Sexual minority stress and substance use: An investigation of when and under what circumstances minority stress predicts alcohol and cannabis use at the event-level.
Sexual minority stress and substance use: An investigation of when and under what circumstances minority stress predicts alcohol and cannabis use at the event-level.
复制标题
性少数压力和药物使用：调查少数群体压力何时以及在什么情况下预测事件层面的酒精和大麻使用。
DOI：
10.1037/abn0000819
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Kaysen,Debra
中科院分区：
文献类型：
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作者：
Dyar,Christina;Lee,ChristineM;Rhew,IsaacC;Kaysen,Debra
与顺性别、异性恋妇女相比，性少数妇女和性别多样化（SMWGD）个人患酒精和大麻使用障碍的风险更高。这归因于SMWGD所经历的独特压力源（即性少数压力）；然而，最近的研究发现，性少数派压力与药物使用之间存在联系，证据不一。目前的手稿介绍并测试了一个新的理论模型，该模型来源于整合少数民族压力理论和药物成瘾的多阶段模型，以解释这些混合的发现。我们使用了SMWGD中物质使用的30天生态瞬时评估（EMA）研究的数据，以确定制定的耻辱（来自他人的偏见）与同一天/第二天酒精和大麻使用之间的事件水平关联是否依赖于个体的典型物质使用模式（例如，频率、数量、动机和物质使用障碍[SUD]症状）。研究结果表明，制定的污名预示着那些经常使用酒精和大麻的人和那些可能有酒精或大麻使用障碍的人使用酒精和大麻的可能性增加，并预测那些使用频率较低的人使用酒精和大麻的可能性降低。制定的耻辱也预示着大麻（而不是酒精）在那些报告使用高应对动机的人中的使用。研究结果为支持少数群体压力理论和药物成瘾多阶段模型的整合模型提供了初步证据。研究结果表明，针对性少数群体的酒精和大麻使用障碍干预措施将受益于解决性少数群体的压力和应对技能建设。
Sexual minority women and gender diverse (SMWGD) individuals are at elevated risk for alcohol and cannabis use disorders compared with cisgender, heterosexual women. This has been attributed to the unique stressors that SMWGD experience (ie, sexual minority stress); however, recent studies have found mixed evidence for a link between sexual minority stress and substance use. The current manuscript introduces and tests a novel theoretical model derived from integrating minority stress theory and the multistage model of drug addiction to explain these mixed findings. We used data from a 30-day ecological momentary assessment (EMA) study of substance use among SMWGD to determine whether event-level associations between enacted stigma (bias from others) and same-/next-day alcohol and cannabis use are dependent on an individual’s typical pattern of substance use (eg, frequency, quantity, motives, and substance use disorder [SUD] symptoms). Findings indicate that enacted stigma predicted an increased likelihood of alcohol and cannabis use among those who used frequently and those who had a probable alcohol or cannabis use disorder and predicted a decreased likelihood of use among those who used less frequently. Enacted stigma also predicted cannabis (but not alcohol) use among those who reported high coping motives for use. Findings provide initial evidence in support of an integrated model of minority stress theory and the multistage model of drug addiction. Findings suggest that alcohol and cannabis use disorder interventions for SMWGD would benefit from addressing sexual minority stress and coping skill-building.