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在多重耻辱身份的性少数群体成年人中,人际卫生保健歧视和延迟饮酒治疗
Emily Pasman1,2, Sean Esteban McCabe2,3, Luisa Kcomt2,4
1Jane Addams College of Social Work, University of Illinois Chicago.
Stigma and health
|February 6, 2026
概括
在医疗保健机构的歧视经历增加了性少数群体 (SM) 成人的酒精使用危害. 那些面临多种形式的歧视的人,比如性取向和种族种族偏见,在接受酒精使用治疗时面临的延迟要长得多.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康差异 在健康上的差异
背景情况:
- 对性少数群体 (SM) 个人而言,歧视和偏见增加了与酒精使用相关的伤害风险.
- 医疗保健歧视可能会阻碍SM群体寻求帮助和参与治疗.
- 之前的研究经常检查单一形式的歧视,忽视交叉影响.
研究的目的:
- 调查医疗保健中人际歧视与SM成年人中延迟使用酒精治疗之间的联系.
- 应用一个交叉的耻辱镜头来理解多重的耻辱身份如何影响治疗的准入.
- 检查基于性取向,种族-民族或两者的歧视,与延迟饮酒治疗有关.
主要方法:
- 利用了2012 - 2013年全国酒精和相关疾病流行病学调查的数据 (N=3,201).
- 专注于SM成年人的全国代表性样本.
- 采用多变量逻辑回归来分析与延迟饮酒治疗相关的因素.
主要成果:
- 18.9%的SM成年人经历了人际歧视的医疗保健; 9.2%推迟了酒精使用治疗.
- 与一般人口相比,在MS成年人中,延迟治疗更为常见.
- 报告性取向和种族种族歧视的个人延迟治疗的几率超过两倍 (AOR=2.38).
结论:
- 交叉性耻辱显著加剧了边缘化SM成年人酒精使用治疗的延迟.
- 医疗保健干预措施必须解决跨部门的耻辱,以改善治疗参与度.
- 针对性策略对于将SM成年人中的边缘化子群参与酒精使用治疗至关重要.
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