Associations Between Latent Classes of Trauma Exposure and Minority Stressors and Substance Use Among Cisgender Sexual Minority Women.
Associations Between Latent Classes of Trauma Exposure and Minority Stressors and Substance Use Among Cisgender Sexual Minority Women.
复制标题
DOI：
10.1177/08862605231153886
复制
发表时间：
2023-07
影响因子：
2.5
通讯作者：
Hughes, Tonda L.
中科院分区：
文献类型：
--
作者：
Scheer, Jillian R.;Wall, Melanie M.;Veldhuis, Cindy B.;Ford, Jessie V.;Cascalheira, Cory J.;Helminen, Emily C.;Shaw, Thomas J.;Jaipuriyar, Virinca;Zaso, Michelle J.;Hughes, Tonda L.
关键词：
社会心理压力源（例如，少数压力源，创伤暴露）深刻影响性少数妇女（SMW）的酒精和其他药物（AOD）使用的风险。然而，研究还没有研究是否有不同的类型（即，模式）以及这些是否基于社会人口特征而变化或与AOD结果差异相关（例如，酒精依赖）。本研究旨在识别潜在类别的SMW报告不同类型的心理社会压力，并探讨预测和潜在类别的心理社会压力的SMW之间的结果。参与者包括602名SMW的社区样本（法师= 39.9，SD = 14.0; 74.0%女同性恋; 37.4%白色，36.6%黑人，22.3%拉丁裔; 26.6%年收入≤ 14，999美元）。潜类分析被用来确定社会心理压力的类型学。采用回归分析来研究社会人口学预测因素和班级成员的AOD结果。出现了三类心理社会压力源。1班的参与者可能报告相对较低的逆境。二班法定最低工资儿童期遭受身体虐待、严重性虐待和成年后遭受身体侵犯的学生容易受到歧视和污名意识的影响。一个独特的亚组SMW（3级）的CPA，成人性侵犯（阿萨）和耻辱意识的风险增加。年龄较大的法定最低工资、黑人法定最低工资及社会支持较低的法定最低工资，较有可能属于逆境较高的阶层。年龄较大的SMW患CPA和阿萨的风险不成比例。不同的心理社会压力源组合与AOD结果有独特的相关性。研究结果强调了考虑组内异质性的重要性，在SMW的社会心理压力和AOD结果的差异风险。针对法定最低工资的创伤风险和少数族裔压力源增加的结构性驱动因素，在多个层面进行心理社会压力源的常规筛查、针对法定最低工资实施的简短干预措施，以及减轻这些因素的政策，对老年法定最低工资、黑人法定最低工资和缺乏社会支持的法定最低工资尤为重要。
Psychosocial stressors (e.g., minority stressors, trauma exposure) profoundly impact sexual minority women’s (SMW’s) risk of alcohol and other drug (AOD) use. However, research has not examined whether there are distinct typologies (i.e., patterns) of psychosocial stressors and whether these vary based on sociodemographic characteristics or are differentially associated with AOD outcomes (e.g., alcohol dependence) among SMW. This study aimed to identify latent classes of SMW reporting distinct typologies of psychosocial stressors and examine predictors and outcomes of latent classes of psychosocial stressors among SMW. Participants included a community sample of 602 SMW (Mage = 39.9, SD = 14.0; 74.0% lesbian; 37.4% White, 36.6% Black, 22.3% Latinx; 26.6% annual income ≤$14,999). Latent class analysis was used to identify typologies of psychosocial stressors. Regression analyses were employed to examine sociodemographic predictors and AOD outcomes of class membership. Three classes of psychosocial stressors emerged. Participants in Class 1 were likely to report relatively low adversity. SMW in Class 2, who reported childhood physical abuse (CPA), severe childhood sexual abuse, and adult physical assault, were vulnerable to discrimination and stigma consciousness. A distinct subgroup of SMW (Class 3) was at heightened risk of CPA, adult sexual assault (ASA), and stigma consciousness. Older SMW, Black SMW, and SMW with lower social support were more likely to be in classes characterized by higher adversity. Older SMW were at disproportionate risk of CPA and ASA. Different combinations of psychosocial stressors were uniquely associated with AOD outcomes. Findings underscore the importance of considering within-group heterogeneity in SMW’s differential risk of psychosocial stressors and AOD outcomes. Routine screening of psychosocial stressors across several dimensions, brief interventions targeting AOD outcomes, and policies mitigating structural drivers of SMW’s increased risk of trauma and minority stressors may be especially important for older SMW, Black SMW, and SMW who lack social support.
登录
查看更多内容
DOI：
10.1176/appi.ajp.2020.20010005
发表时间：
2020-11-01
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Evans-Polce RJ;Kcomt L;Veliz PT;Boyd CJ;McCabe SE
通讯作者：
McCabe SE
DOI：
10.1016/j.socscimed.2018.08.010
发表时间：
2018-11
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Gillespie SL;Anderson CM
通讯作者：
Anderson CM
影响因子：
7.6
作者：
Decker, Michele R.;Latimore, Amanda D.;Astone, Nan Marie
通讯作者：
Astone, Nan Marie
影响因子：
2.3
作者：
Boness, Cassandra L.;Witkiewitz, Katie
通讯作者：
Witkiewitz, Katie
影响因子：
2.5
作者：
Adhia, Avanti;Gordon, Allegra R.;Roberts, Andrea L.;Fitzmaurice, Garrett M.;Hemenway, David;Austin, S. Bryn
通讯作者：
Austin, S. Bryn