Title | The moderating role of resilience resources in the association between crime exposure and substance use among young sexual minority men. |
Publication Type | Publication |
Year of Publication | 2019 |
Authors | Gamarel KE, Nelson KM, Heinze J, Chiaramonte DM, Miller RL |
Corporate Authors | Adolescent Medicine Trials Network for HIV/AIDS Interventions |
Journal | Subst Use Misuse |
Volume | 54 |
Issue | 11 |
Pagination | 1787-1798 |
Date Published | 2019 |
ISSN | 1532-2491 |
Keywords | Adolescent, Alcohol Drinking, Black or African American, Crime, Crime Victims, Cross-Sectional Studies, Female, Humans, Male, Marijuana Use, Resilience, Psychological, Sexual and Gender Minorities, Sexual Behavior, United States, Young Adult |
Abstract | <p> Substance use is prevalent among young sexual minority men and crime exposure is linked with adverse health behaviors. Guided by the protective model of resilience, we examined the impact of crime exposure and resilience resources on substance use behaviors, and whether resilience moderated associations between crime exposure and substance use behaviors. A cross-sectional sample of young sexual minority men ( = 720) ages 15-24 participated in a one-time survey conducted in seven cities across the United States. Participants' mean age was 21.2 years; 50% self-identified as Black, and 66% self-identified as gay. Participants self-reported on sociodemographic factors, crime exposure, resilience resources, and substance use behaviors. We fit generalized estimating models to examine associations between crime exposure, resilience resources, and the interaction between crime exposure and resilience resources on substance use behaviors. Overall, 31% reported heavy alcohol use, 54% monthly marijuana use, 14% drug use, and 26% reported being a victim of a crime. Crime exposure was associated with an increased odds of alcohol (AOR = 1.45, 95%CI: 1.02, 2.14), marijuana (AOR = 1.41, 95%CI: 1.07, 2.04), and drug use (AOR = 1.94, 95%CI: 1.14, 2.98). Resilience resources were associated with a reduced odds of alcohol use (AOR = 0.66, 95%CI: 0.47, 0.93), marijuana use (AOR = 0.82, 95%CI: 0.60, 0.98), and drug use (AOR = 0.85, 95%CI: 0.54, 0.96). There was a significant interaction such that resilience resources reduced associations between crime exposure and alcohol and drug use. Findings support the protective effects of resilience resources for young sexual minority men. Results highlight the importance of ensuring the availability of community resources to meet the needs of sexual minority youth.</p> |
DOI | 10.1080/10826084.2019.1610447 |
Alternate Journal | Subst Use Misuse |
PubMed ID | 31094618 |
PubMed Central ID | PMC6692916 |
Grant List | U01 HD040533 / HD / NICHD NIH HHS / United States U01 HD040474 / HD / NICHD NIH HHS / United States L30 HD098047 / HD / NICHD NIH HHS / United States R25 MH067127 / MH / NIMH NIH HHS / United States U01 HD032842 / HD / NICHD NIH HHS / United States K23 MH109346 / MH / NIMH NIH HHS / United States R25 HD045810 / HD / NICHD NIH HHS / United States |