Sexual identity, same-sex partners and risk behaviour among a community-based sample of young people in Australia

被引:10
作者
Bowring, Anna L. [1 ,2 ]
Vella, Alyce M. [1 ]
Degenhardt, Louisa [3 ,4 ]
Hellard, Margaret [1 ,2 ]
Lim, Megan S. C. [1 ,2 ]
机构
[1] Burnet Inst, Ctr Populat Hlth, Melbourne, Vic 3004, Australia
[2] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia
[3] Univ New S Wales, Natl Drug & Alcohol Res Ctr, Randwick, NSW 2031, Australia
[4] Univ Melbourne, Ctr Hlth Policy, Sch Populat Hlth, Programs & Economics, Melbourne, Vic 3010, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
Young people; Sexual orientation; Sexuality; Alcohol consumption; Substance use; Sexual behaviour; ILLICIT DRUG-USE; MENTAL-HEALTH; MUSIC-FESTIVAL; NATIONAL-SURVEY; BINGE DRINKING; GLOBAL BURDEN; SUBSTANCE USE; GAY; ORIENTATION; ALCOHOL;
D O I
10.1016/j.drugpo.2014.07.015
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: Young people who are same-sex attracted report higher rates of substance use, sexual risk behaviour, and mental health problems. Numerous studies have shown that sexual identity, sexual behaviour and sexual attraction do not always correspond, particularly among young people. We describe sexual identity, sexual partners, and associations between sexual identity and risk in a community-based sample of young people. Methods: From 2011 to 2013, young people (16-29 years) were recruited at a music festival in Melbourne, Australia to self-complete a questionnaire. We describe sexual identity and gender of anal/vaginal sex partners in the past year. Secondly, we assess associations between risk behaviours, health outcomes and gay/lesbian/bisexual/queer/questioning (GLBQQ)-identity using multivariable logistic regression. Results: Among 3793 (91%) participants with complete data, 115 (9%) males and 266 (11%) females were GLBQQ-identifying. Among GLBQQ-identifying males, 23% reported only same-sex partners, 34% reported both sex partners, 26% reported only opposite-sex partners, 5% reported no sex partners in the past year, and 12% had never had sex. Among GLBQQ-identifying females, 10% reported only same-sex partners, 22% reported both sex partners, 48% reported only opposite-sex partners, 3% reported no sex partners in the past year, and 17% had never had sex. Controlling for age and sex, significant (p < 0.05) associations with GLBQQ-identity included: recent drug use (adjusted odds ratio [AOR] 1.7, 95%CI 1.3-2.2); ever injected drugs (AOR 5.7, 95%CI 3.3-9.7); young age at first sex (AOR 1.8, 95%CI 1.3-2.3); >= 11 lifetime sex partners (AOR 1.5, 95%CI 1.1-2.0); multiple sex partners in the past year (AOR 1.9, 95%CI 1.5-2.5); and rating mental health as fair/poor (AOR 3.0, 95%CI 1.9-4.6). Conclusion: Young people with GLBQQ-identity commonly engage in high risk behaviours and are more at risk relative to their heterosexual-identifying peers. Targeted interventions to promote the health and wellbeing of this group should account for the complexities of identity and behaviour. (C) 2014 Elsevier B.V. All rights reserved.
引用
收藏
页码:153 / 161
页数:9
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