Momentary Associations Among Minority Stress, Craving, Affect, and Nicotine Use Among Sexual Minority Youth.
Momentary Associations Among Minority Stress, Craving, Affect, and Nicotine Use Among Sexual Minority Youth.
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DOI：
10.1080/15374416.2022.2093208
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发表时间：
2022-11
影响因子：
4.2
通讯作者：
Miranda, Robert, Jr.
中科院分区：
文献类型：
--
作者：
Mereish, Ethan H.;Padovano, Hayley Treloar;Parlette, Brianna;Miranda, Robert, Jr.
相对于异性恋青少年，性少数青少年更有可能使用尼古丁。少数族裔压力模型认为，这些差异部分是由于他们被污名化的身份所特有的独特压力（即少数族裔压力）。然而，在性少数群体青少年的日常生活和自然环境中，缺乏探索少数群体压力源、中介过程和尼古丁使用之间的精细动态相互作用的研究。在30天的监测期内，我们利用生态瞬时评估来测试渴望和消极和积极影响对少数族裔压力源与随后尼古丁使用之间的瞬时关联的中介作用，这些青少年是活跃的尼古丁使用者，来自社区。参与者为85名尼古丁使用者，年龄在15至19岁之间（M年龄= 17.96,SD = 1.10； 56.6%为顺性别女性；56.6%为双性恋；84.3%为白人），其中一半（50.6%）为每日尼古丁使用者。结果表明，暴露于少数应激源与尼古丁渴望和消极影响的短暂升高和积极影响的减少有关。对尼古丁的渴望和积极影响也与随后使用尼古丁的更大可能性有关。少数压力源和随后的尼古丁使用之间的关联是通过渴望和积极影响介导的，但不是消极影响。我们的研究结果提供了性少数群体青少年中这些关联的第一个生态瞬时评估证据，并有助于支持和推进青少年尼古丁使用成瘾和性少数群体特定模型（例如，少数群体压力）。
Sexual minority youth are more likely to use nicotine relative to heterosexual youth. The minority stress model posits these disparities are partly due to unique stress (i.e., minority stress) specific to their stigmatized identities. However, there is a dearth of research exploring the fine-grained dynamic interplay between minority stressors, mediating processes, and nicotine use in sexual minority youth’s daily lives and natural environment. We leveraged ecological momentary assessment over a 30-day monitoring period to test the mediating effects of craving and negative and positive affect on the momentary associations between minority stressors and subsequent nicotine use among sexual minority youth who were active nicotine users and recruited from the community. Participants were 85 nicotine users, ages 15 to 19 years old (M age = 17.96, SD = 1.10; 56.6% cisgender female; 56.6% bisexual; 84.3% White) and half (50.6%) were daily nicotine users. Results indicated that exposure to a minority stressor was associated with momentary elevations in nicotine craving and negative affect and decreases in positive affect. Nicotine craving and positive affect were also associated with greater probability of subsequent nicotine use. The associations between minority stressors and subsequent nicotine use were mediated through craving and positive, but not negative affect. Our findings provide the first ecological momentary assessment evidence of these associations among sexual minority youth and help support and advance both addictions and sexual minority-specific models (e.g., minority stress) of nicotine use among youth.
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影响因子：
7.2
作者：
Hatzenbuehler, Mark L.
通讯作者：
Hatzenbuehler, Mark L.
影响因子：
3.8
作者：
Hatzenbuehler, Mark L.;Jun, Hee-Jin;Austin, S. Bryn
通讯作者：
Austin, S. Bryn
影响因子：
22.4
作者：
Kassel, JD;Stroud, LR;Paronis, CA
通讯作者：
Paronis, CA
影响因子：
6
作者：
Drummond, DC
通讯作者：
Drummond, DC
影响因子：
17.7
作者：
Kendler, Kenneth S.;Myers, John;Chen, Xianging
通讯作者：
Chen, Xianging