Wong Carolyn F, Weiss George, Ayala George, Kipke Michele D
Community, Health Outcomes, and Intervention Research Program, Saban Research Institute, Childrens Hospital Los Angeles, Los Angeles, CA 90027, USA.
AIDS Educ Prev. 2010 Aug;22(4):286-98. doi: 10.1521/aeap.2010.22.4.286.
We examined the relationship among social discrimination, violence, and illicit drug use among an ethnically diverse cohort of young men who have sex with men (YMSM) residing in Los Angeles. Five Hundred twenty-six YMSM (aged 18-24 years) were recruited using a venue-based, stratified probability sampling design. Surveys assessed childhood financial hardship, violence (physical assault, sexual assault, intimate partner violence), social discrimination (homophobia and racism), and illicit drug use in the past 3 months. Analyses examined main and interaction effects of key variables on drug use. Experiences of financial hardship, physical intimate partner violence and homophobia predicted drug use. Although African American participants were less likely to report drug use than their Caucasian peers, those who experienced greater sexual racism were at significantly greater risk for drug use. Racial/ethnic minority YMSM were at increased risk for experiencing various forms of social discrimination and violence that place them at increased risk for drug use.
我们研究了居住在洛杉矶的一个种族多样化的男男性行为青年（YMSM）群体中社会歧视、暴力和非法药物使用之间的关系。采用基于场所的分层概率抽样设计招募了526名YMSM（年龄在18 - 24岁之间）。调查评估了童年时期的经济困难、暴力（身体攻击、性侵犯、亲密伴侣暴力）、社会歧视（恐同和种族主义）以及过去3个月内的非法药物使用情况。分析考察了关键变量对药物使用的主要影响和交互作用。经济困难经历、亲密伴侣身体暴力和恐同倾向可预测药物使用情况。尽管非裔美国参与者报告药物使用的可能性低于他们的白人同龄人，但那些经历了更严重的性种族主义的人使用药物的风险显著更高。种族/族裔少数群体的YMSM遭受各种形式社会歧视和暴力的风险增加，这使他们使用药物的风险也增加。
