The curvilinear effects of sexual orientation on young adult substance use

Parnes, Jamie E.; Rahm-Knigge, Ryan L.; Conner, Bradley T.

doi:10.1016/j.addbeh.2016.11.012

Cited by 25 publications

(18 citation statements)

References 21 publications

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“…Bisexual individuals may experience discrimination from both the heterosexual community as well as the lesbian/gay community due to being perceived as both straight and gay (depending on the gender of their partner; Molina et al, 2015 ). In accordance with the minority stress theory, the additional stigma experienced by the bisexual community acts as a stressor, and coping with these additional stressors likely contributes to the elevated rates of mental health problems ( Meyer, 2003 ; Parnes et al, 2017 ).…”

Section: Introductionmentioning

confidence: 80%

The Indirect Effect of Emotion Regulation on Minority Stress and Problematic Substance Use in Lesbian, Gay, and Bisexual Individuals

et al. 2017

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Lesbian, gay, and bisexual (LGB) individuals report higher levels of problematic alcohol and substance use than their heterosexual peers. This disparity is linked to the experience of LGB-specific stressors, termed minority stress. Additionally, bisexual individuals show increased rates of psychopathology, including problematic alcohol and substance use, above and beyond lesbian and gay individuals. However, not everyone experiencing minority stress reports increased rates of alcohol and substance misuse. Emotion regulation (ER), which plays a critical role in psychopathology in general, is theorized to modulate the link between minority stress and psychopathology. However, it remains largely unknown whether ER plays a role in linking instances of minority stress with substance and alcohol use outcomes. To address the gap, the current study assessed 305 LGB individuals’ instances of minority stress, ER, and substance and alcohol use outcomes. We assessed the role of ER in problematic alcohol and substance use among LGB individuals using moderated mediation, where sexual minority status was entered as the moderator, and ER difficulties was entered as the mediator. The results indicated significant indirect effects of minority stress, through ER difficulties, on both problematic alcohol and substance use. However, there was no significant interaction with sexual orientation status, suggesting that ER may be important for all LGB individuals in predicting problematic alcohol and substance use. These results highlight the important role that ER plays between instances of minority stress and substance and alcohol use in LGB individuals, suggesting that ER skills may serve as a novel target for intervention.

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Section: Introductionmentioning

confidence: 80%

The Indirect Effect of Emotion Regulation on Minority Stress and Problematic Substance Use in Lesbian, Gay, and Bisexual Individuals

et al. 2017

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“…Further, compared to lesbian women and gay men, bisexual men and women reported greater internalized negativity about their sexual identity (Hequembourg & Dearing, 2013). In terms of alcohol use, the MST and the self-medication model may explain the high drinking levels of bisexual women (Coker, Austin, & Schuster, 2010; Drabble, Trocki, Hughes, Korcha, & Lown, 2013; Goldberg, Strutz, Herring, & Halpern, 2013; Gonzales & Henning-Smith, 2017; Hughes, Aranda, Birkett, & Marshal, 2014; Parnes, Rahm-Knigge, & Conner, 2017). The self-medication model states that a person will use a substance (e.g., alcohol) for temporary relief from distress (Khantzian, 1987), and has been widely supported in the literature (e.g., Khantzian & Albanese, 2008).…”

Section: The Contribution Of Binegativity To Sexual Coercionmentioning

confidence: 99%

“…Further, in a sample of heterosexual college women who experienced a sexual assault in which substances were consumed, 96% reported that they had been using alcohol prior to the event (Lawyer, Resnick, Bakanic, Burkett, & Kilpatrick, 2010). Although the relationship between alcohol use and sexual assault has been widely established among heterosexual women, this association is underexplored among bisexual women despite the fact that bisexual women report more binge drinking and more alcohol-related consequences than lesbian (Coker et al, 2010; Gonzales & Henning-Smith, 2017; Hughes et al, 2014; Parnes et al., 2017) or heterosexual (Drabble et al., 2013; Goldberg et al, 2013; Gonzales & Henning-Smith, 2017; see Talley et al., 2016 for a review) women. Further, bisexual women report more sexual violence than heterosexual or lesbian women (e.g., Walters et al, 2013).…”

Section: The Contribution Of Binegativity To Sexual Coercionmentioning

confidence: 99%

Testing a Model of Binegativity, Drinking-to-Cope Motives, Alcohol Use, and Sexual Coercion Among Self-Identified Bisexual Women

Kelley

Ehlke

Braitman

et al. 2018

Journal of Bisexuality

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In the present study, we tested a sequential mediation model whereby binegativity was associated with sexual coercion through drinking to cope motives and alcohol use. Data were examined from 224 self-identified bisexual women (M age = 22.79; SD = 3.44) who took part in an online survey. Participants reported binegativity, alcohol use, drinking to cope motivations, and sexual coercion experiences for the previous 30 days. A total of 48.0% of the sample (n = 108) experienced sexual coercion in the past 30 days. Sequential mediation indicated more experiences of binegativity were associated with greater drinking to cope motives, which in turn, related to greater alcohol frequency and greater likelihood of sexual coercion. Alcohol quantity was not a significant mediator. Results suggest the importance of studying the impact of binegativity on bisexual women, as well as developing prevention programs that consider how this form of discrimination may contribute to drinking to cope motives, more frequent alcohol use, and increased risk for sexual coercion.

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“…Bisexual women report more sexual victimization than heterosexual women (Hequembourg, Livingston, & Parks, 2013; Hughes, Szalacha & McNair, 2010; Walters, Chen, & Breiding, 2013). Bisexual women also report greater binge drinking and more alcohol-related consequences than heterosexual (Drabble, Trocki, Hughes, Korcha, & Lown, 2013; Goldberg, Strutz, Herring, & Halpern, 2013; Green & Feinstein, 2012) or lesbian (Coker, Austin, & Schuster, 2010; Parnes, Rahm-Knigge, & Conner, 2017) women. Links between sexual victimization and hazardous alcohol use have been demonstrated in heterosexual women (e.g., Parks, Hsieh, Bradizza, & Romosz, 2008) but there is a paucity of research on sexual minorities.…”

mentioning

confidence: 95%

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

Kelley

Ehlke

Lewis

et al. 2017

Substance Use & Misuse

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Of these participants, 57 (53.3%) reported one or more experiences of sexual coercion in the past 30 days. Sexual coercion was associated with negative alcohol-related consequences via drinking to cope motives. Negative affect moderated the association between sexual coercion and drinking to cope motives such that the association was stronger among women with greater negative affect. Conclusions/Importance: Methods of addressing vulnerability to sexual coercion and educating young bisexual women about the association between sexual coercion and potentially problematic affective coping through alcohol use are needed.

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The curvilinear effects of sexual orientation on young adult substance use

Cited by 25 publications

References 21 publications

The Indirect Effect of Emotion Regulation on Minority Stress and Problematic Substance Use in Lesbian, Gay, and Bisexual Individuals

The Indirect Effect of Emotion Regulation on Minority Stress and Problematic Substance Use in Lesbian, Gay, and Bisexual Individuals

Testing a Model of Binegativity, Drinking-to-Cope Motives, Alcohol Use, and Sexual Coercion Among Self-Identified Bisexual Women

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

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