Cochran Bryan N, Peavy K Michelle, Cauce Ana Mari
University of Montana, Skaggs Bldg 143, Missoula, MT 59812, USA.
J Homosex. 2007;53(3):181-207. doi: 10.1300/J082v53n03_10.
Lesbian, gay, bisexual, and transgender (LGBT) individuals have been found to have elevated rates of substance use disorders when compared with heterosexuals. However, little is known about the challenges a sexual minority might face in presenting for substance use treatment. In this study, treatment providers' attitudes toward LGBT individuals were assessed among a sample of 46 substance abuse treatment counselors who provide publicly funded treatment. Participants completed both explicit measures of heterosexist bias and an implicit measure designed to assess for biases that exist at an automatic, uncontrolled level. Results indicate that treatment counselors' negative biases regarding LGBT individuals were stronger for heterosexual counselors and for those with few LGBT friends. However, biases among this sample were significantly less than in comparison samples. Findings were also related to a newly developed measure of cultural competence in working with LGBT substance users. Implications for provision of appropriate services and recommendations to treatment agencies are discussed.
与异性恋者相比，女同性恋、男同性恋、双性恋和跨性别者（LGBT）被发现患有物质使用障碍的比例更高。然而，对于性少数群体在寻求物质使用治疗时可能面临的挑战，人们知之甚少。在本研究中，对46名提供公共资助治疗的药物滥用治疗顾问样本进行了调查，以评估治疗提供者对LGBT个体的态度。参与者完成了对异性恋偏见的显性测量以及一项旨在评估自动、不受控制层面存在的偏见的隐性测量。结果表明，异性恋顾问以及LGBT朋友较少的顾问对LGBT个体的负面偏见更强。然而，该样本中的偏见明显低于比较样本。研究结果还与一项新开发的针对LGBT物质使用者的文化能力测量相关。讨论了为治疗机构提供适当服务的意义和建议。
