Sexual Coercion, Drinking to Cope Motives, and Alcohol-Related Consequences among Self-Identified Bisexual Women

Kelley, Michelle L.; Ehlke, Sarah; Lewis, Robin J.; Braitman, Abby L.; Heron, Kristin E.; Lau‐Barraco, Cathy

doi:10.1080/10826084.2017.1400565

Cited by 15 publications

(19 citation statements)

References 79 publications

(103 reference statements)

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“…Drinking to cope motives was high among this sample, possibly due to recruitment criteria, suggesting there may have been a ceiling effect. This premise is further supported by a higher average (15.50) and lower standard deviation (5.27) of drinking to cope motives compared to previous studies of regular drinking bisexual women with less stringent recruitment criteria (e.g., Kelley, Ehlke, Lewis, et al, 2018). Although drinking to cope is commonly conceptualized as a trait level variable (e.g., Armeli et al, 2010;Dvorak et al, 2014;Simpson et al, 2014), drinking to cope motives may be dynamic, especially for risky drinkers, and fluctuate with one's immediate experiences.…”

Section: Discussionsupporting

confidence: 59%

The role of alcohol demand on daily microaggressions and alcohol use among emerging adult bisexual+ women.

Ehlke¹,

Kelley²,

Lewis³

et al. 2022

Psychology of Addictive Behaviors

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Objective: Bisexual women drink more and have more alcohol consequences than heterosexual and lesbian women. This higher risk may in part be attributable to sexual orientation microaggressions. Drinking to cope motivations and alcohol demand may influence the association between microaggressions and alcohol use. The present study used a daily diary design to examine the association between microaggressions and sameday alcohol use (yes/no, quantity) and consequences, and if drinking to cope and alcohol demand moderate this association among bisexual+ (i.e., bi+) women. Method: Participants were 103 emerging adult bi+ women who completed a baseline assessment, including an alcohol purchase task to measure alcohol demand. Subsequently, participants reported their experiences of microaggressions, alcohol use, and alcohol consequences for 28 days. Multilevel model analyses were conducted. Results: Microaggressions were associated with a higher likelihood to drink and greater same-day alcohol use and consequences. The association between microaggressions and alcohol quantity was stronger for those who had a lower price associated with the highest expenditure (lower P max ). For those who would stop drinking at lower price values (lower breakpoint), reported spending less overall on alcohol (lower O max ), and had lower P max values, microaggressions were associated with more consequences. For those with higher breakpoint, O max , and P max microaggressions were not associated with consequences. Conclusions: Microaggressions may have a deleterious impact on alcohol use and consequences for bi+ women, particularly for those with lower alcohol demand. Clinicians should encourage bi+ clients to consider how microaggressions influence their drinking and support clients to engage in positive coping skills. Public Health Significance StatementThis study found that emerging adult bisexual+ women are more likely to drink, consume more alcohol, and report more alcohol consequences on days when they experience more microaggressions related to their sexual orientation. Findings highlight the important and detrimental role that sexual orientation microaggressions have on alcohol use behavior among emerging adult bisexual+ women.

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Section: Discussionsupporting

confidence: 59%

The role of alcohol demand on daily microaggressions and alcohol use among emerging adult bisexual+ women.

Ehlke¹,

Kelley²,

Lewis³

et al. 2022

Psychology of Addictive Behaviors

Self Cite

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“…Survey of adults similarly find that bisexual women report higher rates of interpersonal violence and sexual assault compared to both heterosexual and L/G women (Hughes et al, 2010;Turell et al, 2018). Stereotypes that bisexual individuals are hypersexual, promiscuous or inherently nonmonogamous (Doan Van et al, 2019;Yost and Thomas, 2012;Zivony and Saguy, 2018) may contribute to sexual coercion of bisexual individuals (Kelley et al, 2018;Li et al, 2013). Experiencing interpersonal violence, sexual assault, or PTSD is associated with a higher risk for substance use in the general population (Ullman et al, 2018;Ullman et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Sexual minority substance use disparities: Bisexual women at elevated risk relative to other sexual minority groups

