Curvilinear associations between sexual orientation and problematic substance use, behavioural addictions and mental health among young Swiss men.

Détails

ID Serval
serval:BIB_75A85B7C93DB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Curvilinear associations between sexual orientation and problematic substance use, behavioural addictions and mental health among young Swiss men.
Périodique
Addictive behaviors
Auteur(s)
Wicki M., Marmet S., Studer J., Epaulard O., Gmel G.
ISSN
1873-6327 (Electronic)
ISSN-L
0306-4603
Statut éditorial
Publié
Date de publication
01/2021
Peer-reviewed
Oui
Volume
112
Pages
106609
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
It is well documented that individuals with a minority sexual orientation face greater risks of problematic substance use (e.g. heavy episodic drinking, alcohol use disorder) and mental health problems. Far less is known about how that risk varies within this population and their risk of behavioural addictions. This study estimated the risks of problematic substance use, behavioural addiction and poor mental health across the spectrum of sexual orientation.
A sample of young Swiss men (N = 5294; mean age = 25.5, SD = 1.25; representative of 21 of Switzerland's 26 cantons) completed a self-reporting questionnaire on sexual orientation (attraction, 5-point scale) and criterion variables: problematic substance use (e.g. alcohol, cigarettes, cannabis and other illegal drugs), behavioural addictions (gambling, gaming, cybersex, internet, smartphone, work, exercise) and indicators of mental health (e.g. depression, stress). Curvilinear associations between sexual orientation (heterosexual, mostly-heterosexual, bisexual, mostly-homosexual or homosexual individuals) and criterion variables were explored using fractional polynomial regressions.
Although there were differences across criterion variables, in general, the highest risks of problematic substance use, behavioural addictions and mental health problems were estimated for mostly-heterosexual, bisexual or mostly-homosexual men, followed by homosexual men, and with heterosexual men facing the lowest risk.
Aggregating the spectrum of sexual orientations into two or three distinct groups blurs important internal group differences. Outcome-specific explanations beyond minority stress and biphobia are necessary to understand the pathways between sexual orientation and risky behaviours. Considering sexual orientation is important to provide targeted healthcare prevention and interventions.
Mots-clé
Behavioural addictions, Cohort Study on Substance Use Risk Factors (C-SURF), Problematic substance use, Sexual orientation, Young adults
Pubmed
Web of science
Création de la notice
09/09/2020 9:43
Dernière modification de la notice
20/01/2021 7:26
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