Substance Use Disparities at the Intersection of Sexual Identity and Race/Ethnicity: Results from the 2015–2018 National Survey on Drug Use and Health

Schuler, Megan S.; Prince, Dana M.; Breslau, Joshua; Collins, Rebecca L.

doi:10.1089/lgbt.2019.0352

Cited by 76 publications

(49 citation statements)

References 52 publications

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“…Studies have also consistently found that risk of hazardous drinking and drug use, including marijuana use, is lower among exclusively heterosexual women than among women who identify or are classified as "sexual minority" (including lesbian, bisexual, "mostly heterosexual," or identify as heterosexual and report same sex partners; Drabble, Midanik, & Trocki, 2005;Hughes, Szalacha, & McNair, 2010;Hughes et al, 2020;Hughes, Wilsnack, & Kantor, 2016;McCabe, Hughes, Bostwick, West, & Boyd, 2009;Schuler, Prince, Breslau, & Collins, 2020;Schuler, Rice, Evans-Polce, & Collins, 2018;Trocki, Drabble, & Midanik, 2009). A recent scoping review found that although some studies reported higher rates of hazardous drinking and drug use among bisexual women compared to lesbian women, others found no significant difference between these two groups (Hughes et al, 2020).…”

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confidence: 99%

Understanding Alcohol and Marijuana Use among Sexual Minority Women during the COVID-19 Pandemic: A Descriptive Phenomenological Study

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et al. 2021

Journal of Homosexuality

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Sexual minority women (SMW; e.g., lesbian, bisexual, queer) are at increased risk for heavy/hazardous drinking and marijuana use, which may be exacerbated by stress associated with the COVID-19 pandemic and efforts to mitigate its spread (e.g., sheltering at home). To explore their experiences and perceptions of alcohol and marijuana use in the context of COVID-19, qualitative in-depth interviews were conducted with a diverse sample of 16 SMW from a longitudinal study who previously reported being at least moderate drinkers to explore their experiences and perceptions of alcohol and marijuana use during the pandemic. We used descriptive phenomenological analysis to explore data from the interviews. Participants described how their alcohol/marijuana use intersected with the complex and changing context of the pandemic, revealing four themes: 1) losing and creating routine; 2) seeking recreation and relief; 3) connecting, reconnecting, and disconnecting; and 4) monitoring alcohol and marijuana use boundaries. Findings highlight the importance of fostering community supports and possible interventions informed by the experiences of SMW.

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confidence: 99%

Understanding Alcohol and Marijuana Use among Sexual Minority Women during the COVID-19 Pandemic: A Descriptive Phenomenological Study

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Drabble

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et al. 2021

Journal of Homosexuality

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“…Only one tobacco study examined racial/ethnic differences in outcomes , no alcohol interventions examined differences by race/ethnicity, and interventions for methamphetamine use included samples that were predominately non-Hispanic white, cisgender, gay or bisexual men, or MSM. The lack of attention to racial/ethnic differences is important given that SGM people of color are subject to stigma, prejudice, and discrimination across intersecting minority identities that can increase risk for substance use (Schuler, Prince, Breslau, & Collins, 2020).…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

A scoping review of alcohol, tobacco, and other drug use treatment interventions for sexual and gender minority populations

Kidd

Paschen-Wolff

Mericle

et al. 2022

Journal of Substance Abuse Treatment

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…These additive stressors may, in turn, contribute to higher levels of substance use and poorer health or psychosocial outcomes. At the same time, as Schuler and colleagues have noted [ 9 ], empirical studies do not consistently support an additive stress perspective, and in some cases, persons with multiple minority identities (e.g., racial/ethnic minority identity and SGM identity) have similar or more favorable profiles of substance use or related outcomes than peers with fewer minority identities (e.g., non-Hispanic White SGM peers) [ 9 ]. Regardless of the direction of differences found in empirical studies, the social contexts at the intersections of sexual orientation, gender identity, race, and ethnicity contribute to unique lived experiences [ 1 , 10 , 11 ] that may be obscured when all SGM persons are grouped together and compared in aggregate to non-SGM peers.…”

Section: Introductionmentioning

confidence: 99%

Alcohol and Cannabis Use Trajectories and Outcomes in a Sample of Hispanic, White, and Asian Sexual and Gender Minority Emerging Adults

Dunbar

Siconolfi

Rodriguez

et al. 2022

IJERPH

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Substance use disproportionately affects health and psychosocial outcomes for some racial/ethnic groups, but few longitudinal studies examine the extent to which sexual and gender minority (SGM) emerging adults of different racial/ethnic groups may experience disparities in outcomes at similar levels of alcohol or cannabis use. This study used five waves of annual survey data (spanning 2015 (average age 18) to 2020 (average age 23)) from an ongoing longitudinal cohort study of emerging adults. In the subset of 359 SGM emerging adults, separate sequelae of change models assessed differences in trajectories of alcohol or cannabis use (past 30-day frequency) and multiple health and psychosocial outcomes across Hispanic, Asian, and White individuals. White SGM emerging adults showed higher baseline levels of alcohol and cannabis frequency compared to Hispanic and Asian peers, but all groups showed similar rates of change (slope) over time. We observed few racial/ethnic differences in SGM emerging adult outcomes at the same levels of alcohol or cannabis use; that is, racial/ethnic groups showed similar patterns on most health and psychosocial outcomes; however, some differences emerged. For example, Asian respondents reported less engagement in sex with casual partners after using alcohol, marijuana, or other drugs compared to their White peers, at the same levels of alcohol use (β = −0.579, p = 0.03) or cannabis use (β = −0.737, p = 0.007). Findings underscore a need to consider multiple outcome domains and factors beyond additive stress in examining the effects of substance use across different groups of SGM individuals. More longitudinal studies with large, contemporary, and diverse samples of SGM emerging adults are needed to better characterize similarities and differences in patterns of substance use and use-related consequences in relation to intersecting SGM, racial/ethnic, and other identities.

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Substance Use Disparities at the Intersection of Sexual Identity and Race/Ethnicity: Results from the 2015–2018 National Survey on Drug Use and Health

Cited by 76 publications

References 52 publications

Understanding Alcohol and Marijuana Use among Sexual Minority Women during the COVID-19 Pandemic: A Descriptive Phenomenological Study

Understanding Alcohol and Marijuana Use among Sexual Minority Women during the COVID-19 Pandemic: A Descriptive Phenomenological Study

A scoping review of alcohol, tobacco, and other drug use treatment interventions for sexual and gender minority populations

Alcohol and Cannabis Use Trajectories and Outcomes in a Sample of Hispanic, White, and Asian Sexual and Gender Minority Emerging Adults

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