Validating a Hazardous Drinking Index in a Sample of Sexual Minority Women: Reliability, Validity, and Predictive Accuracy

Riley, Barth B.; Hughes, Tonda L.; Wilsnack, Sharon C.; Johnson, Timothy P.; Benson, Perry W.; Aranda, Frances

doi:10.1080/10826084.2016.1214150

Cited by 6 publications

(8 citation statements)

References 42 publications

(46 reference statements)

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“…C. Wilsnack et al, 1984) and the National Alcohol Survey (Caetano, Tam, Greenfield, Cherpitel, & Midanik, 1997; Midanik & Greenfield, 2000). The hazardous drinking index has been validated with the CHLEW sample (Riley et al, 2016) and has been used in research comparing sexual minority and heterosexual women (Drabble, Trocki, Hughes, Korcha, & Lown, 2013; Hughes, Szalacha, Johnson, Kinnison, et al, 2010a).…”

Section: Methodsmentioning

confidence: 99%

“…Individual measures of drinking in this study were designed to replicate measures that have been validated and used in other national studies in the U.S., including the parent study—the NSHLEW (Wilsnack et al, 2006; Wilsnack et al, 1984) and the National Alcohol Survey (Caetano, Tam, Greenfield, Cherpitel, & Midanik, 1997; Midanik & Greenfield, 2000). The hazardous drinking index has been validated with the CHLEW sample (Riley et al, 2016) and has been used in research comparing sexual minority and heterosexual women (Drabble, Trocki, Hughes, Korcha, & Lown, 2013; Hughes et al, 2010).…”

Section: Methodsmentioning

confidence: 99%

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Relationship status and drinking-related outcomes in a community sample of lesbian and bisexual women

Veldhuis

Hughes

Drabble

et al. 2017

Journal of Social and Personal Relationships

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Although marriage tends to be protective against hazardous drinking among women in the general population, few studies have compared drinking rates, levels, or problems based on relationship status among sexual minority women (SMW; lesbian, bisexual). We examined associations between relationship status (committed relationship/cohabiting; committed/not cohabiting; single) and past-year drinking outcomes using data from a diverse sample of 696 SMW interviewed in wave 3 of the 17-year longitudinal Chicago Health and Life Experiences of Women study. The mean age of SMW in the sample was 40.01 (SD = 14.15; range 18–82). A little more than one-third (37%) of the sample was white, 36% was African American, and 23% Latina; 4% reported another or multi- race/ethnicity. Compared to SMW in committed cohabiting relationships, single SMW were significantly more likely to be heavy drinkers. SMW in committed non-cohabiting relationships were more likely to report alcohol-related problem consequences, and both single SMW and those in committed non-cohabiting relationships were more likely to report one or more symptoms of potential alcohol dependence. Findings underscore the importance of exploring relationship factors that may influence drinking and drinking-related problems among SMW.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Relationship status and drinking-related outcomes in a community sample of lesbian and bisexual women

Veldhuis

Hughes

Drabble

et al. 2017

Journal of Social and Personal Relationships

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“…Examples of symptoms of potential alcohol dependence included blackouts, rapid drinking, and morning drinking. After Wave 3 we created a HD index of responses to four 12-month indicators: (a) HED, (b) intoxication, (c) adverse drinking consequences, and (d) symptoms of potential alcohol dependence (Riley et al, 2017). Other drinking measures (in all waves) include age of drinking onset, drinking contexts, drinking expectancies, and 30-day and 12-month quantity and frequency of partner's drinking.…”

Section: Drinking Measuresmentioning

confidence: 99%

Alcohol use among sexual minority women: Methods used and lessons learned in the 20-Year Chicago Health and Life Experiences of Women Study

