Smith Madison Shea, Zapata Juan Pablo, Mustanski Brian
Impact Institute, Northwestern University, Chicago, IL, USA.
Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA.
Psychol Sex Orientat Gend Divers. 2025 Jul 21. doi: 10.1037/sgd0000862.
Sexual and gender minority (SGM) people assigned male at birth (AMAB) report high alcohol use, binge drinking, and alcohol problems. However, little is known about how SGM people AMAB may reduce or cease alcohol use, and the resources they draw upon to do so. The overarching aim of this report is to describe the types, frequencies, and relative success of attempts to quit/cut down on alcohol among a large sample of SGM people AMAB enrolled in a longitudinal cohort study. Participants 17-29 years old (N=939) were drawn from a longitudinal cohort of SGM people AMAB (RADAR), between 2015 and 2022. Participants completed self-reports of alcohol use, problems, and cessation attempts at up to 14 visits, separated by 6 months each. Results showed that alcohol use was high; between 16.2 and 29% of individuals at each wave displayed scores above the clinically-validated cutoff (≥8 total score) on the AUDIT. Few participants attempted to stop drinking during the study (88.9% reported no cessation attempts). A smaller percentage (9.4%) reported cessation once, while fewer (1.7%) reported cessation attempts on two separate occasions. Few participants made use of existing resources to assist in a cessation attempt, and individuals who made attempts to reduce their alcohol consumption, in comparison to those who did not, reported higher alcohol use. In all, these findings point to an unmet need with regard to alcohol cessation support in SGM people AMAB, and the lack of affirming and accessible treatment options may be contributing to continuing health inequities.
出生时被指定为男性的性少数群体（SGM）报告称，他们饮酒量高、存在暴饮行为且有酒精相关问题。然而，对于出生时被指定为男性的SGM群体如何减少或戒酒，以及他们为此所利用的资源，我们知之甚少。本报告的总体目标是描述在一项纵向队列研究中，大量出生时被指定为男性的SGM群体尝试戒酒/减少饮酒的类型、频率及相对成功率。17至29岁的参与者（N = 939）来自2015年至2022年期间出生时被指定为男性的SGM群体的纵向队列（RADAR）。参与者在长达14次的随访中完成了关于饮酒、相关问题及戒酒尝试的自我报告，每次随访间隔6个月。结果显示，饮酒率很高；在每一波次中，16.2%至29%的个体在酒精使用障碍识别测试（AUDIT）中得分高于临床验证的临界值（总分≥8分）。在研究期间，很少有参与者尝试戒酒（88.9%报告没有戒酒尝试）。较小比例（9.4%）报告有过一次戒酒，更少比例（1.7%）报告在两个不同场合有过戒酒尝试。很少有参与者利用现有资源来协助戒酒尝试，与未尝试者相比，尝试减少饮酒量的个体报告的饮酒量更高。总体而言，这些发现表明出生时被指定为男性的SGM群体在戒酒支持方面存在未满足的需求，而缺乏肯定性且可及的治疗选择可能导致持续的健康不平等。
