CUNY Institute for Implementation Science in Population Health, CUNY Graduate School of Public Health and Health Policy, New York, New York, USA.
Departments of Public Health Sciences and Psychology, University of Miami, Miami, Florida, USA.
Subst Use Misuse. 2021;56(1):111-122. doi: 10.1080/10826084.2020.1843057. Epub 2020 Nov 5.
Substance use (SU) and misuse are disproportionately more common among sexual and gender minority (SGM) individuals compared to their heterosexual peers. Yet, little is known about regional and demographic differences in use and misuse among SGM. In this study, we investigated regional and demographic differences in SU and misuse in a U.S. national, internet-based cohort ( = 6,280) of men and trans persons who have sex with men. : Data collected included the WHO ASSIST (substance) and AUDIT (alcohol) SU scales to estimate recent (≤ 3 months) non-problematic use (≤ 3 ASSIST, ≤ 10 AUDIT) and misuse (≥4 ASSIST, ≥11 AUDIT). We used bivariate and multivariable logistic models to examine demographic and regional factors associated with SU and misuse. : Participants reported using alcohol (85.6%), cannabis (53.9%), and inhalants (39.1%) in the past three months. More than one-third self-reported misuse of cannabis, Gamma-Hydroxybutyrate (GHB), inhalants, methamphetamines, and prescription sedatives. We observed regional differences in substance use for cannabis (Southeast aOR = 0.76, 95% CI: 0.63-0.93; West aOR = 1.27, 95% CI: 1.02-1.59, ref. Northeast) and prescription Stimulants (Midwest aOR = 1.39, 95% CI: 1.00-1.93), as well as for cannabis misuse (Southeast aOR = 0.83, 95% CI: 0.69-0.99). We also observed significant associations between socioeconomic factors with use and misuse. : Findings suggest geographic differences in misuse of certain substances among men and trans persons who have sex with men in the US, and that socio-economic factors, also play a key role in indicating risk.
物质使用（SU）和滥用在性少数群体（SGM）个体中比在异性恋同龄人中更为普遍。然而，对于 SGM 中使用和滥用的地区和人口统计学差异知之甚少。在这项研究中，我们调查了美国全国性的基于互联网的男性和跨性别男性与男性发生性关系的队列（n=6280）中物质使用和滥用的地区和人口统计学差异。收集的数据包括世界卫生组织协助（物质）和 AUDIT（酒精）SU 量表，以估计最近（≤3 个月）非问题性使用（≤3 ASSIST，≤10 AUDIT）和滥用（≥4 ASSIST，≥11 AUDIT）。我们使用二变量和多变量逻辑模型来检查与物质使用和滥用相关的人口统计学和地区因素。参与者报告在过去三个月中使用了酒精（85.6%）、大麻（53.9%）和吸入剂（39.1%）。超过三分之一的人自我报告滥用大麻、γ-羟基丁酸（GHB）、吸入剂、冰毒和处方镇静剂。我们观察到大麻（东南 aOR=0.76，95%CI：0.63-0.93；西部 aOR=1.27，95%CI：1.02-1.59，参考东北）和处方兴奋剂（中西部 aOR=1.39，95%CI：1.00-1.93）的物质使用以及大麻滥用（东南 aOR=0.83，95%CI：0.69-0.99）的地区差异。我们还观察到社会经济因素与使用和滥用之间存在显著关联。研究结果表明，在美国，男男性行为者中某些物质滥用的地理差异，社会经济因素也在表明风险方面起着关键作用。
