Longitudinal associations between minority stressors and substance use among sexual and gender minority individuals

Christina Elizabeth Dyar*, Michael Newcomb, Brian Mustanski

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Sexual and gender minority individuals (SGM) are at increased risk for substance use and substance use problems compared to heterosexual individuals. A growing cross-sectional literature has demonstrated that minority stressors are associated with higher risk for substance use among SGM individuals. However, longitudinal research in this area is limited and existing longitudinal studies have focused almost exclusively on one type of substance use (alcohol) and one minority stressor (SGM victimization). Methods: To extend the longitudinal body of research on associations between minority stressors and substance use, we utilized seven waves of data from a longitudinal cohort study of 1091 SGM individuals assigned male at birth to examine associations between three minority stressors, general stress, and marijuana and alcohol use. Results: At the within-person level, results indicated that when individuals experienced more internalized stigma, microaggressions, victimization, or general stress than usual, they reported more concurrent alcohol problems. Further, when individuals experienced more microaggressions or general stress than usual, they also experienced more concurrent marijuana use problems. However, stressors were not prospectively associated with higher rates of alcohol or marijuana problems six months later. Conclusions: Findings indicate that minority stressors are consistently associated with more concurrent alcohol problems, while these associations may be less consistent for marijuana problems. The lack of prospective effects of minority stress on substance use points to the need for innovative methods for examining these effects, such as daily or weekly diary studies.

Original languageEnglish (US)
Pages (from-to)205-211
Number of pages7
JournalDrug and Alcohol Dependence
Volume201
DOIs
StatePublished - Aug 1 2019

Fingerprint

Cannabis
Alcohols
Crime Victims
Longitudinal Studies
Sexual Minorities
Heterosexuality
Research
Cohort Studies
Parturition

Keywords

  • Longitudinal
  • Minority stress
  • Sexual minority
  • Substance use

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

@article{db2142956c56466ab3e557d040ea6e23,
title = "Longitudinal associations between minority stressors and substance use among sexual and gender minority individuals",
abstract = "Background: Sexual and gender minority individuals (SGM) are at increased risk for substance use and substance use problems compared to heterosexual individuals. A growing cross-sectional literature has demonstrated that minority stressors are associated with higher risk for substance use among SGM individuals. However, longitudinal research in this area is limited and existing longitudinal studies have focused almost exclusively on one type of substance use (alcohol) and one minority stressor (SGM victimization). Methods: To extend the longitudinal body of research on associations between minority stressors and substance use, we utilized seven waves of data from a longitudinal cohort study of 1091 SGM individuals assigned male at birth to examine associations between three minority stressors, general stress, and marijuana and alcohol use. Results: At the within-person level, results indicated that when individuals experienced more internalized stigma, microaggressions, victimization, or general stress than usual, they reported more concurrent alcohol problems. Further, when individuals experienced more microaggressions or general stress than usual, they also experienced more concurrent marijuana use problems. However, stressors were not prospectively associated with higher rates of alcohol or marijuana problems six months later. Conclusions: Findings indicate that minority stressors are consistently associated with more concurrent alcohol problems, while these associations may be less consistent for marijuana problems. The lack of prospective effects of minority stress on substance use points to the need for innovative methods for examining these effects, such as daily or weekly diary studies.",
keywords = "Longitudinal, Minority stress, Sexual minority, Substance use",
author = "Dyar, {Christina Elizabeth} and Michael Newcomb and Brian Mustanski",
year = "2019",
month = "8",
day = "1",
doi = "10.1016/j.drugalcdep.2019.03.032",
language = "English (US)",
volume = "201",
pages = "205--211",
journal = "Drug and Alcohol Dependence",
issn = "0376-8716",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Longitudinal associations between minority stressors and substance use among sexual and gender minority individuals

AU - Dyar, Christina Elizabeth

AU - Newcomb, Michael

AU - Mustanski, Brian

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Background: Sexual and gender minority individuals (SGM) are at increased risk for substance use and substance use problems compared to heterosexual individuals. A growing cross-sectional literature has demonstrated that minority stressors are associated with higher risk for substance use among SGM individuals. However, longitudinal research in this area is limited and existing longitudinal studies have focused almost exclusively on one type of substance use (alcohol) and one minority stressor (SGM victimization). Methods: To extend the longitudinal body of research on associations between minority stressors and substance use, we utilized seven waves of data from a longitudinal cohort study of 1091 SGM individuals assigned male at birth to examine associations between three minority stressors, general stress, and marijuana and alcohol use. Results: At the within-person level, results indicated that when individuals experienced more internalized stigma, microaggressions, victimization, or general stress than usual, they reported more concurrent alcohol problems. Further, when individuals experienced more microaggressions or general stress than usual, they also experienced more concurrent marijuana use problems. However, stressors were not prospectively associated with higher rates of alcohol or marijuana problems six months later. Conclusions: Findings indicate that minority stressors are consistently associated with more concurrent alcohol problems, while these associations may be less consistent for marijuana problems. The lack of prospective effects of minority stress on substance use points to the need for innovative methods for examining these effects, such as daily or weekly diary studies.

AB - Background: Sexual and gender minority individuals (SGM) are at increased risk for substance use and substance use problems compared to heterosexual individuals. A growing cross-sectional literature has demonstrated that minority stressors are associated with higher risk for substance use among SGM individuals. However, longitudinal research in this area is limited and existing longitudinal studies have focused almost exclusively on one type of substance use (alcohol) and one minority stressor (SGM victimization). Methods: To extend the longitudinal body of research on associations between minority stressors and substance use, we utilized seven waves of data from a longitudinal cohort study of 1091 SGM individuals assigned male at birth to examine associations between three minority stressors, general stress, and marijuana and alcohol use. Results: At the within-person level, results indicated that when individuals experienced more internalized stigma, microaggressions, victimization, or general stress than usual, they reported more concurrent alcohol problems. Further, when individuals experienced more microaggressions or general stress than usual, they also experienced more concurrent marijuana use problems. However, stressors were not prospectively associated with higher rates of alcohol or marijuana problems six months later. Conclusions: Findings indicate that minority stressors are consistently associated with more concurrent alcohol problems, while these associations may be less consistent for marijuana problems. The lack of prospective effects of minority stress on substance use points to the need for innovative methods for examining these effects, such as daily or weekly diary studies.

KW - Longitudinal

KW - Minority stress

KW - Sexual minority

KW - Substance use

UR - http://www.scopus.com/inward/record.url?scp=85067811760&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067811760&partnerID=8YFLogxK

U2 - 10.1016/j.drugalcdep.2019.03.032

DO - 10.1016/j.drugalcdep.2019.03.032

M3 - Article

VL - 201

SP - 205

EP - 211

JO - Drug and Alcohol Dependence

JF - Drug and Alcohol Dependence

SN - 0376-8716

ER -