Minority Stress and Substance Use in Sexual Minority Adolescents: A Meta-analysis

Goldbach, Jeremy T.; Tanner‐Smith, Emily E.; Bagwell, Meredith; Dunlap, Shannon

doi:10.1007/s11121-013-0393-7

Cited by 421 publications

(304 citation statements)

References 55 publications

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“…18 Rates of drinking were significantly lower in African American LGBT youth than in those of all other racial groups. Furthermore, alcohol use in these youth has been associated with their experience of victimization, threats, or violence 19 and by the chronic stress associated with societal stigmatization. 20 Underage drinkers typically obtain alcohol from adults of legal drinking age, including at home from parents, siblings, or other relatives, and they drink most frequently in their own or others' homes.…”

Section: Epidemiology Of Binge Drinkingmentioning

confidence: 99%

Binge Drinking

Levy¹,

Ammerman²,

Gonzalez³

et al. 2015

Pediatrics

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Alcohol is the substance most frequently abused by children and adolescents in the United States, and its use is associated with the leading causes of death and serious injury at this age (ie, motor vehicle accidents, homicides, and suicides). Among youth who drink, the proportion who drink heavily is higher than among adult drinkers, increasing from approximately 50% in those 12 to 14 years of age to 72% among those 18 to 20 years of age. In this clinical report, the definition, epidemiology, and risk factors for binge drinking; the neurobiology of intoxication, blackouts, and hangovers; genetic considerations; and adverse outcomes are discussed. The report offers guidance for the pediatrician. As with any high-risk behavior, prevention plays a more important role than later intervention and has been shown to be more effective. In the pediatric office setting, it is important to ask every adolescent about alcohol use.

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Section: Epidemiology Of Binge Drinkingmentioning

confidence: 99%

Binge Drinking

Levy¹,

Ammerman²,

Gonzalez³

et al. 2015

Pediatrics

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show abstract

“…For instance, participants recruited from LGB community events and networks have been found to be disproportionately drawn from specific demographic groups (e.g. white and male) (Cochran & Mays, 2006;Goldbach, Tanner-Smith, Bagwell, & Dunlap, 2014), and are thought to have different psychological profiles than sexual minority individuals not involved in the LGB community (Meyer & Wilson, 2009). …”

mentioning

confidence: 99%

Sexual minority youth and depressive symptoms or depressive disorder: A systematic review and meta-analysis of population-based studies

Lucassen

Stasiak

Samra

et al. 2017

Aust N Z J Psychiatry

223

169

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Objective: Research has suggested that sexual minority young people are more likely to have depressive symptoms or depressive disorder, but to date most studies in the field have relied on convenience-based samples. This study overcomes this limitation by systematically reviewing the literature from population-based studies and conducting a meta-analysis to identify whether depressive disorder and depressive symptoms are elevated in sexual minority youth. Method:A systematic review and meta-analysis were conducted and informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement to determine if rates of depressive symptoms or depressive disorder differ for sexual minority youth, relative to heterosexual adolescents. MEDLINE, PsycINFO, EMBASE and ERIC databases were searched. Studies reporting depressive symptom data or the prevalence of depressive disorder in population-based samples of adolescents, that included sexual minority youth and heterosexual young people, were included in the review. A meta-analysis was conducted to examine differences between groups.Results: Twenty-three articles met the inclusion criteria. The proportion of sexual minority youth in the studies ranged from 2.3% to 12%. Sexual minority youth reported higher rates of depressive symptoms and depressive disorder (odds ratio = Sexual minority youth and depression 4 2.94, p<0.001 and standardized mean difference, d = 0.39, p<0.001) in comparison to heterosexual young people. Female sexual minority youth were more likely to report depressive symptoms when compared to male sexual minority youth (standardized mean difference, d = 0.34, p<0.001). Limitations included variations in how sexuality was operationalized and how depressive symptoms or depressive disorder was measured. Conclusions:There is robust evidence that rates of depressive disorder and depressive symptoms are elevated in sexual minority youth in comparison to heterosexual young people. Despite the elevated risk of depressive symptoms or depressive disorder for sexual minority youth, the treatment for this group of young people has received little attention.

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“…LGBT people also experience unique challenges related to discrimination and stigma (Pachankis et al, 2014), victimization (Collier, van Beusekom, Bos, & Sandfort, 2013) 25 and physical abuse (Goldbach et al, 2014;Ignatavicius, 2013) that can negatively affect psychological well-being (see Flentje, Livingston, Roly, & Sorensen, 2015), and for which some persons use substances to help cope Williamson, 2000). It is well established that Q2 30 some of the most powerful institutions in society have historically rejected homosexuality, including various religions, health systems and the media (Meyer, 2013).…”

mentioning

confidence: 99%