Dyar Christina, Feinstein Brian A, Albright Jamie, Newcomb Michael E, Whitton Sarah W
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
Department of Psychology, Rosalind Franklin University of Medicine and Science.
Psychol Sex Orientat Gend Divers. 2023 Jun;10(2):292-303. doi: 10.1037/sgd0000426. Epub 2021 Sep 9.
Sexual minority individuals assigned female at birth (SM-AFAB) are at increased risk for problematic alcohol use compared to heterosexual women. Despite evidence that drinking locations and companions play an important role in problematic alcohol use among heterosexuals, few studies have examined these social contexts of alcohol use among SM-AFAB. To address this gap, the current study examined two aspects of social contexts in which SM-AFAB drink (locations and companions). We utilized two waves of data (six-months between waves) from an analytic sample of 392 SM-AFAB ages 17-33 from a larger longitudinal study. The goals were: (1) to identify classes of SM-AFAB based on the contexts in which they drank; (2) to examine the associations between drinking contexts, minority stressors, and problematic alcohol use; and (3) to examine changes in drinking contexts over time. Using latent class analysis, we identified four classes based on drinking locations and companions (private settings, social settings, social and private settings, multiple settings). These classes did not differ in minority stress. Drinking in multiple settings was associated with more problematic alcohol use within the same timepoint and these differences were maintained six months later. However, drinking in multiple settings did not predict subsequent changes in problematic alcohol use when problematic alcohol use at the prior wave was controlled for. Based on these findings, SM-AFAB who drink in multiple settings may be an important subpopulation for interventions to target. Interventions could focus on teaching SM-AFAB strategies to limit alcohol consumption and/or minimize alcohol-related consequences.
出生时被认定为女性的性少数群体（SM-AFAB）与异性恋女性相比，出现酒精使用问题的风险更高。尽管有证据表明饮酒场所和同伴在异性恋者的酒精使用问题中起着重要作用，但很少有研究考察SM-AFAB饮酒的这些社会背景。为了填补这一空白，本研究考察了SM-AFAB饮酒的社会背景的两个方面（场所和同伴）。我们利用了来自一项更大规模纵向研究的392名年龄在17 - 33岁的SM-AFAB分析样本的两波数据（两波数据间隔六个月）。目标是：（1）根据饮酒背景确定SM-AFAB的类别；（2）考察饮酒背景、少数群体压力源与酒精使用问题之间的关联；（3）考察饮酒背景随时间的变化。使用潜在类别分析，我们根据饮酒场所和同伴确定了四类（私人场所、社交场所、社交和私人场所、多个场所）。这些类别在少数群体压力方面没有差异。在多个场所饮酒与同一时间点更多的酒精使用问题相关，并且这些差异在六个月后仍然存在。然而，在控制了前一波的酒精使用问题后，在多个场所饮酒并不能预测随后酒精使用问题的变化。基于这些发现，在多个场所饮酒的SM-AFAB可能是干预的一个重要目标亚群体。干预可以侧重于教导SM-AFAB限制酒精消费和/或尽量减少与酒精相关后果的策略。
