Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Am J Drug Alcohol Abuse. 2023 Mar 4;49(2):228-238. doi: 10.1080/00952990.2023.2176235. Epub 2023 Apr 4.
Latinx sexual minorities with increased levels of acculturation report higher rates of alcohol use, and discrimination may impact this association. Yet, there is little research examining the concomitant impact of racism and sexual minority stress (i.e. intersectional discrimination) and the additive effect of acculturation on Latinx sexual minority men's risk for hazardous alcohol consumption. This study investigated the role of perceived stressfulness of intersectional discrimination in the relation between acculturation (US cultural orientation/Hispanic cultural orientation) and alcohol use among Latinx sexual minority men. A structural equation model was utilized to test the indirect effect of discrimination between acculturation and alcohol use with a sample of 357 Latinx sexual minority men (M = 28.39) recruited via Amazon MTurk. The indirect effect between the Hispanic cultural orientation to alcohol use through intersectional forms of discrimination was significant and positive (b = .19, SE = .03, < .01). The indirect effect for the US cultural orientation to alcohol use through intersectional forms of discrimination was significant and negative (b = -.10, SE = .03, < .01). Contrary to previous literature, Latinx sexual minority men with a higher Hispanic cultural orientation reported higher levels of intersectional forms of discrimination, which in turn was associated with increased alcohol use. Those with a higher US cultural orientation reported lower levels of intersectional forms of discrimination, which in turn was associated with decreased alcohol use. These findings may help identify mechanisms that exacerbate health disparities for Latinx sexual minority men.
具有较高文化适应水平的拉丁裔性少数群体报告的酒精使用频率更高，而歧视可能会影响这种关联。然而，几乎没有研究考察种族主义和性少数群体压力（即交叉歧视）的共同影响，以及文化适应对拉丁裔性少数群体男性危险饮酒的风险的附加影响。本研究调查了交叉歧视的感知压力在文化适应（美国文化取向/西班牙裔文化取向）与拉丁裔性少数群体男性饮酒之间的关系中的作用。利用结构方程模型，通过亚马逊土耳其机器人招募的 357 名拉丁裔性少数群体男性（M=28.39）样本，检验了歧视与饮酒之间的文化适应的间接效应。通过交叉形式的歧视，酒精使用的西班牙裔文化取向与歧视之间的间接效应是显著且积极的（b=.19，SE=.03，<.01）。通过交叉形式的歧视，酒精使用的美国文化取向与歧视之间的间接效应是显著且消极的（b=-.10，SE=.03，<.01）。与之前的文献相反，具有较高西班牙裔文化取向的拉丁裔性少数群体男性报告了更高水平的交叉形式的歧视，这反过来又与更高的酒精使用相关。那些具有较高美国文化取向的人报告了较低水平的交叉形式的歧视，这反过来又与较低的酒精使用相关。这些发现可能有助于确定加剧拉丁裔性少数群体男性健康差距的机制。
