The Influence of Acculturation on Substance Use Behaviors among Latina Sexual Minority Women: The Mediating Role of Discrimination

Matthews, Alicia K.; Li, Chien-Ching; Aranda, Frances; Torres, Lourdes; Vargas, Maria C.; Conrad, Megan

doi:10.3109/10826084.2014.913632

Cited by 31 publications

(29 citation statements)

References 60 publications

(52 reference statements)

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“…Two studies focusing on discrimination had mixed findings. In a community-based sample of Latina SMW, Matthews and colleagues [78] found that more than 70% had ever used marijuana, 19% were heavy drinkers, 36% were current smokers, and more than 30% had ever used cocaine, crack, crystal meth, or heroin. Acculturation and discrimination (based on race/ethnicity, sexual identity, gender, or gender identity) were each independently and significantly associated with substance use; the association between acculturation and substance use was partially mediated by discrimination.…”

Section: Racial/ethnic Differences In Aod Usementioning

confidence: 99%

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

et al. 2020

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Until the 1980s, the limited research on alcohol and other drug (AOD) use among sexual minority women (SMW) focused on alcohol and used samples recruited from gay bars, resulting in inflated estimates of hazardous drinking. Over the past several decades the number of AOD studies with SMW has increased dramatically. To characterize this literature, we conducted a scoping review to answer the following questions: What do we know, and what are the gaps in research about AOD use among SMW? We searched multiple electronic databases (Medline [PubMed], CINAHL, PsycInfo, and Web of Science) for peerreviewed research articles about AOD use among adult SMW published between January 1, 2000 and May 31, 2017. After duplicates were removed the search identified 4,204 articles. We reviewed the titles and abstracts and removed articles that did not meet inclusion criteria. We used full-text review of the remaining 229 articles to make a final determination regarding inclusion and we retained 181 articles for review. Although the quantity of AOD research with SMW has grown substantially, the great majority of studies have been conducted in the United States (US) and most focus on hazardous drinking; relatively little research has focused on other drugs. In addition, although there has been marked improvement in theories and methods used in this research, many gaps and limitations remain. Examples are the lack of longitudinal research; reliance on samples that tend to over-represent white, well-educated, and relatively young women; sparse attention to mechanisms underlying the disproportionately high rates of AOD use among SMW; and the absence of intervention research. In general, more high-quality research on SMW's use of AODs is needed, but gaps and limitations are particularly large in non-western countries. Addressing these research gaps and limitations is essential for providing information that can be used to develop more effective prevention and early intervention strategies, as well as for informing policies that can help to reduce risky drinking and drug misuse among SMW.

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Section: Racial/ethnic Differences In Aod Usementioning

confidence: 99%

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

et al. 2020

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“…Distal and proximal social stressors may include institutional discrimination, community prejudice, interpersonal violence, internalized stigma, and anticipation of maltreatment (Meyer, 2003, 2013) and are associated with increased hazardous and disordered alcohol use (e.g., Matthews et al, 2014; McCabe, Bostwick, Hughes, West, & Boyd, 2010; McLaughlin, Hatzenbuehler, & Keyes, 2010). Most U.S. states do not protect sexual minorities from workplace discrimination or hate crimes and sexual minorities living in in these states are more than twice as likely to have an alcohol use disorder (Hatzenbuehler et al, 2009).…”

mentioning

confidence: 99%

Minority stress is longitudinally associated with alcohol-related problems among sexual minority women

Wilson

Gilmore

Rhew

et al. 2016

Addictive Behaviors

112

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Compared to sexual minority men and heterosexual women, sexual minority women report elevated alcohol use in young adulthood. Heavy alcohol use and alcohol use disorders disproportionately affect sexual minority women across the lifespan, yet there is limited research investigating reasons for such associations. The present study investigates longitudinal relationships between minority stress and both alcohol use as well as self-rated drinking consequences. Participants (N = 1,057) were self-identified lesbian (40.5%) and bisexual (59.5%) women between the ages of 18 to 25 recruited from across the U.S. using online advertisements. Participants completed four annual surveys. Hurdle mixed effects models were used to assess associations between minority stress and typical weekly drinking and drinking consequences one year later. Minority stress was not significantly associated with subsequent typical drinking. However, minority stress was significantly associated with having any alcohol consequences as well as the count of alcohol consequences one year later after controlling for covariates. Consistent with extant literature, this study provides evidence for a prospective relationship between minority stress experienced by sexual minority women and drinking consequences. This study also provides support for the potential impact of efforts to reduce minority stress faced by sexual minority women.

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“…The depression, anxiety, and stress she was experiencing was a result of being a lesbian. The stress that Alejandra exhibited is experienced among many sexual minorities and has been well documented in the literature (Matthews et al, 2014;Meyer & Frost, 2013).…”

Section: Support Systemsmentioning

confidence: 91%

Latina Lesbian Students: Understanding their Experiences and Perceived Sexual Identity Development at a Hispanic-Serving Institution

Vega¹

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The purpose of this phenomenological study was to explore the experiences of 15Latina lesbian students and their perceived sexual identity development at a predominately Hispanic-serving Institution (HSI). Participants for this study were purposefully selected using criteria, convenience, and snowball sampling.Using a conceptual framework comprised of the four tenets consistent across the spectrum of all sexual identity development models, participants' experiences were described, analyzed, and interpreted to inform the study. Data were collected through individual face-to-face interviews, using an interview protocol, and were analyzed using inductive, deductive, and comparative analyses.Three themes emerged during the inductive analysis: (a) the trifecta: family, religion and gender, (b) the paradox of being Latina and lesbian, and (c) institutional care. In the deductive analysis, a rubric of a priori codes was derived from their (a) cultural perspectives, (b) identity awareness, and the four tenets sexual minorities consistently experience which included: (c) alienation, (d) social exclusion, (e) vii disclosure, and (f) self-acceptance of a non-heterosexual identity. The deductive analysis confirmed that participants' experiences and perceived levels of sexual identity development were determined by the challenge or support they received from family, peers, and their Hispanic-serving institution overall. The comparative analysis revealed an overlap of the inductive and deductive themes. Among 15 participants, the inductive themes of (a) the trifecta: family, religion and gender, (b) the paradox of being Latina and lesbian, and (c) institutional care were present in all segments of the deductive analysis.The findings highlighted the complex and challenging experiences of Latina lesbians as they attempt to navigate their intersections of sexuality, gender, and culture in the context of higher education. The study makes a critical contribution to understanding the experiences and sexual identity development of Latina lesbian students at an HSI. The study concluded that while Latina lesbian students struggle to reconcile their Latina and lesbian identities, their experiences at a HSI can be a source of challenge or support in their overall well-being and identity development.

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The Influence of Acculturation on Substance Use Behaviors among Latina Sexual Minority Women: The Mediating Role of Discrimination

Cited by 31 publications

References 60 publications

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

Minority stress is longitudinally associated with alcohol-related problems among sexual minority women

Latina Lesbian Students: Understanding their Experiences and Perceived Sexual Identity Development at a Hispanic-Serving Institution

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