美国性身份的物质使用和心理健康的差异. 青少年和年轻成年人
Ty S Schepis1,2, Brady T West2,3,4, Jason A Ford2,5
1Department of Psychology, Texas State University, San Marcos, Texas, USA.
LGBT health
|February 10, 2026
概括
性少数民族的年轻人报告了更高的心理健康问题. 使用物质的联系不太一致,但女同性恋和双性恋女性在过去一年中使用物质的障碍较高. 需要文化敏感的干预措施.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 性认同是理解健康差异的一个关键因素.
- 青少年和年轻人代表了身份形成和精神健康和物质使用问题的出现的关键发展时期.
研究的目的:
- 在一大批具有全国代表性的青少年和年轻成年人样本中,研究不同性认同与心理健康和物质使用结果之间的关联.
- 与异性恋同龄人相比,确定性少数群体年轻人所经历的具体差异.
主要方法:
- 利用了来自2023年全国毒品使用和健康调查的11,328名青少年 (12-17) 和13,131名年轻成年人 (18-25) 的数据.
- 采用了六个反应的性身份评估,并分析了物质使用 (酒精,大麻,尼古丁,处方药滥用,多种物质使用,SUD) 和心理健康 (严重抑郁情节,自杀念头,严重心理痛苦) 的结果.
- 进行多变量后勤回归,调整社会人口统计学和按年龄组和性别分层,将异性恋个体作为参考组.
主要成果:
- 认为自己是女同性恋,男同性恋,双性恋,不确定/不知道,或使用不同的术语的年轻人表现出所有心理健康问题的比率显著更高 (OR > 3.0对80%).
- 药物使用和性认同之间的关联不太一致;然而,女同性恋和双性恋女性过去一年的SUD率高于异性恋女性.
- 与异性恋同龄人相比,不理解性身份问题的人在41.7%的结果中表现较低.
结论:
- 性少数民族青年需要针对心理健康问题和物质使用障碍进行有针对性的查和指定的预防策略.
- 开发文化敏感的干预措施对于解决发现的差异至关重要.
- 进一步的研究可能会探索认同理解的细微差别及其对健康结果的影响.
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