Avenues for Future Minority Stress and Substance Use Research among Sexual and Gender Minority Populations

2017 ◽  
Vol 11 (1) ◽  
pp. 52-62 ◽  
Author(s):  
Nicholas A. Livingston
Author(s):  
Phoenix R. Crane ◽  
Katarina S. Swaringen ◽  
Anthony M. Foster ◽  
Amelia E. Talley

Sexual and gender minority populations are at a heightened risk of developing alcohol-related problems, such as alcohol use disorder, compared to their heterosexual, cisgender counterparts. The present chapter presents recent prevalence rates of alcohol use disorder and examines how relations among sexual orientation, gender, and alcohol use are influenced by mechanisms relevant to minority stress theory, the intersectionality framework, and other social factors such as racism, sexism, homophobia, sexual victimization, and stigma. This chapter also explores available intervention and treatment initiatives for alcohol misuse in sexual and gender minority populations, suggesting empirically informed approaches to maximize the effectiveness of tailored programs.


Author(s):  
Michele J. Eliason

There is considerable evidence of health disparities among sexual and gender minority (SGM) populations in the areas of physical health and disability, mental health and suicidality, substance use and abuse, and access to care. However, little research has considered the possibility that disorders might concentrate in subgroups of SGMs with the greatest levels of minority stress over time or those who have experienced the greatest number of adverse childhood events. This chapter examines the scant evidence that physical and mental health disorders coexist in some SGM individuals and offers some critique of the existing research. Future directions for research are proposed.


Author(s):  
Heather L. Armstrong

Sexual disorders and dysfunction are common among people of all sexual orientations and gender identities. And while definitions and conceptions of sexual health are typically broad, the clinical and research perspectives on sexual function and dysfunction have traditionally relied on the four-phase model of sexual response and disorders are generally classified as “male” or “female.” This chapter reviews the diagnostic criteria for specific sexual dysfunctions and presents a summary of existing research among sexual and gender minority populations. Overall, research on sexual dysfunction among sexual and gender minority people is limited, and this is especially true for transgender and gender nonconforming individuals. Understanding these often complex disorders requires that individuals, clinicians, and researchers consider a range of biopsychosocial factors that can affect and be affected by one’s sexual health and sexuality.


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