Journal of Immigrant and Minority Health

Published in:

30-08-2024 | Review Paper

Revisiting the Prevalence of Unhealthy Alcohol Use Among Ethnic Minority Immigrant Gay, Bisexual Men, and Other Men Who Have Sex with Men in North America: A Systematic Review and Meta-analysis

Authors: Wonkyung Chang, Chen Zhang

Published in: Journal of Immigrant and Minority Health | Issue 6/2024

Abstract

Unhealthy alcohol use is a significant public health concern among ethnic minority immigrant gay, bisexual men, and other men who have sex with men (GBMSM) in North America. The definition of unhealthy alcohol use is any use that increases the risk of health consequences or has already led to negative health consequences. Despite its association with various health problems, this issue remains understudied in this population. Therefore, we aim to synthesize key findings to provide the prevalence of unhealthy alcohol use and related factors among this population in North America. We conducted a comprehensive literature search in multiple scientific databases to identify studies on alcohol use among ethnic minority immigrant GBMSM. Using random-effect modeling strategies, we aggregate and weigh the individual estimates, providing a pooled prevalence of unhealthy alcohol use within this population. Our review included 20 articles with 2971 participants (i.e., 53% were Latino, 45% were Asian/Pacific Islanders, and 2% were African). The meta-analysis revealed that 64% (95% CI 0.50, 0.78) of the participants reported recent alcohol use, while 44% (95% CI 0.30, 0.59) engaged in unhealthy alcohol use. Co-occurring health issues identified in the studies are other substance use (32%; 95% CI 0.21, 0.45), positive HIV status (39%; 95% CI 0.14, 0.67), and mental health issues (39%; 95% CI 0.21, 0.58). We also identified several factors associated with unhealthy alcohol use, including risky sexual behaviors, experiences of discrimination based on race and sexual orientation, and experiences of abuse. However, meta-regression results revealed no statistically significant associations between alcohol use and co-occurring health problems. This is the first study to systematically review unhealthy alcohol use among ethnic minority immigrant GBMSM. Despite the high burden of alcohol use, there is a dearth of research among Asian and African GBMSM. Our findings underscore the need for more research in these groups and provide insights to inform targeted clinical prevention and early intervention strategies to mitigate the adverse consequences of unhealthy alcohol use among ethnic minority immigrant GBMSM.

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Title: Revisiting the Prevalence of Unhealthy Alcohol Use Among Ethnic Minority Immigrant Gay, Bisexual Men, and Other Men Who Have Sex with Men in North America: A Systematic Review and Meta-analysis
Authors: Wonkyung Chang
Chen Zhang
Publication date: 30-08-2024
Publisher: Springer US
Published in: Journal of Immigrant and Minority Health / Issue 6/2024
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI: https://doi.org/10.1007/s10903-024-01629-y

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Mapping Segregation Patterns of Hospital Care among Patients with Limited English Proficiency

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Revisiting the Prevalence of Unhealthy Alcohol Use Among Ethnic Minority Immigrant Gay, Bisexual Men, and Other Men Who Have Sex with Men in North America: A Systematic Review and Meta-analysis

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Intersecting Expectations when Expecting: Pregnancy-Related Weight Stigma in Women of Colour

The Immigrant Mortality Advantage Among Over-65 Middle Eastern and North African Immigrants to the United States

Acculturation and Depression Help-Seeking Intentions in a Majority Mexican American College Student Sample

Identifying the Health Educational Needs of Refugees: Empirical Evidence from a Delphi Study

Unraveling Familism and Depressive Symptoms among Dominican Women: A Multidimensional Analysis

Mapping Segregation Patterns of Hospital Care among Patients with Limited English Proficiency

Springer Medicine

Abstract

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Intersecting Expectations when Expecting: Pregnancy-Related Weight Stigma in Women of Colour

The Immigrant Mortality Advantage Among Over-65 Middle Eastern and North African Immigrants to the United States

Acculturation and Depression Help-Seeking Intentions in a Majority Mexican American College Student Sample

Identifying the Health Educational Needs of Refugees: Empirical Evidence from a Delphi Study

Unraveling Familism and Depressive Symptoms among Dominican Women: A Multidimensional Analysis

Mapping Segregation Patterns of Hospital Care among Patients with Limited English Proficiency