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LGBQ+大学生中的酒精使用、歧视与心理层面的伴侣虐待:一项日记式研究的结果

Alcohol Use, Discrimination, and Psychological Partner Abuse Among LGBQ+ College Students: Results From a Daily Diary Study.

作者信息

Brem Meagan J, Wolford-Clevenger Caitlin, Garner Alisa R, Edwards Katie M, Shorey Ryan C

机构信息

Virginia Polytechnic Institute and State University, Blacksburg, USA.

University of Alabama, Birmingham, USA.

出版信息

J Interpers Violence. 2024 Jan;39(1-2):290-311. doi: 10.1177/08862605231195818. Epub 2023 Aug 31.

Abstract

Alcohol use correlates with psychological partner abuse (PA) perpetration among lesbian, gay, bisexual, queer, and other nonheterosexual (LGBQ+) young adults. However, less is known about the proximal association between alcohol use and psychological PA within this population, which would provide valuable information for intervention development. Informed by minority stress and alcohol-related PA theories, we evaluated whether (a) psychological PA perpetration odds increased as the number of drinks consumed prior to psychological PA on a given day increased, (b) psychological PA perpetration odds were greater following heavy episodic drinking (HED) relative to non-HED, and (c) experiencing LGBQ+-specific discrimination (i.e., heterosexist harassment, incivility, and hostility) strengthened the association between daily alcohol use (number of drinks, HED) and subsequent psychological PA perpetration. LGBQ+ college students ( = 41; 75.6% women, 22.0% men, and 2.4% transgender/non-binary) completed a baseline survey of past-year discrimination before completing daily reports of their alcohol use and psychological PA for 60 consecutive days. Multilevel modeling revealed that drinking more than one usually does on a given day is positively associated with subsequent psychological PA odds ( = 1.31,  < .001). Psychological PA was more likely following HED relative to non-HED ( = 3.23,  < .001). Unexpectedly, experiencing discrimination was negatively associated with psychological PA odds across models ( = .26  = .01). No alcohol × discrimination interactions emerged. Results support alcohol use as a proximal risk factor for psychological PA among LGBQ+ college students and underscore the need for more nuanced examination of discrimination and other contextual variables in alcohol-related PA.

摘要

在女同性恋、男同性恋、双性恋、酷儿及其他非异性恋(LGBQ+)的年轻成年人中,饮酒与心理层面的伴侣虐待行为相关。然而,对于该人群中饮酒与心理层面伴侣虐待行为之间的近端关联了解较少,而这可为干预措施的制定提供有价值的信息。基于少数群体压力理论和与酒精相关的伴侣虐待理论,我们评估了:(a)在特定日子里,随着心理层面伴侣虐待行为发生前饮酒量的增加,实施心理层面伴侣虐待行为的几率是否上升;(b)与非重度饮酒相比,重度饮酒后实施心理层面伴侣虐待行为的几率是否更高;(c)经历LGBQ+群体特有的歧视(即异性恋歧视性骚扰、无礼行为和敌意)是否会强化日常饮酒量(饮酒杯数、重度饮酒)与随后实施心理层面伴侣虐待行为之间的关联。41名LGBQ+大学生(75.6%为女性,22.0%为男性,2.4%为跨性别者/非二元性别者)在连续60天完成每日饮酒量和心理层面伴侣虐待行为报告之前,先完成了一项关于过去一年歧视情况的基线调查。多层次模型显示,在特定日子里饮酒量超过平常会与随后实施心理层面伴侣虐待行为的几率呈正相关(β = 1.31,p <.001)。与非重度饮酒相比,重度饮酒后更有可能实施心理层面伴侣虐待行为(β = 3.23,p <.001)。出乎意料的是,在各个模型中,经历歧视与实施心理层面伴侣虐待行为的几率呈负相关(β =.26,p =.01)。未出现酒精与歧视的交互作用。研究结果支持饮酒是LGBQ+大学生心理层面伴侣虐待行为的近端风险因素,并强调需要对与酒精相关的伴侣虐待行为中的歧视及其他背景变量进行更细致入微的研究。

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