Abstract：
Purpose: This study examined the associations between intersectional oppression-based stress and recent alcohol use and hazardous drinking among sexual and gender minority (SGM; e.g., queer or transgender) adolescents who were Black, Indigenous, and People of Color (BIPOC), also known as queer and transgender BIPOC (QTBIPOC) adolescents, and the mediating role of coping motives (i.e., drinking to cope) on these associations. Methods: Data were from a subsample of QTBIPOC adolescents who used alcohol in the past year (n = 1365) from a national U.S. sample of SGM adolescents aged 13-18 years. Results: Intersectional oppression-based stressors were associated with greater odds of recent alcohol use and hazardous drinking, as well as greater coping motives. Coping motives mediated the associations between intersectional-based stressors and both recent alcohol use and hazardous drinking among the aggregate sample of QTBIPOC adolescents, as well as among some subgroups of BIPOC adolescents. Conclusions: The results of this study highlight that intersectional oppression-based stressors are prevalent among QTBIPOC adolescents and serve as a risk factor for alcohol use and hazardous drinking. Multilevel interventions are needed to target and dismantle intersectional oppressions to address alcohol inequities impacting QTBIPOC adolescents. Drinking to cope motives mediated the associations between intersectional oppression-based stress and drinking outcomes, underscoring another important mechanism to target within a context of oppression in drinking interventions.
摘要：
目的：本研究调查了性和性别少数群体中基于压迫的压力与近期饮酒和有害饮酒之间的关联（SGM；例如，酷儿或变性者)黑人青少年，土著,有色人种(BIPOC)也被称为酷儿和变性者BIPOC（QTBIPOC）青少年，以及应对动机的中介作用(即，喝酒以应对这些关联）。方法：数据来自美国13-18岁SGM青少年全国样本中过去一年饮酒的QTBIPOC青少年子样本（n=1365）。结果：基于交叉压迫的压力源与最近饮酒和有害饮酒的几率更大相关，以及更大的应对动机。在QTBIPOC青少年的总体样本中，应对动机介导了基于交叉的压力源与近期饮酒和有害饮酒之间的关联，以及BIPOC青少年的一些亚组。结论：这项研究的结果突出表明，基于交叉压迫的压力源在QTBIPOC青少年中普遍存在，并且是饮酒和有害饮酒的危险因素。需要采取多层次的干预措施来针对和消除交叉压迫，以解决影响QTBIPOC青少年的酒精不平等现象。饮酒以应对动机介导了基于交叉压迫的压力与饮酒结果之间的关联，强调了另一个重要机制，以在饮酒干预中的压迫为目标。
