McNair Ruth, Pennay Amy, Hughes Tonda, Brown Rhonda, Leonard William, Lubman Dan I
a Department of General Practice , University of Melbourne , Melbourne , Australia.
b Centre for Health Equity , University of Melbourne.
Cult Health Sex. 2016;18(4):405-21. doi: 10.1080/13691058.2015.1089602. Epub 2015 Oct 14.
Research consistently reports higher rates of problematic drinking among lesbian, bisexual and queer women than among heterosexual women, but relatively little research has identified underlying factors. Within this context, the aim of the present study was to qualitatively explore the sociocultural influences on alcohol consumption among lesbian, bisexual and queer women in Australia. An ethnographic study including in-depth interviews and 10 sessions of participant observation was conducted with 25 Australian lesbian, bisexual and queer women. Analysis of transcripts and fieldnotes focused on lesbian, bisexual and queer-related influences on alcohol consumption. Three lesbian, bisexual and queer-related factors were identified that influenced alcohol use: (1) coping, (2) connection and (3) intersections with lesbian, bisexual and queer identity. Most participants reported consuming alcohol to cope with discrimination or to connect with like-minded others. Alcohol use had positive influences for some women through facilitating social connection and wellbeing. Women with a high lesbian, bisexual and queer identity salience were more likely to seek lesbian, bisexual and queer community connection involving alcohol, to publicly identify as lesbian, bisexual and queer and to experience discrimination. National policies need to address underlying causes of discrimination against lesbian, bisexual and queer women. Alcohol policies and clinical interventions should acknowledge the impact of discrimination on higher alcohol consumption amongst lesbian, bisexual and queer women compared with heterosexual women, and should utilise health promotion messages regarding safe drinking that facilitate lesbian, bisexual and queer social connection.
研究一直报告称，女同性恋、双性恋和 queer 女性中存在问题饮酒的比例高于异性恋女性，但相对较少的研究确定了潜在因素。在此背景下，本研究的目的是定性探索澳大利亚女同性恋、双性恋和 queer 女性饮酒行为的社会文化影响因素。对25名澳大利亚女同性恋、双性恋和 queer 女性进行了一项人种学研究，包括深度访谈和10次参与观察。对访谈记录和实地记录的分析聚焦于女同性恋、双性恋和 queer 相关因素对饮酒行为的影响。确定了影响饮酒行为的三个女同性恋、双性恋和 queer 相关因素：(1) 应对，(2) 社交联系，(3) 与女同性恋、双性恋和 queer 身份的交叉影响。大多数参与者报告称饮酒是为了应对歧视或与志同道合的人建立联系。饮酒对一些女性有积极影响，能促进社交联系和幸福感。女同性恋、双性恋和 queer 身份显著性高的女性更有可能寻求涉及饮酒的女同性恋、双性恋和 queer 社区联系，公开认同自己为女同性恋、双性恋和 queer，并经历歧视。国家政策需要解决对女同性恋、双性恋和 queer 女性歧视的根本原因。酒精政策和临床干预措施应承认歧视对女同性恋、双性恋和 queer 女性与异性恋女性相比更高的饮酒量的影响，并应利用关于安全饮酒的健康促进信息，以促进女同性恋、双性恋和 queer 群体的社交联系。
