Stress and substance use among sexual and gender minority individuals across the lifespan

Parent, Mike C.; Arriaga, Andrew S.; Gobble, Teresa; Wille, Lexie

doi:10.1016/j.ynstr.2018.100146

Cited by 83 publications

(61 citation statements)

References 162 publications

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“…Regarding sexual orientation, being heterosexual or belonging to a sexual minority did not account for different odds of alcohol consumption. This result partially unconfirms our Hypothesis 2 and diverges from previous studies finding that non-heterosexual people are more likely to drink, smoke, or use drugs than heterosexuals, as an effect of minority stress (Parent et al 2019).…”

Section: Discussioncontrasting

confidence: 54%

The Association between Dating Apps and Alcohol Consumption in an Italian Sample of Active Users, Former Users, and Non-Users

2021

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To date, the relationship between alcohol use and dating app use has been investigated mostly in conjunction with sexual activities and in homosexual men. For this reason, the aim of this study was to explore the association between dating app use and alcohol consumption among the general population. A cross-sectional study was conducted including app users, non-users, and former users: 1278 respondents completed an online ad hoc questionnaire assessing dating app use, motivations for installing dating apps, alcohol use, and demographics. Multiple logistic regression analysis was run to investigate the association between dating app use, demographic features, and alcohol consumption. Whereas educational level, age, and gender significantly contributed to the regular consumption of alcohol, dating app use did not account for a significant amount of variance between regular and not regular drinkers. However, people who installed and used dating apps with the motivation of searching for sexual partners were more likely to be regular drinkers. Among the active users, heavy app users were less likely to drink regularly. The study indicates that underlying factors (sexual aspects, motives for using the apps) and the intensity of using the apps may mediate the relationship between dating app use and alcohol use.

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Section: Discussioncontrasting

confidence: 54%

The Association between Dating Apps and Alcohol Consumption in an Italian Sample of Active Users, Former Users, and Non-Users

2021

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“…For many, substance use may occur alongside community building and socializing with peers in spaces deemed safe for identity exploration and self-expression. 65,[68][69][70][71] Our findings underscore that multiple facets of SGM identity may be associated with substance use. Including a broader spectrum of identities in this work not only helps legitimize the diverse lived experiences of SGM community members, but also may provide a richer assessment of substance use in clinical and research venues.…”

Section: Discussionmentioning

confidence: 91%

Characterization of Substance use among Underrepresented Sexual and Gender Minority Participants in the Population Research in Identity and Disparities for Equality (PRIDE) Study

et al. 2021

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Background: Profiles of substance use among less commonly described subgroups of sexual and gender minority (SGM) people (e.g., queer, genderqueer) remain largely unknown. Objective(s): To identify substance use differences among less commonly described SGM identity-based subgroups. Methods: The PRIDE Study is a national, online, longitudinal cohort study of self-identified SGM adults living in the U.S. Between 2015-2017, an iPhone application was used to administer three cross-sectional health questionnaires to participants, one of which included questions about binge alcohol, marijuana, and other drug use (substance use). This study was a secondary data analysis of participant responses to substance use survey items. Logistic regression and generalized linear modeling assessed relationships between sexual orientation or gender and use of or reported problems with substances within the past year. Results: Among the 1790 participants included in this study, 51.0% reported binge alcohol use, 39.8% reported marijuana use, and 19.7% reported other drug use (65.9% endorsed use of one or more of these) within the past year. Over 30% indicated substance use had been a problem in their life. Asexual individuals had lower odds of reporting past year binge alcohol and marijuana use (aOR: 0.27, 95% CI: 0.12-0.61; aOR: 0.38, 95% CI: 0.15-0.96, respectively), and queer participants had higher odds of reporting past year marijuana use (aOR: 2.52, 95% CI: 1.58-4.03) compared to lesbian participants. Gender nonbinary participants had lower odds of reporting past year binge alcohol use (aOR: 0.48, 95% CI: 0.32-0.71) and transmasculine participants had higher odds of reporting past year marijuana use (aOR: 2.18, 95% CI: 1.10-4.31) compared to cisgender women. Conclusions: Substance use heterogeneity exists between SGM groups. Comprehensive assessment of sexual orientation and gender may improve understanding of substance use and increase equity within support and treatment services for SGM populations. HIGHLIGHTS We examined substance use among less represented sexual and gender minority groups. Alcohol and other drug use were examined by both sexual orientation and gender identity. Analyses included identities such as queer, pansexual, genderqueer and nonbinary. Alcohol use differed across asexual, genderqueer and gender nonbinary groups. Marijuana use differed across queer, asexual and transmasculine groups.

