intersecting 负担：恐同暴力受害、住房不稳定与甲基苯丙胺使用在一群与男性发生性关系的有色人种男性中。
Intersecting burdens: Homophobic victimization, unstable housing, and methamphetamine use in a cohort of men of color who have sex with men.
机构信息
Center for Behavioral and Addiction Medicine, Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, United States.
Division of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, United States.
出版信息
Drug Alcohol Depend. 2018 Nov 1;192:179-185. doi: 10.1016/j.drugalcdep.2018.07.039. Epub 2018 Sep 13.
BACKGROUND
Men who have sex with men with histories of homophobic victimization bear heightened risk of unstable housing and methamphetamine use. However, it is unclear whether unstable housing explains the link between homophobic victimization and methamphetamine use in this group. The present study aims to test associations between homophobic victimization, unstable housing, and recent methamphetamine use across 24 months in a cohort of men of color who have sex with men (MoCSM).
METHODS
Our analysis stems from data of 1342 person-visits from 401 MoCSM participating in an ongoing cohort study. We performed a lagged multilevel negative binominal regression to test the association between past homophobic victimization and recent unstable housing, and a lagged multilevel ordered logistic regression to test the association between past homophobic victimization recent methamphetamine use. We then performed a path analysis to test whether recent unstable housing mediates the association between past homophobic victimization and recent methamphetamine use.
RESULTS
Findings showed homophobic victimization associated significantly with increased odds of unstable housing (IRR = 1.70, 95% CI [1.35, 2.14], p < 0.001) and recent methamphetamine use (OR = 1.40, 95% CI [1.15, 1.71], p = 0.001). Mediation analysis indicated that past homophobic victimization was indirectly associated with recent methamphetamine use via unstable housing (OR = 1.06 (95% CI [1.01, 1.11], p = 0.010).
CONCLUSION
Our findings suggest that homophobic victimization and unstable housing should be addressed alongside treatment and prevention of methamphetamine use in MoCSM.
背景
有恐同受害史的男男性行为者面临住房不稳定和使用冰毒的风险增加。然而，目前尚不清楚住房不稳定是否可以解释这一群体中恐同受害与使用冰毒之间的联系。本研究旨在检验在一个有色人种男男性行为者队列中，过去的恐同受害与过去 24 个月内的住房不稳定和最近使用冰毒之间的关联。
方法
我们的分析源于 401 名参与正在进行的队列研究的有色人种男男性行为者的 1342 人次访问数据。我们进行了滞后多层负二项回归，以检验过去的恐同受害与最近的住房不稳定之间的关联，以及过去的恐同受害与最近使用冰毒之间的关联。然后，我们进行了路径分析，以检验最近的住房不稳定是否在过去的恐同受害与最近使用冰毒之间起中介作用。
结果
研究结果表明，恐同受害与住房不稳定的几率增加显著相关（IRR=1.70，95%CI[1.35, 2.14]，p<0.001）和最近使用冰毒（OR=1.40，95%CI[1.15, 1.71]，p=0.001）。中介分析表明，过去的恐同受害通过住房不稳定与最近使用冰毒间接相关（OR=1.06（95%CI[1.01, 1.11]，p=0.010）。
结论
我们的研究结果表明，在治疗和预防 MoCSM 中使用冰毒时，应同时解决恐同受害和住房不稳定问题。
Zotero 插件