Swipe om te navigeren naar een ander artikel
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Sexual and gender minority (SGM) youth are more likely to use alcohol than their heterosexual cisgender peers. At the same time, SGM youth experience sexuality- and gender identity-specific stressors known to exacerbate negative health outcomes. Though scholars have established a link between minority stressors (e.g., internalized stigma and victimization) and increased alcohol use for SGM youth as a whole, there is little indication of whether internalized stigma and victimization are more strongly associated with alcohol use for specific groups of SGM youth. A United States sample of 11,811 racially and geographically diverse 13–17 year old SGM youth was used to employ a series of gender-stratified multivariable regression models to examine the association among internalized stigma, victimization, and alcohol-related behaviors, and whether they differed for specific groups of sexual minority youth. Sexual orientation moderated several associations between sexual minority stressors (i.e., victimization and stigma) and youth’s alcohol use (i.e., recent use and heavy episodic drinking) across models stratified by gender (i.e., male, female, and non-binary). For example, bisexual boys had stronger associations between SGM-specific victimization and alcohol use frequency and heavy episodic drinking relative to gay boys; conversely, victimization and alcohol use frequency were more weakly associated among bisexual girls relative to lesbian/gay girls. Pansexual girls showed weaker associations between internalized stigma and alcohol use frequency compared to lesbian/gay girls. This paper demonstrates who among SGM youth are more likely to engage in alcohol-related behaviors as a function of differential forms of SGM-related victimization and stigma. These findings can inform substance use interventions that are tailored to youth of diverse sexual orientations and gender identities.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Baiocco, R., D’Alessio, M., & Laghi, F. (2010). Binge drinking among gay, and lesbian youths: The role of internalized sexual stigma, self-disclosure, and individuals’ sense of connectedness to the gay community. Addictive Behaviors, 35, 896–899. https://doi.org/10.1016/j.addbeh.2010.06.004. CrossRefPubMed
Birkett, M., Espelage, D. L., & Koenig, B. (2009). LGB and questioning students in schools: The moderating effects of homophobic bullying and school climate onnegative outcomes. Journal of Youth and Adolescence, 38, 989–1000. https://doi.org/10.1007/s10964-008-9389-1. CrossRefPubMedPubMedCentral
Bontempo, D. E., & D’Augelli, A. R. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior. Journal of Adolescent Health, 30, 364–374. https://doi.org/10.1016/S1054-139X(01)00415-3. CrossRefPubMed
Bos, H., van Beusekom, G., & Sandfort, T. (2016). Drinking motives, alcohol use, and sexual attraction in youth. Journal of Sex Research, 53(3), 309–312. CrossRef
Coulter, R. W., Blosnich, J. R., Bukowski, L. A., Herrick, A. L., Siconolfi, D. E., & Stall, R. D. (2015). Differences in alcohol use and alcohol-related problems between transgender-and nontransgender-identified young adults. Drug and Alcohol Dependence, 154, 251–259. https://doi.org/10.1016/j.drugalcdep.2015.07.006. CrossRefPubMedPubMedCentral
Day, J. K., Fish, J. N., Perez-Brumer, A., Hatzenbuehler, M. L., & Russell, S. T. (2017). Transgender youth substance use disparities: results from a population-based sample. Journal of Adolescent Health, 61, 729–735. https://doi.org/10.1016/j.jadohealth.2017.06.024. CrossRefPubMed
Eisenberg, M. E., Gower, A. L., McMorris, B. J., Rider, G. N., Shea, G., & Coleman, E. (2017). Risk and protective factors in the lives of transgender/gender nonconforming adolescents. Journal of Adolescent Health, 61, 521–526. https://doi.org/10.1016/j.jadohealth.2017.04.014. CrossRefPubMed
Feinstein, B. A., Turner, B. C., Beach, L. B., Korpak, A. K., & Phillips, G. (2019). Racial/ethnic differences in mental health, substance use, and bullying victimization among self-identified bisexual high school-aged youth. LGBT Health, Online Early View. https://doi.org/10.1089/lgbt.2018.0229. CrossRef
Fish, J. N., Schulenberg, J. E., & Russell, S. T. (2018). Sexual minority youth report high-intensity binge drinking: the critical role of school victimization. Journal of Adolescent Health, 64, 186–193. https://doi.org/10.1016/j.adohealth.2018.07.005. CrossRefPubMed
Gilbert, P. A., Pass, L. E., Keuroghlian, A. S., Greenfield, T. K., & Reisner, S. L. (2018). Alcohol research with transgender populations: a systematic review and recommendations to strengthen future studies. Drug and Alcohol Dependence, 186, 138–146. https://doi.org/10.1016/j.drugalcdep.2018.01.016. CrossRefPubMedPubMedCentral
Hatzenbuehler, M. L., Schwab-Reese, L., Ranapurwala, S. I., Hertz, M. F., & Ramirez, M. R. (2015). Associations between antibullying policies and bullying in 25 states. JAMA Pediatrics, 169, e152411–e152411. https://doi.org/10.1001/jamapediatrics.2015.2411. CrossRefPubMedPubMedCentral
Hughes, T. L., Wilsnack, S. C., & Kantor, L. W. (2016). The influence of gender and sexual orientation on alcohol use and alcohol-related problems: toward a global perspective. Alcohol Research, 38, 121–132. PubMed
Institute of Medicine (IOM). (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington (DC): National Academies Press.
