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Article

Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan

1
Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
2
Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital 80276, Kaohsiung 80708, Taiwan
3
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(22), 4476; https://doi.org/10.3390/ijerph16224476
Received: 8 October 2019 / Revised: 10 November 2019 / Accepted: 11 November 2019 / Published: 14 November 2019
(This article belongs to the Special Issue Sex, Gender and Substance Use)
Illegal substance use in sexual minorities is an important health issue worldwide. The present cross-sectional study aimed to investigate the multi-dimensional factors associated with illegal substance use among gay and bisexual men in Taiwan. This questionnaire-survey study recruited 500 gay or bisexual men aged between 20 and 25 years. Their experiences of using eight kinds of illegal substances in the preceding month were collected. Their previous experiences of homophobic bullying, satisfaction with academic performance, truancy, perceived family and peer support in childhood and adolescence, and social-demographic characteristics, were also collected. Potential factors associated with illegal substance use were identified using univariate logistic regression, and further selected into a forward stepwise logistic regression model to identify the factors most significantly related to illegal substance use. A total of 22 (4.4%) participants reported illegal substance use in the preceding month, and mean age was 22.9 ± 1.6. Forward stepwise logistic regression revealed that being victims of homophobic cyberbullying in childhood and adolescence (odds ratio (OR) = 1.26; p = 0.011), disclosure of sexual orientation at junior high school (OR = 4.67; p = 0.001), and missing classes or truancy in senior high school (OR = 2.52; p = 0.041) were significantly associated with illegal substance use in early adulthood. Multi-dimensional factors in childhood and adolescence that were significantly associated with illegal substance use in early adulthood among gay and bisexual men were identified. Besides traditional bullying, the effect of cyberbullying and school performance on illegal substance use should not be ignored. This study is limited to the cross-sectional design and possible recall bias. Mental health professionals must routinely assess these significant factors to prevent and intervene in illegal substance use among gay and bisexual men. View Full-Text
Keywords: sexual minorities; illegal substance use; homophobic bullying sexual minorities; illegal substance use; homophobic bullying
MDPI and ACS Style

Li, D.-J.; Chen, S.-L.; Yen, C.-F. Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan. Int. J. Environ. Res. Public Health 2019, 16, 4476. https://doi.org/10.3390/ijerph16224476

AMA Style

Li D-J, Chen S-L, Yen C-F. Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan. International Journal of Environmental Research and Public Health. 2019; 16(22):4476. https://doi.org/10.3390/ijerph16224476

Chicago/Turabian Style

Li, Dian-Jeng, Shiou-Lan Chen, and Cheng-Fang Yen. 2019. "Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan" International Journal of Environmental Research and Public Health 16, no. 22: 4476. https://doi.org/10.3390/ijerph16224476

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