多重物质组合的不成比例使用在美国成年人中因性别认同而异
Luis M Mestre1, Marney A White1,2, Juhan Lee3
1Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, United States of America.
PloS one
|February 18, 2026
概括
双性恋女性使用多种物质的比例较高,经常结合过度饮酒,大麻和尼古丁产品. 了解这些模式对于针对女同性恋,男同性恋和双性恋成年人的公共卫生干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 药物使用研究研究 药物使用研究
- 在LGBTQ+人口中的健康差异.
背景情况:
- 多种物质的使用是一个重大的公共卫生挑战,不成比例地影响女同性恋,同性恋和双性恋 (LGB) 成年人.
- 特别是双性恋女性被确定为使用多种物质风险较高的群体.
- 现有的研究往往忽视了多物质组合在各种性少数群体中的细微模式.
研究的目的:
- 为了确定过去30天内LGB成年人使用的流行多物质组合.
- 为了检查这些多物质组合是如何根据性认同和性别不同.
- 为适合LGB个人制定量身定制的公共卫生战略提供信息.
主要方法:
- 从2021-2022年国家药物使用和健康调查 (NSDUH) 的数据分析.
- 包括66634名成年人的大型分析样本,其中8.59%被确定为LGB.
- 应用调查加权的多项物流回归模型来根据性别和性认同评估多物质组合.
主要成果:
- 最常使用的物质包括过度饮酒,大麻,香烟和尼古丁vaping.
- 双性恋的女性成年人报告使用了大量的多物质组合,经常涉及酒精,大麻或两者,通常与三或四种物质一起.
- 在异性恋和双性恋成年人中观察到多物质组合的显著性别差异,但在同性恋/女同性恋成年人中没有.
结论:
- 多种物质的使用模式在LGB成年人之间有很大的差异,性认同和性别有显著差异.
- 双性恋女性表现出独特而复杂的多种物质使用情况,需要特别关注公共卫生.
- 有效的公共卫生干预必须对性认同,性别和使用的特定类型的物质组合的交叉敏感.
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