Cordoba Evette, Garofalo Robert, Kuhns Lisa M, Pearson Cynthia, Bruce Josh, Batey D Scott, Radix Asa, Belkind Uri, Hidalgo Marco A, Hirshfield Sabina, Garibay Rodriguez Rafael, Schnall Rebecca
School of Nursing, Columbia University, New York, New York, United States of America.
Division of Adolescent Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States of America.
PLoS One. 2021 Dec 2;16(12):e0260083. doi: 10.1371/journal.pone.0260083. eCollection 2021.
The aim of this study was to determine whether homophobic victimization was associated with alcohol consumption and riding with an intoxicated driver or driving a car while under the influence of alcohol or drugs among adolescent men who have sex with men (MSM).
Cross-sectional analysis used baseline data from a national HIV prevention trial (NCT03167606) for adolescent MSM aged 13-18 years (N = 747). Multivariable logistic regression models assessed associations between homophobic victimization (independent variable) and alcohol-related outcomes (dependent variables), controlling for age, parents' education level, sexual orientation, health literacy, race, and ethnicity.
Most participants (87%) reported at least one form of homophobic victimization in their lifetime, with verbal insults being the most frequently reported (82%). In the bivariate analysis, alcohol consumption and riding with an intoxicated driver or driving a car while under the influence were associated with many forms of victimization. Exposure to at least one form of victimization was associated with increased odds of alcohol consumption (OR: 2.31; 95% CI: 1.38-3.87) and riding with an intoxicated driver or driving a car while under the influence (OR: 2.25; 95% CI: 1.26-4.00), after controlling for covariates.
Increased risk of alcohol consumption and risky alcohol-related behaviors were found among adolescent MSM who experienced homophobic victimization. Interventions should address homophobic victimization and its impact on adolescent MSM, as well as disentangling motivations for underage drinking, riding with an intoxicated driver or driving a car while under the influence.
本研究旨在确定在男男性行为青少年（MSM）中，恐同受害经历是否与饮酒、乘坐醉酒司机驾驶的车辆或在酒精或药物影响下驾驶汽车有关。
横断面分析使用了一项针对13至18岁青少年MSM的全国性HIV预防试验（NCT03167606）的基线数据（N = 747）。多变量逻辑回归模型评估了恐同受害经历（自变量）与酒精相关结果（因变量）之间的关联，并控制了年龄、父母教育水平、性取向、健康素养、种族和民族。
大多数参与者（87%）报告在其一生中至少经历过一种形式的恐同受害经历，其中言语侮辱是最常报告的（82%）。在双变量分析中，饮酒、乘坐醉酒司机驾驶的车辆或在影响下驾驶汽车与多种形式的受害经历有关。在控制协变量后，暴露于至少一种形式的受害经历与饮酒几率增加（OR：2.31；95%CI：1.38 - 3.87）以及乘坐醉酒司机驾驶的车辆或在影响下驾驶汽车的几率增加（OR：2.25；95%CI：1.26 - 4.00）相关。
在经历恐同受害经历的青少年MSM中，发现饮酒风险增加以及与酒精相关的危险行为增加。干预措施应解决恐同受害经历及其对青少年MSM的影响，以及理清未成年人饮酒、乘坐醉酒司机驾驶的车辆或在影响下驾驶汽车的动机。
