Pathways to Hazardous Drinking Among Racially and Socioeconomically Diverse Lesbian Women

Lewis, Robin J.; Mason, Tyler B.; Winstead, Barbara A.; Gaskins, Melissa; Irons, Lance B.

doi:10.1177/0361684316662603

Cited by 65 publications

(55 citation statements)

References 87 publications

(149 reference statements)

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“…No racial/ethnic differences were found in heavy episodic drinking (pastyear consumption of 4+ drinks in a day), alcohol problem consequences, or current marijuana use. In another online study of young adult women (ages 18 to 35), Lewis and colleagues [74] found that Black lesbian women reported significantly lower levels of hazardous drinking (based on AUDIT scores) than White lesbian women. MacCarthy and colleagues [75] examined substance use behaviors among Black women presenting for STI or HIV testing.…”

Section: Racial/ethnic Differences In Aod Usementioning

confidence: 99%

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

et al. 2020

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Until the 1980s, the limited research on alcohol and other drug (AOD) use among sexual minority women (SMW) focused on alcohol and used samples recruited from gay bars, resulting in inflated estimates of hazardous drinking. Over the past several decades the number of AOD studies with SMW has increased dramatically. To characterize this literature, we conducted a scoping review to answer the following questions: What do we know, and what are the gaps in research about AOD use among SMW? We searched multiple electronic databases (Medline [PubMed], CINAHL, PsycInfo, and Web of Science) for peerreviewed research articles about AOD use among adult SMW published between January 1, 2000 and May 31, 2017. After duplicates were removed the search identified 4,204 articles. We reviewed the titles and abstracts and removed articles that did not meet inclusion criteria. We used full-text review of the remaining 229 articles to make a final determination regarding inclusion and we retained 181 articles for review. Although the quantity of AOD research with SMW has grown substantially, the great majority of studies have been conducted in the United States (US) and most focus on hazardous drinking; relatively little research has focused on other drugs. In addition, although there has been marked improvement in theories and methods used in this research, many gaps and limitations remain. Examples are the lack of longitudinal research; reliance on samples that tend to over-represent white, well-educated, and relatively young women; sparse attention to mechanisms underlying the disproportionately high rates of AOD use among SMW; and the absence of intervention research. In general, more high-quality research on SMW's use of AODs is needed, but gaps and limitations are particularly large in non-western countries. Addressing these research gaps and limitations is essential for providing information that can be used to develop more effective prevention and early intervention strategies, as well as for informing policies that can help to reduce risky drinking and drug misuse among SMW.

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Section: Racial/ethnic Differences In Aod Usementioning

confidence: 99%

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

et al. 2020

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“…Lesbian and bisexual women were the convenience sample of four more papers supporting the specific role of gender. Lewis et al 69 use Meyer's 4 and hatzenbuehler's 7 conceptualizations of minority stress to examine the associations between ethnicity, socioeconomic status, and minority processes in 867 lesbian women participating in an online survey. in line with the literature, they find that with the additive influence of ethnicity and socioeconomic status, distal minority stressors (i.e., perceived sexual minority discrimination) were associated with groupspecific processes (proximal sexual minority stress, concealment, lack of connection to the lesbian community) and psychological processes (rumination and social isolation) finally associated with negative mental health outcomes such as maladaptive coping and hazardous drinking behavior.…”

Section: Limitations Of the Studymentioning

confidence: 99%

Minority stress and mental health among LGBT populations: an update on the evidence

Mongelli¹,

Perrone²,

Balducci³

et al. 2019

Minerva Psichiatr

161

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INTRODUCTION: In the past five years, researchers have increasingly turned to the study of mental health outcomes in LGBt populations. the present paper summarizes recent literature on the relationship between minority stress experienced by sexual minorities and mental health. eViDeNce acQUisitiON: PsyciNFO, PubMed, and the eBscO Psychology and Behavioral science collection were searched for papers concerning minority stress and mental health disparities in LGBt populations, published between 1 January 2014 and 30 June 2018. all collected papers were screened using the following criteria: study involving >50 individuals; written in english; focusing on clinical outcomes of depression, suicidality, and substance use in relation to experienced minority stress. eViDeNce sYNthesis: sixty-two papers were included in this review. Findings are reported under three main headings: studies primarily focused on depression, studies concerning suicidality and suicide attempts, and papers analyzing the correlation between substance use and minority stress in LGBt populations. the included studies supported the minority stress model as a framework to better explain disparities in mental health outcomes in sexual minority populations. higher rates of depression, suicidality, and substance use are reported in LGBt populations, as are the related minority stressors analyzed. cONcLUsiONs: sexual minorities still face numerous mental health disparities. research indicates that the levels of minority stressors positively predict mental health outcomes. Specific policies designed to support the civil rights of sexual minorities may help to overcome such inequalities.

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“…In previous analyses of these data looking specifically at race and SES, we found that race was not, but socioeconomic status (SES) was, related to increased perceptions of sexual minority discrimination. Among lesbian women, being Black was indirectly linked to more hazardous drinking but directly linked to less hazardous drinking (Lewis, Mason, Winstead, Gaskins, & Irons, ). Investigating the interplay of sexual identity, ethnicity, social class, ability status, and other statuses will increase our understanding of the paths from stigma‐related stress to alcohol problems and other health outcomes.…”

Section: Limitationsmentioning

confidence: 99%

Social Factors Linking Stigma‐Related Stress with Alcohol Use among Lesbians

Lewis

Winstead

Lau‐Barraco

et al. 2017

Journal of Social Issues

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A conceptual model linking stigma-related stress and lesbian women’s alcohol use and related problems via social factors (i.e., social constraints and social isolation), depressive symptoms, and negative reinforcement drinking motives (i.e., coping and conformity) was tested. Self-identified lesbian women (N = 1048), age 18–35 years in the United States completed an online survey of discrimination, stigma consciousness, social isolation, social constraints, depressive symptoms, drinking motives, alcohol use and related problems. The hypothesized path model showed excellent model fit. The predicted pathway of stigma-related stressors to alcohol outcomes via social factors, depressive symptoms, and coping/conformity motives was largely supported. Results highlight the importance of social factors in linking stigma-related stress to alcohol use and related problems among lesbians. Understanding the underlying social mechanisms connecting stigma to negative health outcomes may help inform intervention efforts to reduce alcohol use and related problems among lesbians and associated health disparities.

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Pathways to Hazardous Drinking Among Racially and Socioeconomically Diverse Lesbian Women

Cited by 65 publications

References 87 publications

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

Research on alcohol and other drug (AOD) use among sexual minority women: A global scoping review

Minority stress and mental health among LGBT populations: an update on the evidence

Social Factors Linking Stigma‐Related Stress with Alcohol Use among Lesbians

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