■性少数群体年轻人(SMYAs)遭受歧视,并且大麻使用率高。歧视可能与使用大麻有关,包括有害使用和与烟草共同使用,取决于情绪调节和性别。
■2020年秋季调查数据评估了歧视,情绪调节策略的使用频率(即,认知重估,表现性抑制),目前使用大麻,危险使用,在美国6个大都市地区的SMYAs(年龄18-34岁)中,大麻烟草双重使用(女性:n=450,M年龄=24.1,SD=4.7,69.6%双性恋,18.2%女同性恋/男同性恋,其他12.2%;男性:n=254,M年龄=24.7,SD=4.5,双性恋33.5%,54.3%是同性恋,12.2%其他)。多变量逻辑回归检查了认知重新评估和表达抑制对歧视与大麻使用结果关联的调节作用,按性别分层并根据年龄调整,种族和民族,和就业。
■在SMYA女性中,89.5%的人经历过任何歧视;53.1%的人报告目前使用大麻,其中49.4%和47.7%报告了危险用途和大麻烟草双重用途,分别。适应社会人口统计学,在表达抑制使用较多的SMYA女性中,经历较大的歧视与危险大麻使用(aOR=1.08,95%CI[1.02,1.15])和大麻-烟草双重使用(aOR=1.04,95%CI[1.01,1.08])的可能性较大相关.在SMYA男人中,83.9%经历过任何歧视;49.2%报告目前使用大麻,其中55.2%和44.0%报告了有害用途和大麻烟草双重用途。歧视和情绪调节与男性使用大麻的结果无关。结论:鉴于SMYAs中的歧视体验率高,情绪调节技能训练可以增强SMYAs的能力,尤其是女性,在不使用大麻的情况下应对歧视。
UNASSIGNED: Sexual minority young adults (SMYAs) experience discrimination and have high cannabis use prevalence. Discrimination may be associated with cannabis use, including hazardous use and co-use with tobacco, depending on emotion regulation and gender.
UNASSIGNED: Fall 2020 survey data assessed discrimination, use frequency of emotion regulation strategies (i.e., cognitive reappraisal, expressive suppression), current cannabis use, hazardous use, and cannabis-tobacco dual use among SMYAs (age 18-34) in 6 United States metropolitan areas (women: n=450, M age =24.1, SD=4.7, 69.6% bisexual, 18.2% lesbian/gay, 12.2% other; men: n=254, M age=24.7, SD=4.5, 33.5% bisexual, 54.3% gay, 12.2% other). Multivariable logistic regression examined the moderating roles of cognitive reappraisal and expressive suppression on associations of discrimination with cannabis use outcomes, stratified by gender and adjusted for age, race and ethnicity, and employment.
UNASSIGNED: Among SMYA women, 89.5% experienced any discrimination; 53.1% reported current cannabis use, of whom 49.4% and 47.7% reported hazardous use and cannabis-tobacco dual use, respectively. Adjusting for sociodemographics, experiencing greater discrimination was associated with greater odds of hazardous cannabis use (aOR=1.08, 95% CI [1.02, 1.15]) and cannabis-tobacco dual use (aOR=1.04, 95% CI [1.01, 1.08]) among SMYA women with greater use of expressive suppression. Among SMYA men, 83.9% experienced any discrimination; 49.2% reported current cannabis use, of whom 55.2% and 44.0% reported hazardous use and cannabis-tobacco dual use. Discrimination and emotion regulation were unrelated to cannabis use outcomes among men. Conclusions: Given high rates of discrimination experiences among SMYAs, emotion regulation skills training may empower SMYAs, particularly women, to cope with discrimination without using cannabis.