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性少数群体中歧视与饮酒之间的关联:一项日记式研究。

The association between discrimination and drinking among sexual minorities: A daily diary study.

作者信息

Surace A, Operario D, Kahler C W

机构信息

Public Health Institute, Alcohol Research Group, Emeryville, USA.

Department of Behavioral and Social Sciences, Rollins School of Public Health, Atlanta, USA.

出版信息

Addict Behav Rep. 2024 May 18;19:100554. doi: 10.1016/j.abrep.2024.100554. eCollection 2024 Jun.

Abstract

BACKGROUND

Among sexual minorities (SMs), experiencing discrimination has been associated with greater substance use at the day-level. However, variations in sample characteristics and measures of day-level discrimination limit the generalizability of findings. Furthermore, it is unknown how positive experiences due to minority identity ("Minority Strengths") may impact the association between experiencing discrimination and same day drinking.

METHODS

The present study extends prior research on discrimination and drinking using detailed discrimination measures, Minority Strengths measures, and a gender diverse sample. Participants (N = 61) were majority White (n = 45, 73.8 %) adult (mean age 26.8 years) self-identified SMs (e.g., 44.3 % identified as "gay") who engaged in alcohol use within the past month. Participants completed up to 31 days of daily diary surveys about their experiences and drinking. Recruitment took place in the northeastern U.S. from May to December 2021.

RESULTS

Multilevel model analysis indicated that experiencing discrimination was associated with increased same day drinking among Black, Indigenous, people of color (BIPOC) participants but not among White participants. A significant gender by discrimination interaction indicated that cisgender men drank more the same day they experienced discrimination compared to cisgender women and transgender/non-binary participants. Minority Strengths had no impact on these relationships.

CONCLUSIONS

Results highlight that the experience of discrimination and its association with drinking may be influenced by a host of contextual factors that are attached to racial and gender identities. Future research should examine how discrimination in different contexts (e.g., regions) and based on specific identities may be associated with alcohol use.

摘要

背景

在性少数群体(SMs)中,遭受歧视与当日更高的物质使用量有关。然而,样本特征和当日歧视测量方法的差异限制了研究结果的普遍性。此外,由于少数群体身份带来的积极体验(“少数群体优势”)如何影响遭受歧视与当日饮酒之间的关联尚不清楚。

方法

本研究通过使用详细的歧视测量方法、少数群体优势测量方法以及一个性别多样化的样本,扩展了先前关于歧视与饮酒的研究。参与者(N = 61)大多数是白人(n = 45,73.8%),成年(平均年龄26.8岁),自我认同为性少数群体(例如,44.3% 认同为“同性恋”),且在过去一个月内有饮酒行为。参与者完成了长达31天的关于他们经历和饮酒情况的每日日记调查。招募工作于2021年5月至12月在美国东北部进行。

结果

多层次模型分析表明,遭受歧视与黑人、原住民、有色人种(BIPOC)参与者当日饮酒量增加有关,但与白人参与者无关。一个显著的性别与歧视交互作用表明,与顺性别女性和跨性别/非二元性别参与者相比,顺性别男性在遭受歧视的当日饮酒更多。少数群体优势对这些关系没有影响。

结论

结果表明,歧视经历及其与饮酒的关联可能受到一系列与种族和性别身份相关的背景因素的影响。未来的研究应该考察不同背景(例如,地区)下以及基于特定身份的歧视如何与酒精使用相关联。

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本文引用的文献

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The Relationship of Anti-Transgender Discrimination, Harassment, and Violence to Binge Drinking among Transgender Adults.
Subst Use Misuse. 2024;59(4):583-590. doi: 10.1080/10826084.2023.2293731. Epub 2024 Feb 8.
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"I'm Gay With an Asterisk": How Intersecting Identities Influence LGBT Strengths.
J Homosex. 2024 Feb 23;71(3):841-861. doi: 10.1080/00918369.2022.2132579. Epub 2022 Dec 8.
6
Minority stress and alcohol use in sexual minority women's daily lives.
Exp Clin Psychopharmacol. 2021 Oct;29(5):501-510. doi: 10.1037/pha0000484. Epub 2021 Jun 7.
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The role of alcohol demand on daily microaggressions and alcohol use among emerging adult bisexual+ women.
Psychol Addict Behav. 2022 Mar;36(2):209-219. doi: 10.1037/adb0000754. Epub 2021 May 27.
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Sexual Orientation Differences in Alcohol Use Disorder Across the Adult Life Course.
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