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

Shokoohi, Mostafa; Kinitz, David J; Pinto, Dixon; Andrade-Romo, Zafiro; Zeng, Zhiheng; Abramovich, Alex; Salway, Travis; Ross, Lori E.

doi:10.1016/j.drugalcdep.2022.109433

Cited by 27 publications

(17 citation statements)

References 91 publications

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“…Future research should investigate these associations with more diverse samples of LGBQ+ people and consider the risk for trauma exposure and minority stress through the lens of intersectionality (i.e., among people who hold multiple minoritized identities). For instance, given that racial minorities tend to experience significant racism that exacerbates coping (Meyer et al, 2008) as well as discrimination from within sexual minority communities (Balsam et al, 2011), and bi+ (i.e., bisexual, pansexual, queer) people tend to experience the highest rates of alcohol use (Shokoohi et al, 2022) and trauma relative to other sexual minorities (Alessi et al, 2013; Roberts et al, 2010), it is likely that examining trauma exposure and minority stress with a more diverse sample through an intersectional framework would reveal a more nuanced understanding of study variables. Although our sample had a diverse representation of sexual and gender identities, our sample size resulted in limited statistical power to test differences across these subgroups.…”

Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence Perpetration Among Sexual Minority Young Adults: Associations With Alcohol Use, PTSD Symptoms, Internalized Homophobia, and Heterosexist Discrimination

Basting,

Medenblik,

Garner

et al. 2023

J Interpers Violence

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Lesbian, gay, bisexual, queer, and other sexual minority (LGBQ+) young adults report similar or higher rates of intimate partner violence (IPV) perpetration than their heterosexual peers. Elevated IPV risk among LGBQ+ young adults may be attributable to experiencing heterosexist discrimination and internalized homophobia. In addition, LGBQ+ people report disproportionate posttraumatic stress disorder (PTSD) symptoms, alcohol use, and IPV perpetration in dating relationships. Thus, this study explored which combinations of IPV risk factors (i.e., experiencing heterosexist discrimination, internalized homophobia, PTSD symptoms, alcohol use) related to forms of IPV perpetration, inclusive of psychological, physical, and sexual forms, in a sample of 342 LGBQ+ young adults. Internalized homophobia was related to psychological IPV perpetration at high and medium levels of PTSD symptoms and only high levels of alcohol use. PTSD symptoms and alcohol use interacted to predict psychological IPV perpetration; and PTSD symptoms related to increased psychological IPV perpetration at high and medium, but not low, alcohol use levels. Alcohol use was positively related to physical IPV perpetration. No other risk factors or interactions were significantly related to physical or sexual IPV perpetration. Results were consistent with prior findings that linked internalized homophobia, alcohol use, and PTSD symptoms to IPV perpetration and highlight the interacting nature of these IPV perpetration risk factors. Comprehensive IPV interventions with LGBQ+ young adults should evaluate the impact of simultaneously targeting these multiple IPV risk factors considering their interacting contributions to IPV perpetration risk. More research is needed to examine the temporal relations between minority stress, PTSD symptoms, alcohol use, and IPV perpetration.

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Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence Perpetration Among Sexual Minority Young Adults: Associations With Alcohol Use, PTSD Symptoms, Internalized Homophobia, and Heterosexist Discrimination

Basting,

Medenblik,

Garner

et al. 2023

J Interpers Violence

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show abstract

“…Age, sexual identity, gender identity, race/ethnicity, and months between the start of the COVID-19 pandemic (March 11, 2021; World Health Organization, 2020) and the completion of the first daily survey were included as covariates at the between-person level. Prior research with SGM-AFAB has consistently demonstrated differences in substance use and internalizing symptoms based on age, race, ethnicity, gender identity, and sexual identity (Dyar et al, 2015; Dyar, Feinstein, et al, 2020; Fish et al, 2021; Ross et al, 2018; Shokoohi et al, 2022). Therefore, we controlled for age, race, ethnicity, gender identity, and sexual identity at the between-person level.…”

Section: Methodsmentioning

confidence: 99%

Doomscrolling: Prospective associations between daily COVID news exposure, internalizing symptoms, and substance use among sexual and gender minority individuals assigned female at birth.

Dyar¹,

Crosby²,

Newcomb³

et al. 2024

Psychology of Sexual Orientation and Gender Diversity

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Cross-sectional studies have demonstrated associations between COVID news exposure, anxiety, and depression. However, longitudinal research examining the directionality of these associations is extremely limited. Further, most studies have focused on the general population and neglected sexual and gender minority individuals (SGM), a population disproportionately impacted by the pandemic. To address these limitations, the current study utilized data from a 30-day diary study of SGM assigned female at birth (N = 429). We examined concurrent and prospective associations between COVID news exposure, depressed and anxious affect, COVID distress, substance use, and motives for use. Further, we examined associations between cumulative COVID news exposure across the diary period and prospective changes in anxiety, depression, and COVID distress. When participants were exposed to more COVID news, they experienced more depressed and anxious affect, more COVID distress, less positive affect, and were more likely to use alcohol and cannabis to cope. Further, when participants were exposed to more COVID news, they experienced subsequent increases in depressed affect, decreases in positive affect, and increases in the likelihood of using cannabis to cope. Findings also provided evidence of bidirectional prospective associations between COVID news exposure and COVID distress and of a cumulative impact of COVID news exposure on anxiety, depression, and COVID distress. Findings suggest that individuals should balance the need to remain informed about the pandemic and their own mental health when considering how much COVID news to consume.

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“…Use of standard measures, in tandem with the growing proportion of SGM-identified persons in the general population (Jones, 2022), may yield more opportunities for adequately powered subgroup analyses. More work is also needed to address intersectionality (Srivastava et al, 2020) and to better understand the specific mechanisms that may contribute to disparities in AOD use among different groups, as these remain poorly understood, including the effects of intersecting systems of oppression (Shokoohi et al, 2022). A range of quantitative approaches have been used for intersectional quantitative analyses, and Bauer et al’s recent systematic review (2021) summarizes the current state of the science and provides a number of recommendations to move the field forward.…”

Section: Gaps In Understanding Of Contextual Factors and Lived Experi...mentioning

confidence: 99%

Unpacking disparities in substance-related outcomes among racial, ethnic, sexual, and gender minoritized groups during adolescence and emerging adulthood.

D'Amico,

Tucker,

Dunbar

et al. 2023

Psychology of Addictive Behaviors

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

Cited by 27 publications

References 91 publications

Intimate Partner Violence Perpetration Among Sexual Minority Young Adults: Associations With Alcohol Use, PTSD Symptoms, Internalized Homophobia, and Heterosexist Discrimination

Intimate Partner Violence Perpetration Among Sexual Minority Young Adults: Associations With Alcohol Use, PTSD Symptoms, Internalized Homophobia, and Heterosexist Discrimination

Doomscrolling: Prospective associations between daily COVID news exposure, internalizing symptoms, and substance use among sexual and gender minority individuals assigned female at birth.

Unpacking disparities in substance-related outcomes among racial, ethnic, sexual, and gender minoritized groups during adolescence and emerging adulthood.

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