Shrader Cho-Hee, Duncan Dustin T, Santoro Anthony, Geng Elvin, Kranzler Henry R, Hasin Deborah, Shelley Donna, Kutner Bryan, Sherman Scott E, Chen Yen-Tyng, Durrell Mainza, Eavou Rebecca, Hillary Hanson, Goedel William, Schneider John A, Knox Justin R
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA.
Alcohol Clin Exp Res (Hoboken). 2025 Apr;49(4):783-791. doi: 10.1111/acer.70009. Epub 2025 Mar 27.
Black sexually minoritized men and gender-expansive people (SGM), including transgender women, have higher levels of alcohol use and experience greater negative consequences from alcohol consumption than the general population. We investigated the role of multilevel factors contributing to alcohol use among these groups.
We analyzed data collected from HIV-negative participants in the Neighborhoods and Network (N2) cohort study in Chicago, IL (N = 138). Participants completed a social network inventory (November 2018-April 2019) and reported alcohol use (frequency, quantity, and frequency of binge drinking) during a quantitative assessment. We used stepwise negative binomial regression to identify associations with social network and individual-level alcohol use while controlling for sociodemographic variables.
Most participants drank alcohol in the past month (68%), with a mean of 2.5 drinks (SD = 1.9) per drinking day. Participants nominated 377 confidants (M = 2.7), of whom 93% were Black and 78% were friends/family. Among the confidants, 30% drank alcohol at least several times per week. Identifying as Latine (RR = 2.21; 95% CI: 1.44-3.10), having a higher Generalized Anxiety Disorder-7 score (RR = 1.03; 95%CI: 1.00-1.05), living with a problem drinker during one's childhood (RR = 1.80; 95% CI: 1.39-2.34), and having a greater proportion of regular drinkers in one's social network (RR = 1.49; 95% CI: 1.02-2.17) were positively associated with alcohol use.
Black SGM exposed to social network alcohol use during childhood and adulthood reported increased alcohol use. Interventions targeting Black SGM should address social norms around alcohol, intersectional discrimination, and mental health.
黑人性少数群体男性以及性别认同扩展人群（SGM），包括跨性别女性，与普通人群相比，饮酒水平更高，且饮酒带来的负面后果更为严重。我们调查了导致这些群体饮酒的多层次因素所起的作用。
我们分析了从伊利诺伊州芝加哥市邻里与网络（N2）队列研究中的HIV阴性参与者收集的数据（N = 138）。参与者完成了一份社交网络清单（2018年11月至2019年4月），并在定量评估中报告了饮酒情况（频率、饮酒量和暴饮频率）。我们使用逐步负二项回归来确定与社交网络和个人层面饮酒的关联，同时控制社会人口统计学变量。
大多数参与者在过去一个月内饮酒（68%），平均每个饮酒日饮用2.5杯（标准差 = 1.9）。参与者提名了377位知己（平均 = 2.7），其中93%为黑人，78%是朋友/家人。在这些知己中，30%至少每周饮酒几次。自我认同为拉丁裔（风险比 = 2.21；95%置信区间：1.44 - 3.10）、广泛性焦虑障碍-7得分较高（风险比 = 1.03；95%置信区间：1.00 - 1.05）、童年时期与问题饮酒者生活在一起（风险比 = 1.80；95%置信区间：1.39 - 2.34）以及社交网络中经常饮酒者的比例更高（风险比 = 1.49；95%置信区间：1.02 - 2.17）与饮酒呈正相关。
报告称在童年和成年时期接触到社交网络饮酒的黑人SGM饮酒量增加。针对黑人SGM的干预措施应解决围绕酒精的社会规范、交叉性歧视和心理健康问题。
