Normative substance use antecedents among sexual minorities: A scoping review and synthesis.

Boyle, Sarah; LaBrie, Joseph W.; Omoto, Allen M.

doi:10.1037/sgd0000373

Cited by 41 publications

(25 citation statements)

References 103 publications

(166 reference statements)

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“…Recent research suggests apparent high rates of substance use in gay men and lesbian women may be partially explained by convenience-sampling at bars, and some gay men and lesbian women may overestimate peers' substance use. 98 Contrary to Hypothesis 1, no direct effects of structural stigma on CVD emerged. This belies the hypothesized minority stress model of a direct stigma-CVD relationship and contradicts findings of Hatzenbuehler and colleagues.…”

Section: Discussionmentioning

confidence: 79%

Testing Substance Use as a Mediator of Structural Stigma-Cardiovascular Health Associations in a Large Sample of Gay Men and Lesbian Women

Manser

Bois

2021

sgrlgbtq

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Compared to heterosexual individuals, gay men and lesbian women experience multiple health inequities, including higher prevalence of substance use and cardiovascular disease (CVD). Gay men and lesbian women also face structural stigma, including laws that fail to protect or actively discriminate against them. These phenomena can be understood by considering two theories previously tested among gay men and lesbian women: minority stress and cognitive escape. Minority stress theory suggests being stigmatized for one's minority identity relates to negative health sequelae, while cognitive escape theory suggests escape-related behaviors may mediate links between chronic stress exposure and health. Using 2017 Behavioral Risk Factor Surveillance System data, we ran binary logistic regressions to test models in which binge drinking and cigarette smoking independently mediated links between structural stigma and health among gay men and lesbian women. Structural stigma was operationalized at the U.S. state level as number of sexual orientation anti-discrimination laws. Health was operationalized as presence of any CVD. Models were tested in an aggregated sample, and also in subsamples by sex. In bivariate and component-path analyses, structural stigma predicted smoking across samples. Structural stigma-binge drinking associations were more salient among lesbian women compared to gay men. Per Sobel test results, smoking mediated associations between structural stigma and CVD in the gay men sample, suggesting gay men may smoke to escape from structural stigma, with negative implications for cardiovascular health.

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Section: Discussionmentioning

confidence: 79%

Testing Substance Use as a Mediator of Structural Stigma-Cardiovascular Health Associations in a Large Sample of Gay Men and Lesbian Women

Manser

Bois

2021

sgrlgbtq

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“…In addition, social norms interventions addressing people's misperceptions about how much their peers drink [71], may be particularly appropriate for addressing alcohol use in LGBTQ+ people, given the strong influence of (often inaccurate) perceptions of how much peers drink (i.e. social norms) [15]. This is particularly important given recent evidence that the alcohol industry is using ‘dark nudges’ such as reinforcing the message that ‘most people drink’ [72].…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, drinking plays a central role in the social environment of the LGBTQ+ community; alcohol appears to be more available in settings defined as lesbian‐ or gay‐friendly [13] and the commercial gay scene is characterised by a heavy drinking culture [9,14]. Lesbian, gay and bisexual people also tend to over‐estimate the use of alcohol among their peers [15]. In addition, clubs and pubs on the commercial gay scene may provide spaces that allow people to celebrate differences [16] and feel ‘authentic’ [17].…”

Section: Introductionmentioning

confidence: 99%

Alcohol interventions for LGBTQ+ adults: A systematic review

Dimova

Elliott

Frankis

et al. 2021

Drug and Alcohol Review

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Introduction Gender and sexual minority populations are more likely to drink excessively compared to heterosexual and cisgender people. Existing reviews of alcohol interventions focus on specific subgroups within the lesbian, gay, bisexual, trans*, queer, questioning or otherwise gender or sexuality diverse (LGBTQ+) population and neither identify their theoretical basis nor examine how interventions are tailored to meet the needs of specific subgroups. Methods This systematic review includes published studies reporting the effectiveness of interventions to reduce alcohol use in LGBTQ+ people. The review followed PRISMA guidelines. Quality was assessed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. Results The review includes 25 studies, with the earliest published in 2005. The majority (n = 20) focused on men who have sex with men; only two included sexual minority women and three included trans* people. Most studies were conducted in the USA (n = 21) and used a randomised design (n = 15). Five studies were assessed to be of strong quality, seven moderate and 13 weak. Interventions were mainly delivered face‐to‐face (n = 21). The most common approaches used to inform interventions were Motivational Interviewing (n = 8) and Cognitive Behavioural Therapy (n = 8). Nineteen studies reported a significant reduction in alcohol consumption. Discussion and Conclusions This review suggests that for interventions to be effective in reducing alcohol consumption in LGBTQ+ people, they need to be informed by theory and adapted for the target population. Alcohol interventions that focus on sexual minority women, trans* people and people with other gender identities are needed. The findings have implications for professionals who need to identify when gender and/or sexuality are peripheral or central to alcohol use.

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“…In addition to minority stress, other factors may influence substance use among sexual minorities. Social psychological theories related to perceived norms and normative behavior may be important for understanding disparities in risk by sexual identity (Boyle, LaBrie, & Omoto, 2020;Boyle, LaBrie, & Witkovic, 2016;Cochran, Grella, & Mays, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…For example, research suggests perceived norms are reliable predictors of sexual minority substance use and sexual minorities overestimate the alcohol and drug use of peers (Boyle et al, 2020;Boyle et al, 2016;Cochran et al, 2012). Disparities in substance use also might be explained, in part, by differences in family and relationship structures.…”

Section: Discussionmentioning

confidence: 99%

Investigating Differential Protective Effects of Marriage on Substance Use by Sexual Identity Status

Trocki

Mericle

Drabble

et al. 2020

IJADR

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Background: Research suggests that marriage is protective against substance use. However, few studies have examined whether this protective effect differs for sexual minorities, a population at increased risk for substance use. Using data from four waves of the cross-sectional U.S. National Alcohol Survey (NAS; 2000, 2005, 2010, and 2015), we investigated whether the protective effects of marriage varied by sexual identity. Methods: Sex-stratified logistic regression models were used to examine independent and interactive effects of current marital status (being married vs. not) and sexual minority status (lesbian/gay/bisexual vs. heterosexual) on high-intensity drinking, alcohol use disorder, and marijuana use in the past year. Results: Among both women and men, sexual minority status was generally associated with higher odds of these outcomes and marriage was consistently associated with lower odds. Differential effects of marriage by sexual identity with respect to marijuana use were found only among men; marriage was significantly associated with decreased odds of marijuana use among heterosexual men but increased odds among sexual minority men. Conclusions: Marriage may be less consistently protective against hazardous drinking and marijuana use among sexual minorities than heterosexuals. Findings underscore the importance of both quantitative and qualitative studies designed to better understand disparities in substance use across both sexual identity and relationship statuses.

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Normative substance use antecedents among sexual minorities: A scoping review and synthesis.

Cited by 41 publications

References 103 publications

Testing Substance Use as a Mediator of Structural Stigma-Cardiovascular Health Associations in a Large Sample of Gay Men and Lesbian Women

Testing Substance Use as a Mediator of Structural Stigma-Cardiovascular Health Associations in a Large Sample of Gay Men and Lesbian Women

Alcohol interventions for LGBTQ+ adults: A systematic review

Investigating Differential Protective Effects of Marriage on Substance Use by Sexual Identity Status

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