Cochran Bryan N, Cauce Ana Mari
Department of Psychology, University of Montana, Missoula, USA.
J Subst Abuse Treat. 2006 Mar;30(2):135-46. doi: 10.1016/j.jsat.2005.11.009.
Previous research has suggested that lesbian, gay, bisexual, and transgender (LGBT) individuals enter treatment for substance abuse with more severe problems than heterosexual individuals. However, methodological difficulties, particularly the difficulty of obtaining a representative sample, have limited the ability to draw conclusions about LGBT individuals who receive services for substance abuse. This study took advantage of a unique opportunity to examine a representative sample of openly LGBT clients receiving publicly funded substance abuse treatment by using data gathered by treatment providers in Washington State. Baseline differences between openly LGBT and heterosexual clients were compared in a variety of domains. Results demonstrated that openly LGBT clients enter treatment with more severe substance abuse problems, greater psychopathology, and greater medical service utilization when compared with heterosexual clients. When the analyses were stratified based on sex, different patterns of substance use and associated psychosocial characteristics emerged for the LGBT clients. Implications for provision of appropriate services and recommendations to treatment agencies are discussed in this article.
先前的研究表明，女同性恋、男同性恋、双性恋和跨性别（LGBT）群体在接受药物滥用治疗时面临的问题比异性恋者更为严重。然而，方法上的困难，尤其是获取具有代表性样本的困难，限制了我们对接受药物滥用服务的LGBT群体得出结论的能力。本研究利用了一个独特的机会，通过使用华盛顿州治疗提供者收集的数据，对接受公共资助的药物滥用治疗的公开LGBT客户的代表性样本进行了研究。在多个领域比较了公开LGBT客户和异性恋客户之间的基线差异。结果表明，与异性恋客户相比，公开LGBT客户在进入治疗时存在更严重的药物滥用问题、更严重的精神病理学问题以及更高的医疗服务利用率。当根据性别进行分层分析时，LGBT客户出现了不同的药物使用模式和相关的心理社会特征。本文讨论了为治疗机构提供适当服务的意义和建议。
