gutkind, Priscila D Gonçalves, Morgan Philbin, Dustin T Duncan, Silvia S Martins
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引用次数: 0

摘要

背景:性少数群体的药物使用率和相关问题发生率较高,但他们具体参与酒后驾驶(DUI)(DUIA)和大麻(DUIC)事件的情况却鲜为人知:利用 2016 年至 2019 年全国毒品使用和健康调查的数据,我们使用逻辑回归模型估算了性身份、种族/民族和性别对上一年饮酒成人酒后驾车(DUIA)和吸食大麻成人酒后驾车(DUIC)的交互影响,并考虑了协变量。利用模型估计值和线性组合,我们计算了每种结果的预测概率,并比较了种族/族裔和性别内部和之间的性身份差异:结果:除少数情况外,性少数群体妇女的 DUIA 和 DUIC 预测概率明显高于种族/族裔相似的异性恋妇女。男性的结果变化较大,一些性少数群体男性的 DUIA 和 DUIC 概率明显较高,而一些群体的概率则等于或低于类似的异性恋男性。一些性少数群体在 DUIA 和 DUIC 方面的最大差距出现在西班牙裔和其他裔女同性恋者以及黑人男同性恋者中:结论:与异性恋者相比,性少数群体的人更有可能报告酒后驾车;然而,性少数群体的酒后驾车风险因种族/民族和性别分组而异。我们的研究结果表明,在解决与药物使用相关的差异以及为性少数群体设计有效的酒驾预防干预措施时,采用交叉框架非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Driving Under the Influence of Alcohol and Cannabis by Sexual Identity, Race, Ethnicity, and Gender: A Nationwide Analysis Using the 2016 to 2019 National Survey on Drug Use and Health.

Background: Sexual minority populations experience higher rates of substance use and related problems, but little is known about their specific involvement in driving under the influence (DUI) of alcohol (DUIA) and cannabis (DUIC) incidents.

Methods: Using data from the 2016 to 2019 National Survey on Drug Use and Health, we used logistic regression models to estimate the interactive effects of sexual identity, race/ethnicity, and gender on past-year DUIA among adults who used alcohol and DUIC among adults who used cannabis, accounting for covariates. Using model estimates and linear combinations, we calculated the predicted probabilities of each outcome and compared sexual identity differences within and across race/ethnicity and gender.

Results: With few exceptions, the predicted probabilities of DUIA and DUIC were significantly higher among sexual minority women than heterosexual women of similar race/ethnicity. The results were more variable among men with the probabilities of DUIA and DUIC being significantly higher for some groups of sexual minority men and some groups having probabilities equal to or lower than similar heterosexual men. Some of the largest sexual minority gaps in DUIA and DUIC were observed among Hispanic and Other lesbian women and Black gay men.

Conclusions: Sexual minority individuals are more likely to report DUI than their heterosexual counterparts; however, the risk of DUI among sexual minority populations varies by racial/ethnic and gender subgroup. Our findings indicate the importance of applying an intersectional framework when addressing substance-use-related disparities and when designing effective DUI prevention interventions for sexual minority populations.

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