Hughes

Wilsnack

Mack

et al. 2021

IJADR

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Background: Two decades ago, there was almost no research on alcohol use among sexual minority women (SMW, e.g., lesbian, bisexual). Since then, a growing body of scientific literature documents substantial sexual orientation-related disparities in alcohol use and alcohol-related problems. Research has identified multiple risk factors associated with high-risk/hazardous drinking among SMW. However, this research has almost exclusively used cross-sectional designs, limiting the ability to draw conclusions about processes through which sexual minority status affects alcohol use. Longitudinal designs, although very rare in research on alcohol use among SMW, are important for testing mediational mechanisms and necessary to understanding how changes in social determinants impact alcohol use. Aim: To describe the processes and lessons learned in conducting a 20-year longitudinal study focused on alcohol use among SMW. Methods: The Chicago Health and Life Experiences of Women (CHLEW) study includes five waves of data collection (2000–present) with an age and racially/ethnically diverse sample of 815 SMW (ages 18–83) originally recruited in the Chicago Metropolitan Area in Illinois, a midwestern state in the United States (U.S.). Measures and focus have evolved over the course of the study. Results: The CHLEW study is the longest-running and most comprehensive study of SMW’s drinking in the U.S. or elsewhere. Findings reported in more than 50 published manuscripts have contributed to understanding variations in SMW’s risk for hazardous/harmful drinking based on sexual identity, age, race/ethnicity, sex/gender of partner, and many other factors. Conclusions: By describing the process used in conducting this long-term study, its major findings, and the lessons learned, we hope to encourage and support other researchers in conducting longitudinal research focused on SMW’s health. Such research is critically important in understanding and ultimately eliminating sexual orientation-related health disparities.

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“…HD indicators were drawn from the Hazardous Drinking Index (HDI), developed using CHLEW Wave 3 data from both the original and new samples. 46 The HDI is a comprehensive measure of HD that was found to have concurrent validity. Compared to the CAGE, the HDI had higher KR-20 reliability (HDI = 0.80 vs. CAGE = 0.74) and demonstrated better predictive efficacy and balance between sensitivity and specificity to detect alcohol dependence (HDI = 0.89 vs. CAGE = 0.84).…”

Section: Methodsmentioning

confidence: 99%

The Association between Hazardous Drinking Indicators and Drinking Problem Concerns among Sexual Minority Women

Paschen-Wolff¹,

Putney

Corbeil

et al. 2021

sgrlgbtq

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Sexual minority women (SMW) report high rates of hazardous drinking (HD), treatment utilization that is not commensurate with need, and low perceived alcohol use severity. This study examined SMW's drinking problem concerns by sexual identity and other demographic characteristics, and the strength of associations between endorsement of unique HD indicators and drinking problem concerns. Data were from a supplemental sample of SMW added in Wave 3 of the longitudinal, community-based Chicago Health and Life Experiences of Women (CHLEW) study. HD was measured using a validated 13-item HD Index (HDI). Multivariable logistic regression models examined independent associations between past-five-year drinking problem concerns and each HD indicator. Twelve HD indicators were significantly associated with past-five-year drinking problem concerns, adjusting for age and sexual identity. Adjusted odds ratios varied from 2.44 for driving drunk to 15.52 for drinking first thing in the morning. After adjusting for number of HD indicators endorsed, associations were no longer significant, indicating that number of endorsed indicators was a more important predictor of drinking problem concerns than were individual HD indicators. Early intervention and harm reduction strategies could support SMW in addressing salient aspects of HD before progression to alcohol use disorder.

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Validating a Hazardous Drinking Index in a Sample of Sexual Minority Women: Reliability, Validity, and Predictive Accuracy

Cited by 6 publications

References 42 publications

Relationship status and drinking-related outcomes in a community sample of lesbian and bisexual women

Relationship status and drinking-related outcomes in a community sample of lesbian and bisexual women

Alcohol use among sexual minority women: Methods used and lessons learned in the 20-Year Chicago Health and Life Experiences of Women Study

The Association between Hazardous Drinking Indicators and Drinking Problem Concerns among Sexual Minority Women

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