Department of Health Policy and Behavioral Sciences, Georgia State University, Atlanta, Georgia, USA.
Center for Research on Interpersonal Violence, Georgia State University, Atlanta, Georgia, USA.
Am J Addict. 2022 May;31(3):189-199. doi: 10.1111/ajad.13283. Epub 2022 Apr 6.
Research has not yet investigated how the association between alcohol and alcohol-related consequences differs across cisgender heterosexual women (CHW), cisgender heterosexual men (CHM), and sexual and gender minority (SGM) college students.
Participants were N = 754 college students (34.5% CHW [n = 260]; 34.5% CHM [n = 260]; 31.0% SGM [n = 234]) between the ages 18 and 25 who completed a survey on sexual orientation, gender identity, alcohol use (i.e., average drinks per week), and alcohol-related consequences.
Among individuals who reported alcohol use, CHM reported significantly more drinks per week compared to CHW and SGM. The logistic model of a zero-inflated negative binomial regression indicated that excess zeros in the alcohol-related consequences were more likely among (1) nondrinkers and (2) SGM compared to CHM. The count portion of the model indicated that, among drinkers, there was a positive association between drinks per week and alcohol-related consequences. Estimated alcohol-related consequences per drink were 1.90% higher among CHW than CHM and 2.76% higher among SGM than CHM. Exploratory analyses did not find significant differences in outcomes between cisgender female and male sexual minority students.
Findings suggest that although CHW and SGM students consume less alcohol than CHM, these students experience more alcohol-related consequences per drink.
This study advances the field's knowledge of alcohol use patterns and consequences among SGM college students. There is a need for alcohol education programming that is tailored to the unique experiences, identities, and minority stressors of SGM college students.
目前的研究尚未调查在顺性别异性恋女性（CHW）、顺性别异性恋男性（CHM）和性与性别少数群体（SGM）大学生中，酒精与酒精相关后果之间的关联存在何种差异。
参与者为 N = 754 名年龄在 18 至 25 岁之间的大学生，包括 34.5%的 CHW（n = 260）、34.5%的 CHM（n = 260）和 31.0%的 SGM（n = 234），他们完成了一份关于性取向、性别认同、饮酒量（即每周平均饮酒量）和酒精相关后果的调查。
在报告饮酒的个体中，CHM 每周的饮酒量明显高于 CHW 和 SGM。零膨胀负二项回归的逻辑模型表明，（1）非饮酒者和（2）SGM 与 CHM 相比，酒精相关后果中出现过多零值的可能性更大。模型的计数部分表明，在饮酒者中，每周饮酒量与酒精相关后果之间存在正相关。与 CHM 相比，CHW 每周饮酒量每增加一单位，酒精相关后果的估计值增加 1.90%，而 SGM 每周饮酒量每增加一单位，酒精相关后果的估计值增加 2.76%。探索性分析并未发现男女同性恋、双性恋和跨性别学生之间在结果上存在显著差异。
研究结果表明，尽管 CHW 和 SGM 学生的饮酒量低于 CHM，但这些学生每喝一杯酒所经历的酒精相关后果更多。
本研究增进了我们对 SGM 大学生饮酒模式和后果的认识。需要为 SGM 大学生量身定制专门针对其独特经历、身份和少数群体压力源的酒精教育计划。
