School of Economics, Finance and Law, Centre for Pluralist Economics, Faculty of Business and Law, Anglia Ruskin University, Cambridge, UK.
Pembroke College, University of Cambridge, Cambridge, UK.
Drug Alcohol Rev. 2022 Sep;41(6):1341-1354. doi: 10.1111/dar.13500. Epub 2022 Jun 23.
This study presents associations between the perceived social rejection of sexual minorities and tobacco, alcohol and cannabis consumption and unprotected sexual intercourse in the capital of Greece, Athens. This is the first Greek study to evaluate the concept of the minority stress theory on sexual minorities' substance use and unprotected sexual intercourse. In addition, this is among the first international studies to examine whether periods of adverse economic conditions are associated with sexual minorities' substance use and unprotected sexual intercourse.
Two-panel datasets covering the periods 2013-2014 and 2018-2019 were used to determine the perceived social rejection, that is, whether sexual minorities have been rejected by friends, treated unfairly in educational and/or workplace environments, treated negatively in social situations and received poor health and public services due to their sexuality.
The estimates indicate that perceived social rejection is associated with the increased consumption of tobacco (by 9.1%, P < 0.01), alcohol (by 7.1%, P < 0.01) and cannabis (by 12.5%, P < 0.01), as well as unprotected sexual intercourse (by 6.5%, P < 0.01). In the first three cases, the magnitude of the associations is stronger for men than women and there is increased cannabis consumption during periods of deteriorated economic conditions (by 5.5%, P < 0.01).
In the European Union, reducing stigma, substance use, risky sexual behaviours and health inequalities for sexual minorities is a goal of public health. If minority stress is correlated with substance use and risky sexual behaviours leading to detrimental physical/mental health outcomes then prevention and support interventions should be designed.
本研究报告了在希腊首都雅典，性少数群体感知到的社会排斥与烟草、酒精和大麻消费以及无保护性行为之间的关联。这是希腊第一项评估少数群体应激理论对性少数群体物质使用和无保护性行为影响的研究。此外，这也是首批国际研究之一，旨在检验经济逆境时期是否与性少数群体的物质使用和无保护性行为有关。
本研究使用了 2013-2014 年和 2018-2019 年的两面板数据集，以确定感知到的社会排斥情况，即性少数群体是否因性取向而被朋友排斥、在教育和/或工作场所受到不公平待遇、在社交场合受到负面对待以及因其性取向而获得较差的医疗和公共服务。
研究结果表明，感知到的社会排斥与烟草（增加 9.1%，P<0.01）、酒精（增加 7.1%，P<0.01）和大麻（增加 12.5%，P<0.01）消费的增加以及无保护性行为（增加 6.5%，P<0.01）有关。在前三种情况下，男性的关联程度强于女性，且经济条件恶化时期大麻消费增加（增加 5.5%，P<0.01）。
在欧盟，减少性少数群体的污名化、物质使用、高风险性行为以及健康不平等现象是公共卫生的目标之一。如果少数群体应激与物质使用和高风险性行为相关，导致不良的身心健康后果，那么应设计预防和支持干预措施。
