Alcohol Research Group, Public Health Institute, Emeryville, California, USA.
College of Health and Human Sciences, San Jose State University, San Jose, California, USA.
LGBT Health. 2021 Jan;8(1):50-59. doi: 10.1089/lgbt.2020.0011. Epub 2020 Dec 18.
Due to discrimination and stigma, sexual minority adults may be more likely than their heterosexual counterparts to experience harms from other people's drinking. We compared prevalence of second-hand alcohol harms for sexual minority and heterosexual adults in the United States. Data from the 2014-15 U.S. National Alcohol Survey ( = 5516; 10.2% sexual minority adults) were analyzed using logistic regression with survey weights to account for sampling and nonresponse. Multivariable models included simple main effects of sexual identity on the past-year harm outcomes, as well as interactions of drinker status with sexual identity. In bivariate results stratified by sex, bisexual women were significantly more likely than heterosexual women to report all five types of harms. Lesbian respondents had greater odds relative to heterosexual women of reporting harm by a friend/coworker and assault or physical harm by a drinker. Bisexual identity among men was associated with greater odds of reporting assault/physical harm relative to heterosexual men in bivariate models. In adjusted models, differences by sexual identity were substantially reduced, with significance remaining only for friend/coworker-perpetrated harms and assault/physical harm among lesbian respondents compared with heterosexual women. For assault/physical harm, an interaction of sexual identity with the respondent's own drinking showed that the increased odds of harm associated with heavy drinking was even greater among sexual minority respondents (both bisexual and lesbian/gay respondents) than among heterosexual respondents. These findings underscore the importance of preventive interventions that consider disparities in risk for alcohol-related harms, particularly interpersonal violence, among sexual minority adults in the United States.
由于歧视和耻辱感，性少数群体成年人可能比异性恋成年人更容易受到他人饮酒行为的伤害。我们比较了美国性少数群体和异性恋成年人遭受二手酒精伤害的发生率。 使用逻辑回归分析了 2014-15 年美国国家酒精调查的数据（ = 5516；10.2%的性少数群体成年人），并使用调查权重来考虑抽样和无回应的影响。多变量模型包括性身份对过去一年伤害结果的简单主效应，以及饮酒状态与性身份的交互作用。 在按性别分层的双变量结果中，双性恋女性比异性恋女性更有可能报告所有五种类型的伤害。女同性恋者相对于异性恋女性，更有可能报告朋友/同事造成的伤害和饮酒者的攻击或身体伤害。在双变量模型中，男性的双性恋身份与报告攻击/身体伤害的几率更高，与异性恋男性相比。在调整后的模型中，性身份的差异大大减少，只有女同性恋者相对于异性恋女性报告的朋友/同事实施的伤害和攻击/身体伤害仍具有统计学意义。对于攻击/身体伤害，性身份与受访者自身饮酒之间的交互作用表明，与重度饮酒相关的伤害几率增加，在性少数群体受访者（双性恋和男同性恋/女同性恋受访者）中比在异性恋受访者中更为显著。 这些发现强调了预防干预措施的重要性，这些干预措施应考虑到美国性少数群体成年人在与酒精相关的伤害方面的风险差异，特别是人际暴力。
