性别和性别少数群体成年人中的结构性耻辱和酒精使用:系统性审查
Sarah S Zollweg1,2, Joseph A Belloir1, Laurie A Drabble3,4
1Columbia University School of Nursing, 560 W. 168th St., New York, NY, 10032, USA.
Drug and alcohol dependence reports
|September 4, 2023
概括
结构性耻辱与性和性别少数群体 (SGM) 个体的负面酒精结果有关. 解决这个系统性问题对于减少SGM患者的健康差异至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 心理学 心理学 心理学
背景情况:
- 性别和性别少数群体 (SGM) 的人群与 cisgender,异性恋人群相比,与酒精有关的负面结果的比率更高.
- 虽然个人和人际少数群体的压力因素是已知的贡献者,但在SGM酒精使用方面,结构层次的少数群体压力因素仍未得到充分研究.
- 本次审查侧重于结构性耻辱,这是理解和解决SGM社区与酒精有关的差异的一个关键领域.
研究的目的:
- 系统地审查现有关于结构性耻辱和美国性和性别少数群体 (SGM) 成人的酒精相关结果之间的联系的研究.
- 确定有关结构性耻辱和SGM酒精使用的文献上的差距.
- 为未来的研究,干预和政策提供信息,旨在减少SGM人群中与酒精有关的伤害.
主要方法:
- 针对2010年1月至2022年5月期间发表的研究,对五个电子数据库进行了系统搜索.
- 包括的研究是同行评审,定量,并专注于结构性耻辱和美国SGM成年人中酒精使用之间的关联.
- 包括的研究的质量评估是使用Joanna Briggs研究所的检查清单进行的.
主要成果:
- 包括11项研究,揭示了中等到强有力的证据,表明SGM患者的结构性耻辱和与酒精有关的负面结果之间存在积极的关联.
- 在这些协会中观察到的差异包括性别,性认同,种族和种族.
- 限制包括横截面设计的普遍性,非概率样本,以及各种SGM子组 (例如,跨性别者,非二进制者,SGM有色人种) 的代表性不足.
结论:
- 为了减少与酒精有关的负面结果和SGM人群中的健康不平等,需要解决结构性耻辱.
- 未来的研究应该优先考虑概率样本,纵向设计和多样化的SGM种群,以更好地理解这些关系.
- 建议进一步调查多层次的耻辱和弹性因素对与酒精有关的结果的影响.
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