Disparities in alcohol use and heavy episodic drinking among bisexual people: A systematic review, meta-analysis, and meta-regression.

Alcohol Drinking / epidemiology Bisexuality Female Heterosexuality Homosexuality, Female Humans Male Sexual Behavior Sexual and Gender Minorities
Alcohol Bisexuals Disparities Sexual minorities Systematic review

Journal

Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587

Informations de publication

Date de publication:
01 06 2022
Historique:
received: 17 05 2021
revised: 18 03 2022
accepted: 24 03 2022
pubmed: 9 4 2022
medline: 18 5 2022
entrez: 8 4 2022
Statut: ppublish

Résumé

Alcohol consumption is more prevalent among sexual minorities than among heterosexuals; however, differences between minority sexual orientation groups are understudied. This systematic review and meta-analysis aimed to summarize existing evidence on the prevalence of alcohol use among bisexual people compared to their lesbian/gay and heterosexual counterparts. A systematic review of literature from 1995 to May 2020 was performed using Medline, PsycInfo, and Embase (OVID), Scopus, CINHAL and LGBT Life (EBSCO), combining keywords for bisexuality and alcohol use. Peer-reviewed publications that reported quantitative data on alcohol use among bisexual people were included. A random-effects model was used to pool the prevalence of two outcomes: any alcohol use and heavy episodic drinking (HED). Subgroup analysis and random-effects meta-regression were used to explore heterogeneity. Of 105 studies eligible for data extraction, the overall prevalence of alcohol use was higher among bisexuals compared to lesbian/gay and heterosexual people. For example, the prevalence of past-month HED was 30.0% (28.2, 31.8) among bisexual people versus 25.5% (23.8, 27.2) among lesbian/gay and 21.3% (19.6, 23.0) among heterosexual individuals. Pooled odds ratio estimates showed that bisexual people were more likely to report alcohol use and HED compared to their counterparts. Gender was a significant effect modifier in meta-regression analysis, with greater disparities among women than among men. These results highlight the need for additional research to understand factors underlying bisexual people's greater risk, and particularly bisexual women, as well as alcohol use interventions that are targeted towards the specific needs of bisexual people.

Sections du résumé

BACKGROUND
Alcohol consumption is more prevalent among sexual minorities than among heterosexuals; however, differences between minority sexual orientation groups are understudied. This systematic review and meta-analysis aimed to summarize existing evidence on the prevalence of alcohol use among bisexual people compared to their lesbian/gay and heterosexual counterparts.
METHODS
A systematic review of literature from 1995 to May 2020 was performed using Medline, PsycInfo, and Embase (OVID), Scopus, CINHAL and LGBT Life (EBSCO), combining keywords for bisexuality and alcohol use. Peer-reviewed publications that reported quantitative data on alcohol use among bisexual people were included. A random-effects model was used to pool the prevalence of two outcomes: any alcohol use and heavy episodic drinking (HED). Subgroup analysis and random-effects meta-regression were used to explore heterogeneity.
RESULTS
Of 105 studies eligible for data extraction, the overall prevalence of alcohol use was higher among bisexuals compared to lesbian/gay and heterosexual people. For example, the prevalence of past-month HED was 30.0% (28.2, 31.8) among bisexual people versus 25.5% (23.8, 27.2) among lesbian/gay and 21.3% (19.6, 23.0) among heterosexual individuals. Pooled odds ratio estimates showed that bisexual people were more likely to report alcohol use and HED compared to their counterparts. Gender was a significant effect modifier in meta-regression analysis, with greater disparities among women than among men.
CONCLUSIONS
These results highlight the need for additional research to understand factors underlying bisexual people's greater risk, and particularly bisexual women, as well as alcohol use interventions that are targeted towards the specific needs of bisexual people.

Identifiants

DOI: 10.1016/j.drugalcdep.2022.109433 PMID: 35395502
pubmed: 35395502
pii: S0376-8716(22)00170-3
doi: 10.1016/j.drugalcdep.2022.109433
pii:
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

109433

Subventions

Organisme : CIHR
Pays : Canada

Informations de copyright

Copyright © 2022 Elsevier B.V. All rights reserved.

Auteurs

Mostafa Shokoohi (M)

Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. Electronic address: mostafa.shokoohi@utoronto.ca.

David J Kinitz (DJ)

Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

Dixon Pinto (D)

Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada.

Zafiro Andrade-Romo (Z)

Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

Zhiheng Zeng (Z)

Faculty of Medicine, University of British Columbia, Vancouver, Canada.

Alex Abramovich (A)

Dalla Lana School of Public Health, University of Toronto, Toronto, Canada; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada.

Travis Salway (T)

Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada; British Columbia Centre for Disease Control, Vancouver, Canada; Centre for Gender and Sexual Health Equity, Vancouver Canada.

Lori E Ross (LE)

Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

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Classifications MeSH

questionsmedicales.fr › Comportement et mécanismes comportementaux › Comportement › Comportement dipsique › Consommation d'alcool › Disparities in alcohol use and heavy episodic...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Sexualité › Bisexualité › Disparities in alcohol use and heavy episodic...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Sexualité › Hétérosexualité › Disparities in alcohol use and heavy episodic...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Sexualité › Homosexualité › Homosexualité féminine › Disparities in alcohol use and heavy episodic...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Disparities in alcohol use and heavy episodic...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Comportement › Comportement sexuel › Disparities in alcohol use and heavy episodic...
questionsmedicales.fr › Personnes › Disparités en matière de santé, minorités et populations vulnérables › Minorités sexuelles › Disparities in alcohol use and heavy episodic...