Department of Medicine, Division of Infectious Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, CA, USA.
Am J Mens Health. 2020 Nov-Dec;14(6):1557988320976306. doi: 10.1177/1557988320976306.
Knowledge surrounding perceived network support and alcohol consumption among active duty U.S. military personnel is limited, particularly among sexual minorities.We sought to determine the correlates of hazardous alcohol consumption and whether perceived network support moderated the relationship between sexual orientation and Alcohol Use Identification Test (AUDIT-C) score.The sample comprised cisgender men currently serving in the U.S. military ( = 292). Participants were recruited through respondent-driven sampling and completed an online survey. Logistic regression analysis evaluated associations between positive AUDIT-C with sociodemographic characteristics (including sexual orientation), military service, mental health, and perceived social network support. Interaction analysis assessed the moderating effect of perceived network support on sexual orientation and AUDIT-C.Among study participants, 52.7% (154/292) had positive AUDIT-C, while 65.4% (191/292) self-identified as heterosexual/straight and 34.6% (101/292) identified as gay or bisexual. In adjusted analysis, positive AUDIT-C was associated with increased post-traumatic stress disorder symptomatology (adjusted odds ratio [adjOR] 1.03; 95% CI [1.00, 1.06]; = .019) and high perceived network support (adjOR 1.85; 95% CI [1.04, 3.29]; = .036), while mental health service utilization had reduced odds of positive AUDIT-C (adjOR 0.40; 95% CI [0.20, 0.78]; = .007). In interaction analysis, high perceived network support was associated with increased odds of positive AUDIT-C among sexual minority men (adjOR 3.09; 95% CI [1.21, 7.93]; = .019) but not heterosexual men (adjOR 1.38; 95% CI [0.68, 2.81]; = .37).Hazardous alcohol use was prevalent among all men in our sample. Perceived social network support may influence hazardous alcohol consumption, particularly among sexual minority servicemen. These findings suggest the potential role of tailored social network-based interventions to decrease hazardous alcohol use among military personnel.
目前，美国现役军人对感知网络支持与饮酒之间的关系了解有限，尤其是在性少数群体中。我们旨在确定危险饮酒与感知网络支持之间的相关性，以及感知网络支持是否调节了性取向与酒精使用识别测试 (AUDIT-C) 得分之间的关系。本研究样本包括 292 名跨性别男性现役军人。参与者通过回应者驱动抽样法招募，并完成了在线调查。逻辑回归分析评估了积极 AUDIT-C 与社会人口特征（包括性取向）、兵役、心理健康和感知社交网络支持之间的关联。交互分析评估了感知网络支持对性取向和 AUDIT-C 的调节作用。在研究参与者中，52.7%（154/292）的人 AUDIT-C 呈阳性，而 65.4%（191/292）自我认同为异性恋/直人，34.6%（101/292）自我认同为同性恋或双性恋。在调整分析中，AUDIT-C 阳性与创伤后应激障碍症状增加相关（调整后的优势比 [adjOR] 1.03；95%置信区间 [1.00，1.06]； =.019）和高感知网络支持（adjOR 1.85；95%置信区间 [1.04，3.29]； =.036），而心理健康服务的利用则降低了 AUDIT-C 阳性的可能性（adjOR 0.40；95%置信区间 [0.20，0.78]； =.007）。在交互分析中，高感知网络支持与性少数男性 AUDIT-C 阳性的几率增加有关（adjOR 3.09；95%置信区间 [1.21，7.93]； =.019），但与异性恋男性无关（adjOR 1.38；95%置信区间 [0.68，2.81]； =.37）。在我们的样本中，所有男性中都存在危险饮酒。感知社交网络支持可能会影响危险饮酒，尤其是在性少数群体军人中。这些发现表明，针对特定人群的社交网络干预措施可能会减少军人中的危险饮酒行为。
