Understanding the social and community support experiences of sexual and gender minority individuals in 12-Step programs.
Understanding the social and community support experiences of sexual and gender minority individuals in 12-Step programs.
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了解 12 步计划中性少数群体和性别少数群体的社会和社区支持经历。
DOI：
10.1080/10538720.2023.2172759
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发表时间：
2023
影响因子：
1.5
通讯作者：
Flentje,Annesa
中科院分区：
文献类型：
--
作者：
McGeough,BrianaL;Paceley,Meg;Zemore,SarahE;Lunn,MitchellR;Obedin-Maliver,Juno;Lubensky,MicahE;Flentje,Annesa
性少数和性别少数个体（例如同性恋、双性恋、非二元性别、跨性别者；SGMI）经历酒精或其他物质使用障碍的可能性是顺性别异性恋个体的 2-6 倍。 SGMI 参加 12 步小组的比例很高，例如戒酒互诫协会 (AA)。尽管社会支持是 12 步计划支持减少药物使用的既定机制，但 SGMI 在 12 步计划中的社会支持经验却鲜为人知。这项定性研究旨在了解参与 12 步计划的 SGMI 的社会和社区支持经验。本研究采用主题分析来解释 302 名参加过 12 步计划的 SGMI 的开放式回答。数据来自 PRIDE 研究，这是一项针对 SGMI 的大型全国在线纵向队列研究。关于 SGMI 如何在 12 步计划中体验社会和社区支持，出现了两个主题：有益的联系和有害的环境。有益的联系包括社区意识、分享经验和提供技能。有害环境包括边缘化、压迫、暴力和欺凌。本研究强调了 SGMI 参与 12 步计划的经验的可变性。这些发现表明，许多 SGMI 可能会从 12 步计划中受益，但可能需要支持来应对参与过程中可能出现的潜在危害。
Sexual and gender minority individuals (e.g.,gay, bisexual, non-binary, transgender; SGMI) are 2-6 times as likely as cisgender heterosexual individuals to experience alcohol or other substance use disorders. SGMI participate in 12-Step groups, such as Alcoholics Anonymous (AA), at high rates. Though social support is an established mechanism through which 12-Step programs support reductions in substance use, little is known about SGMI’s experiences of the social support in 12-Step programs. This qualitative study aims to understand the experiences of social and community support among SGMI involved in 12-Step programs. This study employed thematic analysis to interpret open-ended responses from 302 SGMI who had participated in 12-Step programs. Data was from The PRIDE Study, a large, national, online, longitudinal, cohort study of SGMI. Two themes emerged about how SGMI experienced social and community support in 12-Step programs: beneficial connections and harmful environments. Beneficial connections included a sense of community, shared experiences, and skills provision. Harmful environments included marginalization, oppression, violence, and bullying. This study highlights the variability of experiences of SGMI participating in 12-Step programs. These findings suggest that many SGMI may benefit from 12-Step programs but may need support in coping with potential harms that can emerge through participation.