2017
DOI: 10.15288/jsad.2017.78.113
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Testing Cross-Sectional and Prospective Mediators of Internalized Heterosexism on Heavy Drinking, Alcohol Problems, and Psychological Distress Among Heavy Drinking Men Who Have Sex With Men

Abstract: ABSTRACT. Objective: Minority stress theory is one of the primary theories used to understand substance use among lesbian, gay, and bisexual populations. This study tested whether drinking to cope with stress (DTC), loneliness, and gay community participation (GCP) mediated the relationship between one type of minority stress (i.e., internalized heterosexism) and behavioral health outcomes. Method: Using secondary data analysis and the PROCESS procedure, relationships between internalized heterosexism, the med… Show more

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Cited by 23 publications
(16 citation statements)
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“…Bandermann and Szymanski (2014) reported that the positive association between sexual orientation-based discrimination and post-traumatic stress disorder symptoms was mediated by increased drug and alcohol use, next to internalization and detachment, among sexual minorities in the US. Kuerbis et al (2017) found that the positive associations between internalized homophobia and heavy drinking, alcohol problems, and psychological distress were mediated by increased alcohol use, besides increased feelings of loneliness and gay community participation among sexual minority men living in or around NYC. Other studies examined how mental health problems may mediate the association between sexual minority stigma and health behaviors.…”
Section: Mechanisms Linking Sexual Minority Stigma To Poor Physical and Mental Healthmentioning
confidence: 94%
“…Bandermann and Szymanski (2014) reported that the positive association between sexual orientation-based discrimination and post-traumatic stress disorder symptoms was mediated by increased drug and alcohol use, next to internalization and detachment, among sexual minorities in the US. Kuerbis et al (2017) found that the positive associations between internalized homophobia and heavy drinking, alcohol problems, and psychological distress were mediated by increased alcohol use, besides increased feelings of loneliness and gay community participation among sexual minority men living in or around NYC. Other studies examined how mental health problems may mediate the association between sexual minority stigma and health behaviors.…”
Section: Mechanisms Linking Sexual Minority Stigma To Poor Physical and Mental Healthmentioning
confidence: 94%
“…Third, loneliness likely generates stress that contributes to substance use. In a sample of heavy drinking gay men, for example, loneliness mediated the link between stress and problematic alcohol consumption (Kuerbis et al, 2017). Among young adults, loneliness predicted increased stress which was associated with greater alcohol and prescription drug use (Segrin, McNelis, & Pavlich, 2018).…”
Section: Loneliness and Substance Usementioning
confidence: 95%
“…this suggests that older LGB men and women may adopt different coping strategies to face minority stressors. the second study, by Kuerbis et al, 65 studied if drinking to cope with stress, loneliness, and gay community participation mediated the relationship between internalized heterosexism and behavioral health outcomes. internalized heterosexism, described periencing stigma-related stressors leading to increased alcohol and other drugs (aOD) use/ abuse.…”
Section: Substance Usementioning
confidence: 99%