Martinez Omar, Wu Elwin, Levine Ethan C, Muñoz-Laboy Miguel, Spadafino Joseph, Dodge Brian, Rhodes Scott D, Rios Javier López, Ovejero Hugo, Moya Eva M, Baray Silvia Chavez, Carballo-Diéguez Alex, Fernandez M Isabel
Temple University School of Social Work, Philadelphia, PA, USA.
School of Social Work at Columbia University, New York, NY, USA.
Addict Res Theory. 2016;24(6):466-476. doi: 10.3109/16066359.2016.1167191. Epub 2016 Apr 10.
Alcohol consumption is a significant public health concern among Latino men and Latina transgender women who have sex with men. However, characteristics and behaviors associated with alcohol consumption in this population, particularly in regard to the complex influence of syndemic factors, remain understudied. The purpose of this study was to examine predictors of high-risk alcohol consumption (i.e. binge or heavy drinking). Between January and March of 2014, 176 Latino men and Latina transgender women in New York City completed an interviewer-administered questionnaire. We developed a syndemics scale to reflect the total number of syndemic factors - clinically significant depression, childhood sexual abuse, intimate partner violence, and discrimination - reported by each participant. We also carried out a multinomial logistic regression model predicting binge and heavy drinking. Forty-seven percent of participants reported high-risk alcohol consumption in the past 30 days (21% binge and 26% heavy). Approximately 16% of participants reported no syndemic factors, 27% reported one factor, 39% reported two factors, and 18% reported three or four. In the multinomial logistic regression model, our syndemic factors scale was not significantly associated with binge drinking. However, participants who reported three or four factors were significantly more likely to report heavy drinking. In addition, having multiple sexual partners was associated with an increased risk of binge and heavy drinking; involvement in a same-sex relationship was associated with binge drinking. Further work is needed to develop effective prevention intervention approaches for high-risk alcohol consumption within this population.
饮酒是男男性行为的拉丁裔男性和拉丁裔跨性别女性中一个重大的公共卫生问题。然而，该人群中与饮酒相关的特征和行为，尤其是关于综合征因素的复杂影响，仍未得到充分研究。本研究的目的是调查高风险饮酒（即暴饮或酗酒）的预测因素。2014年1月至3月期间，纽约市的176名拉丁裔男性和拉丁裔跨性别女性完成了一份由访谈员管理的问卷。我们制定了一个综合征量表，以反映每个参与者报告的综合征因素总数——临床上显著的抑郁症、童年性虐待、亲密伴侣暴力和歧视。我们还进行了一个多项逻辑回归模型，预测暴饮和酗酒情况。47%的参与者报告在过去30天内有高风险饮酒行为（21%为暴饮，26%为酗酒）。约16%的参与者报告没有综合征因素，27%报告有一个因素，39%报告有两个因素，18%报告有三个或四个因素。在多项逻辑回归模型中，我们的综合征因素量表与暴饮没有显著关联。然而，报告有三个或四个因素的参与者报告酗酒的可能性显著更高。此外，拥有多个性伴侣与暴饮和酗酒风险增加有关；参与同性关系与暴饮有关。需要进一步开展工作，为该人群中高风险饮酒制定有效的预防干预措施。
