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

Wilson, Sarah M.; Gilmore, Amanda K.; Rhew, Isaac C.; Hodge, Kimberley A.; Kaysen, Debra

doi:10.1016/j.addbeh.2016.05.017

Cited by 112 publications

(64 citation statements)

References 33 publications

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“…Enacted stigma (e.g., assault, homophobia, discrimination) and anti-SMY policies were directly associated with overall substance use [24–30] and adverse substance use-related outcomes such as family conflict, car accidents, and legal consequences [11, 31]. School-based victimization was associated with heavier and more frequent substance use-related consequences [32], an association that was partially explained by differences in peers’ substance use norms.…”

Section: Resultsmentioning

confidence: 99%

“…Enacted stigma [24–26, 36–38] and perceived homophobia [39] generally predicted elevated rates of alcohol use [24–26] and adverse alcohol-related outcomes [11]. Intimate partner violence (IPV) was also associated with greater odds for alcohol use among adolescent SMM [40].…”

Section: Resultsmentioning

confidence: 99%

“…Other demographic factors such as race/ethnicity and sex assigned at birth may impact substance use among SGMY. In some studies, racial/ethnic minority SMY have reported similar or lower rates of lifetime alcohol [11, 12] and drug use [13, 14], compared to White SMY. In analyses using YRBSS data, Talley et al [12] found multiple significant interaction effects between sexual orientation and sex, indicating larger alcohol-use disparities among young sexual minority women (SMW) than young sexual minority men (SMM).…”

Section: Introductionmentioning

confidence: 99%

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Risk and Protective Factors for Substance Use Among Sexual and Gender Minority Youth: a Scoping Review

et al. 2018

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Purpose of Review: Alcohol and drug use are common among youth. Rates are especially high among sexual and gender minority youth (SGMY; lesbian, gay, bisexual, transgender). We conducted a scoping review of research on risk and protective factors for substance use among SGMY published between 2013–2017. Recent Findings: Ninety-seven studies met our inclusion criteria. Most focused on individual-level minority stress risk factors, particularly stigma. Fewer studies addressed protective factors such as social support or affirming policies, and few focused on gender minority youth (GMY). We identified important, yet understudied differences by race/ethnicity, sex assigned at birth, and sexual orientation. Summary: Findings highlight growing interest in this topic as well as methodological/topical gaps in the literature. Research is needed to examine SGMY substance use in nationally representative samples; expand information about GMY; investigate racial/ethnic and sex/gender differences; improve measurement; and increase translation of findings to support prevention and treatment interventions for this at-risk population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk and Protective Factors for Substance Use Among Sexual and Gender Minority Youth: a Scoping Review

et al. 2018

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“…Participants received $25 for the baseline assessment and $30 for follow-up assessments. For additional details on study methods, see Rhew et al (2017), Wilson et al (2016), and Litt et al (2015).…”

Section: Methodsmentioning

confidence: 99%

Effects of trauma and PTSD on self-reported physical functioning in sexual minority women.

et al. 2017

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Objective Sexual minority women (lesbians, bisexual women, and women who partner with women) experience high rates of trauma exposure, are more likely to develop posttraumatic stress disorder (PTSD), and have high rates of physical health problems compared to heterosexual women. The present study tested whether PTSD may be the mechanism through which trauma exposure affects self-reported physical functioning in this population. Methods In a sample of 857 sexual minority women, we examined the association between trauma exposure and worsening physical functioning (measured using the 12-item Short Form Health Survey) 2 years later, whether PTSD mediated this relationship, and if so, which PTSD symptom clusters best accounted for this mediation. Results Results showed that more criterion A traumatic events experienced (based on DSM IV) predicted greater decline in physical functioning 2-years later, and PTSD symptoms mediated this relationship, explaining 73% of the total effect. The arousal/reactivity symptom cluster was the only significant mediator, explaining 68% of the total effect. Conclusions Results show that PTSD, and arousal/reactivity symptoms in particular, may be the mechanism through which traumatic events negatively impact self-reported physical functioning. These findings provide further evidence that, for this at risk population, treating PTSD as soon as possible after onset may improve long term physical functioning.

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“…In this model, external and internal factors related to one’s sexual minority identity increase daily levels of stress and may lead to maladaptive coping behaviors including the use of alcohol and other drugs. Recent support for the link between sexual minority stress and coping-motivated substance use (e.g., Meyer, 2013; Feinstein & Newcomb, 2016; Wilson, Gilmore, Rhew, Hodge, & Kaysen, 2016; Livingston, Christianson, & Cochran, 2016) have encouraged the development of substance use interventions which aim to increase LGB individuals’ abilities to engage in healthier, adaptive coping behaviors. The current study seeks to further inform the development of these interventions by examining a potentially powerful factor that may also be related to coping motivated substance use among LGB people: perceptions of the coping behaviors engaged in by LGB peers.…”

Section: Introductionmentioning

confidence: 99%

“It's how we deal”: Perceptions of LGB peers' use of alcohol and other drugs to cope and sexual minority adults' own coping motivated substance use following the Pulse nightclub shooting

Boyle

LaBrie

Costine³

et al. 2017

Addictive Behaviors

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Sexual minority stress experiences (e.g. prejudice, victimization, etc.) and peer substance use norms (e.g. peers’ frequency of use and quantity consumed) are important correlates of alcohol and drug use in sexual minority populations. The current study incorporates both of these by examining LGB individuals’ perceptions of peers’ use of alcohol and other drugs to cope with a sexual minority stressor, and whether perceptions of peer coping norms relate to one’s own coping-motivated substance use in response to the stressor. Three-hundred and seven sexual minority males and females who identified as gay, lesbian, or bisexual completed an online survey approximately 1 month following the Pulse Nightclub Shooting, the deadliest incident of violence against LGBT people in U.S. history, and a stressor experienced within LGB communities throughout the U.S. Results revealed that LGB peers were widely perceived as likely to have coped with alcohol (68%) and drugs (41%) following the Pulse Shooting; however only small proportions of participants themselves reported coping with alcohol (26%) and drugs (7%). Further, multivariate models revealed that even after controlling for other factors including the stress impact of the Pulse shooting, the odds of using alcohol to cope with this event were 15 times greater among participants who held the perception that LGB peers likely used alcohol to cope relative to those who did not share this perception. Similarly, the odds of using drugs to cope with this event were 9 times greater among participants who perceived LGB peers likely to use drugs to cope with Pulse compared to those who did not. Importantly, these findings suggest that personalized normative feedback designed to correct perceptions of peers’ coping motivated substance use may have utility as a motivational component in larger interventions seeking to reduce LGBs’ substance use.

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

Cited by 112 publications

References 33 publications

Risk and Protective Factors for Substance Use Among Sexual and Gender Minority Youth: a Scoping Review

Risk and Protective Factors for Substance Use Among Sexual and Gender Minority Youth: a Scoping Review

Effects of trauma and PTSD on self-reported physical functioning in sexual minority women.

“It's how we deal”: Perceptions of LGB peers' use of alcohol and other drugs to cope and sexual minority adults' own coping motivated substance use following the Pulse nightclub shooting

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