Office of the Clinical Director, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland; Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
J Adolesc Health. 2023 Feb;72(2):222-229. doi: 10.1016/j.jadohealth.2022.09.030. Epub 2022 Nov 28.
To determine whether peer drunkenness, parental knowledge about their adolescent's whereabouts and behaviors, and depressive symptoms contribute to sexual orientation disparities in high-risk drinking behaviors; if they do, they would be potential intervention targets.
Longitudinal survey data from 2,051 adolescents who participated in the NEXT Generation Health Study were analyzed. Latent growth curve and longitudinal path analyses were used to test for indirect effects linking sexual orientation in 11th grade (3.4% males and 8.4% females were sexual minorities) to past 30-day heavy episodic drinking (HED) over 6 years and past year high-intensity binge drinking at 4 years after high school.
Sexual minority males were not more likely to engage in high-risk drinking than heterosexual males. In contrast, sexual minority females were more likely than heterosexual females to engage in HED when they were in 11th grade (Odds Ratio = 2.83, 95% confidence interval = 1.43, 5.61), in part because of lower parental knowledge. Sexual minority females also had higher depressive symptoms during the transition from adolescence to young adulthood, which in turn was associated with greater risk of high-intensity binge drinking in young adulthood. Peer drunkenness was a strong risk factor for HED and high-intensity binge drinking among both males and females.
Sexual minority females reported lower levels of parental knowledge during adolescence and higher levels of depressive symptoms during the transition to young adulthood than heterosexual females. Both factors were associated with high-risk drinking behavior, suggesting developmentally sensitive opportunities to mitigate sexual orientation disparities in high-risk drinking.
确定同伴醉酒、父母对青少年行踪和行为的了解程度以及抑郁症状是否会导致高危饮酒行为中存在性取向差异；如果是这样，它们将成为潜在的干预目标。
对 2051 名参加下一代健康研究的青少年进行了纵向调查数据分析。使用潜在增长曲线和纵向路径分析来测试将 11 年级的性取向（3.4%的男性和 8.4%的女性为性少数群体）与过去 30 天内 6 年内的重度饮酒（HED）和过去一年高中毕业后 4 年内的高强度狂欢饮酒联系起来的间接影响。
性少数群体男性并不比异性恋男性更有可能进行高危饮酒。相比之下，性少数群体女性在 11 年级时比异性恋女性更有可能进行 HED（优势比=2.83，95%置信区间=1.43，5.61），部分原因是父母的了解程度较低。性少数群体女性在从青春期到成年早期的过渡期间也有更高的抑郁症状，这反过来又与成年早期高强度狂欢饮酒的风险增加有关。同伴醉酒是男性和女性发生 HED 和高强度狂欢饮酒的一个强烈危险因素。
性少数群体女性在青春期期间报告的父母了解程度较低，在向成年早期过渡期间的抑郁症状较高。这两个因素都与高危饮酒行为有关，这表明在高危饮酒方面存在性取向差异的发展敏感机会。
