scholarly journals Substance use and sexual minority status: examining the mediating roles of stress and emotion dysregulation in young adult women

2021 ◽  
Author(s):  
Connor McCabe ◽  
Alison Hipwell ◽  
Kate Keenan ◽  
Stephanie Stepp ◽  
Tammy Chung ◽  
...  
Keyword(s):  
Substance Use ◽  
Young Adulthood ◽  
Sexual Minority ◽  
Social Stress ◽  
Minority Stress ◽  
Emotion Dysregulation ◽  
Marijuana Use ◽  
Minority Status ◽  
Study Results ◽  
The Impact

Sexual minority women (SMW) report higher rates of substance use and disorder across the lifespan, and greater levels of minority stress in adolescence and young adulthood. Minority stress mediation models propose that higher levels of social stressors may increase emotion dysregulation, which in turn increases the propensity toward substance misuse. Few studies, however, have prospectively examined the impact of stressors and emotion dysregulation among SMW on early and escalating substance use. This longitudinal study examined whether emotion dysregulation and social stress mediated the association between sexual minority status and developing substance use (ages 17 through 22 years) in a sample of 2,201 heterosexual and 246 SMW participants in the Pittsburgh Girls Study. Results supported serial mediation processes of marijuana use risk: SMW reported higher levels of social stress in late adolescence, which in turn predicted greater emotion dysregulation that was associated with greater marijuana use by young adulthood.

scholarly journals Substance Use and Sexual-Minority Status: Examining the Mediating Roles of Stress and Emotion Dysregulation in Young Adult Women

2021 ◽  
pp. 216770262199935
Author(s):  
Connor J. McCabe ◽  
Alison E. Hipwell ◽  
Kate Keenan ◽  
Stephanie D. Stepp ◽  
Tammy Chung ◽  
...  
Keyword(s):  
Substance Use ◽  
Young Adulthood ◽  
Sexual Minority ◽  
Social Stress ◽  
Minority Stress ◽  
Emotion Dysregulation ◽  
Marijuana Use ◽  
Minority Status ◽  
Study Results ◽  
The Impact

Sexual-minority women (SMW) report higher rates of substance use and disorder across the life span and greater levels of minority stress in adolescence and young adulthood. Minority stress mediation models propose that higher levels of social stressors may increase emotion dysregulation, which in turn increases the propensity toward substance misuse. Few studies, however, have prospectively examined the impact of stressors and emotion dysregulation among SMW on early and escalating substance use. In this longitudinal study, we examined whether emotion dysregulation and social stress mediated the association between sexual-minority status and developing substance use (ages 17–22) in a sample of 2,201 heterosexual and 246 SMW participants in the Pittsburgh Girls Study. Results supported serial mediation processes of marijuana-use risk: SMW reported higher levels of social stress in late adolescence, which in turn predicted greater emotion dysregulation that was associated with greater marijuana use by young adulthood.

scholarly journals Investigating Differential Protective Effects of Marriage on Substance Use by Sexual Identity Status

2020 ◽  
Vol 8 (2) ◽  
pp. 69-80
Author(s):  
Karen Trocki ◽  
Amy Mericle ◽  
Laurie A. Drabble ◽  
Jamie L. Klinger ◽  
Cindy B. Veldhuis ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Identity ◽  
Sexual Minority ◽  
Sexual Minorities ◽  
Marijuana Use ◽  
Identity Status ◽  
Interactive Effects ◽  
Protective Effects ◽  
Minority Status ◽  
Increased Risk

Background: Research suggests that marriage is protective against substance use. However, few studies have examined whether this protective effect differs for sexual minorities, a population at increased risk for substance use. Using data from four waves of the cross-sectional U.S. National Alcohol Survey (NAS; 2000, 2005, 2010, and 2015), we investigated whether the protective effects of marriage varied by sexual identity. Methods: Sex-stratified logistic regression models were used to examine independent and interactive effects of current marital status (being married vs. not) and sexual minority status (lesbian/gay/bisexual vs. heterosexual) on high-intensity drinking, alcohol use disorder, and marijuana use in the past year. Results: Among both women and men, sexual minority status was generally associated with higher odds of these outcomes and marriage was consistently associated with lower odds. Differential effects of marriage by sexual identity with respect to marijuana use were found only among men; marriage was significantly associated with decreased odds of marijuana use among heterosexual men but increased odds among sexual minority men. Conclusions: Marriage may be less consistently protective against hazardous drinking and marijuana use among sexual minorities than heterosexuals. Findings underscore the importance of both quantitative and qualitative studies designed to better understand disparities in substance use across both sexual identity and relationship statuses.

scholarly journals Differential Effects of State Policy Environments on Substance Use by Sexual Identity: Findings From the 2000–2015 National Alcohol Surveys

2021 ◽  
Vol 2 (1) ◽  
pp. 53-71
Author(s):  
Laurie A. Drabble ◽  
Amy A. Mericle ◽  
Walter Gómez ◽  
Jamie L. Klinger ◽  
Karen F. Trocki ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Identity ◽  
Sexual Minority ◽  
State Policy ◽  
High Intensity ◽  
Marijuana Use ◽  
Minority Status ◽  
Men And Women ◽  
Sexual Minority Men ◽  
Minority Men

