Perceived Discrimination, Alcohol Use Disorder and Alcohol-Related Problems in Sexual Minority Women of Color

Cerezo, Alison; Ramirez, Amaranta

doi:10.1080/01488376.2019.1710657

Cited by 23 publications

(19 citation statements)

References 53 publications

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“…The finding that Black and Latinx SMW were no more likely than White SMW to report alcohol‐related consequences differs from research with general population samples which indicates that racial/ethnic minorities report more severe alcohol‐related problem consequences than White individuals (Witbrodt et al, 2014). Future studies should examine potential moderators, such as drinking to cope with heterosexist, racist, and sexist discrimination, to identify SMW of color who may be particularly vulnerable to alcohol‐problem consequences (Cerezo & Ramirez, 2020). SMW reported similar HED and other alcohol outcomes regardless of sexual identity or income.…”

Section: Discussionmentioning

confidence: 99%

Alcohol use, behavioral and mental health help‐seeking, and treatment satisfaction among sexual minority women

Scheer

Batchelder

Bochicchio

et al. 2022

Alcoholism Clin & Exp Res

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Background Sexual minority women (SMW) report higher rates of heavy episodic drinking (HED) and adverse alcohol‐related outcomes, including poor mental health, than heterosexual women. These disparities indicate a greater need for behavioral and mental health treatment for SMW. This study examined associations among alcohol outcomes, behavioral and mental health help‐seeking, and treatment satisfaction among SMW by age, sexual identity, race/ethnicity, and income. Methods Participants included a community sample of 695 SMW (Mage = 40.0, SD = 14.1; 74.1% lesbian, 25.9% bisexual; 37.6% White, 35.8% Black, 23.2% Latinx; 26.3% annual income $14,999 or less). We used bivariate analyses to characterize the sample's demographic characteristics and multivariable logistic regression analyses to examine associations among variables. Results SMW subgroups based on age, race/ethnicity, and annual income differed in alcohol outcomes (i.e., HED, DSM‐IV alcohol dependence, alcohol‐related problem consequences, alcohol problem recognition, and motivation to reduce drinking); help‐seeking; and treatment satisfaction. SMW who engaged in help‐seeking for alcohol‐related concerns were more likely than those who did not to meet criteria for DSM‐IV alcohol dependence (adjusted odds ratio [aOR] = 7.13; 95% CI = 2.77; 18.36), endorse alcohol‐related problem consequences (aOR = 11.44; 95% CI = 3.88; 33.71), recognize problematic drinking (aOR = 14.56; 95% CI = 3.37; 62.97), and report motivation to reduce drinking (aOR = 5.26; 95% CI = 1.74; 15.88). SMW’s alcohol outcomes did not differ based on their satisfaction with treatment or with providers. Conclusions This study's findings confirm SMW’s elevated risk for HED and other alcohol‐related outcomes and underscore the importance of identity‐affirmative and accessible behavioral and mental health treatment for young, Black, and low‐income SMW. Clinicians and intervention scientists should develop or enhance existing brief behavioral and mental health treatments for SMW engaging in HED who may not recognize that their drinking is problematic or who are not motivated to reduce drinking.

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Section: Discussionmentioning

confidence: 99%

Alcohol use, behavioral and mental health help‐seeking, and treatment satisfaction among sexual minority women

Scheer

Batchelder

Bochicchio

et al. 2022

Alcoholism Clin & Exp Res

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show abstract

“…Our findings of heavier drinking among Latinx SMW compared to White SMW suggest that they may face higher levels of stress from being both Latinx and an SMW (Cerezo & Ramirez, 2020). Slater, Godette, Huang, Ruan, and Kerridge (2017) found that among sexual minorities who reported frequent discrimination, Latinx participants were more likely than non-Latinx participants to report a substance use disorder (Slater et al, 2017).…”

Section: Latinx Smwmentioning

confidence: 69%

“…Recent research suggests that lesbian and gay Latinx individuals may have negative perceptions of bisexual individuals (Dyar, Lytle, London, & Levy, 2017), which could lead to more biphobia within the Latinx LGBTQ community. It is possible that such additional stressors put Latinx SMW, particularly bisexual Latinx women, at higher risk of heavy drinking (Cerezo & Ramirez, 2020). More research is needed to examine the specific associations between stress and alcohol use among Latinx SMW.…”

Section: Discussionmentioning

confidence: 99%

Do relationships provide the same levels of protection against heavy drinking for lesbian and bisexual women? An intersectional approach.

