Kerr Dianne, Ding Kele, Burke Amanda, Ott-Walter Katherine
1Health Education & Promotion, Kent State University, Kent State University, Kent, Ohio, USA.
Subst Use Misuse. 2015 Feb;50(3):340-9. doi: 10.3109/10826084.2014.980954. Epub 2014 Dec 9.
Little research has focused specifically on alcohol, tobacco, and other drug (ATOD) use of lesbian and bisexual women in general or the college subgroup specifically. Previous research shows sexual minority women at increased risk when compared to their heterosexual counterparts.
The purpose of the current study was to compare ATOD use of lesbian, bisexual, and heterosexual undergraduate college women.
A secondary analysis of three fall semesters (2009-2011) of American College Health Association-National College Health Assessment (ACHA-NCHA-II) data was conducted. Women who self-identified as gay/lesbian (N = 538), bisexual (N = 1579), and heterosexual (N = 40,869) were compared on ATOD use. Chi-square Tests were used to analyze differences between the groups and logistic regression determined odds ratios of ATOD use.
Bisexual women had greater odds of using alcohol, tobacco, and marijuana than heterosexual women and lesbians. They also had greater odds of using all illicit drugs (except steroids) and misusing prescription drugs than heterosexual women and greater odds of using amphetamines other than meth, sedatives, and ecstasy when compared to lesbians. Lesbians had greater odds of using tobacco, marijuana, sedatives, hallucinogens, other illegal drugs and misusing prescription drugs than heterosexual women. Conclusions/Importance: The study confirms increased ATOD use among sexual minority women as compared to their heterosexual counterparts with bisexual women having the highest use. This is the first study to examine misuse of prescription drugs among a large number of lesbian and bisexual college women, and contributes to the scant literature addressing college women's ATOD use by sexual orientation.
很少有研究专门关注女同性恋者和双性恋女性总体上或特定大学亚群体的酒精、烟草及其他药物（ATOD）使用情况。先前的研究表明，性少数群体女性与异性恋女性相比，风险更高。
本研究的目的是比较女同性恋、双性恋和异性恋本科院校女性的ATOD使用情况。
对美国大学健康协会-全国大学健康评估（ACHA-NCHA-II）三个秋季学期（2009 - 2011年）的数据进行二次分析。对自我认定为同性恋/女同性恋者（N = 538）、双性恋者（N = 1579）和异性恋者（N = 40869）的女性在ATOD使用方面进行比较。采用卡方检验分析组间差异，并通过逻辑回归确定ATOD使用的比值比。
双性恋女性使用酒精、烟草和大麻的几率高于异性恋女性和女同性恋者。她们使用所有非法药物（类固醇除外）和滥用处方药的几率也高于异性恋女性，与女同性恋者相比，使用除甲基苯丙胺之外的安非他明、镇静剂和摇头丸的几率更高。女同性恋者使用烟草、大麻、镇静剂、致幻剂、其他非法药物和滥用处方药的几率高于异性恋女性。结论/重要性：该研究证实，与异性恋女性相比，性少数群体女性的ATOD使用增加，其中双性恋女性的使用率最高。这是第一项研究大量女同性恋和双性恋大学女性滥用处方药情况的研究，为解决按性取向划分的大学女性ATOD使用情况的稀少文献做出了贡献。
