عنوان انگلیسی مقاله:
Covariates of hazardous alcohol use among sexual and gender minorities in Texas: Identifying the most vulnerable
ترجمه فارسی عنوان مقاله:
متغیر های کمکی مصرف الکل خطرناک در بین اقلیتهای جنسی و جنسیتی در تگزاس: شناسایی آسیب پذیرترین افراد
Sciencedirect - Elsevier - Addictive Behaviors, 105 (2020) 106327. doi:10.1016/j.addbeh.2020.106327
J. Michael Wilkerson⁎, Angela Di Paola, Sheryl McCurdy, Vanessa Schick
Background: Information is limited on the prevalence of hazardous drinking and associated covariates among
sexual and gender minority (SGM) persons. These analyses estimated the prevalence of hazardous drinking and
identified associated covariates.
Methods: A total of 1273 SGM adolescents and adults living in Texas completed an online survey between March
2016 and January 2017. Variables associated with hazardous drinking at the bivariate-level (p < 0.10) were
entered into multiple logistic regression models to estimate the strength of their association.
Results: More than a third (39.1%) of participants meet criteria for hazardous drinking. Compared to non-hazardous
drinkers, hazardous drinkers were younger (x = 20.7 [SD = 8.9] vs. x = 26.5 [SD = 13.8]) and more
likely to be Hispanic (41.5% vs. 26.2%). Hazardous drinkers were more likely to report using substances in past
12 months, including opioids (15.3% vs. 6.7%), stimulants (26.3% vs. 12.7%), and marijuana (37.6% vs. 21.2%).
More hazardous drinkers reported injecting drugs (12.3% vs. 5.8%) and having a history of incarceration (14.1%
vs. 7.3%). They were less likely to be diagnosed with depression (50.2% vs. 56.5%). When entered into a
multivariate logistic regression model, hazardous drinkers were more likely to be younger (aOR = 0.97 [0.95,
0.98]), Hispanic (aOR = 1.5 [1.2, 2.0]), have a history of incarceration (aOR = 2.4 [1.5, 3.6]), and use a
substance, not including marijuana (aOR=1.7 [1.3, 2.3]). They were less likely to be diagnosed with depression
(aOR = 0.73 [0.6, 0.9]).
Conclusions: Our findings highlight the intersection of race and ethnicity, mental health, criminal justice involvement,
and substance use and the need for tailored interventions that address underlying determinants.
Keywords: Alcohol use | Substance use | LGBT health | Hispanics | Criminal justice