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“…We recommend that future studies leveraging a repeated measures deign collect data on stress closer to the outcome measure of substance use to better understand the potential temporal effect of stress on substance use. Further, since the relationship between stress and substance use has been established in other studies [10,11], we recommend interpreting our findings with caution and continuing to address stress by enhancing adaptive coping mechanisms in interventions for substance use.…”

Section: Principal Findingsmentioning

confidence: 77%

“…Both psychosocial stressors and biobehavioral features play key roles in drug and alcohol use behaviors [4][5][6]. For instance, depression [7], negative affect (eg, guilt and shame) [8,9], stress [10,11], and low self-esteem [12,13] are known to characterize patterns of substance use. Further, craving, which can be described as an urge or desire to use drugs or alcohol, is a key biobehavioral aspect of substance use disorder (SUD) [6,14] and has been linked to drug and alcohol use in several studies [6,15,16].…”

Section: Introductionmentioning

confidence: 99%

The Psychosocial Predictors and Day-Level Correlates of Substance Use Among Participants Recruited via an Online Crowdsourcing Platform in the United States: Daily Diary Study

Jain¹,

Offer²,

Rowe³

et al. 2021

JMIR Public Health Surveill

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Background Alcohol consumption and stimulant use are major public health problems and contribute to morbidity and mortality in the United States. To inform interventions for substance use, there is a need to identify the day-level correlates of substance use by collecting repeated measures data in one’s natural environment. There is also a need to use crowdsourcing platforms like Amazon Mechanical Turk (MTurk) to efficiently engage larger populations of people who use alcohol and stimulants in research. Objective We aimed to (1) utilize daily diaries to examine the temporal relationship between day-level cravings for alcohol and stimulant/substance use (ie, heavy drinking or any drug use) in a given day over 14 days and (2) assess whether depression, negative affect, and self-esteem measured at baseline predict substance use in a given day over 14 days among people who use alcohol and/or stimulants in the United States. Methods Individuals aged ≥18 years in the United States, who reported alcohol or stimulant (ie, cocaine, crack cocaine, and methamphetamine) use in the past year, were recruited using MTurk between March 26 and April 13, 2018. Eligible participants completed a baseline survey and 14 daily surveys online. The baseline survey assessed sociodemographics and psychosocial (ie, depression, affect, self-esteem, and stress) factors. Daily surveys assessed substance use and cravings for alcohol and stimulants. Four multivariable random-intercept logistic regression models were built to examine psychosocial constructs separately along with other significant predictors from bivariate analyses while controlling for age and education. Results Among a total of 272 participants, 220 were White, 201 were male, and 134 were men who have sex with men (MSM). The mean age was 36.1 years (SD 10.5). At baseline, 173 participants engaged in any current or past hazardous alcohol consumption, 31 reported using cocaine, 19 reported using methamphetamine, 8 reported using crack cocaine, and 104 reported any noninjection or injection drug use in the past 6 months. Factors independently associated with substance use were depression (adjusted odds ratio [aOR] 1.11, 95% CI 1.02-1.21; P =.01), negative affect (aOR 1.08, 95% CI 1.01-1.16; P =.01), lower levels of self-esteem (aOR 0.90, 95% CI 0.82-0.98; P =.02), and cravings for alcohol (aOR 1.02, 95% CI 1.01-1.03; P <.001) and stimulants (aOR 1.03, 95% CI 1.01-1.04; P =.01). MSM had higher odds of engaging in substance use in all models (model 1: aOR 4.90, 95% CI 1.28-18.70; P =.02; model 2: aOR 5.47, 95% CI 1.43-20.87; P =.01; model 3: aOR 5.99, 95% CI 1.55-23.13; P =.009; and model 4: aOR 4.94, 95% CI 1.29-18.84; P =.01). ...

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Stress and substance use among sexual and gender minority individuals across the lifespan

Cited by 83 publications

References 162 publications

The Association between Dating Apps and Alcohol Consumption in an Italian Sample of Active Users, Former Users, and Non-Users

The Association between Dating Apps and Alcohol Consumption in an Italian Sample of Active Users, Former Users, and Non-Users

Characterization of Substance use among Underrepresented Sexual and Gender Minority Participants in the Population Research in Identity and Disparities for Equality (PRIDE) Study

The Psychosocial Predictors and Day-Level Correlates of Substance Use Among Participants Recruited via an Online Crowdsourcing Platform in the United States: Daily Diary Study

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