性少数群体青年吸毒:城市群体中的流行率
Florian Vock1, Lydia Johnson-Ferguson2,3,4, Laura Bechtiger2,3
1Swiss AIDS Federation, Zurich, Switzerland. florianvock@icloud.com.
Child and adolescent psychiatry and mental health
|September 16, 2023
概括
性少数民族青年 (SMY) 与异性恋青年 (HET) 相比,显示出不同的物质使用 (SU) 模式. SMY女性表现出更高的SU率,而SMY男性有不同的模式,突出了针对性干预的必要性.
科学领域:
- 青少年健康 青少年健康
- 药物使用研究研究 药物使用研究
- 性少数群体的健康问题
背景情况:
- 关于性少数群体青年 (SMY) 和异性恋青年 (HET) 之间的物质使用 (SU) 存在有限的比较数据.
- 对于公共卫生倡议来说,了解中小企业中SU的人口和心理社会预测因素至关重要.
研究的目的:
- 在城市群体中,将性少数群体青年 (SMY) 和异性恋青年 (HET) 之间的物质使用 (SU) 的流行率进行比较.
- 在性少数群体青年 (SMY) 中识别与物质使用 (SU) 相关的人口和心理社会因素.
主要方法:
- 一项前性纵向队列研究,涉及1297名城市青年,年龄分别为17岁和20岁.
- 自我报告措施收集了有关物质使用 (SU) 和心理社会变量的数据,包括内化症状,自我控制,寻找感觉,欺凌受害,压力,休活动和同行影响.
- 使用回归模型来比较SU率,按性别和性吸引力分层,以人口和心理社会变量作为共变量.
主要成果:
- 在SMY和HET年轻人之间观察到心理社会变量的显著差异.
- 在17岁时,SMY女性报告的大麻,狂喜/MDMA和幻觉剂使用率高于HET女性.
- 在20岁时,SMY女性的烟草,大麻,狂喜/MDMA,兴奋剂和幻觉剂的SU率显着更高. 与HET男性相比,SMY男性在17岁时报告的烟草和大麻使用率较低,但在20岁时使用ecstasy/MDMA和幻觉剂的比例较高.
结论:
- 心理社会变量是物质使用 (SU) 和性少数群体地位 (SMY) 的重要预测因素,强调了它们在解释使用差异方面的重要性.
- 需要对性认同进行标准化的比较,因为大多数研究都侧重于性别差异.
- 对中小企业的有效干预需要更深入地了解他们的物质使用模式,特别是对中小企业女性来说,需要有针对性的预防策略.
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