Kaestle, C. E., & Ivory, A. H. (2012). A forgotten sexuality: Content analysis of bisexuality in the medical literature over two decades. Journal of Bisexuality, 12, 35–48. https://doi.org/10.1080/15299716.2012.645701. CrossRef
Kann, L., Olsen, E. O., & McManus, T. (2016). Sexual identity, sex of sexual contacts, and health-related behaviors among students in grades 9–12—United States and selected sites, 2015. MMWR Surveillance Summary, 65, 1–202.
Marshal, M. P., Friedman, M. S., Stall, R., King, K. M., Miles, J., & Gold, M. A. et al. (2008). Sexual orientation and adolescent substance use: A meta-analysis and methodological review. Addiction, 103, 546–556. https://doi.org/10.1111/j.1360-0443.2008.02149.x. CrossRefPubMedPubMedCentral
Mereish, E. H., & Miranda, R. (2019). Exposure to stigma elicits negative affect and alcohol craving among young adult sexual minority heavy drinkers. Alcoholism: Clinical and Experimental Research, 43, 1263–1272.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. https://doi.org/10.1037/0033-2909.129.5.674. CrossRefPubMedPubMedCentral
Mohr, J., & Fassinger, R. (2000). Measuring dimensions of lesbian and gay male experience. Measurement and Evaluation in Counseling and Development, 33(2), 66–90. CrossRef
Muthén, L. K., & Muthén, B. (2019). Mplus. The comprehensive modelling program for applied researchers: user’s guide, 5. http://www.statmodel.com/virg_nov_course.shtml.
National Institutes of Alcohol Abuse and Alcoholism. (2019). Drinking levels defined. National Institutes of Alcohol Abuse and Alcoholism. https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking.
Pitkänen, T., Kokko, K., Lyyra, A. L., & Pulkkinen, L. (2008). A developmental approach to alcohol drinking behaviour in adulthood: a follow-up study from age 8 to age 42. Addiction, 103, 48–68. https://doi.org/10.1111/j.1360-0443.2008.02176.x. CrossRefPubMed
Russell, S. T., & Fish, J. N. (2019). Sexual minority youth, social change, and health: a developmental collision. Research in Human Development, 16, 5–20. https://doi.org/10.1080/15427609.2018.1537772. CrossRef
Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23, 205–213. https://doi.org/10.1111/j.1744-6171.2010.00246.x. CrossRefPubMed
Shidlo, A In B. Greene, G. M. Herek, (Eds) (1994). Internalized homophobia: Conceptual and empirical issues in measurement. Psychological perspectives on lesbian and gay issues, Vol. 1. Lesbian and gay psychology: Theory, research, and clinical applications. (pp. 176–205). Thousand Oaks, CA: US: Sage Publications, Inc. https://doi.org/10.4135/9781483326757.n10.
Taliaferro, L. A., Gloppen, K. M., Muehlenkamp, J. J., & Eisenberg, M. E. (2018). Depression and suicidality among bisexual youth: a nationally representative sample. Journal of LGBT Youth, 15, 16–31. https://doi.org/10.1080/19361653.2017.1395306. CrossRef
Talley, A. E., Hughes, T. L., Aranda, F., Birkett, M., & Marshal, M. P. (2014). Exploring alcohol-use behaviors among heterosexual and sexual minority adolescents: intersections with sex, age, and race/ethnicity. American Journal of Public Health, 104, 295–303. https://doi.org/10.2105/AJPH.2013.301627. CrossRefPubMedPubMedCentral
Watson, R. J., Veale, J. F., Gordon, A. R., Clark, B. A., & Saewyc, E. M. (2019a). Risk and protective factors for transgender youths’ substance use. Preventive Medicine Reports, 15, 100905. https://doi.org/10.1016/j.pmedr.2019.100905. CrossRefPubMedPubMedCentral
Watson R.J., Wheldon, C.W., & Puhl, R.M. (2019b) Evidence of diverse identities in a large national sample of sexual and gender minority adolescents. Journal of Research on Adolescence, Online Early View, 1–12. (in press). https://doi.org/10.1111/jora.12488.
White, A., & Hingson, R. (2013). The burden of alcohol use: excessive alcohol consumption and related consequences among college students. Alcohol Research: Current Reviews, 35, 201–218.
- Sexual and Gender Minority Youth Alcohol Use: Within-Group Differences in Associations with Internalized Stigma and Victimization
Ryan J. Watson
Jessica N. Fish
V. Paul Poteat
- Springer US
Journal of Youth and Adolescence
A Multidisciplinary Research Publication
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601