在性少数群体和异性恋青年中检查物质使用和自杀风险
Margaret E Manges1, Joseph A Jaeger2, Courtney R Doxbeck3
1The Department of Psychiatry and Behavioral Health, Wexner Medical Center, The Ohio State University, Columbus, Ohio, USA.
Substance use & misuse
|April 10, 2025
概括
面临欺凌或性侵犯的性少数群体青年更有可能使用物质并经历自杀想法. 负面的生活事件调解这些风险,强调了有针对性的干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 性少数群体的年轻人面临着不良健康结果的高风险,包括物质使用和自杀倾向.
- 像欺凌和暴力这样的负面生活事件加剧了这些健康差异.
- 了解性取向和创伤之间的相互作用对于有效的干预至关重要.
研究的目的:
- 调查性取向和消极生活事件在青少年中物质使用和自杀念头中的预测作用.
- 检查不良生活经历如何调解性少数群体地位和负面健康结果之间的关系.
主要方法:
- 对全国代表性的青年风险行为调查 (YRBS) 数据集的分析,包括15612名参与者.
- 后勤回归模型用于评估性少数群体地位和不良生活事件的主要影响.
- 路径分析以探索负面生活事件在物质使用和自杀倾向中的调解作用.
主要成果:
- 报告欺凌或强迫性行为的性少数群体年轻人显示,吸烟,饮酒和吸食大麻的几率增加.
- 亲密伴侣暴力与不安全和双性恋年轻人中更高的物质使用有关.
- 欺凌和强迫性经历与性少数群体年轻人的自杀倾向增加有关.
- 路径分析证实了性少数群体地位对物质使用和自杀倾向的间接影响,这些影响是由不利的生活经历介导的.
结论:
- 性少数民族的年轻人经历了与不良生活事件相关的重大风险,影响物质使用和自杀倾向.
- 调查结果强调了针对这一脆弱群体的创伤信息预防和干预策略的必要性.
- 公共卫生倡议应应对性少数群体青年所面临的独特挑战,以减轻负面的健康结果.
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