Structural stigma and alcohol use among sexual and gender minority adults: A systematic review.

Autor:	Zollweg SS; Columbia University School of Nursing, 560 W. 168th St., New York, NY, 10032, USA.; National Clinician Scholars Program, David Geffen School of Medicine, University of California, Los Angeles, CA, 1100 Glendon Ave, Suite 900, Los Angeles, CA 90024., Belloir JA; Columbia University School of Nursing, 560 W. 168th St., New York, NY, 10032, USA., Drabble LA; San Jose State University College of Health and Human Sciences, One Washington Square, San Jose, CA, 95192, USA.; Alcohol Research Group, Public Health Institute, 6001 Shellmound St., #450, Emeryville, CA, 94608, USA., Everett B; University of Utah, Department of Sociology, 380 S. 1530 E, Salt Lake City, UT, 84112, USA., Taylor JY; Columbia University School of Nursing, 560 W. 168th St., New York, NY, 10032, USA., Hughes TL; Columbia University School of Nursing, 560 W. 168th St., New York, NY, 10032, USA.
Jazyk:	angličtina
Zdroj:	Drug and alcohol dependence reports [Drug Alcohol Depend Rep] 2023 Aug 18; Vol. 8, pp. 100185. Date of Electronic Publication: 2023 Aug 18 (Print Publication: 2023).
DOI:	10.1016/j.dadr.2023.100185
Abstrakt:	Background: Sexual and gender minority (SGM) people are more likely than their cisgender, heterosexual counterparts to report negative alcohol-related outcomes. Although the association between individual- and interpersonal-level minority stressors and negative alcohol-related outcomes among SGM people is well-established, structural-level minority stressors are understudied. This systematic review examined structural-level stigma and alcohol-related outcomes among SGM people to inform future research, interventions, and policy. Methods: We used five electronic databases to search for studies published between January 2010 and May 2022 that examined associations between structural stigma and alcohol use among SGM adults in the United States. Peer-reviewed, quantitative studies available in English were included. We conducted quality appraisal using the Joanna Briggs Institute checklist. Results: The final sample included 11 studies. Overall, there was moderate to strong support for a positive association between structural stigma and negative alcohol-related outcomes among SGM people, with differences by gender, sexual identity, race, and ethnicity. All studies used cross-sectional designs, and nearly half utilized non-probability samples. Transgender and nonbinary people, SGM people of color, and sexual identity subgroups beyond gay, lesbian, and heterosexual were underrepresented. Structural stigma was most commonly measured as a state-level index. Alcohol measures were heterogeneous. Multilevel stigma and resiliency factors were understudied. Conclusions: Addressing structural stigma is critical in reducing negative alcohol-related outcomes and inequities among SGM people. Research is needed that includes probability samples, longitudinal designs, and samples that reflect the diversity of SGM people. Future studies should examine the influence of multilevel stigma and resiliency factors on alcohol-related outcomes. Competing Interests: No conflict declared. (© 2023 The Author(s).)
Databáze:	MEDLINE
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