Introduction: This study explored whether structural stigma, defined by U.S. state policies related to sexual minority rights, moderated the relationship between sexual identity identity and heavy drinking, alcohol problems, and marijuana use among men and women. Methods: Using combined data from the National Alcohol Survey (NAS) series (2000, 2005, 2010, and 2015), the sample included 11,115 men (421 sexual minority and 10,694 heterosexual) and 14,395 women (413 sexual minority and 13,982 heterosexual). State policy environment was assessed using a time-varying dichotomous indicator of comprehensive protections for sexual minorities (4–6 protections vs. limited or no protections). Gender-stratified logistic regression analyses examined the differential effect of the policy environment by sexual identity on three past-year substance use outcomes: high-intensity drinking (8+ drinks/day), any DSM-5 alcohol use disorder, and marijuana use. Results: Among women, sexual minority status was associated with increased odds of all alcohol and marijuana use outcomes. Among men, sexual minority status was associated with decreased odds of high-intensity drinking but increased use of marijuana. Comprehensive policy protections were associated significantly decreased odds of high-intensity drinking among sexual minority men and marginally significant decreases among women. Conclusions: Comprehensive policy protections appear to be protective for high-intensity drinking among sexual minority men and women. Findings underscore the importance of supportive policies in reducing risk of alcohol-related problems among sexual minorities.

scholarly journals Romantic Attraction and Substance Use in 15-Year-Old Adolescents from Eight European Countries

2019 ◽  
Vol 16 (17) ◽  
pp. 3063 ◽  
Author(s):  
András Költő ◽  
Alina Cosma ◽  
Honor Young ◽  
Nathalie Moreau ◽  
Daryna Pavlova ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Minority ◽  
Minority Stress ◽  
European Countries ◽  
Romantic Attraction ◽  
School Aged Children ◽  
Multiple Substance ◽  
Hbsc Study ◽  
Heterosexual Youth ◽  
Opposite Gender

Sexual minority youth are at higher risk of substance use than heterosexual youth. However, most evidence in this area is from North America, and it is unclear whether the findings can be generalized to other cultures and countries. In this investigation, we used data from the 2014 Health Behaviour in School-aged Children (HBSC) study to compare substance use in same- and both-gender attracted 15-year-old adolescents from eight European countries (n = 14,545) to that of their peers who reported opposite-gender attraction or have not been romantically attracted to anyone. Both-gender attracted, and to a lesser extent, same-gender attracted adolescents were significantly more likely to smoke cigarettes, consume alcohol, get drunk and use cannabis, or be involved in multiple substance use in the last 30 days compared to their opposite-gender attracted peers. Those adolescents who have not been in love had significantly lower odds for substance use than all other youth. The pattern of results remained the same after adjusting for country, gender and family affluence. These findings are compatible with the minority stress and romantic stress theories. They suggest that sexual minority stigma (and love on its own) may contribute to higher substance use among adolescents in European countries.

scholarly journals The Salience of Antisocial Personality Disorder for Predicting Substance Use and Violent Behavior: The Moderating Role of Deviant Peers

2019 ◽  
Vol 50 (1) ◽  
pp. 35-50
Author(s):  
Thomas W. Wojciechowski
Keyword(s):  
Substance Use ◽  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Negative Binomial ◽  
Marijuana Use ◽  
Deviant Peers ◽  
Antisocial Personality ◽  
Violent Offending ◽  
Peer Association ◽  
The Impact

Deviant peer association and antisocial personality disorder are risk factors for drug use and violent offending. However, there has yet to be research that focuses on how deviant peer association may moderate the impact of antisocial personality disorder on these outcomes. Data from Wave 10 of the Pathways to Desistance dataset were used in analyses. Negative binomial regression was used to estimate the effects of covariates on violent offending. Ordered logistic regression was used to estimate the effects of covariates on substance use outcomes. Results indicated that deviant peer association moderated the impact of antisocial personality disorder on violent offending frequency and marijuana use frequency. The direction of this interaction effect was positive for marijuana use. The direction of this moderation was negative for violent offending, indicating that antisocial personality disorder–diagnosed individuals commit fewer violent offenses at similar levels of deviant peer association as nonafflicted participants.

scholarly journals 211. The Impact of Bullying On Substance Use Trajectories Among Sexual Minority Girls

2019 ◽  
Vol 64 (2) ◽  
pp. S107-S108
Author(s):  
Gerald T. Montano ◽  
Robert W.S. Coulter ◽  
Taylor Paglisotti ◽  
Michael P. Marshal ◽  
Heather L. McCauley ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Minority ◽  
Minority Girls ◽  
The Impact

Minority stress, substance use, and intimate partner violence among sexual minority women

2012 ◽  
Vol 17 (3) ◽  
pp. 247-256 ◽  
Author(s):  
Robin J. Lewis ◽  
Robert J. Milletich ◽  
Michelle L. Kelley ◽  
Alex Woody
Keyword(s):  
Intimate Partner Violence ◽  
Substance Use ◽  
Sexual Minority ◽  
Partner Violence ◽  
Minority Stress ◽  
Intimate Partner ◽  
Minority Women ◽  
Sexual Minority Women
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