Schuler

Collins

2020

Drug and Alcohol Dependence

124

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Background: Prior studies characterizing sexual minority substance use disparities have primarily compared lesbian/gay and bisexual individuals, respectively or in combination, to heterosexual individuals. In light of emerging evidence that bisexual individuals may have particularly elevated substance use risk, we examine differences in recent substance use between bisexual and lesbian/gay individuals using national survey data.Methods: Data on 126,463 adults (including 8,241 LGB adults) were from the 2015-2017 National Survey on Drug Use and Health. Substance use outcomes included binge drinking, cigarette smoking, cigar smoking, marijuana use, illicit drug use, opioid misuse, alcohol use disorder, nicotine dependence, and substance use disorder. Logistic regression was used to estimate sexual identity-and gender-specific odds ratios, controlling for demographic characteristics. Of particular interest were estimates comparing bisexual and lesbian/gay individuals of the same gender.Results: Both male and female sexual minority adults had significantly elevated rates of substance use compared to heterosexual adults. Furthermore, relative to lesbian/gay women, bisexual women had significantly elevated odds of binge drinking (aOR=1.29), marijuana use (aOR=1.42), illicit drug use (aOR=1.55), opioid misuse (aOR=1.53) and alcohol use disorder (aOR=1.48) . Relative to gay men, bisexual men had significantly elevated cigar use (aOR=1.64). Conclusions:Bisexual women were at significantly greater risk for multiple substance use behaviors relative to lesbian/gay women. We did not observe any substance use behaviors for which bisexual individuals had significantly lower risk than their lesbian/gay peers. These disparities may be explained, in part, by unique risk factors for substance use experienced by bisexual individuals, particularly bisexual women.

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“…Bisexual individuals' awareness of this increases their concerns about rejection from potential and actual romantic and sexual partners (Bostwick & Hequembourg, 2014;Hayfield et al, 2014;Hequembourg & Brallier, 2009;Li et al, 2013), and sensitivity to rejection based on one's sexual orientation is associated with higher rates of risky sexual behaviors (Pachankis et al, 2015;Rendina et al, 2017;Wang & Pachankis, 2016) and substance use (Pachankis et al, 2014). Additionally, bisexual women frequently repon feeling pressured to engage in sex and other sexual activities, such as having sex with multiple partners, with which they are uncomfortable or do not wish to participate (Hequembourg & Brallier, 2009;Kelley et al, 2018;Li et al, 2013), and subsequently report using alcohol to cope with these negative sexual experiences (Hauser & Schwarz, 2016). Furthermore, bisexual individuals have also commonly experienced other types of victimization, including childhood sexual abuse and adult sexual assault (Conron, Mimiaga, & Landers, 2010;Rothman, Exner, & Baughman, 2011;Walters, Chen, & Breiding, 2013)-all of which are associated with higher risk for sex-related substance use (Arreola, Neilands, & Diaz, 2009;Brennan, Hellerstedt, Ross, & Welles, 2007;Lloyd & Operario, 2012;Paul, Catania, Pollack, & Stall, 2001).…”

Section: Unique Stressors Faced By Bisexual Individualsmentioning

confidence: 99%

Sexual orientation and sex-related substance use: The unexplored role of bisexuality

Taggart

Rodriguez‐Seijas

Dyar

et al. 2019

Behaviour Research and Therapy

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Using alcohol and drugs in sexual contexts is associated with negative health consequences, including increased risk for HIV/STIs, sexual victimization, unplanned pregnancies, and overdose. Evidence suggests millions of adults regularly use alcohol in sexual contexts, thus increasing their risk for these consequences. However, no nationally representative estimates exist for rates of regular alcohol and/or drug use in sexual contexts. Additionally, previous studies suggest sexual minority individuals are more likely to use substances in sexual contexts than heterosexuals; however, none of these studies examined for multiple dimensions or subgroups of sexual orientation. Thus, using two distinct datasets-one large, nationally representative sample (N = 17,491) and an Internet-collected convenience sample (N = 1,001)-we explored the associations between sexual orientation (dimensions and subgroups) and rates of regular sex-related alcohol and/or drug use in American adults. Results showed that sexual minority individuals were significantly more likely to report regularly using substances in sexual contexts compared to heterosexuals; however, results varied based on dimension of sexual orientation and by sex. Across both samples, bisexual individuals exhibited the highest rates of regular sex-related substance use. Findings suggest that sexual minorities, and bisexual individuals in particular, may be at increased risk for regular sex-related substance use and its associated negative health consequences. Future research should include nuanced and multidimensional assessments of sexual orientation to

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Sexual Coercion, Drinking to Cope Motives, and Alcohol-Related Consequences among Self-Identified Bisexual Women

Cited by 15 publications

References 79 publications

The role of alcohol demand on daily microaggressions and alcohol use among emerging adult bisexual+ women.

The role of alcohol demand on daily microaggressions and alcohol use among emerging adult bisexual+ women.

Sexual minority substance use disparities: Bisexual women at elevated risk relative to other sexual minority groups

Sexual orientation and sex-related substance use: The unexplored role of bisexuality

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