物质使用障碍的交叉性:在2021-2022年全国药物使用和健康调查中检查性别、种族/民族和性取向

IF 2.8 Q1 Psychology
Marvin A. Schilt-Solberg , Lisa M. Blair , Julie A.M.J. Kurzer
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引用次数: 0

摘要

目的研究2021 - 2022年成人性别、种族/民族认同和性取向交叉对物质使用障碍(sud)的影响。方法对参与2021年和2022年全国药物使用与健康调查(NSDUH)的18岁及以上人群进行分析。建立了逻辑回归模型,以检查过去一年在性别、性向和种族/民族交叉处发生sud的几率。所有分析都进行了设计校正,以提高群体代表性和普遍性。结果不同种族/民族和性取向的男女患病率不同(共83,722例)。非西班牙裔多种族女同性恋/男同性恋者在两性中任何一种SUD的患病率最高(女性为46.6%,男性为52.3%)。与白人异性恋女性相比,双性恋女性在大多数种族/民族群体中(aORs为1.48-2.99)的SUD发生率持续升高。男性的SUD患病率高于女性(21.1%比15.0%,p <;0.0001)。与白人异性恋男性相比,只有白人同性恋和双性恋男性患任何SUD的几率显著增加(aOR分别为1.73和1.57)。白人双性恋男性报告大麻使用障碍(CUD)的几率更高;优势比1.87)。西班牙裔男性患SUD或CUD的几率较低(aor分别为0.85和0.71)。结论女性在交叉身份之间表现出更明显的SUD差异。虽然男性总体上有较高的SUD患病率,但在交叉身份之间几乎没有观察到差异。为了有效地解决这些差异及其后果(例如,不同的少数民族压力和精神/身体健康结果),预防和干预工作应优先考虑交叉方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021–2022 National Survey on Drug Use and Health

Objective

This study examines the impact of the intersection of gender, racial/ethnic identity, and sexual orientation among adults on substance use disorders (SUDs) from 2021 to 2022.

Method

We conducted an analysis of persons (ages 18 and older) who responded to the 2021 and 2022 National Survey on Drug Use and Health (NSDUH). Logistic regression models were constructed to examine odds of past-year SUDs at the intersection of gender, sexuality, and race/ethnicity. All analyses were design-corrected to enhance population representativeness and generalizability.

Results

Prevalence varied by race/ethnicity and sexual orientation across both sexes (total n = 83,722). Non-Hispanic multiracial lesbian/gay individuals had the highest prevalence of any SUD in both sexes (46.6 % in women, 52.3 % in men). Bisexual women showed consistently elevated odds of SUD across most racial/ethnic groups (aORs 1.48–2.99) compared to White heterosexual women. Men had higher prevalence of SUD than women (21.1 % compared to 15.0 %, p < 0.0001). Only White gay and bisexual men had significantly increased odds for any SUD compared to heterosexual White men (aOR 1.73 and 1.57, respectively). White bisexual men had higher odds of reporting cannabis use disorder (CUD; aOR 1.87). Hispanic men demonstrated lower odds of any SUD or CUD (aORs 0.85 and 0.71, respectively).

Conclusion

Women demonstrated more pronounced SUD disparities between intersectional identity. While men had higher SUD prevalence overall, few disparities were observed between intersectional identities. To effectively address these disparities and their consequences (e.g., differential minority stress and mental/physical health outcomes), prevention and intervention efforts should prioritize an intersectionality approach.
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来源期刊
Addictive Behaviors Reports
Addictive Behaviors Reports Medicine-Psychiatry and Mental Health
CiteScore
6.80
自引率
0.00%
发文量
69
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.
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