The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX, USA.
The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Houston, TX, USA.
Addict Behav. 2020 Jun;105:106327. doi: 10.1016/j.addbeh.2020.106327. Epub 2020 Jan 23.
Information is limited on the prevalence of hazardous drinking and associated covariates among sexual and gender minority (SGM) persons. These analyses estimated the prevalence of hazardous drinking and identified associated covariates.
A total of 1273 SGM adolescents and adults living in Texas completed an online survey between March 2016 and January 2017. Variables associated with hazardous drinking at the bivariate-level (p < 0.10) were entered into multiple logistic regression models to estimate the strength of their association.
More than a third (39.1%) of participants meet criteria for hazardous drinking. Compared to non-hazardous drinkers, hazardous drinkers were younger (x- = 20.7 [SD = 8.9] vs. x- = 26.5 [SD = 13.8]) and more likely to be Hispanic (41.5% vs. 26.2%). Hazardous drinkers were more likely to report using substances in past 12 months, including opioids (15.3% vs. 6.7%), stimulants (26.3% vs. 12.7%), and marijuana (37.6% vs. 21.2%). More hazardous drinkers reported injecting drugs (12.3% vs. 5.8%) and having a history of incarceration (14.1% vs. 7.3%). They were less likely to be diagnosed with depression (50.2% vs. 56.5%). When entered into a multivariate logistic regression model, hazardous drinkers were more likely to be younger (aOR = 0.97 [0.95, 0.98]), Hispanic (aOR = 1.5 [1.2, 2.0]), have a history of incarceration (aOR = 2.4 [1.5, 3.6]), and use a substance, not including marijuana (aOR = 1.7 [1.3, 2.3]). They were less likely to be diagnosed with depression (aOR = 0.73 [0.6, 0.9]).
Our findings highlight the intersection of race and ethnicity, mental health, criminal justice involvement, and substance use and the need for tailored interventions that address underlying determinants.
关于性少数群体（SGM）人群中危险饮酒的流行情况及其相关因素，信息有限。本分析旨在评估危险饮酒的流行情况并确定相关的协变量。
2016 年 3 月至 2017 年 1 月期间，共有 1273 名居住在德克萨斯州的 SGM 青少年和成年人完成了一项在线调查。在双变量水平上与危险饮酒相关的变量（p<0.10）被纳入多项逻辑回归模型，以评估其关联强度。
超过三分之一（39.1%）的参与者符合危险饮酒标准。与非危险饮酒者相比，危险饮酒者更年轻（x-=20.7 [SD=8.9] 岁 vs. x-=26.5 [SD=13.8] 岁），且更有可能为西班牙裔（41.5% vs. 26.2%）。危险饮酒者更有可能在过去 12 个月内使用过物质，包括阿片类药物（15.3% vs. 6.7%）、兴奋剂（26.3% vs. 12.7%）和大麻（37.6% vs. 21.2%）。更多的危险饮酒者报告曾使用过注射药物（12.3% vs. 5.8%）和有入狱史（14.1% vs. 7.3%）。他们更不可能被诊断为抑郁症（50.2% vs. 56.5%）。当进入多变量逻辑回归模型时，危险饮酒者更年轻（aOR=0.97 [0.95, 0.98]）、为西班牙裔（aOR=1.5 [1.2, 2.0]）、有入狱史（aOR=2.4 [1.5, 3.6]）、使用物质（不包括大麻）（aOR=1.7 [1.3, 2.3]）的可能性较低。他们被诊断为抑郁症的可能性较小（aOR=0.73 [0.6, 0.9]）。
本研究结果突出了种族和民族、心理健康、刑事司法参与以及物质使用之间的交集，需要制定针对潜在决定因素的针对性干预措施。