Veldhuis¹,

Hughes²,

Drabble³

et al. 2020

Psychology of Sexual Orientation and Gender Diversity

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Sexual minority women (SMW; e.g., lesbian, bisexual) are more likely than heterosexual women to be heavy drinkers, with bisexual women showing the highest risk. There is ample literature demonstrating that intimate relationships protect against stress-related health risk behaviors in the general population. However, very little research has focused on SMW's relationships and far less is known about the relationships of SMW of color. Using intersectionality theory as our framework, we tested two competing models to determine whether the effects of minority sexual identity (lesbian, bisexual) and race/ethnicity (African American, Latinx, White) are: (a) additive, or (b) multiplicative in the associations between relationship status and heavy drinking. Data are from a diverse sample of cisgender SMW (N ϭ 641) interviewed in Wave 3 of the Chicago Health and Life of Women (CHLEW) study, a 20-year longitudinal study of SMW's health. Findings from two-and three-way interactions provide mixed evidence for both the additive and multiplicative hypotheses; support for each varied by sexual identity and race/ethnicity. Overall, we found that Latinx SMW, particularly single and bisexual Latinx SMW, report the highest rates of heavy drinking compared to their cohabiting and lesbian counterparts, respectively. African American single SMW reported significantly higher rates of heavy drinking compared to their cohabiting counterparts. Our findings suggest that the protective qualities of SMW's intimate relationships vary based on sexual identity and race/ethnicity-and the intersections between them. These results highlight that research among SMW that does not take into account multiple marginalized identities may obscure differences. Public Significance StatementLittle research has focused on health within sexual minority women (SMW)'s relationships, particularly among SMW of color. Given the potential additive or multiplicative effects of multiple sources of oppression such as heterosexism, racism, and sexism, understanding the potential protective effects of relationships is important. Our findings demonstrate that the protective qualities of intimate relationships among SMW vary based on sexual identity and race/ethnicity-and the intersections between them.

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“…Previous researchers have attempted to move away from additive approaches and designed scales to capture truly intersectional forms of discrimination (Balsam et al, 2011). For example, a recent study linked intersectional discrimination (i.e., experiences of discrimination linked to both race and sexual orientation) with alcohol use in a sample of sexual minority Latinx women (Cerezo & Ramirez, 2021). Research on alternatives to additive approaches continues to grow.…”

Section: Limitations Of Extant Research On Health Disparities In Srmsmentioning

confidence: 99%

A both/and approach to conceptualizing multiple minority stress in sexual and racial minorities.

Moino¹,

Parrott²,

Swartout³

2023

Psychology of Sexual Orientation and Gender Diversity

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The present study used both additive and intersectionally informed approaches to examine the associations of sexual and racial minority stress and problematic drinking, and intimate partner violence (IPV) perpetration and victimization. The minority stress model posits that minorities experience stressors related to their marginalized identities that lead to health disparities. Previous research has examined the association between minority stress and both alcohol use and IPV in sexual minorities; however, it has largely neglected to study the association of stressors related to the multiple stigmatized identities of people who identify as both a sexual and racial minority. Moreover, research that examines both sexual and racial minority stressors has tended to use either an additive or holistic intersectional approach but has largely neglected to utilize both approaches in the same study. The present study was designed to address these limitations. Cisgender sexual and racial minorities (n = 349) were recruited through an online panel service. Participants completed an online survey that assessed multiple racial and sexual minority stressors, problematic drinking, and IPV perpetration and victimization. Modeling sexual and racial minority stressors additively revealed differential relationships between sexual, racial, distal, and proximal minority stressors and outcomes. Results also supported a two-factor (distal and proximal minority stress) model that included intersectional constructs of both racial and sexual minority stressors. These constructs were positively related to problematic drinking and IPV perpetration and victimization and produced qualitatively larger associations than the additive model, supporting the use of intersectional approaches in the quantitative study of sexual minority health.

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Perceived Discrimination, Alcohol Use Disorder and Alcohol-Related Problems in Sexual Minority Women of Color

Cited by 23 publications

References 53 publications

Alcohol use, behavioral and mental health help‐seeking, and treatment satisfaction among sexual minority women

Alcohol use, behavioral and mental health help‐seeking, and treatment satisfaction among sexual minority women

Do relationships provide the same levels of protection against heavy drinking for lesbian and bisexual women? An intersectional approach.

A both/and approach to conceptualizing multiple minority stress in sexual and racial minorities.

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