美国男女同性恋、双性恋和跨性别青年成年人在大麻使用方面的差异：养育行为的作用。
Disparities in Cannabis Use among Female and Male Sexual Minority Young Adults in the US: The Role of Parenting Behaviors.
作者信息
Romm Katelyn F, McDonald Sunny, DiLissio Emma, Dearfield Craig, Berg Carla J
机构信息
TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center.
Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center.
出版信息
Cannabis. 2024 Jun 26;7(2):163-176. doi: 10.26828/cannabis/2024/000236. eCollection 2024.
INTRODUCTION
Despite cannabis use disparities among sexual minority (SM; vs. heterosexual) young adults (SMYAs), little research has explored social influences contributing to these disparities. This study examined sexual identity subgroup differences in parenting behaviors and associations among parenting behaviors and cannabis use behaviors among YA subgroups.
METHODS
Participants were female (=416; 44.7% bisexual, 7.2% lesbian) and male (=228; 11.0% bisexual, 13.2% gay) YAs (ages 18-29) recruited via social media from 6 US cities. Bivariate analyses examined differences in perceived parenting (psychological control, behavioral control, knowledge, autonomy support, warmth, communication, cannabis disapproval), any past-month (current) cannabis use, and current cannabis use frequency across sexual identity subgroups. Multivariable regression examined associations among sexual identity and parenting behaviors with cannabis use outcomes.
RESULTS
Among female YAs, bisexual (vs. heterosexual) YAs had greater odds of cannabis use, reported more frequent use, and reported greater parental psychological control and less behavioral control, autonomy support, warmth, and communication; greater psychological control was associated with both outcomes; less autonomy support was associated with current use; and less warmth and communication were associated with use frequency. Among male YAs, gay and bisexual (vs. heterosexual) YAs had greater odds of current use and reported more frequent use and greater psychological control; gay (vs. heterosexual) YAs reported greater behavioral control and less autonomy support, warmth, and communication; and greater psychological control and less warmth and communication were associated with both outcomes.
CONCLUSIONS
Cannabis prevention/cessation programs should target specific parenting behaviors that differentially impact cannabis use outcomes among specific SMYA subgroups.
引言
尽管性少数群体（SM；相对于异性恋）的年轻成年人（SMYA）在大麻使用方面存在差异，但很少有研究探讨导致这些差异的社会影响因素。本研究考察了青少年亚组中不同性取向亚组在养育行为方面的差异，以及养育行为与大麻使用行为之间的关联。
方法
通过社交媒体从美国6个城市招募了年龄在18 - 29岁之间的青年成年人（YA），其中女性（=416人；44.7%为双性恋，7.2%为女同性恋），男性（=228人；11.0%为双性恋，13.2%为男同性恋）。双变量分析考察了不同性取向亚组在感知到的养育方式（心理控制、行为控制、知识、自主支持、温暖、沟通、对大麻的反对态度）、过去一个月（当前）的任何大麻使用情况以及当前大麻使用频率方面的差异。多变量回归分析考察了性取向与养育行为和大麻使用结果之间的关联。
结果
在女性YA中，双性恋（相对于异性恋）YA使用大麻的几率更高，报告使用频率更高，并且报告父母的心理控制更强，行为控制、自主支持、温暖和沟通更少；更强的心理控制与这两个结果都相关；更少的自主支持与当前使用相关；更少的温暖和沟通与使用频率相关。在男性YA中，男同性恋和双性恋（相对于异性恋）YA当前使用大麻的几率更高，报告使用频率更高，心理控制更强；男同性恋（相对于异性恋）YA报告行为控制更强，自主支持、温暖和沟通更少；更强的心理控制以及更少的温暖和沟通与这两个结果都相关。
结论
大麻预防/戒烟项目应针对特定的养育行为，这些行为对特定的SMYA亚组中的大麻使用结果有不同的影响。
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