美国近期移民的非洲男同性恋者和双性恋者中的物质使用与抑郁情况
Substance Use and Depression Among Recently Migrated African Gay and Bisexual Men Living in the United States.
作者信息
Ogunbajo Adedotun, Anyamele Chukwuemeka, Restar Arjee J, Dolezal Curtis, Sandfort Theodorus G M
机构信息
Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
出版信息
J Immigr Minor Health. 2019 Dec;21(6):1224-1232. doi: 10.1007/s10903-018-0849-8.
Immigrant African gay and bisexual men (GBM) are at risk for substance use and adverse mental health outcomes due to negative experiences in home and host countries. Little is known about correlates of substance use and mental health outcomes in this population. We explored pre- and post-migratory factors associated with substance use and depression in recently migrated African GBM. Participants (N = 70) were recruited between July and November 2015 in NYC. Eligible participants were administered a structured questionnaire. Correlates of substance use and depression were identified using bivariate and multivariable analyses. Factors independently associated with current substance use were age, openness about sexual orientation, homophobic experiences in home country, forced sex in home country, current housing instability, and internalized homophobia. Factors independently associated with depression were post-traumatic stress disorder symptoms and alcohol use. Substance use and depression were associated with negative experiences in home and host country.
移民非洲男同性恋者和双性恋男性（GBM）由于在原籍国和东道国的负面经历，面临药物使用和不良心理健康后果的风险。对于这一人群中药物使用和心理健康后果的相关因素知之甚少。我们探讨了近期移民的非洲GBM中与药物使用和抑郁相关的迁移前和迁移后因素。2015年7月至11月在纽约市招募了参与者（N = 70）。符合条件的参与者接受了结构化问卷调查。使用双变量和多变量分析确定了药物使用和抑郁的相关因素。与当前药物使用独立相关的因素包括年龄、性取向的开放性、原籍国的恐同经历、原籍国的强迫性行为、当前的住房不稳定以及内化的恐同心理。与抑郁独立相关的因素是创伤后应激障碍症状和酒精使用。药物使用和抑郁与原籍国和东道国的负面经历有关。
Zotero 插件